ARGON BEAM COAGULATION TO CONTROL POST BIOPSY BLEEDING

Biopsy for suspected malignant lesions pose a post-biopsy bleeding risk.
One of the techniques to control this situation is by giving prae-biopsy "bleed- reduction medication" and/or doing coagulation using electrical discharges("electrocoagulation").
Using laser as a technique to control  bleedings might be an option,however we have  to be aware of possible "rebleedings"  due to the broken/abnormal walls of the neovascularisation of the tumor ("neoangiogenesis") or of the "feeding vessels".
Using cryo-techniques might be another possibility to counter bleeding with a special treatment for the biopsy specimen.
One should mention the possibility of reducing distant metastasis by this technique(by blood-born or lymph- vessels).
Tumor debulking by laser and/or cryosurgery may help conventional tumor surgery.(by "down- staging")
Endoscopic photo of this case of nasopharyngeal cancer biopsy was completed by argon beam coagulation to control post-biopsy bleeding.

KENAPA HIDUNG DITUTUP BALON MERAH?

Hidung adalah bagian tubuh  yang memiliki peran penting baik dari  segi anatomi,fungsional dan lokasi yang begitu sentral di wilayah muka atau wajah seseorang.
Gambar pertama diatas menunjukkan betapa penting peran hidung dalam proses berkomunikasi bahkan bisa dikatakan sebagai " landmark" seseorang yang mempunyai nilai estetika yang tinggi.
Orang akan segera tertarik perhatiannya  pada seseorang yang memiliki bentuk hidung yang aneh atau kurang sempurna sehingga penderita  besar kemungkinan akan  rela menjalani operasi plastik atau estetik untuk membuat bentuk hidungnya menjadi sempurna dan  indah.
Foto  kedua  menggambarkan peran fungsional hidung sebagai alat  yang bisa mengalami gangguan penciuman ("anosmia") yang  disebabkan (antara lain) oleh adanya polip hidung. Pada kasus ini adanya polip pada rongga hidung (hanya) dapat diketahui dan dipastikan melalui pemeriksaan endoskopi lubang hidung.(endoskopi nasal atau rhinoskopi,baik dengan endoskop lentur ("fiberscope") ataupun endoskop kaku ("rigid endoscope").
Selanjutnya polip dapat ditanggulangi dengan pembedahan minimal invasif melalui "endoscope".

NASOPHARYNGITIS:INFLAMMATORY AND/OR PRE-MALIGNANT CONDITION?

From our daily experiences of nasopharyngoscopy, we may be confused of the endoscopy results of patients with clinical symptoms of upper respiratory infections or allergies/inflammatory conditions.
As our working place is in the South East Asia,we are aware of the possibility of malignant lesions of the upper airways.(i.a. nasopharyngeal cancer and/or malignant lymphoma.)
The possibility of viral infections is our highest awareness to refer of the high incidences of Epstein- Barr virus infections with its implication in nasopharyngeal (epithelial) cancers.
If we look into our daily works,we can say that most of the cases were infections/inflammatory.Some of the cases showed granulomatous lesions/polypoid lesions as shown in these endoscopic pictures.