Tuesday, August 21, 2012

Lung cancer may not have lung symptom

Lung cancer may not have lung symptom
A surgeon suffers from lung cancer during receiving a training outside, tosses about in bed in seven hospitals, last half a year, establish, diagnose it treat, go through, make people grieved just when being on the point of dying.
The patient man, 36 years old, felt the secret anguish of belly during receiving a training in one provincial hospital in July of 2002, the appetite fails, it is the intersection of waist and sacral bone department pain of sense shortly after standing. Suspect " tuberculosis of intestine " ,Admire isoniazid, rifampin for one month by oneself, the intersection of waist and sacral bone department and belly pain and aggravate, weight drop to 65 kilograms by 85 kilograms, unable to be competent at working and coming back home to recuperate in mid-September. Successively reached to 4 hospitals the colon mirror, waist sacral bone department CT, belly and testis B inspection of superior grade of doing also, successively considered " Colitis " , " orchitis " , " lumbar muscle strain " , " anxious disease " Wait for many kinds of body and spiritual disease. It is mould and plain that quiet to drip the pioneer bismuth, benefit Sa forest, Klim,etc. many kinds of antibiotic do not have curative effect. Go to one affiliated hospital of medical university to ask and manage in the first ten days of October, go to a doctor in urology surgery, department of general surgery and gi medicine, walk belly and the intersection of testis and Ultrasonography B, fibrous the intersection of colon and mirror, electronic gastroscope,etc. check, except that the testis increases slightly, finds abnormality, has not done special-purpose processing. Go home, take traditional Chinese medicine, quiet and drip antibiotic.
Weight drop 55 to mid-November, because waist sacral bone portion pain lies awake all night. Reach one medical university enclose institute, check moreover, because tumour, the intersection of waist and sacral bone department pathological change and nuclear magnetic resonance of doing are checked behind suspecting the peritoneum. Not finding lump behind the peritoneum as a result, it was obviously unusual that the intersection of waist and sacral bone department has not been seen. This institute plans to organize the relevant department to hold a consultation, drop because the patient refuse. A large hospital of competent radioactivity nuclide scanning of Guangzhou that the patient will go in mid-December, find many places such as the vertebra, pelvis,etc. shift focally. Take a photograph of the chest slice finding " Lung pathological change " ,Walk, prop up fine mirror, check, draw materials, live, examine, make a definite diagnosis of " cellule type lung cancer " . Because the already extensive transformation of pathological change, the patient is extremely depleted, then take the chemotherapy medicine and go home, in the last ten days of January of 2003 death.
Patient first publish symptom for suffer from abdominal pain get up disease, appetite fail the intersection of waist and the intersection of sacral bone department and pain, it is relevant while checking not to do, suspect without producing any evidence that suffers from " tuberculosis of intestine " by oneself ,Take anti-tuberculous drug without authorization. Patient, receive a training of hospital, go back after the our unit, the doctor at the basic level has proposed many times it shoots X-ray chest slice, get rid of the intersection of lung and pathological change, but patient think patient have cough, cough up phlegm, spit blood, the intersection of chest and the intersection of person who ache and symptom and ignore. When the second time enclose institute, check to one medical university will it be the first ten days November, the doctor has proposed holding a consultation, also refused by the patient. While the ones that reach BanNian make a diagnosis, the patient assumes as a matter of course, think that there is not respiratory system symptom according to the experience, there is not question to firmly believe one's own lung, refuse the routine inspection of the conduct and meets and examine the consultation suggestion that a doctor puts forward, cause this patient to delay the main reason to make a definite diagnosis of.
According to literature, nearly 5% - 10% of the lung cancer patients can not have any respiratory system symptom. A few lung cancer patients can be comparatively common with bone, joint, endocrine system symptom with symptom outside one or more lungs, among them. Relevant materials brief on, should highly watch out for the emergence of lung cancer to unidentified bone-ache patient of reason. In the course of making a diagnosis and giving treatment of this patient, patient and meeting and examining a doctor partly to this obviously scarce understanding. In many of the intersection of hospital and competent CT, color exceed, nuclear magnetic resonance,etc. check and has not found organic disease, patient this, the doctor consideration for a time at the basic level " Anxious disease " Wait for spirit disease. This case reminds us, is getting off " anxious disease " for the patient Should be double cautious while waiting for the spirit disease diagnosis, so as not to delay treating.
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