肿瘤科特色 Oncology Feature
微创技术典型病案 A typical case of minimally invasive technology
Green is the main color of the 21st century, "green food", "green clothing", "green environment", even to treat diseases "green." In the treatment of malignant tumors, chemotherapy on the human body is undoubtedly a big side effect, will form pollution, so how to take its effects, to get rid of the disease, to achieve the purpose of efficiency reduction?
Oncology Department of Yantai traditional Chinese medicine hospital adopts green treatment of tumor, which can effectively avoid the above-mentioned damage. The green treatment of tumors is aimed at the different stages of the development of malignant tumors. Minimally invasive surgery, Chinese medicine treatment, low-dose radiation chemotherapy, and bioimmunotherapy are used to ensure the quality of life of patients and prolong their lives. These treatments conform to the principles of minimally invasive or non-invasive, low injury, and sustainable.
The concept of "green treatment" guides clinical practice. The oncology Department of Yantai traditional Chinese medicine hospital integrates the theory innovation of traditional Chinese medicine tumor with advanced technology, and selects the appropriate treatment method according to the different stages of the patient. Local treatment is a part of green treatment. For some tumors, we carry out local differentiation of tumors. Using modern minimally invasive techniques and traditional traditional Chinese medicine, such as external treatment, we can quickly eliminate local lesions and achieve therapeutic results.
Modern minimally invasive techniques include local cryoablation, microwave ablation, radiofrequency ablation, ultrasound focusing, photodynamic technology, DSA angioplasty, thermal perfusion, intratumor chemical injection, and radioactive iodine-125 tumors Implantation, vacuum assisted rotation of breast nodules, etc.. The advantages of minimally invasive treatment are: 1 The patient has less pain and does not need surgery. The treatment process has less trauma, less bleeding, and no damage or low damage to the organs. 2 The effect is good, can destroy the tumor body directly, has a good success rate. It has good repeatability and can be tolerated by elderly and infirm patients. 4 It can be combined with radiotherapy, chemotherapy and other treatments. 5 can be applied widely and can be used in cases where surgery or other treatment fails.
Here are some of the cases that we have treated under the concept of green treatment in the oncology Department of Yantai Hospital:
Case 1(chemotherapy for lung cancer + internal implantation of radioactive particle iodine-125 tumor + external application of Chinese medicine):
Liang XX, male, 60 years old. 2015-9-9 patients with "dry cough for 1 week" checked the chest CT in our hospital to show that the upper right lung leaves can see massive high-density shadows, the size of about 3.8 * 6cm, its internal density is not clear with the pulmonary vein demarcation, mediastinal No enlarged lymph nodes. Percutaneous biopsy, immunohistochemical examination of lung adenocarcinoma, EGFR gene detection did not have mutations, anti-tumor and traditional Chinese medicine decoction combined chemotherapy treatment, 6 cycles of chemotherapy to review the progress of lung lesions, 2016-2017 -1 In my family hospitalization, CT guided lung tumor iodine-125 particle implantation, every 2 months after the operation in the hospital, proprietary Chinese medicine static drops, oral Chinese medicine soup, moxibustion and other maintenance treatment. Every February, the chest CT is reviewed, and the lesion is gradually reduced to almost disappeared. The patient is currently in good physical condition and has no loss of weight.
