Chapter 3068 【3068】Who Is Right if You Say Different Things

Fang Ze's people discussed with great interest.

The National Association was quiet.

Now Senior Brother Huang and a few classmates are drinking coffee with the cat and the Buddha.

The people on the opposite side said that classmate Xie lied to the patient. Occasionally cheating and transferring patients is okay. When it comes to deceiving people academically, classmate Xie, who is so stubborn, is the last one to deceive people.

It can only be said that those who don't understand Xie can only guess randomly, which makes them want to laugh out loud.

"They're calm."

It's very exciting to have a bunch of opponents next door drinking coffee leisurely.

After a doctor in Fang Ze took a sip of ice-cold juice, he asked the group of young doctors on the opposite side: "Did you hear anything?"

Of course I can hear it. Even Wei, the most scumbag classmate here, stopped pretending to be cowardly, and replied: "Your doctor said, there is a problem with the pituitary gland."

To further summarize what Dr. Tong said above, the patient's desire to preserve the endocrine function, because the pituitary stalk has a great relationship with the endocrine function, actually becomes the requirement of whether the surgeon can help the patient retain the pituitary stalk during the operation.

Whether the pituitary stalk can be preserved is a major technical problem in the operation of cranial smoked duct tumor. Dr. Tong thinks it can't be done in this patient.

Not only did Dr. Tong say it couldn't be done, but overseas doctors tended to agree with Dr. Tong's conclusion, all based on the patient's preoperative imaging report. From the patient's imaging report, it can be seen that the boundary between the tumor and the pituitary stalk is unclear, and the pituitary stalk is poorly displayed. It means that the tumor may be fused with the pituitary stalk. When the tumor is to be cut during the operation, it must be cut in one piece and the pituitary stalk cannot be kept alone.

"Yes, our doctor said so." Fang Ze's doctor asked the Guoxie again, "What do you think?"

This question cannot be answered by Mr. Wei. Classmate Wei had an idea: "We are talking about Dr. Xie."

Dr. Xie's voice came from the machine to explain further.

"There are many methods for clinical classification of craniopharyngioma. QST classification is the most commonly used clinical classification method, and the three types it divides all originate from the pituitary stalk. What I want to borrow today is another classification method, which divides craniopharyngioma into six types. I personally think that this method may be more suitable for the origin of your tumor."

this? Could this craniopharyngioma not originate from the pituitary stalk? Is what Dr. Tong said wrong?

"The six types are pure intrasellar subdiaphragmatic type, intrasellar suprasellar type, supradiaphragmatic paraventricular type, intraventricular type, paraventricular type involving the third ventricle, and pure intraventricular type. From this type, it can be seen , Not all craniopharyngiomas originate from the pituitary stalk. We must first make it clear that the pituitary stalk mentioned here is different from the hypothetical pituitary stalk that Dr. Tong said about the origin of craniopharyngiomas.”

What kind of difference is this?

Are there two pituitary stalks?

As mentioned earlier, craniopharyngioma is a tumor that may develop from tissue left over from the embryo. The pituitary stalk in the embryo is definitely not the final form after human development is completed, it is the final form and position that it has developed to the present after successive migrations.

Therefore, the origin of the pituitary stalk mentioned by Dr. Tong is precisely the pituitary stalk tissue from which the embryo begins.

In this case, the search for the origin of craniopharyngioma must include the remaining pituitary stalk tissue of the previous embryos, not just the pituitary stalk in the final form.

In other words, the entire developmental pathway diagram of the pituitary stalk may have pituitary stalk tissue.