Chapter 215: Primitive Neuroectodermal Tumor - Extremely Malignant!
Zhao Heng looked at the girl lying on the transfer bed with the eyeball of her right eye bulging out to the size of papaya, and asked the girl's father, the middle-aged uncle, "How long has she been like this?" ”
"Doctor, it's been a month."
The middle-aged uncle said.
"A month?"
Hearing the uncle's answer, Zhao Heng was a little surprised, such a large tumor, Zhao Heng thought that it had been developed for at least a year, but he didn't expect that it would only be a month.
Generally speaking, such a large tumor grows in a month, and the degree of malignancy is very high, and Zhao Heng has a bad premonition at this time.
"What was it like in the beginning?"
Zhao Heng continued to ask.
"Doctor, at the beginning, Miao Miao said that her eyes were itchy, so I took her to the hospital, and the doctor prescribed eye drops, and I gave her drops when I came back. The next day, Miao Miao's eyes were swollen. ”
The middle-aged uncle said.
"How big was the day it swelled?"
Zhao Heng thought for a while and asked.
"That is, it looks a little swollen, yes, and a little red."
The middle-aged uncle said.
"When did you get this big?"
Zhao Heng continued to ask.
"It's only been about two weeks, and I haven't grown much after that."
The middle-aged uncle thought for a while and said.
"Two weeks.
”
Hearing this, Zhao Heng had a bad premonition.
"Are you sure you haven't gotten any bigger after two weeks?"
Zhao Heng asked again.
"Yes, doctor."
Uncle nodded.
Hearing this, Zhao Heng's expression suddenly became solemn.
In just two weeks, it grew to the size of papaya, which means that the tumor is growing very quickly, and the tumor grows so quickly, but it stops growing after two weeks.
This is definitely not normal, although it seems that the tumor has not become larger, it does not mean that the tumor has stopped growing, it is stopping outward growth and turning to intracranial growth.
Thinking of this, Zhao Heng felt very tricky.
If it is only a tumor outside the orbit, then after the operation, at most one eye will be lost, although the girl has no eye, but she can still live a normal life.
But if the tumor grows into the skull, with such a rapid growth rate of this tumor, Zhao Heng can't even think about how much brain tissue the tumor cells have invaded.
"Doctor, Miao Miao.
? ”
Seeing Zhao Heng's solemn expression, the middle-aged uncle couldn't help but ask a little worriedly.
At this moment, his mood was like waiting to be sentenced to death.
"Don't worry, since you've brought her here, I'm sure the doctors at the hospital have already told you a lot before. Either way, try your best. ”
Zhao Heng pondered the language and said.
Regarding this girl's condition, Zhao Heng could only say that he tried his best.
After all, there are all kinds of signs that the tumor on this girl's body is extremely malignant, and generally speaking, with such a high degree of malignancy, the patient will only take three months at most from onset to death.
"Then please leave it to the doctor."
The middle-aged uncle's eyes darkened, and he continued.
The previous doctors basically didn't even say try, they just shook their heads.
In Zhao Heng's place, if he can try his best, he already feels hopeful.
"I did the basic examination first, and when the results of the examination came out, there would be a consultation. After the consultation, I will tell you the specific situation. ”
Zhao Heng thought for a while and said, in terms of tumors, although he also picked up some skills, he was always not as professional as the oncology department, so he still waited for the examination results to come out, and then called the oncology department to come for consultation.
It just so happens that the relationship between Zhao Heng and the oncology department is still quite good.
"Okay, okay."
The middle-aged uncle nodded again and again.
Next, Zhao Heng opened the examination, and Tian Zhen accompanied the uncle and the girl to do the examination.
Three o'clock in the afternoon.
All the girl's test results came back.
"Doctor, how is Miao Miao's condition?"
The uncle looked at Zhao Heng, who was looking at the results of the examination, and asked with some trepidation.
"The situation is not very good, you take a rest first, and after the consultation, I will tell you the results."
Zhao Heng said to the middle-aged uncle.
"Thank you, doctor."
The middle-aged uncle nodded and walked out of the office a little helplessly.
"Doctor Zhao, is the situation really bad?"
Tian Zhen, who was standing next to him, couldn't help but ask.
This girl is only twelve years old, which is the same age as flowers, and it would be a pity if life withered so early.
"It's too malignant."
Zhao Heng shook his head slightly.
"Please ask Li Haiyang from the oncology department to come for a consultation."
After a pause, Zhao Heng said to Tian Zhen again.
"Okay."
Tian Zhen nodded and went out to make a call.
Ten minutes later, Li Haiyang walked in from outside the office.
Before coming in, Tian Zhen had already taken him to see the girl.
"Doctor Li, the film is here, you can take a look first."
Zhao Heng said to Li Haiyang, with his current relationship with Li Haiyang, there is no need to say so many polite words.
"yes, okay."
Li Haiyang nodded solemnly, before coming in, he had already seen the girl.
To be honest, after so many years in the oncology department, it was the first time he had seen a tumor like this.
Li Haiyang stared at the film for a long time, and then thought for a while, and then said slowly with a solemn expression: "This is a very rare and extremely malignant primitive neuroectodermal tumor, but it is the first time I have seen it with such rapid progress." ”
"Primitive neuroectodermoma?"
Hearing Li Haiyang's words, Zhao Heng suddenly understood, it turned out to be such a rare malignant tumor, no wonder he didn't have it in his experience of picking up fusion.
"Primitive neuroectodermal tumor is a relatively rare and highly malignant neurological tumor, which is a relatively primitive tumor of the nerve and its derivation, which is mainly produced by the primitive neuroepithelium and has the potential for multidirectional differentiation. Primitive neuroectodermal tumors tend to grow aggressively and can spread widely to the brain crest, and the prognosis of patients is often poor. ”
"In this patient's case, it is a peripheral primitive neuroectodermal tumor, and the growth of the tumor is often relatively rapid, and the degree of malignancy is relatively high, and multiple metastases may occur at an early stage."
Li Haiyang explained.
"Is surgery possible?"
Zhao Heng asked Li Haiyang.
"Dr. Zhao, you see here, the patient's tumor has grown inward from the eye socket and has reached the brain tissue, and the degree of infiltration has been very deep. In this case, the prognosis of surgery is not necessarily very good. ”
Li Haiyang pointed to a high-density shadow on the MRI film of his brain, shook his head slightly and said.
"But the patient's tumor has grown so big that it not only occupies the entire eye socket, but also grows outward, and without surgery, the tumor cannot shrink with chemotherapy or radiotherapy alone."
Zhao Heng thought for a while and said.
He understood what Li Haiyang meant, the tumor on this girl's body was extremely malignant, and with or without surgery, the survival period was actually very short.
If you rely on radiation therapy or chemotherapy, you may be able to prolong your survival for a while.