Radioactive particle iodine-125 during implantation(it can be clearly seen that the tumor is closely linked to large blood vessels):
Recent review of the film
Case 2(Hepatic metastatic tumor chemotherapy + intra-tumor alcohol injection treatment + internal Chinese medicine external application):
Patient Liangxx, male, 57 years old. 2015-5-30 patients were admitted to Yuding Hospital for "fever, abdominal pain for more than 2 weeks". The colonoscopy: 2/3 weeks from the anus to the anus, the cystic masses are raised, the surface nodules are uneven, and the quality is brittle. Biopsy pathology shows: rectal adenocarcinoma(pathological number 20151802); Check liver B hypermanifestation: intrahepatic occupation, considering rectal cancer metastasis. In 2015-6-10 Yu Weiding Hospital, palliative resection of rectal cancer + liver occupied microwave ablation under general anesthesia. During the operation, B-ultrasound examination saw a liver right lobe uneven mass of 6.5 * 5.5 cm, and the resection of the rectum during surgery. 17.5 cm, The specimen saw a tumor size of about 6 * 5.5 * 5.0 cm, about 4cm from the anus. The postoperative pathology showed that:(rectum) ulceration in the bulge type differentiated adenocarcinoma, invasion of the subserous fiber tissue, and no cancer in the upper and lower incisors. There was no metastasis in 14 iliac lymph nodes. Immunogenicity showed: MLH1(+), PMS2(+), MSH2(+), MSH6(+), Ki-67 positive rate of about 50 %, postoperative patients did not perform further chemotherapy. 2015-9-12 Enhanced CT in the entire abdomen of our hospital showed that the original diagnosis of rectal fistula was reviewed after surgery, abdominal wall scar shadow, rectal anastomosis of the oral intestinal wall thickening, left abdominal wall fistula, abnormal strengthening of the liver, Consider transfer. The fourth cycle of Folfox4 chemotherapy was started at 9.13, respectively. In 2015.11.23, anhydrous alcohol perfusion was performed on tumors in the liver area guided by CT(10 % iodine oil Mark was added to anhydrous alcohol). After the operation, we were given a homemade analgesic powder. The external application of the tumor site promoted necrotic tissue dissipation. Two cycles of Folfox4 chemotherapy. Oral Chinese medicine reduces side effects of chemotherapy throughout the treatment process. After chemotherapy, give oral Chinese medicine maintenance treatment. The CT liver lesion was enhanced by 2016.2.29, 2016.23, 2016-11 and 2017-5 respectively. Tumor markers CEA, CA-199 are normal. The patient is currently living in good condition.
Before the treatment of liver tumor alcohol injection CT:
One year after the treatment of intrahepatic alcohol injection, the CT was reviewed:
Two years after the treatment of alcohol injection in liver tumors, the CT film was reviewed(the tumor was close to disappearance, leaving part of the iodine oil deposit):
Case 3(Cases after microwave ablation of premature lung cancer):
Patients 2015-10-4 were hospitalized in my department for "dizziness, abdominal pain for 1 week". They had coughs at the time. The chest CT showed that: the shadow of the lung in the lungs and the glass shadow of Yemo(1.3 X 1.4 cm) in the right lung, After half a month of antibiotic treatment, CT was reviewed: Yemo glass stove in the right lung, with little change compared to 2015.10.5; Under the guidance of 10.22 lines of CT, the biopsy of the upper right pulmonary grinding glass lesion was performed. Postoperative pathology: a few adenoid structures were found in the hyperplastic fibrous connective tissue. After consultation with the provincial hospital Binglikewangjiayao, the opinion was:(Right lung upper lobe puncture) Highly differentiated adenocarcinoma. CK7:(+); TTF-1:(+); NapsinA(+); Ki-67:(+) 20 %, CEA:(+); CollagenIV:(±). Family members and patients refused to perform surgical removal of the lesion. Under the guidance of CT on 11.5, the microwave ablation of the lung grinding glass lesion was performed. After the operation, the lesion was given local external application to relieve blood stasis, and oral Chinese medicine soup was treated. The patient was not discharged after 2 days. After discharge from the hospital, continue to use Chinese medicine for external application. At present, the patient's life is in good condition.
Chest CT before microwave ablation:
CT during microwave ablation:
Immediate CT after microwave ablation:
1 week review of CT after microwave ablation:
Forty days after ablation, the CT scan was reviewed(the enhanced lesion was not strengthened at all, completely ablated):
Case 4(Early liver cancer ultrasound guided percutaneous percutaneous microwave ablation)
When the patient was admitted to the hospital for treatment of "prostate hypertrophy" in October 2016, CT found that liver occupied position, abdominal ultrasound and nuclear magnetic examination were considered as cirrhosis and liver cancer. On November 18, 2016, liver biopsy and ultrasound guided percutaneous percutaneous liver tumor microwave ablation. Postoperative pathology: hepatocellular carcinoma. After the operation, the Chinese medicine decoction was given to prevent recurrence, and the external application of Chinese medicine was given to promote the absorption of necrotic substances. Since then, the review did not find symptoms of recurrence and metastasis, and the patient's life status is good.
Here are the contrast between the enhanced CT scan of the upper abdomen before liver ablation in 2016.11.14 and the three revisits after ablation in 2017.1.9, 2017.11.20 and 2018.2.24. After the ablation, the lesion was not strengthened at all, and it was completely ablated and gradually reduced.
绿色是21世纪的主色调， "绿色食物"， "绿色衣服"， "绿色环境"，连治疗疾病也要"绿色"。在恶性肿瘤的治疗上，放化疗对人体无疑副作用较大，会形成污染，那么如何取其效、去其害，达到增效减毒的目的呢？
主攻方向 Main attack direction
科室形象 Oncology Image