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A case of mandibular metastasis of breast cancer _

 
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Dołączył: 03 Mar 2011
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PostWysłany: Pią 18:22, 25 Mar 2011    Temat postu: A case of mandibular metastasis of breast cancer _

A case of mandibular metastasis of breast cancer


Anti-infection treatment. After 24 hours of abdominal distension, abdominal pain, no exhaust, and defecation. Epidural anesthesia for caesarean section is thrust in the search operation, search, see appendix surgery thrust malformation. Intestinal wound around the end of said 4ocm, drying tube dark red - was purple swollen appendix at the end, to remove the appendix, the intestine was wrapped Found solution. After the bowel by the external application of hot salt water, to normal. Stimulate a bowel movement occurs. Kai fresh vegetables surgery, gastrointestinal decompression, fluid and anti-infection treatment, was discharged after seven days. Appendix to send return for cellular pathology organization 7p, production. Rainbow over the Framework of Jilin City Central Hospital, G medical record: patient man. 65. Britain because of urinary urgency, voiding difficulty for 2 years, after drinking with acute abdominal pain, urinary pigwash day people stay in hospital. Full physical examination of patients in the lower abdomen, tenderness (+). Throbbing cartridge (+), set the catheter smoothly. Export bloody urine of about 200 ~ n1. Later, the bladder area is still full. Percussion dullness. Shifting dullness (disabilities). DRE: Prostate was l. Swollen, smooth, quality and tough, tenderness positive. B-ultrasonic examination: slightly smaller than the bladder body. Bad filling, the bladder wall can be seen multiple creases. 25 * See the bladder can be proud of the streak in the floating band of light, the right side of the bladder wall can be seen near the bottom of a 0.5cm defect in the bladder. Discontinuity of the bladder wall, the abdominal cavity near the free ends of the bladder wall can be seen at 3.5 ~ m × 1. ocIn liquid dark area, irregular shape after the pressure change. B-Tip: bladder rupture, prostate hyperplasia, a small amount of fluid in the lower right abdomen. Operative findings, intra-abdominal volume of bloody urine see the steps, smoking of about I50 ~ n1. Bladder filling bad. Near the bottom of the bladder wall to the right see a 1.6cm gap. And can be seen from the overflow of urine, then suck the bleeding from the bladder urine lOOm], bladder repair and prostatectomy. Experience of using B-benign prostatic hyperplasia. Induced urinary bladder rupture pigwash method is easy to stay the effect determined to provide for the surgery. ) Wide, leaf l white. Blake jaw metastasis of breast cancer cases p) j7yf, Yu Wang Xiuqin corpse once transferred to the Jilin City Central Hospital, under the breast bone Jie, the access to domestic and foreign literature, no reports, is still rare. These are as follows, the patient female, 34 years old. Farmers. The patients in the January 1984 store the left breast at a local hospital】 ho left internal mammary cancer line and bilateral radical oophorectomy, postoperative pathologic diagnosis of breast cancer in April 1985} Park, has hit the right breast mass. Patients insist on removal. The right breast removed in April the same year, after the right breast pathology reports no cancer cells; January 1987 from the Ministry of cartridge re-swollen left cheek, with the anti-inflammatory drugs ineffective l1987 l2 months in good condition, normal liver function tests, ECG loop check No exceptions, specialist examination: facial asymmetry, left common carotid tumor visible on a round about 4.5cm × 3 ~ m. Hard, activity and small, with skin without adhesion, the surface of the skin color was normal and no tenderness, smooth surface. One piece pick Ju normal beat. Treatment under general anesthesia left common carotid dissection. See sternocleidomastoid muscle before surgery every ten lymph nodes were swollen tied. Mastoid muscle breast fed below the top of a 5 ~ m × 4crux3 ~ m masses. Left neck pathology report after surgery for the breast cancer metastasis, distant metastasis of breast cancer the most common pride in Rotary are: arsenic, liver and bone. In bones, the embedded times as vertebrae, pelvis, femur. The common sites of metastasis rate of patients showed no tumor metastasis, and the first bone metastasis to the next Jie,[link widoczny dla zalogowanych], uncertain almost 2 a ~ ~ a 26 · t Ji Lei medical information '1996 # 5 review on brother. Tuberculous pelvic inflammatory disease, we found that uterine fibroids, some beans large. And without increasing the amount of menstruation. A week. After nearly a year was significantly increased. Period extended to l5 days. No history of hypertension and diabetes. Physical examination: anemia appearance, vital signs normal. Normal heart and lung Fu check: was the shade outside the normal cervical light Po. Palace anterior. Pregnancy may increase the three-October, hard. The surface is still flat. T preliminary clinical diagnosis of uterine fibroids, the original pulse of 116 beats / min. Respiratory 22 King / min, clear mind. Appearance of severe anemia. Lips and eyelids pale. Obstetrics and Gynecology: The womb of a low dry below the belly button, cross fingers, uterine tenderness. Especially in the following paragraph is heavy, strong larger. Cervix. One finger too. Treatment; give blood lost. After rehydration oxygen. Blood pressure rose to 13.3/80kPa, consider uterine hemorrhage. Curettage. Clot scraped about lOOm [, then blood pressure was 4.0,0 kPa, immediately gave the transmission of whole blood infusion, laboratory WBC 55.3 × 10. / L. Platelets 170 × IO ', L,. The initial months after diagnosis of t ① cesarean wound dehiscence with hemorrhagic shock I @ l @ years ago infection. To save the lives of patients on the same day separation profile in the local anesthesia plus drunk ● '●


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