The people in Fangze discussed it with great interest.
The people of the National Association were silent.
Now Senior Brother Huang and several classmates are drinking coffee with Cat and Buddha.
The people on the other side said that Mr. Xie deceived patients. It is okay to deceive and transfer patients occasionally, but in terms of academic deception, Mr.
It can only be said that those who don’t understand Mr. Xie can only make random guesses, which makes them laugh out loud.
"They're very calm."
It is very exciting to have a bunch of opponents drinking coffee leisurely next door.
After a doctor in Fang Ze took a sip of cold juice, he asked the group of young doctors opposite: "Did you hear anything?"
Of course I can hear it. Even the most scumbag student here, Wei, stopped pretending to be cowardly and replied: "Your doctor said it was a problem with the pituitary stalk."
To further summarize what Dr. Tong said above, the patient's request to preserve the endocrine function, because the pituitary stalk is closely related to the endocrine function, actually becomes a requirement for the surgeon to help the patient retain the pituitary stalk during the operation.
Whether the pituitary stalk can be preserved during cranial angiomas surgery is a big technical issue. Dr. Tong believes that it cannot be done in this patient.
Not only Dr. Tong said it couldn't be done, but overseas doctors tended to agree with Dr. Tong's conclusion, which was all based on the patient's preoperative imaging report. It can be seen from the patient's imaging report that the boundary between the tumor and the pituitary stalk was unclear, and the pituitary stalk was
Poor display means that the tumor may be fused with the pituitary stalk. When the tumor is removed during surgery, it must be cut in one piece and the pituitary stalk cannot be preserved alone.
"Yes, our doctor said so." Fang Ze's doctor asked the National Association people again, "What do you think?"
This question cannot be answered by classmate Wei. Classmate Wei suddenly had an idea and said, "We have Dr. Xie talking about it."
Dr. Xie's voice came from the machine to explain further.
"There are many ways to clinically classify craniopharyngioma. The QST classification is the most commonly used clinical classification method, and the three types it distinguishes all originate from the pituitary stalk. The one I want to borrow today is another classification
This method divides craniopharyngioma into six types. I personally think this method may be more suitable for the origin of your tumor."
Is this? Could it be that this craniopharyngioma does not originate from the pituitary stalk? Is what Dr. Tong said wrong?
"Type six is pure intrasellar subdiaphragmatic type, intrasellar suprasellar type, suprasellar parachiasmatic extraventricular type, intraventricular and extraventricular type, paraventricular involving third ventricle type, and pure intraventricular type. It can be seen from this classification
, not all craniopharyngioma originate from the pituitary stalk. What we need to make clear first is that the pituitary stalk mentioned here is different from the pituitary stalk mentioned by Dr. Tong as the hypothesis of the origin of craniopharyngioma."
What kind of difference is this?
Are there two pituitary stalks?
As mentioned before, craniopharyngioma is a tumor that may develop from the remaining tissue of the embryo. The embryonic pituitary stalk is definitely not the final form after human development is completed. It is the final form that develops to the present after successive migrations.
and location.
So the origin of the pituitary stalk mentioned by Dr. Tong is, to be precise, 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 from the previous embryo, rather than just pointing to the final form of the pituitary stalk.
In other words, the entire developmental path of the pituitary stalk may have pituitary stalk tissue.