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Wysłany: Sob 1:18, 19 Mar 2011
Temat postu: mbt shoes outlet Analysis of 63 cases of acute poi
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Clinical analysis of 63 cases of acute poisoning
Patients with biopsy under colposcope line did not find malignant lesions , but the line behind the diagnosis of cervical electrosurgical excision -based disease. Prompt us to be suspected of malignant lesions deep down in the colposcopic biopsy (> 5lnin), as necessary as early as possible cervical cone biopsy to confirm the diagnosis. The present study showed that 99% of cervical cancer and HPV infection , and HPV infection in MDA and not sure , XuJ other by RT-PCR method to detect 3 cases of MDA, no HPVDNA, MDA may be considered independent of HPV infection . Diagnosis of MDA also need to be differentiated with the following diseases : diffuse laminar endocervical hyperplasia, endocervical gland hyperplasia micro , deep glands , and cervical endometriosis psychosis. MDA treatment of cervical cancer should be the same with the same period . Surgical treatment of multiple use of hysterectomy and pelvic lymph node dissection ; intraoperative or postoperative adjuvant therapy was added , such as radiotherapy or chemotherapy. Commonly used chemotherapy drugs DDP, fluorouracil ,
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, VCR, MMX. In addition to poor efficacy of the disease were diagnosed outside the hard result not treated early . Also part of the tumor is not sensitive to chemotherapy related. But the correct diagnosis and timely treatment can achieve good results. Although this case is difficult because of economic À failed to adhere to the chemotherapy and follow-up treatment ,
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, but the prognosis is still good. Shows the case for chemotherapy sensitive , prompt us to MDA for young patients with fertility can not only line cervical resection combined with chemotherapy. Patients to preserve fertility and reduce the line due to radical hysterectomy in patients with pelvic lymph node dissection and suffering . Subject to rigorous follow-up , including cervical cytology, gynecological examination , B extra fine . We believe that early diagnosis and treatment the prognosis of patients with cervical MDA is still good. The late and poor compliance of patients the prognosis is poor. Therefore,
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, such a high degree of clinical suspicion of this disease, cytology should be repeated and try to deepen the depth of biopsy or cervical conization to the pathologist to provide detailed clinical data ,
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, pathology practitioner should be highly vigilant. Read carefully the film, serial sections and consultation when necessary , for early diagnosis and early treatment to avoid the misdiagnosis of patients leaving time to miss the best treatment to improve prognosis .
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