20161011 Oncology D1

Morning meeting: Liver function test

吳尚殷老師查房: head and neck cancer

My case
case1: tongue cancer + thyroid papillary cancer, recurrence
病人說話不清楚，想辦法溝通順利

case2: hypopharygeal cancer + esophageal cancer
病人講解了相當清楚的病史

another case: tumor invades brachial plexus
有趣的case

DNR issue

吳尚殷老師寄來的paper: not reading yet

安寧病房orientation

Head and Neck cancer staging

 T: (1) 2cm (2) 4cm (3) (4a) (4b)
N: 沒有, 小於3cm, (雜), 大於6cm
M: metastasis

Location 影響開刀位置
soft palate + 舌根 + hyoid bone 前面 = 開
後面 = 不開