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brain (n andi)chordoma (chordoma)yes (n andi)fewer (ji ton)a kind of destructive tumor ,deep in the bottom of the area, clinical diagnosis is mainly based on (jù)neuros (jīng)symptoms and typical imaging (xu and)two aspects of change 。1857year by Virchow first, remember chordoma ,1858year Muller it is pointed out that chordoma is related to embryonic chordoma retention organization (guān)。大发 (n andi)chordomas occur from the middle slope ,located in epidural ,slow immersion (rùn)sexual growth (zhǎng)go forward and grow (zhǎng)go next to or on the saddle ,even reaching into the (n andi)or protrude downward into the nasal cavity or posterior pharyngeal wall 。can also be reborn backwards (zhǎng)involve one side (c and)bridge small brain corner, or rise backward along the middle line (fā)expanding and squeezing the brain 。chordoma is located in the butterfly occipital area. ,15% of the spine ,the sacral part accounts for 50%.
most (shù)learn (xu and)those who agree (r andn)it is developed by a doxotomy or vagus (fā)the original origin of birth (fā)benign appendageal tissue tumor 。when (dāng)fetal discharge (fā)to 3 (g and)the hour of the month (sh the)wait for notochord (kāi)begins to degenerate and disappear ,only in the vertebrae (n andi)stay ,that is, the so-called nucleus 。if the embryo of the notochord remains in the above-mentioned area and remains until after birth ,can gradually evolve into a tumor 。most (shù)chordoma originates from bones near vertebrae (n andi)remaining of notochords, which may also be associated with post-infection myelitis and post-vaccination myelitis ,some factors such as transmission are related (guān)。
everyone knows (n andi)chordoma is a benign nephroplasm ,grow (zhǎng)slow ,the course of the disease is relatively long (zhǎng),on average, it can be more than 3 years ,headache is common (ji ton)the sacred ,about 70% of patients have headaches , if anything (n andi)pressure increase pressure (sh the)must be aggravated , headache in chordoma and slow and long-lasting bottom bone infiltration (rùn)about (guān),headache can also be recurred (fā)。then, (n andi)clinical manifestations of chordoma (xi ton)will also (hu the)due to tumor site and tumor development (fā)different directions 。
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1、saddle chordoma:main manifestations of low penile function (xi ton)in the sun (y tong)wilt 、close (jīng)、body development (fā)fat, etc. 。vision (jīng)pressure (chǎn)botanical (fā)sexual neurology (jīng)degeneration ,vision reduction and double side (c and)hemibianism, etc.
2、parasalcutaneous chordoma:main manifestations (xi ton)exist Ⅲ、Ⅳ、Ⅵbrain nerve (jīng)paralysis, among which ,it is more common to be affected by outreach (ji ton), this is possible? y ton)touching the trunk? jīng)itinerary (gu or)long (zhǎng),in addition ,show your nerves (jīng)the proximal end of the tumor is often the site of origin ,so that its development (fā)higher birth rate 。generally, it is likely to get slow (j then)exhibition even, to (jīng)1~2year 。brain nerve (jīng)paralysis can be on both sides (c and),but often single side (c and),it's hard to understand that it's often on the left side (c and)。
3、ramp chordoma:main manifestations (xi ton)to treat pressure on the brain , that is, walking barriers ,1. Ⅵ、Ⅶbrain nerve (jīng)obstacles, among which , double side (c and)show your nerves (jīng)damage is its characteristic.
4、broad generics:the disease changes are wider than one of the above types ,even extends to the bottom displacement area (qū)domain, (jù)there are the above related (guān)types of clinical medicine and imaging (xu and)performance (xi ton)。
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due to tumor (fā)born at the bottom, it can cause traffic-induced brain water. if the tumor is tumoured to the bridge, the brain is horny (fā)show, appear (xi ton)hear (tīng)feel (ju and)obstacles, earrings 、dazzle 。chordoma originates from the proximal area of the nasopharyngeal wall and often protrudes into the nasopharyngeal or infiltrates. (rùn)a (g and)or more nasal snee 。causes nose to be unable to pass through and block 、pain ,frequently known (ji ton)epilogenic or bloody nasal secretions ,also because of the (jī)mechanical obstruction, causing dysphagia ,nasopharyngeal angiography is often in the nerves (jīng)appeared before being affected (xi ton),must be recorded to view the nasopharyngeal cavity 13% ~33%the machine (jī)can (hu the)see the trunk.
