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asbryobvrz · Wysłany: Wto 14:09, 15 Mar 2011

Recurrence of colorectal cancer metastasis prediction

Done a lot of checking the final diagnosis is often difficult. A, JL can be divided into the neonatal period,[link widoczny dla zalogowanych], infants and toddlers, early childhood, preschool, school age, in different age d, JL good hair types and clinical manifestations of disease vary, it is essential to good hair all ages disease summary. Meniere's disease adult good hair, vestibular neuronitis, and benign paroxysmal positional vertigo endures week of the inner ear vertigo in children is almost invisible. In this paper, / J, JL vertigo diagnosis, should pay attention to problems and examination of the characteristic changes. First, the characteristics of vertigo in children A, JI. The main symptoms of vertigo can be divided according to three categories: sensory abnormalities (peripheral and central), balance disorders caused by abnormal function of the movement balance (postural reflex and postural reflex recovery exception: lost damage, involuntary movements, muscle tension and enhance or reduce) the abnormal movement control and other (postural adjustment disorder, mental, etc.). To the children of A, 3L to the readme vertigo, eyes forward and the rotation sense of the earthquake comes. This is because the age of three in charge of balance function of the vestibular cerebellum was mature. The balance function is abnormal, to be based on their age and maturity of the central nervous system development, sensory devices and external Zhou Pingheng myelination of the central nervous system and maturity of all ages to complete the gross motor and fine movement integrated judgments. Second, the neonatal period, the diagnosis of infant of milk in the neonatal period and early childhood, with its growth and development should be noted that primitive reflexes will gradually disappear, such as the embrace reflex. If age can lead to failure to elicit reflection, or age should not be lured out of leads, should be suspected if there is a developmental disorder of motor function. Infants should check the head of the stability of gross motor and fine movements such as the development of grip,[link widoczny dla zalogowanych], so as to determine whether there is an exception. In addition, recovery can be reflected through the position to evaluate the balance of feeling, the ability to maintain posture. Third, the diagnosis of early childhood early childhood brain tumors should pay particular attention, especially the cerebellum, brain stem tumors, and meningitis, encephalitis, a small, inner ear infection otitis media merger, the possibility of acute cerebellar ataxia. Particularly brain tumors often dizziness, easy to fall as the first symptom. In addition, as children with inner ear malformations, often complained of reason falls into the plastic surgery, neurosurgery treatment, then treatment can be diagnosed in the ENT cases either. Recurrent vertigo with hearing loss who have to think of the vestibular conductivity tracking and liver metastasis after surgery: Colorectal cancer recurrence after surgery,[link widoczny dla zalogowanych], 50% of liver metastases. Liver of those 80% CEA value increased. So, after a regular basis every 3-4 months to do ultrasound and CT examination were found to increase with resectable liver metastases. In addition, Staab, etc. Look on the CEA is not absolute, but by a certain period increased level of CEA slope analysis (slopea.nalysis), the value of an increase after CEA, 0.5ng per day or more, liver metastases should be suspected . In addition, when local recurrence, rectal cancer increased by more slowly. Then when the liver more than 5cm, there may be ALP, LDH and other liver and biliary system enzyme abnormalities, and diagnostic imaging diagnosis and metastasis prediction in the current almost meaningless. Follow up with pulmonary metastasis: the previous cases, resection of pulmonary metastases, although the former was 16ng/ml average CEA value of high-value, but 48% positive, compared with a liver metastasis,[link widoczny dla zalogowanych], is still quite low. Recently, spiral CT of the unit to track review once every six months can be more easily found in less than 1cm of lung metastases, lung metastases also found that those who alone have CEA values within the normal range. 2. CAl9-9CA19-9 in pancreatic and biliary cancer patients were positive for more than 70%, but with distant metastasis of colorectal cancer, then was more than 60% positive rate. Mucinous carcinoma, especially when most of the serum CA19-9 values increased in primary tumors, found that the main ingredients for the mucinous carcinoma, the tracing observation CA19-9 more meaningful. Also, do not have the gene lJe Lewis had no CA19-9. Generation, can be used CA-50 and Span. I instead. Even if the preoperative serum CA19-9 value of the normal, such as tumor tissue showed positive immunostaining, to be visible when the increase in recurrence. Nakayama and other reports within the tumor sialyl lJe 'antigens and the prognosis of colon cancer. In other studies of sialylated lJe 'antigen on prognosis in colorectal cancer showed a significant correlation. 3. Issues (1) Early colorectal cancer rarely positive for any markers. And then a few percent of those issued; (2) CEA in intestinal obstruction,[link widoczny dla zalogowanych], CA1.9-9 in obstructive jaundice and other biliary tract inflammation can be increased. Kameyama Yanan. Daily News of Japan Medical No. 4208:89.2004 on 18 March l2 Du Li translated Military