Anonymous
Anonymous asked in 健康疾病與處置癌症 · 1 decade ago

醫師不是很確定患顱咽管瘤或腦下垂體瘤只建議早點手術

我兒子已經16歲了,身高一直是矮人一截,童音,沒有男孩子的第二性徵,作過生長激素的檢查,發現分泌量低於正常值甚多,經MRI檢查懷疑可能是顱咽管瘤已4公分大小了,這個結果令我自責不已,一直忽略他偶而的頭疼,再者為怕耽誤功課只得利用暑假檢查,偏醫師出國又逢病房滿床,不知變通找別的醫師,幾經磨蹭延誤至今才發現問題大條了,跑了幾家醫院看了許多有名的神外醫師,他們由複製的MRI判別是顱咽管瘤,可是有人參酌泌乳激素達451,又說也有可能是腦下垂體瘤,現在我擔心這兩種可能的診斷是否會影響手術的方式?台中榮總沈炯祺主任說可試著鎖孔手術或經蝶竇手術,但中國的周德陽主任覺得腫瘤太大要開顱,童綜合醫院陳鴻鑫醫師也分析要開顱,且可能拿不乾淨,術後也可能會影響人格及其他內分泌失調的問題,現在我更六神無主了,有哪位熱心有經驗的大大可以告訴我該到哪家醫院手術?哪位醫師是值得信賴?

6 Answers

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  • 1 decade ago
    Favorite Answer

    圖片參考:http://upload.wikimedia.org/wikipedia/commons/9/9f...

    圖片參考:http://upload.wikimedia.org/wikipedia/commons/9/97...

    圖片參考:http://homepage.vghtpe.gov.tw/~hcqa/Excellency/27....

    圖1 磁振造影(magnetic resonance imaging, 簡稱MRI)之正中矢狀(sagittal)切面圖。a: 蝶竇(sphenoid sinus)。b: 腦下垂體在蝶鞍內(pituitary gland in sella turcica)。c: 斜坡(clivus)。A: 開顱手術途徑(craniotomy)。B: 經鼻經蝶竇手術途徑(transnasal transsphenoidal approach)。C: 唇下經鼻中隔經蝶竇手術途徑(sublabial transseptal transsphenoidal approach)

    What is it?

    Craniopharyngioma is a tumor that develops in the area of the brain called the hypothalamus, which is close to the pituitary gland. It is usually found in children or young adults and accounts for around 10% of all brain tumors in young people. It can however be diagnosed at any age.

    Is it dangerous?

    Craniopharyngiomas are nearly always benign but can cause symptoms once they press upon other parts of the brain around them. Therefore they are often quite large when they are detected and may range in size from one, to more than four inches in diameter.

    What type of operation is needed?

    1. If the tumor is mainly confined to the area of the pituitary gland, a trans-sphenoidal operation (through the nose and sinuses) is often used.

    2. If the tumor is not in this region, the surgeon may need to make an opening in the skull (called a craniotomy) to allow access to the tumor.

    Following surgery, tests are needed to determine if the pituitary gland is functioning normally. If it is not, then hormones that are lacking need to be replaced in tablet form.

    Why is radiation treatment necessary?

    Sometimes it is not possible to completely remove the tumor. If this happens, radiation treatment may be recommended. The aim of radiation treatment is similar to surgery i.e. to destroy the tumor and preserve or improve pituitary function and vision. Radiation is also given to prevent a tumor regrowing.

    http://en.wikipedia.org/wiki/Hypothalamus

    http://homepage.vghtpe.gov.tw/~hcqa/Excellency/E-2...

    http://www.dundee.ac.uk/medther/tayendoweb/craniop...

    2007-11-29 12:21:24 補充:

    顱咽管瘤Craniopharyngiomas由下視丘長出的良性腫瘤、其下面就是腦下垂體pituitary gland ,4公分大小,不算太大、有大到4英吋的。因為是良性的,只要治療成功,預後應該不錯。

  • 1 decade ago

    人本無病(建議先試試不行再開刀,但通常都不需要開刀就復原了)

    病乃毒素代謝現象

    癌細胞是包裹毒素而異變的好細胞

    人因吃進太多毒素使身體無法負擔

    爲維持生命而不得已要犧牲好細胞去包裹毒素

    讓人體避免被毒害

    現代醫學都是割除圍堵方式

    毒素要排出來才是正途

    大家都之道大禹治水用疏導

    毒素也須要用疏道方式排出體外

    有位梅襄陽醫師患肝癌

    就是用改變飲食方式

    吃沒有身體負擔的食物(不吃魚ˋ肉)

    只吃綜合榖類與蔬菜及水果

    中國的國家主席與總理每天吃25種綜合榖類與蔬菜及水果

    我常這樣吃,也覺得很讚

    用自體免疫力抗癌

    自體排毒100%不吃藥ˋ不化療

    排毒過程雖辛苦

    這是完全康復的過程

    毒素没有增加,又有在排出,癌當然會不成長或是委縮

    直到不見

    這是神告訴我們去病的方法

    改變飲食才是活路

    如果是靈方面的問題(怎麼改變飲食效果還是有限)

    1.冤親債主索命

    2.祖靈告誡

    3.得罪水龍神或木龍神

    4.命終,地府差役或祖先來帶人

    許多人都是雙向進行

    提供參考

    如果需要提供靈方面協助,我是靈質志工

    幫神在做義工

  • 1 decade ago

    主題:腦瘤 / 腦下垂體腺瘤

    http://www.wretch.cc/blog/linway3721&article_id=19... 

    奇摩知識,回答過的問題,請參考

    ☆腦瘤有那些方式可以解決又要怎麼做 呢?...

    http://tw.knowledge.yahoo.com/question/?qid=120610...

    ☆良性腦瘤諾力刀

    http://tw.knowledge.yahoo.com/question/question?qi...

    .

  • 1 decade ago

    **不管那一種腫瘤. 反正大概知道位置在那裏了.

    **你的醫師內視器械. 進去自然會想辦法 .整個處理好.

    ***你花時間考慮. 早就動完刀好了. 沒開好.那就在開一次就是了.

    **你上網問要那一家. 誰敢幫你決定.要那一家......要是有萬一. ........沒人賠得**起你寶貝兒子........

    **我們知道那一家好. 也不敢講..... 因為都有萬一........

    **還是你自己好好決定吧 !???.

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  • http://tw.club.yahoo.com/clubs/newhealth/

    可至澄清醫院給劉博仁主任診斷

  • Ashley
    Lv 6
    1 decade ago

    新光神經外科魏醫師

    我很相信他

    不彷帶報告跟片子聽他怎麼建議

    試試

    別放棄

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