1、you can eat more (bǔ)protein-filled (zh the)food ,like milk 、lean meat 、pig hoof 、sea gaze, fish 、move (d orng)liver 、red scent 、walnuts, black fungus, etc. 。
2、if treatment causes some common (ji ton)digestive tract swelling ,can be appropriate (dāng)choose semi-flow (zh the)food, seed soup 、snow ear soup, milk 、bean? ji and){、salmon soup, etc. 。
3、eat more vitamin-rich fruits ,like a monkey 、peaches, apples 、grapes, etc. ,drink more green tea 、ulong tea 、honey water 。
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4、it can also be used with chinese medicine to reduce the toxic side effects. (l toi)comment (di too)manage your body ,suppress cancer (x the)cell growth (zhǎng)proliferation, at the same time (sh the)right (du the)increase the appetite of cancer patients is very helpful ,can effectively improve stomach 、worry 、sweet 、loss of appetite and other swellings 。
5、follow the method of eating less and eating more ,avoid eating. in (j then)eat carefully (x the)chew slowly ,1 hour after meal (sh the)don't squint.
eats and precautions for patients with chordoma
【should】
1、eat more foods that are resistant to bone marrow disease and chordoma ,like the sea 、seaweed, mussels 、sea clams 、skirt dishes 、almonds, peach kernels 、plum.
2、chordoma and bone pain should eat pineapple and pineapple 、pangolin 、peony 、crab 、shrimp 、walnut.
3、it is advisable to eat tarfish if the spleen and kidneys are very strong 、mud mattress, sea mattress 、hair, sea vegetation 、skirt dishes 。
4、pork liver for blood 、mushroom 、sesame, bee milk 、yellow fish 、peanuts, sea rosary 、fish, fish 。
【avoid】
1、avoid smoke and spicy foods.
2、avoid mold 、marinated, fried 、fatty food 。
3、avoid chicken 、mutton 、pork meat 、pork meat etc. (fā)things.
chordoma (shù)what should i pay attention to when eating later?
1、eat small amounts and meals ,the amount is less than 200 ml per time. interval (sh the)more than 2 hours (sh the),prevent indigestion 。
2、temperature 38 ~40℃,prevent? f ton)C injury patients 。
3、lift the bed 15 °~30°,in (j then)half an hour after eating (sh the)inside (n andi)do not change the patient's position ,prevent food reflux 。
4、before feeding, verify that the nasal tube is correct (sh the)in the stomach (n andi)。
5、chordoma (shù)early stomach function has not been fully recovered (fù)hour (sh the)should (yīng)earn as little as possible (j then)milk 、sugar products (chǎn)gasy food ,prevent dysfunction 。if the brown liquid is extracted (sh the)tips for the digestive tract (n andi)there is bleeding ,should (yīng)regularly prohibit eating or infusion of ice (zh the),can only be exerted after stopping bleeding (j then)food 。
6、it is suitable for high heat ,high protein ,high-end (y theng)未分 (yǎng),low salt diet 。avoid due to ion in the machine (jī)physical retention can cause elevated blood pressure ,in (j then)and (dǎo)to the (n andi)pressure rise 。guaranteed patient operation (y theng)未分 (yǎng),good for surgery (shù)repair of the post-organization (fù)。
7、clinical treatment for chordoma patients (shù)after-dinner diet, light and easy-to-digest foods should be mainly used. ,eat more fresh vegetables ,it is important to avoid smoke and spicy foods 。
8、eat more (diǎn)fruits with anti-cancer effects to enhance (qi tong)body immunity ,for example, strawberries 、apple, tomato 、grapes and other foods can make patients eat more 。
9、to prevent gastric tube removal in patients with brainoma ,when gastric tube discharge (sh the)infused food can be used (dǎo)to eat (j then)asphyxiation caused by entering the respiratory tract ,should (yīng)properly fixed, cannot be pulled out by yourself 。
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chordomas at the bottom often develop (fā)expand to the secondary nasal swelling ,nasopharynx ,oral and pharyngeal ,bone fuck ,these tumors (chǎn)life (du the)should (yīng)various symptoms and signs of 。maybe they are because? y ton)未分 ?w andn)the question is to diagnose ophthalmology ,possible? y ton)bribery m clinicated in ent ,and maybe with some common (ji ton)diseases are difficult to cause diagnosis (gu or)the difficulty of the journey 。
operation (shù)treatment is common in treating chordoma (ji ton)one method ,mainly (j then)surgery (shù)resection.
