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July 13, 2008

原因不明の疼痛は上顎癌だった

Photo Photo_2 Photo_3 隣町で旅館のお上をしている80歳女性の方が3月3日左上が痛いとのことで来院された。平成13年に上顎義歯を作って以来の来院で鈎歯の左上8の歯髄炎と歯周疾患によるものと簡単に考えました。抗止血剤も服用していたので、歯髄開放で緊急の痛みはとれるだろと思ったが翌日も激痛。抜歯を考え内科に相談の上3月17日に抜歯(勿論その間も痛みがあった)18日抜歯窩はきれいだが、依然痛みは続きこれは???と思ったが患者さんは通院してくれなくなってしまいました。全然痛みが取れないので信用を失ってしまったのでしょう。電話で大きな病院に行って診てもらいましょうとお勧めしたがなかなか上手くいきませんでした。4月10日某口腔外科から、患者さんの容態の報告が届きました。上顎洞に腫瘍が認められ耳鼻科転科になってオペの予定との事でした。自分の診断力のなさで患者さんに辛い目にあわせてしまったことを本当に反省しました。御高診、ご加療のお願いと、励ましのお手紙を送り一日も早い回復を祈っておりました。

昨日7月12日に口腔外科より開洞部の閉鎖を目的とした義歯作成の依頼が来ました。(4月28日摘出、6月20日退院)

ご本人も元気でおられ戻ってきてくれて、少し気持ちが晴れました。私の至らなさなどオペの衝撃と放射線療法の辛さですっかり忘れておられるようでした。今度は満足していただける義歯を作っていきます。皆さんの力を貸してください。開洞部への対応教えてください。

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