Comments on: A 3 year ulcer! http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/ As life cruises along; vita non est vivere sed valere Sat, 22 Nov 2008 09:44:50 +0000 http://wordpress.org/?v=2.1.3 By: susan http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-471 susan Sun, 31 Dec 2006 05:58:29 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-471 look so gross! Anal? donola! What happened to the patient? How could he/she waited so long to get treated? look so gross! Anal? donola! What happened to the patient? How could he/she waited so long to get treated?

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-472 George Sun, 31 Dec 2006 06:15:07 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-472 Fear keeps people from seeking advice - fear of the truth, the pain, the future. No not anal. somewhere higher in the body! Fear keeps people from seeking advice - fear of the truth, the pain, the future.

No not anal. somewhere higher in the body!

]]> By: acidulous http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-475 acidulous Sun, 31 Dec 2006 13:38:27 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-475 Hmm...the margin of the ulcer look heamorrhagic and the ulcer seem to be suppurative... is it at the breast haha... just a wild guess... Hmm…the margin of the ulcer look heamorrhagic and the ulcer seem to be suppurative… is it at the breast haha… just a wild guess…

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-479 George Sun, 31 Dec 2006 16:32:04 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-479 Hi acidulous, thanks for droping by and making an extremely correct observation -- a haemorrhagic suppurative ulcer of the breast --- but..... what is it actually? Hi acidulous, thanks for droping by and making an extremely correct observation — a haemorrhagic suppurative ulcer of the breast — but….. what is it actually?

]]> By: Doc http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-480 Doc Mon, 01 Jan 2007 02:31:43 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-480 Yummy! BCC perhaps, or just an advanced breast ca Yummy! BCC perhaps, or just an advanced breast ca

]]> By: Bernard http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-483 Bernard Tue, 02 Jan 2007 06:29:34 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-483 Ulcerating Ca breast. What did you do? Ulcerating Ca breast.

What did you do?

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-490 George Tue, 02 Jan 2007 16:56:54 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-490 I did a mastectomy with axillary clearance and she went home after 4 days. I did a mastectomy with axillary clearance and she went home after 4 days.

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-499 George Wed, 03 Jan 2007 17:28:06 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-499 Ooops she developed some wound breakdown in the centre where it is most tight. Ooops she developed some wound breakdown in the centre where it is most tight.

]]> By: Bernard http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-501 Bernard Wed, 03 Jan 2007 18:37:39 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-501 I guess a small, clean, healing wound is still much better than the ulcerating lesion she had initially. Is she getting RT as well? I guess a small, clean, healing wound is still much better than the ulcerating lesion she had initially. Is she getting RT as well?

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-505 George Thu, 04 Jan 2007 12:03:21 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-505 true and she so cheerful, thus the happiness. I would give her RT to the chest wall but later. true and she so cheerful, thus the happiness. I would give her RT to the chest wall but later.

]]> By: hoiling http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-526 hoiling Sun, 07 Jan 2007 03:58:17 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-526 Hi there, I really wonder. What causes such ulcer? Started out as small tiny wound until it get developed till this size and rate? I thought our skin has self-heal ability??? Hi there, I really wonder. What causes such ulcer? Started out as small tiny wound until it get developed till this size and rate? I thought our skin has self-heal ability???

]]> By: george http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-531 george Sun, 07 Jan 2007 08:07:44 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-531 The skin has self -heal ability true when the tissue is normal. In cancer, which by definition is an abnormal tissue growth with unconrolled growth. Therefore, it normally starts as a nodule, a lump and because its growth is independent of the host(man) it enlarges. The rate of its growth depends on the type of cancer cells. As the size increases, it compresses the surrounding normal tissue and also occasionally steals the blood supply. This causes the normal tissue to die. If it is close to the skin, the skin will die and necrose and then ulcerate. It fails to heal because the cancer would continue to grow and more normal tissue will die and the ulcer will get bigger. That is the story. The skin has self -heal ability true when the tissue is normal.
In cancer, which by definition is an abnormal tissue growth with unconrolled growth. Therefore, it normally starts as a nodule, a lump and because its growth is independent of the host(man) it enlarges. The rate of its growth depends on the type of cancer cells. As the size increases, it compresses the surrounding normal tissue and also occasionally steals the blood supply. This causes the normal tissue to die. If it is close to the skin, the skin will die and necrose and then ulcerate. It fails to heal because the cancer would continue to grow and more normal tissue will die and the ulcer will get bigger. That is the story.

]]> By: hoiling http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-553 hoiling Wed, 10 Jan 2007 13:40:21 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-553 Oh ..the pictures you featured here are not common wound but cancer associated. aww ..scary. I wonder if most of breast cancer looks like this? Why don't just cut if off? How long the old lady can live with tht condition should she refuse medical help? Oh ..the pictures you featured here are not common wound but cancer associated. aww ..scary. I wonder if most of breast cancer looks like this? Why don’t just cut if off? How long the old lady can live with tht condition should she refuse medical help?

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-558 George Wed, 10 Jan 2007 16:56:38 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-558 Well, This usually occurs in advance cases. Most breast cancer are not visually obvious. They normally begin as a nodule - a small one which most often can only be felt and smaller ones by ultrasound. This is why the breast self examination is a simple yet important and effective way to detect any lumps early. Again, not all lumps are cancers but all lumps must be investigated properly. As to cutting it off, we wanted but the patient refused initially. A week later, she agreed and we remove the whole left breast with the cancer and the lymph nodes in the armpit(axilla) How long? Well it is already advance. She will require further investigations and the risk of it coming back is high. The reason for removal is so that she could have a better quality of life and also prevent her from losing blood any further. This is no more a surgery to cure but to palliate. Well, This usually occurs in advance cases. Most breast cancer are not visually obvious. They normally begin as a nodule - a small one which most often can only be felt and smaller ones by ultrasound. This is why the breast self examination is a simple yet important and effective way to detect any lumps early. Again, not all lumps are cancers but all lumps must be investigated properly.

As to cutting it off, we wanted but the patient refused initially. A week later, she agreed and we remove the whole left breast with the cancer and the lymph nodes in the armpit(axilla)

How long? Well it is already advance. She will require further investigations and the risk of it coming back is high. The reason for removal is so that she could have a better quality of life and also prevent her from losing blood any further. This is no more a surgery to cure but to palliate.

]]> By: George http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-559 George Wed, 10 Jan 2007 17:04:20 +0000 http://www.gcgeorge.net/2006/12/30/a-3-year-ulcer/#comment-559 Please refer to Breast Cancer Awareness Month for method of assessing lumps: http://med97um.net/george/index.php/2006/10/05/breast-cancer-awareness-month Please refer to Breast Cancer Awareness Month for method of assessing lumps:
http://med97um.net/george/index.php/2006/10/05/breast-cancer-awareness-month

]]>