surgery for bottom chordoma (shù)many ways to go ,not (m andi)what kind of surgery is there (shù)the approach is suitable for all types of chordoma. should (yīng)it is based on (jù)tumors and patient situations 。operation (shù)the principle of entry selection: short distance of pathways; use of natural cavity; and brain tissue to cause damage ,avoid damaging blood vessels and nerves (jīng),main parts of the tumor ,can remove more tumors; as much as possible, it will be more severe (y ton)heavy clinical manifestations (xi ton),as much as possible, reduce and develop (fā)告 。
in recent years (l toi)with surgical technology (shù)the (j then)step 、improve, especially brain nerves (jīng)inside (n andi)slide technology (shù)the (j then)step ,right (du the)bottom chordoma has been successfully developed (j then)surgery (shù)resection ,therefore, surgical resection is the main treatment method for the treatment of bottom chordoma 。after chordoma resection ,get in as early as possible (j then)ok CT or MRI check ,to prove (sh the)the degree of tumor resection and whether there is any tumor retention ,right (du the)yu determination (shù)there are important guidance on post-carrying, no or regular visits (dǎo)price (ji to)value 。
aesthetics (shù)there are often different skewers when post-release (ji and)fruit 。right (du the)most people with lumpectomy or non-radical resection (shù)aesthetics (shù)need to be stored later ,however, chordoma is (du the)insensitive ,therefore ,aesthetics (shù)the ideal dose of post-release has always been a clinically sensitive topic. Phillip and Newman recognize (r andn)the radiation dose is greater than 6000 rad,the effect is better 。Higginbotham recommended dose is 6500 ~7000rad。however, some researchers believe (r andn)for ,high dose release and survival (zhǎng)short space (wú)related (guān)sex. keep the literature (xi ton)report (b too)say different ,but if used frequently (guī)external irradiation time (sh the),the dose is generally selected at least 5000 rad。
after chordoma resection ,get in as early as possible (j then)ok CT or MRI check ,to prove (sh the)the degree of tumor resection and whether there is any tumor retention ,right (du the)yu determination (shù)there are important guidance on post-carrying, no or regular visits (dǎo)price (ji to)value 。
surgery is generally used (shù)and radiation therapy ,but now (xi ton)in the treatment (ji and)it's disappointing ,the main tumours of the bottom tumor ,breast tumors close to the brain are not easily exposed ,it's not sensitive to release, (yù)post-bad 。
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polygonum chordoma (fā)it is often seen at the junction of the butterfly pillow at the bottom (ji ton)on the slope 、saddle zone (qū)at the bottom of the middle line, the tumor is deep and invasive 、the important bottom of the destruction (ji and)structure (g oru)and the characteristics of pressure on the brain to the nerves (jīng)surgery brings (l toi)huge challenge (zh ton)。operation (shù)removal of bottom chordoma (guān)key technology (shù)one ,it is to avoid damage to important nerves (jīng)blood vessel 。but due to the growth of this tumor (zhǎng)characteristics to make the tumor fully exposed and difficult 。tradition (tǒng)operation (shù)the cure (y ton)re-create (chu tong)injury is difficult to avoid, some patients have surgery (shù)entrepreneur (chu tong)injury (shù)after survival quality (zh the)the volume is significantly reduced ,in addition ,because the tumor is not completely cleared, (fù)send (fā)the rate is also higher 。inside (n andi)slides treatment for bottom chordoma with sufficient light source, (shù)the vision of the central photographer is similar (du the)wide ,the tumor with bottom of the kidney is well exposed and can develop (fā)now (xi ton)in microsurgery (shù)the tumor in the "dead corner" ,it is conducive to clearing all tumors ,reduce tumor recurrence (fù)send (fā),grinding the wall inside (n andi)the vision of the lens (n andi),use monitoring (jiān)the video can clearly guide its operation 。
