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重視惰性病變的辨別與臨床處理

發(fā)布時(shí)間:2019-03-04 21:29
【摘要】:正在我多年的臨床病理工作中,的確遇到一些受過(guò)度醫(yī)療干預(yù)的病例。除了完成醫(yī)療指標(biāo)或績(jī)效因素外,從病理學(xué)角度分析其原因主要是對(duì)某些病變本質(zhì)認(rèn)識(shí)不夠深刻、理解不夠全面。若干年前,就遇到一例前臂1.5厘米基底細(xì)胞癌在某院行截肢手術(shù)的案例,說(shuō)明只要是癌,某些醫(yī)務(wù)工作者往往就按惡性處理,孰知該癌癥惡性度較低,轉(zhuǎn)移極罕見的,對(duì)2.0厘米以內(nèi)的腫瘤,采取局部擴(kuò)大切除較為妥當(dāng),
[Abstract]:In my years of clinical and pathological work, I did encounter some cases of over-medical intervention. In addition to the completion of medical indicators or performance factors, from the perspective of pathology, the main reason is that the nature of some lesions is not deep enough understanding, understanding is not comprehensive enough. A few years ago, there was a case in which a 1.5 cm basal cell carcinoma of the forearm underwent amputation in a certain hospital, indicating that as long as it is cancer, some medical workers tend to treat it according to malignancy, who knows that the cancer is of low malignancy and that metastasis is extremely rare. For tumors less than 2.0 cm, it is more appropriate to have a local extended resection.
【作者單位】: 大連醫(yī)科大學(xué)附屬第一醫(yī)院病理科;
【分類號(hào)】:R36
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本文編號(hào):2434651

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