Chapter 3068： 【3068】Who is right

Chapter 3068 [3068] Who is right if they say different things?

Fang Ze's people were talking with high spirits.

The National Association members were quiet.

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

Opposite these people, they said Xie classmates lied to patients. It’s okay to cheat and transfer patients occasionally. As for academic cheating, Xie is the one who can’t cheat. How to cheat.

I can only say that I don’t understand Xie, and the only guesses are random, which makes them laugh out loud.

"They're cool."

A group of opponents next door to drink coffee leisurely is very exciting.

A doctor in Fangze asked the group of young doctors across from him after drinking a sip of cold juice, "Did you hear anything?"

Of course you can hear it. Even the most scumbag student here, Wei, didn't pretend to be a coward, and replied, "Your doctor said, the problem of the pituitary gland."

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

In the operation of cranial duct tumor, whether the pituitary stalk can be preserved is a big technical problem. Dr. Tong thinks it can't be done in this patient.

Not only Dr. Tong said it could not be done, overseas doctors tended to the same conclusion of Dr. Tong, all based on the conclusions of the patients' preoperative imaging reports. It can be seen from the patient's imaging report that the tumor and pituitary stalk are poorly demarcated, and the pituitary stalk is poorly displayed. It means that the tumor may be fused with the pituitary stalk, and the tumor 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 National Association again, "What do you think?"

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

The voice of Doctor Xie for further explanation came from the machine.

"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 this tumor."

This? Could it be that this craniopharyngioma does not originate from the pituitary stalk? Is what Dr. Tong said wrong?

"The six types are pure intrasellar subdiaphragmatic type, intrasellar suprasellar type, supraphrenic paraoptic chiasmatic extraventricular type, intraventricular extraventricular type, paraventricular involvement of the third ventricle, and pure intraventricular type. From this classification, it can be seen that , not all craniopharyngiomas originate from the pituitary stalk. We must first clarify that the pituitary stalk mentioned here is different from the hypothesized pituitary stalk of the origin of the craniopharyngioma mentioned by Dr. Tong.”

What kind of difference is this?

Are there two pituitary stalks?

As mentioned earlier, a 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 has developed to the present after successive migrations.

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

In this case, to find the origin of craniopharyngioma, it is necessary to include the pituitary stalk tissue remaining from previous embryos, and not just point to the final shape of the pituitary stalk.

In other words, the entire developmental path map of the pituitary stalk may have pituitary stalk tissue.