We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the who...We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the whole process.The patient presented with gross hematuria accompanied by frequent urination initially,and was diagnosed with ductal adenocarcinoma of the prostate involving right seminal vesicle gland and urethra by urethroscopy biopsy.The clinical stage of tumor was T3bN0M0.After 4 cycles of neoadjuvant chemotherapy,the tumor shrank significantly and the patient underwent a laparoscopic radical prostatectomy.But the patient declined to continue chemotherapy postoperatively.After 10 months,the serum prostatic specific antigen increased to 0.05 ng/mL,and multiple metastases were found in the patient's bilateral lungs.However,an unexpected diagnosis of seminal vesicle adenocarcinoma was put forward from another hospital after supplementary pathologic immunohistochemical examination.Then,after careful discussion and demonstration by our multi-disciplinary team experts,we insisted on the diagnosis of ductal adenocarcinoma of the prostate and suggested that the original regimen of chemotherapy should be continued.Up-to-date,14 months after the operation,the patient continues to survive while undergoing ongoing active treatment as recommended.展开更多
目的探讨肿瘤放射治疗专业规培医师教学实践中引入LPCBL(lecture,problem and case based learning)联合MDT教学模式的效果。方法选取2016年9月—2019年11月在医院放疗科轮转的68名规培医师为研究对象。根据所提供的教学模式的不同,将2...目的探讨肿瘤放射治疗专业规培医师教学实践中引入LPCBL(lecture,problem and case based learning)联合MDT教学模式的效果。方法选取2016年9月—2019年11月在医院放疗科轮转的68名规培医师为研究对象。根据所提供的教学模式的不同,将2016年9月—2017年8月的19名规培医师归为对照组(常规教学组),2017年9月—2019年11月的49名规培医师归为试验组(LPCBL+MDT教学组)。从教学效果(标准化考试成绩)及教学满意度(问卷调查)两方面做比较分析。结果在放疗基础理论成绩、放疗病例分析成绩及放疗靶区勾画成绩等方面,试验组规培医师对比对照组均具有优势,两组差异有统计学意义(P<0.05);在带教老师满意度、学习动力与兴趣、理论知识掌握度、临床思维能力及临床协作能力等方面,试验组规培医师对比对照组均具有优势,两组差异有统计学意义(P<0.05)。结论将LPCBL联合MDT教学模式引入肿瘤放疗专业规培医师教学实践中,有利于提高教学效果及满意度。展开更多
文摘We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the whole process.The patient presented with gross hematuria accompanied by frequent urination initially,and was diagnosed with ductal adenocarcinoma of the prostate involving right seminal vesicle gland and urethra by urethroscopy biopsy.The clinical stage of tumor was T3bN0M0.After 4 cycles of neoadjuvant chemotherapy,the tumor shrank significantly and the patient underwent a laparoscopic radical prostatectomy.But the patient declined to continue chemotherapy postoperatively.After 10 months,the serum prostatic specific antigen increased to 0.05 ng/mL,and multiple metastases were found in the patient's bilateral lungs.However,an unexpected diagnosis of seminal vesicle adenocarcinoma was put forward from another hospital after supplementary pathologic immunohistochemical examination.Then,after careful discussion and demonstration by our multi-disciplinary team experts,we insisted on the diagnosis of ductal adenocarcinoma of the prostate and suggested that the original regimen of chemotherapy should be continued.Up-to-date,14 months after the operation,the patient continues to survive while undergoing ongoing active treatment as recommended.
文摘目的探讨肿瘤放射治疗专业规培医师教学实践中引入LPCBL(lecture,problem and case based learning)联合MDT教学模式的效果。方法选取2016年9月—2019年11月在医院放疗科轮转的68名规培医师为研究对象。根据所提供的教学模式的不同,将2016年9月—2017年8月的19名规培医师归为对照组(常规教学组),2017年9月—2019年11月的49名规培医师归为试验组(LPCBL+MDT教学组)。从教学效果(标准化考试成绩)及教学满意度(问卷调查)两方面做比较分析。结果在放疗基础理论成绩、放疗病例分析成绩及放疗靶区勾画成绩等方面,试验组规培医师对比对照组均具有优势,两组差异有统计学意义(P<0.05);在带教老师满意度、学习动力与兴趣、理论知识掌握度、临床思维能力及临床协作能力等方面,试验组规培医师对比对照组均具有优势,两组差异有统计学意义(P<0.05)。结论将LPCBL联合MDT教学模式引入肿瘤放疗专业规培医师教学实践中,有利于提高教学效果及满意度。
