Through the tumor cells

It's no stranger to the word, so how did this tumor cell pass throughit??? Please allow me to give you a detailed ..01 cases have beenA windy and suny afternoon, I am changxiang in the sea of microorganisms can not extricate themselves (I engage in microbiological testing), a abdominal acid staining smear caught my attention, this piece in the low-fold mirror to see the cell size, so transferred from the high-fold mirror did see a large number of abnormal "megacells", these cells with the usual chest-water anti-acid staining smear sedge-neutral normal lymcin cells and cells have the essence of the characteristics of the tumorWell, I admit that these cells took me off the hook (people applied for an acid stain ingyes smear) or did my job go ahead first: you know, the tumor patient strains nodule infection, and I didn't see the acid-positive bacteria after careful examinationwith doubt, I immediately looked at the patient's other examination, found that he also applied for the celiac cytomorphology examination (belonging to the body fluid group test project), so can't wait to send the picture to the body fluid group colleagues confirmed that she was more than I was "excited", we are one shot, do not do two, hastened the patient's abdominal smears for Jimsa staining, in the mirror after checking the cells, really found a large number of cells, a high degree of suspicion of cellsThe following is the patient's abdominal acid staining and Jimsa staining under the mirror morphology:Rigi dye mirror detected in piles or scattered abnormal cells, such cells, cell enlargement, irregular, nuclear large, round or round, chromatin loose, cytoplasm rich (cloud or foam-like change), dark blueAccording to Wu Mao's theory of "three deformities", highly suspicious "tumor" cellsto understand the basic situation of patients, and then combined with the morphological characteristics of tumor cells, the body fluid group colleagues highly suspect that this "tumor" cell primary lesions for the ovaries is very likely! It should not be too late, immediately contact the competent doctor to improve the relevant examination of the tumor02 clinical communicationpatients, female, 65 years old, for elderly women, to the abdominal water waiting to receive my hospital digestive department, improve the tumor-related examination:1, gynecological color super show: pelvic lump swollen, consider ovarian cancer;2, chest and abdomen enhanceCT show:(1) in line with pulmonary arterial embolism performance, cardiac cross-sectional group lymph node swelling;(2) two-sided attachment area cystic occupation, uterine suspect edgesoccupied;(3) abdominal cavity, pelvic fluid, peritoneum, large mesh transfer, peritoneum after lymph nodes increase, prompt transfer tumor markers CA125 and CA199 increased significantly, and finally the patient's pulmonary embolism, ovarian cancer peritoneal metastasis diagnosis was clear 03 experience well-known, the key to the tumor is early detection, early diagnosis, early treatment, so we can not let go of the suspicious tumor "traces", because it is some of the elderly patients with a large number of abdominal chest water as the first symptoms, in doing chest-based water-related testing when we are more Should be alert to the possibility of tumor, if the discovery of suspicious "tumor" cells, should be timely with clinical communication, as soon as possible to improve the tumor-related examination, to avoid misdiagnosis, although the pathological results are the gold standard for diagnosing tumors, but we stand in the examination as a tumor patients early "whistleman", I believe the significance is not to be underestimated also as an inspector, with the increase in the number of years of work, more and more feel: although our usual work has a clear division of labor, but many unexpected results, are derived from the various professional groups of "multi-management", found with the professional group "irrelevant" abnormal phenomenon timely feedback to the corresponding group room, often can play a more effective effect, for patients to clearly diagnose more time, reduce unnecessary waste This put forward higher requirements for our inspectors, not only to do skilled "professionals", but also to do a comprehensive knowledge of "all-round talent", so as to adapt to the development trend of testing medicine, better for clinical and patient services, there is no best only better, let us work together !!! Author: Shen Fangfang Zhao Wei Bow Yanxuan Wang Wenxuan Source: Test medicine network