Chapter 880: Teratoma
I just went to work at half past two in the afternoon, and the woman who had seen the doctor in the morning came again.
"Doctor......
"It's you, I'm really embarrassed in the morning, I'm in a bit of a hurry." Guo Xiang immediately recognized it.
"It's okay!" The patient shook his head, quite happy, but he didn't expect the doctor to remember him.
The reason why she didn't go to Xu Wei was that she was embarrassed, she always felt a little embarrassed to go to a male doctor for a woman's illness.
And she inquired, this Dr. Guo is the dean, I heard that the medical skills are very good, she would rather wait more than the dean to see more at ease.
"You said you hadn't had a period in two months?" Guo Xiang asked.
"Hmm." The patient nodded.
"Married?" Guo Xiang asked while writing medical records, if you don't get menstruation after getting married, you should first rule out whether you are pregnant.
"It's over." The patient replied.
"Are you pregnant?" Guo Xiang said.
"It shouldn't be, I'm contraceptive, I don't want children yet, I've been taking medicine." The patient said.
"Really? Is there any discomfort in your body? Guo Xiang asked.
"There is no obvious discomfort, but the small stomach occasionally hurts...... "The patient touched his right lower abdomen.
Guo Xiang nodded, "It's better to do a urine test to rule out pregnancy, in case of pregnancy, and there are other diseases, many medicines can't be used." ”
The patient nodded.
Guo Xiang opened the order, took the urine cup to the patient, "Go and pay the fee, take the urine and go to the laboratory." ”
"Okay!" The patient nodded.
Not long after, Guo Xiang came back, Guo Xiang looked at the test sheet, and was not pregnant.
Because it is a urine test, it can be detected directly with a test strip, unlike a blood test.
"Not pregnant." Guo Xiang stood up, "Where did you just say it hurts?" Come here, go inside and I'll check it out for you. ”
"Good!" The patient nodded and went inside with Guo Xiang.
Guo Xiang hung a curtain behind him, and there was a consultation bed inside.
Because it is a general practice, there are all kinds of patients, so it naturally has more equipment than the general clinic.
The patient walked in, took off his coat, lay down on the bed, and pulled up his clothes.
Guo Xiang took a look, and it seemed that there was a bag in the lower right abdomen? It's not very noticeable, but it's still a little bulging when lying down.
Guo Xiang pressed it, "Does it hurt?" ”
"It hurts a little bit!" The patient nodded, "Actually, when I was taking a shower some time ago, I found that there was a little bit like a bag, but it didn't hurt or itch, so I didn't care about it." But now that my period is not coming, there is a little pain there, so I am a little worried. ”
Guo Xiang nodded, this position is the location of the ovaries, could it be a teratoma?
I opened the perspective and looked over, and sure enough, there was a six-centimeter-sized teratoma with teeth and hair in it, and ordinary people would definitely be shocked if they saw it.
Guo Xiang had a number in his heart, "There seems to be something growing in here, I will open a B-ultrasound order, and you will go over and check it immediately." ”
She has fluoroscopy, but this cannot be used as a basis for diagnosis, and it is still necessary to have a checklist.
Originally, in this case, there were six hormones to be done, and blood had to be drawn, but since I saw it, I didn't let the patient spend more money.
"What's that?" The patient tensed up.
"I'll know if I do a B ultrasound." Guo Xiang can't say much.
A B-ultrasound order was prescribed to let the patient go over immediately, there were not many patients in the hospital, and there was no need to wait long, and the examination was done quickly.
Guo Xiang looked at the B-ultrasound single, and sure enough, it was a teratoma, on the right ovary.
"You see, you have a teratoma on your right ovarie, not small, six centimeters, and you need to have surgery." Guo Xiang pointed to the shadow on the B-ultrasound sheet with a pen to show the patient.
"What tumor? Do I have a tumor? Is that cancer? "The patient was shocked.
"No, this can't be considered cancer, it's just a tumor, and this kind of tumor is generally benign, don't worry." Guo Xiang wrote the words teratoma on the medical record, "It is recommended to operate as soon as possible." ”
"Teratoma?" The patient looked at what Guo Xiang wrote, "What does this mean?" Freats? Is it the meaning of a malformed fetus? Am I pregnant with a freak? The patient's face changed as he spoke.
"No, teratoma focuses on the tumor, it's just a tumor, but its ingredients ...... It's a bit like a person, so it's called a teratose ......" Guo Xiang really didn't want to talk about it for fear of scaring people.
"Not me? How can that be a teratosensor? The patient still couldn't figure it out, "So how did it come about?" It can't be my twin sibling, right? ”
Guo Xiang was a little helpless, but it was normal, people who don't generally know really think that this deformed fetus is his twins, did he absorb all the nutrients and killed his brother or sister.
"No, this teratose is not your brother or sister, it's a germ cell tumor. Originating from the primitive germ cells of the embryonic gonads. Guo Xiang said.
The patient blinked, not understanding.
At this time, Zeng Jing happened to come over, and heard Guo Xiang explaining this to the patient, which was her strength, so she walked over.
"We people come from embryos, and embryos have embryonic tissue, which means that when you are still in your mother's womb, this embryoma may be in your body, it is grown from the original germ cells that produced you, that is, your own cells, not your brothers and sisters." Zeng Jing said.
The patient still doesn't understand.
Zeng Jing was also a little helpless, this reproductive medicine is not so easy for ordinary people to understand.
"And how does it grow?" The patient asked.
"Because it's also a cell, it grows when it absorbs nutrients, and it's generally made up of bone, cartilage, hair, or brain tissue......"
"What?" The patient screamed, "I still have bones and hair in my stomach, and even brain ......," and the patient said that he wanted to throw up.
Zeng Jing pouted, "Yes, so you must have surgery, if you don't have surgery, it will grow bigger and bigger, and then your ovaries may twist and rupture, which will be dangerous, and your ovaries may also have to be removed." ”
"What? Ovaries to be removed? The patient was even more frightened and looked at Guo Xiang nervously, "Dean Guo, I haven't given birth yet, I can't live without ovarian ......"
Guo Xiang patted her hand, "Doctor Zeng is talking about the situation of teratomas growing again, but your tumor is not small now, so you must operate as soon as possible, and you can't delay it any longer." I try to keep your ovaries from being removed. ”
"Actually, it's a minor operation, a laparoscope, and it's opened from the side of the navel, and the wound is small, the scar is not obvious, so don't worry." Guo Xiang said.
"Really?" The patient was relieved when he heard this, "How long will it take to get better?" Do I need to be hospitalized? How long do you want to stay? ”
"The surgery is very fast, and it takes about two or three days to stay in the hospital, but it is best to rest for a week when you go home to rest, and you can't do strenuous exercise for a month, and it's best not ......to do physical work," Guo Xiang said.
"Is that so? Then I'll have to take a leave of absence. The patient nodded.
"If you decide to do it, try to eat liquid food for the next two days, and semi-liquid food is fine, and it will be easier to clear your intestines when the time comes. The surgery is done to cleanse the colon. Guo Xiang said.
"What is a liquid diet?" The patient asked.
Zeng Jing raised her eyebrows and looked at Guo Xiang, these people really don't understand at all.
"Just drink porridge, eat it thin, don't eat dry." Guo Xiang smiled, "In this way, the operation will come in two days, it is usually a postmenstrual operation, anyway, you haven't had your menstruation, and you can operate at any time." ”