A thank you letter from the government information disclosure mailbox
Author:Panyu Terrace Time:2022.07.18
"I can't forget that the end of your bedside and bed is busy, and you can't forget your investment when you analyze and discuss the condition! As an ordinary people, because of our knowledge of medicine, there is no problem with the doctor. We will try our best to meet our requirements ... "On July 13, the Panyu District Government's information disclosure mailbox received a special thank -you letter.
Condition MDT consultation giving treatment plan
Ms. Li, the mother of Mr. Lin, was 58 years old. This year, a month ago, a conventional physical examination of the chest CT found that the upper left lungs were occupied and came to the oncology department of the Central Hospital of Panyu District. According to Mr. Lin, Ms. Li received the left breast slicing in the field 25 years ago. The memory belongs to benign and has not undergone subsequent treatment. There was no other obvious medical history in the past. After the outpatient PET-CT examination, it is considered as peripheral cancer of the left upper lung. At the same time, the cervix is led. The nature is unknown. It is recommended to follow up.
After admission, the deputy chief physician Lin Liping and the attending physician of the head of the cardiac surgery of the Department of Cancer Department will consider the early peripheral cancer of the left upper lungs. There is no metastasis in the distance. Surgical treatment is the first choice. After obtaining the consent of the patient and his family, he was transferred to the heart thoracic surgery. It was planned to implement the left upper pulmonary lobe and systematic hypertrophy cleansing on July 5th under the single -hole thoracoscopy.
Considering that Ms. Li's cervix is uncertain, on July 4, cardiopathic surgery requested gynecological consultations. After gynecologists perfected the vaginal gynecological ultrasound, they highly suspected that Ms. Li had cervical cancer.
At this time, the condition became very complicated immediately: Is lung cancer metastasized to the cervix? Or is cervical cancer metastasized to the left lung? Or the same period of double primary tumor? If cervical cancer is metastasized to the lungs, and the lungs are locally removed; if it is primary lung cancer, it is a double primary tumor that needs further lung cancer root treatment.
Faced with such a difficult problem, the cardiac surgery of the Central Hospital of Panyu District quickly organized oncology and gynecology to start MDT consultation. After in -depth discussion, the possibility of finally considering the two primary tumors is high. The final scheme is to perform lung surgery as scheduled. Before that, the gynecological clinic was sent for vaginal examination; lung surgery was based on the results of rapid freezing pathological examination during the operation.
Subsequently, the attending physician of Liang Henglun, a heart chest surgery, explained the multi -disciplinary consultation opinions and the advantages and disadvantages of various plans to Ms. Li's family. The family members agreed to surgery as scheduled as scheduled according to the doctor's suggestion.
Doctors and patient trust gain a good treatment effect
On July 5th, the operation was performed according to the original plan. The results of the rapid freezing pathological examination during the operation were infiltrated adenocarcinoma, but it was impossible to learn from the original or metastasized. At this time, the attending physician of Liang Henglun believed that the possibility of duality of lung cancer and cervical cancer was more likely. After taking the pathological results, he communicated with his family members and obtained consent, and continued to treat the root of the upper left lung cancer.
In the end, all the pathological results of Ms. Li came out: the upper left lung infiltrated adenocarcinoma, considering breast metastasis; cervical lesions considered primary cervical squamous carcinoma. Considering that Ms. Li had accepted the left breast resection 25 years ago, she finally judged that Ms. Li was a double primary tumor for breast cancer recurrence lung metastasis plus primary cervical squamous carcinoma.
"Thanks to the ultimate minimally invasive, precision medical care, fast recovery, full tracking, and multi -disciplinary cooperation, Ms. Li recovered quickly three days after surgery. Treatment opportunities. After the gynecological tumor surgery is restored, it will go to the oncology department for comprehensive consolidation auxiliary treatment. It is expected that the follow -up treatment effect is ideal. "Liang Henglun, the main doctor of the hospitalized hospital, mentioned.
Photo confession
Doctors and patients are the community of life. Only by trust can we win win. This to Xie Xin is a gratitude and trust in the Panyu District Central Hospital, and it is also a great encouragement and honor to give the majority of medical staff in the hospital.
Text/Picture: Panyu Rong Media Reporter Mai Yuling Correspondent Xu Jing
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