媽咪發現膀胱癌有腫瘤，但今日醫生話係轉移癌

genesis_cool 2022-10-22 16:17:51 利申 non path/ gyn onc…
Clear cell could be mullerian in origin or RCC and rarely papillary UC/ clear cell?? 估下??

瀏覽數量 2022-10-22 16:19:44 鳩嗡打咁多字做把撚

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genesis_cool 2022-10-22 16:20:24 保險話事

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tsutsumi 2022-10-22 16:23:33 同我價值觀一樣！
不過媽咪佢仲係响驚既階段，我覺得佢會怕留低我一個人而死撐，我自己心願當然係佢可以好返可以開開心心，但係我又好擔心佢要面對好辛苦既治癒過程

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tsutsumi 2022-10-22 16:29:14 我同佢講，而家行得食得瞓得痾得就繼續正常生活，我地兩個開心過日子，到時真係有咩事先再算，好多人都係帶住癌症生活！

不過講完我眼淚在心裡流…

なごり雪 2022-10-22 16:29:29 Cancer真係好恐怖，根本係隱形定時炸彈黎，身體任何一個器官都有可能出現
我之前就係驚自己cancer 做body chack 同腸胃鏡，又搵到好多資訊，好感恩咩事都無

mRNA係咪真係做到cancer疫苗

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なごり雪 2022-10-22 16:31:40 btw 希望你媽咪大步攬過，希望大家同屋企人都平平安安

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tsutsumi 2022-10-22 16:32:33 巴打你咩癌呀，而家點呀，頂住呀

AugmentinIII 2022-10-22 16:41:31 Clear cell carcinoma of bladder is rare, with relative poor prognosis.
However, according to your CT findings, it seems to organ confined and still amendable by surgery.
Be optimistic

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tsutsumi 2022-10-22 16:41:45 多謝你呀，希望你屋企人都平安冇事

tsutsumi 2022-10-22 16:42:49 巴打節衰順變，癌有時真係好可怕😞

tsutsumi 2022-10-22 16:46:57 多謝你呀，真係好折磨人

tsutsumi 2022-10-22 16:56:22 即係冇擴散？可能只係膀胱子宮？

要用德國寶 2022-10-22 17:01:21 我老豆上年確診大腸癌四期，發現嗰陣已經擴散到全身同已經腸塞

啲姨媽姑姐趁我有日唔喺屋企帶埋個19自然療法大師上門，勸我老豆唔好做化療，跟佢方法飲食同食佢啲supplement
做完腸造口手術無耐叫佢食多啲高纖蔬菜同糙米，我懷疑佢上門係想送我老豆一程

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我再上網search個柒頭，發現佢賣啲supplement 貴iherb嗰啲幾倍，仲話自己係基督徒好想幫人，呢啲巫醫死左直入地獄啦

想飲鴛鴦 2022-10-22 17:13:47 我都覺得呢個係不幸之中嘅大幸嚟

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祝福你爸爸都快啲好返

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牙痛不是病 2022-10-22 17:17:32 冇追post,就算第4期都唔好放棄，好彩既都可以至少生存2年以上

做人父母既，仔女開心佢地就開心，所以你開心D 係佢面前笑多D

牙痛不是病 2022-10-22 17:19:40 上左年紀50打上最好隔2-3年就照下胃/腸鏡果D，特別有家族病史，平既一萬蚊以下搞掂

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tsutsumi 2022-10-22 17:23:45 呢d親戚真係好心做壞事

只有細路先選擇 2022-10-22 18:05:20 我阿媽就食完中藥會冇咁想嘔同辛苦
當然唔係話所有中藥都得亦唔係個個中醫師有料好多都冇料又廢添

你話study就唔知了至少有d出名既醫生專醫癌既都讚成中醫去舒緩

你話會唔會弊多於利就唔知了
咁唔信唔好試喇

烏野的守護神 2022-10-22 18:11:08 我應該會忍唔住，直接反面屌柒個親戚

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btw Ching take care

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bforbabycforcat 2022-10-22 18:17:01 說實話，呢份唔係一份完整嘅病理報告。

1. 只有描述，但冇病理科醫生嘅意見，冇conclusion;
2. 腎癌、卵巢癌、子宮內膜癌等都可以有Clear Cell carcinoma嘅呢種type, 如果冇其他進一步嘅證據，何解可以判斷就係婦科腫瘤？如果咁肯定係婦科，點解唔做埋RCC+/CA9+/CK7/AMACR等先排除咗唔係腎癌？
3. PAX8+ 可以推演出有機會係腎癌/卵巢癌/子宮頸癌/子宮內膜癌/甲狀腺癌；
Napsin A可以推演出有機會係肺癌/卵巢癌/子宮內膜癌/腎癌；
即係憑呢兩可以推估原發位有機會係腎癌/子宮內膜癌/卵巢癌。

最令人疑惑嘅係泌尿科個醫生憑啲乜咁肯定轉介過婦科？定係你打漏咗個diagnosis / differential diagnosis / comment / conclusion / summary? 應該唔會係個病理科醫生漏咗上述嘅嘢？似乎仲差一塊拼圖。

有冇份referral letter? 睇下rationale refer去婦科嘅原因？

得閒打飛機 2022-10-22 18:20:20 生死有命

樂觀面對

積極治療

高山低谷 2022-10-22 18:21:03 上天保佑，加油

tsutsumi 2022-10-22 18:41:33 冇打晒，佢係有comment既。

呢度係其餘部份：

DIAGNOSIS
Urinary bladder, resection of tumour
Clear cell carcinoma.
- Please see comment.

COMMENT
Primary clear cell carcinoma of urinary bladder is uncommon. Please also correlate with other clin features and investigations to exclude female genital tract primary.

SPECIMEN
Bladder tumor.

CLINICAL SUMMARY
Ca bladder.

MACROSCOPIC EXAMINATION
Multiple fragments of tan soft tissue, measuring 5 x 5 x 1.5 cm in aggregate. Entirely submitted as A
(vt/jh)