医
China Med Service
Best doctors, yours
Breaking down language, channel and process barriers in cross-border care — making the best doctors your personal doctors.
300 Grade-A partner hospitals · 3,000+ leading experts · one-stop service across all specialties
Gastric cancer is adenocarcinoma; chronic gastritis/H. pylori/diet; epigastric pain/weight loss/anemia.
肿瘤内科Esophageal leiomyoma is benign smooth muscle tumor; most common benign esophageal tumor; asymptomatic/dysphagia.
肿瘤外科Esophageal cancer is squamous cell/adenocarcinoma; dysphagia/weight loss; smoking/alcohol/Barrett.
肿瘤内科Cardiac cancer (gastric cardia carcinoma) is adenocarcinoma at gastroesophageal junction; dysphagia/weight loss.
肿瘤内科Colon cancer is common GI malignancy; #2 GI tumor; rectum/rectosigmoid 60%; age >40; M:F=2:1; high-fat diet.
肿瘤内科Hepatocellular adenoma (HCA) is rare benign liver tumor; related to oral contraceptives. Long-term OCP: 3-4/10,000; non-OCP/<2y: 1/1,000,000. Path: hepatocellular/cholangiocellular/mixed. >70% single; right lobe 67%; 1-500px.
肿瘤内科Malignant lymphoma is lymphoid reticuloendothelial tumor; primary GI lymphoma or secondary involvement. Terminal ileum/cecum most common; then right colon. Unknown; viral/immunosuppression/radiation/chemical carcinogens/toxins.
肿瘤外科Colorectal cancer includes colon/rectal cancer; rectum > sigmoid > cecum > ascending > descending > transverse; proximal shift. #3 incidence, #4 mortality. 5-year survival 40-60% post-resection.
肿瘤内科Stump cancer (cancer of gastric remnant) is gastric cancer after surgery for benign disease; >20 years after malignant surgery. Most common at anastomosis. Related to postoperative low acid/bile reflux/nitrosamine bacteria.
肿瘤外科Aortic aneurysm is localized/diffuse dilation >1.5x normal diameter. True (all 3 layers) vs false (pseudoaneurysm). Ascending arch/descending thoracic/abdominal. Rupture main danger.
肿瘤外科Cardiac myxoma is most common primary benign cardiac tumor; 95% atrial, 75% LA, 20% RA, 2.5% each ventricle. Near fossa ovalis; middle-aged females. Ball-valve mitral obstruction.
肿瘤内科Pericardial tumor is primary rare; benign: lipoma/fibroma/polyp/hemangioma/teratoma; malignant: mesothelioma/sarcoma. Secondary from lung/breast cancer/lymphoma/leukemia. Benign in infants; malignant age 20-30.
肿瘤外科Descending thoracic aortic aneurysm is most common thoracic aneurysm; distal to left subclavian; fusiform; atherosclerosis (formerly syphilis). Asymptomatic early; back pain between scapulae; acute worsening = rupture.
肿瘤外科Lung cancer (bronchogenic carcinoma) arises from bronchial epithelium; leading male cancer; #2-3 female. Smoking is major cause (>3000 chemicals; benzopyrene). 40/day: 4-10x risk. Urban > rural.
肿瘤内科Pulmonary metastatic tumor is hematogenous/lymphatic spread from other primaries. 20-30% of cancer deaths have lung metastasis; mostly within 3 years. From breast/bone/GI/genitourinary. Multiple bilateral nodules; treat underlying primary; solitary lesion
肿瘤内科Myeloid and lymphoid neoplasms with FGFR1. Oncologic care is used.
Myeloid neoplasms with PDGFRB rearrangement. Oncologic care is used.
Myeloid and lymphoid neoplasms with PDGFRA rearrangement. Oncologic care is used.
Myeloid sarcoma. Oncologic care is used.
Lymphosarcoma cell leukemia. Oncologic care is used.
|
