233 nasal type nk/t malignant lymphoma

The system's warning scared Su Yang so much that he jumped up.

He really didn't expect that the result of this treatment would be like this. In his opinion, the worst result was that the treatment was ineffective. The patient's rhinitis was still tormenting the patient day after day, but how could he know that the result was death?

How can rhinitis lead to death?

Su Yang couldn't understand it.

If Su Yang was an ENT specialist, he might not be particularly strange about this problem, but he used to focus on the battlefield first aid. In his subconscious, problems such as rhinitis were minor problems, which might make people feel in pain, but they would definitely not be fatal. But now...

With a snap, he was slapped in the face!

And it hurts so much!

As a doctor, the most painful thing is that his patient died at his own hands, so Su Yang was very sad.

He walked around the system space anxiously, thinking about what was going on in the middle. Unfortunately, the result was disappointing. Although he had already studied at the Military Medical University and had excellent grades in every subject, he still couldn't understand what was going on in the middle.

In desperation, Su Yang had to conduct an anatomical examination of the experimental subject, and the result surprised him and the patient died of cancer.

cancer?

rhinitis?

How can rhinitis develop into cancer?

Su Yang was confused again.

Does the patient suffer from several diseases at the same time, the most serious of which is cancer, and rhinitis is just a minor problem?

Su Yang immediately launched the second experiment.

During the second trial, he was not busy with treatment, but first performed several common cancer screenings on the patient, such as lung cancer, liver cancer, etc., but did not find it. In other words, the patient did not have early symptoms of liver cancer or lung cancer.

It seems that we still have to find the root cause from the nose.

Su Yang gave the patient a complete and detailed examination again.

After examination, it was found that during the anterior rhinoscopy, the patient found that there was a new purple-dark creature on the front end of the right lower abrasion, a nasal congestion on the right side, occasionally clear nasal, no fever, and no blood in the nasal cavity.

The nose examination showed that the external nose was normal, the nasal septum was in the middle, the mucosa of the two nasals was congested and red, the lower right abras were hypertrophic, and the front end saw a purple and dark new organism, about 0.5×0.5 square centimeters in size, the contraction effect of ephedrine cotton sheets was not ideal, and no secretions were found in the nasal passages.

Initial diagnosis: New organisms in lower right altitude (properties to be investigated).

Post-sinus examination    ct                                                        

The texture is brittle during the biopsy of the new biopsy and the wound is bleeding more.

Biopsy pathological report: Infiltrating blood vessels with opposite lymphocytes under the endometrium, the type of nasal discharge is nk/t malignant lymphoma.

The immunohistochemistry results were: ebv                                                                                                                         �

Check eb     Viral antibodies:     eb-vca shell antigen     igg(); anti                       eb                        eb                                                                                                                                                                                     

At this point, Su Yang suddenly realized what was going on.

nk/t      Cellular lymphoma is a rare and special type of malignant lymphoma. It was used in the past: necrotic (lethal) midline granuloma, polymorphic reticuloma, midline malignant reticuloma, vascular central lymphoma, etc.

The vast majority of cases are nk      cell tumors, but a few cases do not express nk                                                                                                               

Epidemiology shows that the incidence of this disease has obvious regional and gender differences. It is highly prevalent in Asia and South America. The incidence rate of yellow people is significantly higher, and it is rare for white people to suffer from diseases, indicating the racial susceptibility of the disease.

The exact incidence is unclear.

It is characterized by clinical practice that it is more common in the midline of the face and is damaged. The main lesions are the nasal cavity, followed by the palate and oropharynx, which can also involve the external nose, especially the vestibule of the nasal, and other parts include the skin, digestive tract, etc.

The main clinical manifestations are swelling of the nose, destruction of the hard palate, swelling of the eye orbit, erythema skin, etc. The main signs are mucosal ulcers, covered with dry scabs or pus scabs, accompanied by foul odor; granulomatous new organisms and local bone damage. Such as nasal septum or hard palate perforation, collapse of the nose bridge, etc., which may spread in the later stage of the disease, which may affect the skin, digestive tract, ***, central nervous system, spleen and other organs and tissues, and rarely involve lymph nodes.

The lesions in this case are in the right nasal cavity, which are rare in clinical practice and are very easy to misdiagnose as hypertrophic rhinitis and turbinate polyps.

After understanding these things, when Su Yang went to see Zhao Jianguo again, he felt different. In his heart, Zhao Jianguo was no longer the mighty and domineering combat hero, but became a patient who needed emergency medical treatment.

But things are a little troublesome.

First of all, he is not a specialist in the otolaryngology department. To be honest, he has no say in the diagnosis of this disease.

Secondly, how he disclosed this situation to the patient is also a problem.

He had just come out of the system space, and the otolaryngology doctor finished the examination. He prescribed a special drug for rhinitis for Zhao Jianguo, and then moved the topic to other places.

Su Yang worked hard to find a chance, and finally found a chance. He quietly and kindly reminded: "Doctor Wang, is he... really hypertrophic rhinitis? Is there anything else?"

He wanted to use this indirect method to remind the other party first.

Regarding Zhao Jianguo's question, it is best to be raised by a professional otolaryngologist. This is the best solution, but the problem now is that professional otolaryngologists do not think that Zhao Jianguo will have serious problems, so he can only touch indirectly and guide him in a row.

But before he finished speaking, the doctor said, "It's hypertrophic rhinitis, and it's a very typical hypertrophic rhinitis!"

Su Yang was about to discuss with the other party again, but someone next to him suddenly came over and pulled the other party away. It seemed that there was a check that he needed to do.

"..." Su Yang had no choice but to scratch his head helplessly.

It seems that if you want to use this doctor to lead to Zhao Jianguo's problem, you can't succeed, so you can only think of other tricks.

Just when he was a little confused about what to do, He Qiong came over and stood beside him and asked in a low voice: "Su Yang, what's wrong? You seem to have something to tell Xiao Wang?"

Su Yang turned his head and looked around, and found that no one was paying attention. Then he leaned into He Qiong's ear and whispered: "I suspect that Zhao Jianguo did not have hypertrophic rhinitis, but I don't know how to raise this question. I mentioned it to him just now, but he seemed to disagree with my question."

"Isn't it hypertrophic rhinitis?" He Qiong was stunned, and his beautiful double eyelids and big eyes looked at Su Yang without blinking.

Um.
Chapter completed!