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    Several students can understand the reason for Teacher Du¡¯s hesitation just by looking at the patient¡¯s medical records.

    ¡°Her tumor is pathologically diagnosed as luminal B type.¡± Du Haiwei read the pathology report results written in the medical record.

    The family member accompanying the patient should be the patient's mother, and responded: "Yes, yes, the doctor over there got the report after the operation and told us that this classification is good and the treatment effect will be better. No.  Do you know why my index can¡¯t come down after taking medicine?¡±

    "One-third of patients will develop resistance to these drugs, which means that after taking them, they do not produce the therapeutic effect that the doctor wants to achieve." Du Haiwei said, "Her pathology report showed that the tumor in her body was  They are estrogen-dependent. If these drugs are effective, they can interfere with estrogen receptors. Now it seems that they are ineffective."

    The two students sitting opposite found that Teacher Du was not talkative, he could definitely say what needed to be said, and he was very patient with the patients¡¯ families.

    The family member said: "We heard these words from the breast surgeon, saying that we need to come to your gynecology department for surgery."

    "She is too young and has lymph node metastasis. Has the breast surgeon discussed these issues with you?" Du Haiwei continued to ask in a steady voice.

    Determining a cancer patient¡¯s condition, including prognosis, requires a comprehensive analysis of all data. Just looking at the pathological classification is not enough. It must be combined with factors such as stage and patient age to make a judgment.

    This patient¡¯s so-called luminal B type with better classification is a very subtle situation. The test results showed that the estrogen receptor ER and progesterone receptor pr were positive, and the human epidermal growth factor receptor her2 was negative.  These indicators indicate that endocrine therapy may have a targeted effect on this patient's tumor cells.  For breast cancer patients, endocrine therapy can be said to be the most life-saving method.  For example, the three yin diseases that are most frightened by doctors and patients in clinical practice do not require endocrine therapy, so these patients have the lowest survival rate.

    The worst thing about luminal B type compared to the best luminal A type is that another indicator, ki-67, is not very good. High ki-67 means that the tumor cell proliferation status is high and the tumor cells in the body are proliferating too actively.  Therefore, in the staging of this patient, we can see the results shown in ki-67: During the tumor resection, it was found that the tumor was large in size and had lymph node metastasis. The staging was 100% poor, and radical surgery was performed.  It is certainly impossible to remove all cancer cells in the patient's body.  The patient is too young and has a fast metabolism, so the possibility of tumor cell recurrence is too high.  Taken together, based on the doctor's clinical experience, this patient's prognosis is not ideal.

    "I heard the doctor over there mentioned it." The family members' heads dropped, their voices full of sadness.

    "After the operation, the tumor may continue to recur. If this is the case, are you sure you want her to undergo another operation?" Du Haiwei asked.

    Sometimes the cruelest thing about being a doctor is that you have to explain the consequences clearly to patients and their families again and again.

    The patient¡¯s mother wiped the tears from the corners of her eyes with her hands and said the heaviest words: ¡°Doctor, she is only in her early twenties.¡±

    Regarding the topic of young people getting sick, doctors know best, and they meet countless of them every day.  Refer to the previous classmates of Pan.  People like Teacher Du will become numb after watching too much.  (Remember the website address: www.hlnovel.com
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