The prevalence of fibroids is very high now. Fibroids have a certain impact on people's work and life. If you feel unwell, you should go to the hospital for examination and treatment in time. Let's take a look at the methods of examining fibroids through this article. Physical examination Physical examination is an important part of the diagnosis of fibroids. In addition to detailed and purposeful examination of relevant organs and tissues based on the characteristics of certain symptoms complained by the patient, a systematic whole-body examination and local examination of fibroids are also required. 1. The purpose of the systemic examination is to determine whether the patient has fibroids, whether they are benign or malignant, primary or secondary, whether they have distant metastases, the function of important organs (heart, lungs, liver, kidneys, central nervous system, bone marrow), and whether they can tolerate major surgical treatments, radiotherapy, or chemotherapy. 2. Local examination The purpose of local examination is to determine the location of the fibroid, its relationship with the surrounding tissues and whether it can be treated surgically, with emphasis on examining the tumor and regional lymph node involvement. Laboratory tests Most fibroids have no special symptoms and signs in the early stage, especially malignant fibroids in the internal organs, and early diagnosis is very difficult. With the rapid development of molecular biology, cell biology, fibroid immunology and serial research on fibroids, laboratory diagnosis of fibroids has made great progress, especially the success of hybridoma technology research and the rise of monoclonal antibody engineering, which provide more reference indicators for early diagnosis and efficacy judgment of fibroids. In addition, although routine laboratory tests cannot diagnose fibroids, they are indispensable for differential diagnosis and determining fibroid treatment plans. 1. Routine examination of blood, urine and stool Patients with digestive tract fibroma often have anemia, with moderate or mild decreases in red blood cell count and hemoglobin quantification, generally with normohemoglobin and normocytic anemia. The presence of a large number of red blood cells in urine is one of the important indications of urinary tract fibroma. Blood in stool may be an early signal of malignant gastrointestinal fibroma, and should be carefully identified. 2. Sputum examination Sputum direct smear staining for exfoliated cell examination has important practical value for the diagnosis of lung cancer. The diagnosis can be confirmed by finding cancer cells in the smear. According to statistics, the positive rate of sputum smear for lung cancer is about 85%. Therefore, sputum examination is a simple, effective and practical method in the auxiliary diagnosis of lung cancer. 3. Examination of chest and ascites Bloody chest and ascites are the most common signs of abdominal metastasis of lung cancer, liver cancer, gastrointestinal cancer and ovarian cancer. The discovery of cancer cells during smear microscopy can help confirm the diagnosis. 4. Examination of gastric and duodenal fluid Diseases of the stomach and duodenum can lead to changes in the quality and quantity of gastric juice and duodenal drainage fluid. Examination of this secretion can not only help diagnose malignant diseases of the stomach, but also help understand the bile secretion, bile duct status and pancreatic function, thus helping to diagnose gastric, bile duct and pancreatic fibroma. In recent years, new fibroid markers have been discovered and detection methods have been improved, which has continuously improved their sensitivity and accuracy. Through the detection of fibroid markers, early warning or auxiliary diagnosis, analysis of disease course, guidance of treatment, monitoring of recurrence or metastasis, and prognosis can be achieved. |
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