Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our cont...Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our context of exercise, we sometimes have a different attitude dictated by various constraints. Observation: 55-year-old patient with no notable history, seen in consultation for a very large ulcerative-budding lesion on the right 2/3 of the lower lip with mucocutaneous involvement without lymph node findings found on examination. Faced with this suspicious lesion and the patient’s financial difficulties, we decided to operate under local anesthesia to remove this tumor. The oncological excision was followed by immediate plasty using a Camille-Bernard flap with a good immediate aesthetic and functional result and postoperative day 7. The patient was unable to take his surgical specimen to anatomy-pathology and was lost to follow-up due to lack of financial resources. On anatomo-pathological analysis of the surgical specimen, the margins were healthy with confirmation of squamous cell carcinoma (anapathological reading made for scientific interest). Discussion: The particular mentality of certain patients and their difficult financial conditions push us to have an unconventional therapeutic attitude in oncology, but which nevertheless makes it possible to resolve certain problems that we often face. Local anesthesia is possible and realistic in cases like ours and the results can be acceptable and life-saving.展开更多
Jeremy Harmer的ESA理论中提出了英语教学中的三要素,且阐释了三要素下的三种课型模式。该文是在ESA理论的杂拼模式(patchwork sequence)的指导下,结合《高级英语》中的课文Face to Face with Hurricane Camille,在教学中进行了一次尝试...Jeremy Harmer的ESA理论中提出了英语教学中的三要素,且阐释了三要素下的三种课型模式。该文是在ESA理论的杂拼模式(patchwork sequence)的指导下,结合《高级英语》中的课文Face to Face with Hurricane Camille,在教学中进行了一次尝试,进一步发现了ESA在课堂教学中的积极作用。展开更多
“Face to face With Hurricane Camilleisa Piece of narration writ-ten by Joseph P.Blank.It has been adopted by text-book compilers of various countries ever since its first publication in The Readers Digest,March1970.A...“Face to face With Hurricane Camilleisa Piece of narration writ-ten by Joseph P.Blank.It has been adopted by text-book compilers of various countries ever since its first publication in The Readers Digest,March1970.A Searlyas1973,Nat-aliC.展开更多
文摘Introduction: Squamous cell carcinomas of the lip essentially pose a therapeutic management problem. In the West, their treatment is done under general anesthesia and follows the classic rules of oncology. In our context of exercise, we sometimes have a different attitude dictated by various constraints. Observation: 55-year-old patient with no notable history, seen in consultation for a very large ulcerative-budding lesion on the right 2/3 of the lower lip with mucocutaneous involvement without lymph node findings found on examination. Faced with this suspicious lesion and the patient’s financial difficulties, we decided to operate under local anesthesia to remove this tumor. The oncological excision was followed by immediate plasty using a Camille-Bernard flap with a good immediate aesthetic and functional result and postoperative day 7. The patient was unable to take his surgical specimen to anatomy-pathology and was lost to follow-up due to lack of financial resources. On anatomo-pathological analysis of the surgical specimen, the margins were healthy with confirmation of squamous cell carcinoma (anapathological reading made for scientific interest). Discussion: The particular mentality of certain patients and their difficult financial conditions push us to have an unconventional therapeutic attitude in oncology, but which nevertheless makes it possible to resolve certain problems that we often face. Local anesthesia is possible and realistic in cases like ours and the results can be acceptable and life-saving.
文摘Jeremy Harmer的ESA理论中提出了英语教学中的三要素,且阐释了三要素下的三种课型模式。该文是在ESA理论的杂拼模式(patchwork sequence)的指导下,结合《高级英语》中的课文Face to Face with Hurricane Camille,在教学中进行了一次尝试,进一步发现了ESA在课堂教学中的积极作用。
文摘“Face to face With Hurricane Camilleisa Piece of narration writ-ten by Joseph P.Blank.It has been adopted by text-book compilers of various countries ever since its first publication in The Readers Digest,March1970.A Searlyas1973,Nat-aliC.
