Eyes turned up, foaming at the mouth, and constant twitching. This is the impression that many people have of epileptic seizures, but not all patients have such typical symptoms. It may also be misdiagnosed as other diseases and miss the best time to treat epilepsy. Turning in circles is actually frontal lobe epilepsy. Ms. Lin has a “quirk” in her 30s. She often likes to circle in place, just like a three or four-year-old child playing games. Afterwards, she did not know she had such behavior. Check, if it is really frontal lobe epilepsy, the most typical symptom of epileptic seizures in this part is turning around in circles. Stunned seizures may also be epilepsy. Some children suddenly stop talking while talking and have empty eyes; or they suddenly stop moving while eating, and the chopsticks fall out of their hands. I don’t know, etc. It lasts for a few seconds or a few minutes. Returning to normalcy is called a “stupefaction.” This abnormal discharge usually originates from the thalamus or the medial temporal lobe and does not often spread. There are also more likely to be misdiagnosed, manifested as frequent episodes of vomiting and related autonomic symptoms, and so on. Sudden headache, be careful of headache epilepsy Headache epilepsy is the only disease in epilepsy that has headache as the main clinical manifestation. It is more common in children, and may have aura before the onset, such as hallucinations, photophobia, dizziness, nausea, tinnitus and other symptoms, which can easily be misdiagnosed as migraine. Some patients’ disease is related to mental factors, such as anger, unpleasantness, criticism, poor academic performance, and excessive fatigue.
The number of patients with lung adenocarcinoma in situ has increased significantly compared to before. This is due to the use of chest CT as a physical examination item in many unit physical examinations. Several high-risk ground glass nodules can be found in the medical examinations of employees in our hospital every year. Lung adenocarcinoma is diagnosed after surgery. Most of them are young women. Carcinoma in situ refers to atypical hyperplasia in the epithelial layer of the mucosa or the epidermis of the skin, often involving the full layer of the epithelium, but the basement membrane under the epithelium is intact, which means that the tumor cells have not invaded or invaded the basement membrane The interstitial or dermal tissue did not infiltrate or metastasize. Lung adenocarcinoma in situ refers to adenocarcinoma that occurs in the bronchial or pulmonary epithelium and does not break through the basement membrane. Adenocarcinoma of the lung in situ is generally small and basically has a diameter of less than 1 cm. Most of the CTs are pure ground glass nodules or mixed ground glass nodules containing solid components. In TNM staging, lung carcinoma in situ is stage 0 cancer, which belongs to very early stage. Even without surgery, these tumor cells are very inert, adherently grow, and grow slowly. Many people have followed up for several years, and the nodules have not increased significantly. Some nodules have accelerated growth after several years. Therefore, lung cancer in situ does not need to worry about rapid growth in the short term, or even transfer to other places. In the treatment, it only needs to be surgically removed under the endoscopic method. The lung nodules that grow on the periphery only need to be removed by segmental resection or wedge resection, which can retain the lung tissue to the greatest extent. Lung adenocarcinoma in situ does not require any follow-up treatment, and the 5-year survival rate is close to 100%. Why don’t you need to worry about recurrence and metastasis after lung adenocarcinoma in situ? If the tumor cells do not break through the basement membrane, on the one hand, it is difficult for the tumor cells to invade the blood vessels and metastasize. On the other hand, there will be basically no remaining tumor cells during the resection. It is easy to cut cleanly. More importantly, the tumor cells are on the It is difficult to induce angiogenesis in the cortex to supply tumor cell growth. Therefore, not only lung carcinoma in situ, but also the prognosis of carcinoma in situ at any location is very good, and the curative effect can be achieved by surgical resection. Since 2007, China’s commercial insurance industry has excluded carcinoma in situ from major illness insurance. Since lung carcinoma in situ can be cured, why should it be reviewed regularly? Many people’s lung nodules are not single, there are multiple ground glass nodules, some are large and some are small. When larger malignant nodules are removed, small nodules may gradually increase. In fact, this is not the occurrence of lung metastasis, but multiple points of carcinoma in situ. In other words, these cancer nodules are primary and exist independently. Multi-point carcinoma in situ sometimes brings some difficulties to treatment. I once encountered a 30-year-old young woman in the outpatient clinic. The left lung carcinoma was removed in situ. Six months later, several ground glass nodules appeared in the right lung. Lung adenocarcinoma in situ follow-up review is to find out whether there will be new cancer nodules as soon as possible.