currently, neural (jīng)inside (n andi)slide (yīng)the scope of use in bottom chordomas includes:
(1)by (jīng)the nose butterfly walks, and uses this as the center to surround the surroundings (ku or)exhibition ,suitable for butterfly scrubbing 、the middle and upper slope grows forward (zhǎng)mainly tumors;
(2)by (jīng)oropharyngeal road is suitable for lower slopes 、maxillary occipital bone 、a tumor in front of the upper cervix;
(3)inside (n andi)scope and microscope (ji and)co-use ,it mainly considers the growth (zhǎng)wide range ,a single method that can't be removed from the tumor 。
with technology (shù)the (j then)step and improve ,inside (n andi)the scope of subscopic resection of the bottom chordoma may (hu the)more extensive 。operation (shù)step-by-step resection of the tumor ,operating cavity can be inserted (j then)one step (ku or)big. therefore (yīng)use the nerve (jīng)inside (n andi)sneeectomy can increase tumor exposure ,reduce the scope of non-direct blindly incision of tumors and surgery (shù),aesthetics (shù)back (y ton)re-combination (fā)little ,patient recovery (fù)quick ,during hospitalization (sh the)short space 。
there are many studies (xu and)the one who will be the nerve (jīng)inside (n andi)slide technology (shù)should (yīng)for deep surgery (shù)middle ,a large number of cases are fully proven (sh the)this method reveals the opposite (du the)good ,be clear in vision.
chordoma is a disease (du the)in other areas (n andi)coming from a tumor (l toi)say (shuō)it's less visible (ji ton)a destructive tumor disease 。and most of the (n andi)chordoma disease growth (zhǎng)at the bottom of the human body. generally (l toi)say (shuō),this tumor growth (zhǎng)it is a slower patient ,can (hu the)feel (ju and)go to a certain amount (n andi)increased pressure and brain nerves (jīng)paralyzed (xi ton)elephant? ;the slightest stones are slightest evenlyme t(yī)the hospital does some related (guān)check ,there are probably some of the following (xi tong):
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1、head X linear film:there are important diagnosis meanings and expressions (xi ton)the bones of the tumor site (zh the)destroy ,also common (ji ton)to the patchy state or group (tu ton)tumor calcification.
2、CT scan:seen (ji ton)non-bottom type round or uncensored (guī)slightly high density shadow ,the border is clearer, the tumor (n andi)alcoholized ,enhancement (qi tong)scanning tumors is not strong (qi tong)or light (qi tong)change. bone window is visible (ji ton)clear bone quality (zh the)destroy 。
3、MRI:bone tumors are often chronic (zhǎng)T1 long (zhǎng)T2 signal (h too),tumor (n andi)case change area (qū)present longer (zhǎng)T1 long (zhǎng)T2 signal (h too),cyclonic to black (wú) signal (h too)film ,the bleeding stake is high signal (h too),injection Gd-DTPA posterior tumors are mild to moderately strong (qi tong)change (figure 1 )。
4、brain angiography:if the tumor is located in the saddle area (qū),seen (ji ton)the head (n andi)move (d orng)outward movement of the siphon segment ,brain forward (d orng)lift up the horizontal section. the middle-aged man is located next to the saddle ,the head (n andi)move (d orng)the sea twitching section is raised ,brain center (d orng)the starting section and horizontal section are also lifted up. go back (fā)the tumors that develop often have basal movements (d orng)push the back or side (c and)rear 。
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