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“医生,俺5年前小细胞肺癌晚期了,今天来复查”

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After working for so many years, I have seen thousands of cancer patients. Some late patients have had no news after several times. The cancer has not yet been overcome, and it is human nature to talk about cancer, but there is a simple and powerful Power is ignored by many people!

Five years ago, the exact date was 5 years and 4 months ago. A rural woman showed CT because of chest tightness and facial swelling. It was shown as typical small cell lung cancer with mediastinal and cervical lymph node metastasis:

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Unfortunately, small cell lung cancer has a high degree of malignancy and rapid growth. The volume doubling time is only about 30-60 days. It can be metastasized in the early stage. Some patients with small cell lung cancer only show hilar and mediastinal lymph nodes, fusion, and lung. I can't even find the primary lesion. Therefore, about 60-70% of patients with small cell lung cancer have had lymphatic, hematogenous and/or pleural metastases when they first came to the hospital for examination. There is no chance of surgery (so only about 5% of patients with small cell lung cancer have surgery. opportunity).

The next day, a cervical lymph node biopsy was performed. There was no miracle. The pathological diagnosis was small cell lung cancer.

Many people say that cancer will not be cured in the late stage. Anyway, it will not be cured. The money will be spent. If people are gone, people and money will not be worth the money. In fact, this argument is also somewhat reasonable. It is a pity that this couple of rural couples have never seen anything in the world. They don’t know what the reason is. They are also awkward in the face of cancer. They are very scared! However, doctors say that about 60% of small cell lung cancer is sensitive to chemotherapy, and some effects are very good!

The peasant friend’s mind simply believes in the doctor, and the doctor says that there are more than half of the chances, cure! (In fact, the original intention of doctors is that more than 60% of patients are effective in treatment and can prolong life)

Then, after 5 years and 4 months, the 60-year-old couple came back last week. "Doctor, we are small cell lung cancer, more than 5 years, come to review." This review CT is as follows:

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Green arrow for check date

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颈部和纵隔肿胀的淋巴结长期不可见,肤色红润,没有任何症状。这太强大了!

小细胞肺癌晚期,化疗后无症状生存5年零4个月,关键是没有复发!了解小细胞肺癌的读者应该明白这是一个奇迹!为什么她的治疗如此好?对医生进行粗略分析,可能有两个原因:

肿瘤标志物水平预测一些小细胞肺癌患者的预后。

(1)神经元特异性烯醇化酶(NSE),68-87%的患者血清NSE水平与肿瘤转移和预后相关,而患者的显着升高常表明预后不良。

(2)前胃泌素促进肽前体(Pro-GRP),它是小细胞肺癌的特异性标志物,可用于诊断,复发,预后的检测和治疗效果的评价。

Pro-GRP的正常值为0-50ng/L,其他无肾功能不全的恶性肿瘤患者常有轻微增加,但99.7%的患者<100ng/L;当Pro-GRP高于150ng/L时,表明小细胞肺癌的可能性> 93%,溶血时不易发生假阳性。

(3)除上述两项指标外,小细胞肺癌乳酸脱氢酶(LDH)的广泛分期是正常的,常表明预后良好(小细胞肺癌患者常伴有乳酸脱氢酶升高)。

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2.患者的想法很简单,我相信医生,有了治疗方法!

Howe博士已经做了一年半的科学研究,并且有一种非常明显的感觉:每个人都对自己的医生缺乏信任,并且总是想找一个更好的医生,一个更好的治疗计划!总是怀疑你的治疗不够完美!这对患者的想法一直很简单。他们说农村人不会看到他们,医生的待遇就是听医生。它简单而简单。

简单纯净,干净利落!

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回答读者的问题,最常说的一句话是:遵循当地医生的指导!由于每个医院都有一个高手,信息时代的沟通很方便,全国各地的医生都在利用网络平台努力学习,快速进步!在5G时代,许多优秀的基层医生将脱颖而出,造福人民!

Howe博士有时会与来自全国各地的医生进行沟通。什么样的癌症患者有最好的治疗效果?首先,有病理类型的特效药物;第二,与治疗合作并信任医生的患者,这类患者被称为高质量组,奇迹最有可能从这一群体中出现。

有些人想知道各种检查的目的,各种药物的价格和不良反应,甚至想要验证每个治疗方案的科学性,就像在战场上激烈的战斗后,一个团队援军说:嘿,兄弟,让我救你!你回答说:等一下,让我看看你能不能做到!

不能互相信任,共同努力,如何寻求最大的战斗力?

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我是科豪形象的医生,分享小案,传递正能量,欢迎关注!

#清风计划##我的诊故事#

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