今日, 大細媽同我一齊來診所, 有D擔心.
上磅, 得返 5.3KG, 瘦左又輕左, 咁無左個脾臟, 都係會輕左.
唔知化驗報告點呢 ?
其實, 媽咪好有信心, 我會無事.
醫生先同我拆釘, 用個"拑仔"物體, 一粒一粒幫我拆晒所有釘, 無血跡無孔呀.
又問我仲有無痾軟便, 因我大小便正常, 又食得, 可以回復正常飲食. 繼續食維他命B同補肝藥, 唔駛食抗生素了. 除非又肚瀉. 因今日磅得 5.3 KGS, 媽咪問醫生, 原來我手術前磅過, 係 5.52 KGS.
醫生話報告顯示, 是脾臟增生, 唔係腫瘤呀, 所以唔會話界定為良性或惡性.
因唔係腫瘤, 即係唔會有擴散到其他器官情況.
所以, 手術時, 見肝臟的質地, 可以話係老年現象.
半年後, 再照超聲波. 10月中要打針續牌, 咁可以一齊做.
而十二指腸粒瘤仔, 應是瘜肉. 只要唔再增大就得.
太好了, 以後, 唔駛擔心脾血泡在肚爆. 只要多留意有無貧血就得, 咁我地最多每半年定期驗血同照超聲波啦.
返到屋企, 媽咪都要幫我照返張無釘相.
戴多三日甜甜圈, 今星期日, 可以洗白白喇.
COMMENT:
Histologic changes of the splenic nodules are similar and are all consistent with lymphoid nodular hyperplasia with variable amounts of congestions, which is a benign proliferation and common finding in aged dogs. There is no evidence of neoplastics process, or infections in the section examined.
Histologic changes of the duodenal mass are consistent with intestinal adenoma. Intestinal adenomas are rare in domestic animals vs adenocarcinomas are the most common intestinal neoplasm in domestic animal except cats. Since only the superficial portion of the neoplasm is submitted for examination, more significant changes (i.e. invasion of neoplastics cells into the deeper tissue) may be present in the tissue not examined and would render an upgrade of diagnosis to adenocarcinoma, which is of concern in this case. Surgical excision and submission for histopathologic examination is recommended in this case. Clinical evaluation for local and distant metastasis may be warranted in this case.
脾結節的組織學變化是相似的，並且都與淋巴結節增生（充血量不等）一致，這是良性增殖，在成年犬中很常見。 在所檢查的部分中沒有腫瘤形成過程或感染的跡象。
十二指腸腫塊的組織學改變與腸腺瘤一致。 腸道腺瘤在家畜中很少見，而腺癌是家貓中除貓以外最常見的腸道腫瘤。 由於僅將腫瘤的淺表部分提交檢查，因此未檢查的組織中可能存在更顯著的變化（即，腫瘤細胞侵入更深的組織），並將診斷升級為腺癌，這是值得關注的問題。 這個案例。 在這種情況下，建議手術切除並進行組織病理學檢查。 在這種情況下，可能需要對局部和遠處轉移進行臨床評估。
Histologic changes of the duodenal mass are consistent with intestinal adenoma. Intestinal adenomas are rare in domestic animals vs adenocarcinomas are the most common intestinal neoplasm in domestic animal except cats. Since only the superficial portion of the neoplasm is submitted for examination, more significant changes (i.e. invasion of neoplastics cells into the deeper tissue) may be present in the tissue not examined and would render an upgrade of diagnosis to adenocarcinoma, which is of concern in this case. Surgical excision and submission for histopathologic examination is recommended in this case. Clinical evaluation for local and distant metastasis may be warranted in this case.
脾結節的組織學變化是相似的，並且都與淋巴結節增生（充血量不等）一致，這是良性增殖，在成年犬中很常見。 在所檢查的部分中沒有腫瘤形成過程或感染的跡象。
十二指腸腫塊的組織學改變與腸腺瘤一致。 腸道腺瘤在家畜中很少見，而腺癌是家貓中除貓以外最常見的腸道腫瘤。 由於僅將腫瘤的淺表部分提交檢查，因此未檢查的組織中可能存在更顯著的變化（即，腫瘤細胞侵入更深的組織），並將診斷升級為腺癌，這是值得關注的問題。 這個案例。 在這種情況下，建議手術切除並進行組織病理學檢查。 在這種情況下，可能需要對局部和遠處轉移進行臨床評估。
咁太好了
回覆刪除