Seeing that Su Yun had hung up the phone, Zheng Ren smiled helplessly.
This guy has a grudge against the Qin family's attitude, but it shouldn't affect Qin Lu's surgery.
When he looked at Cen Peilan's film, he habitually placed his left hand under his right armpit and his right hand to support his chin, doing three-dimensional reconstruction in his mind.
Cen Peilan’s pelvic CT did show two uterine fibroids.
The big one is about 3.4cm and the small one is only 2.2cm.
Uterine fibroids are not a fatal disease. If you still have menstruation, you may experience a series of symptoms such as prolonged menstruation and heavy bleeding.
Before interventional surgery, uterine fibroid dissection and resection were performed by gynecologists.
However, after interventional surgery, as long as uterine fibroids are between the myometrium, embolization can be used to solve them.
The effect of embolization is very good, which has been recognized by almost all doctors.
Minimally invasive surgery is quietly penetrating into every corner of clinical care.
With the systematic diagnosis, it would be much easier for Zheng Ren to perform reverse reasoning.
CT cannot make a definite diagnosis. Through the passive ability of reconstruction, Zheng Ren converted CT images into MRI-enhanced images.
Delayed enhancement can be observed on MRI in patients with malignant uterine sarcoma.
Benign uterine fibroids rarely have delayed image enhancement.
Even if there is, there will be subtle differences in the blood supply of the enhanced image of the tumor tissue.
This difference is difficult for other people to distinguish. But for Zheng Ren, it was much easier.
Cen Peilan's MRI enhancement did not cause Zheng Ren any trouble. The images were very typical, and the images during the enhancement period showed no signs of delayed enhancement.
In other words, the metastases in the lungs are benign, not malignant metastases as judged by doctors at the hospital.
If it is more rigorous, it needs to be judged in conjunction with serum lactate dehydrogenase.
But Zheng Ren felt that there was no need to do such a complicated examination.
It is enough to simply use a puncture needle to take a biopsy of the pathological tissue, and use radiofrequency ablation to directly inactivate the uterine fibroids that have metastasized to the lungs.
The surgery caused little damage, pathological diagnosis was made, and the lesions were treated.
As for paraspinal lesions, they may not be treated, or they may be treated with embolization.
But there are more blood vessels on that side. If there is embolization, embolic agents cannot be used. It is best to use spring coils.
Otherwise, the embolic agent will escape, ectopic embolism will occur, and Cen Peilan will directly develop high paraplegia... Then the matter will be serious.
It would be better not to have this surgery.
In less than 10 minutes, Zheng Ren had already thought about diagnosis from imaging, and then from diagnosis to treatment.
In his mind, Cen Peilan had recovered.
"Boss, it doesn't look like it no matter how you look at it." Su Yun said hesitantly: "I have read several reports saying that uterine fibroids have metastasized to the lungs. But I haven't seen it..."
"You are right, it is the metastasis of uterine fibroids. It is benign, not a malignant tumor where the original tumor has not been found." Zheng Ren said with certainty.
As he spoke, he pointed his fingers at the lesions on the edge of the lungs on the film and said: "The CT display is not obvious. If the image is converted to enhanced MRI, it will be found that the blood supply in the delayed phase is not obvious. It is very likely that it is a benign lesion." big."
Su Yun has long been accustomed to Zheng Ren's behavior of using his brain to convert images. He can also do it, but it is not as precise as Zheng Ren's.
"I just said, it looks like a metastatic tumor, but the more carefully I look at it, the more I feel there is something wrong." Su Yun was very happy after getting Zheng Ren's confirmation.
Wu Hui and Cen Peilan stood aside and felt incredible when they heard their conversation.
The news is good news, but for patients who are already desperate and waiting for death, the more good news, the more unbelievable it is.
"Boss Zheng, Brother Yun, are you sure?" Zou Yu didn't have any psychological burden, she was just surprised.
Both the doctor and the doctor in the hospital made a diagnosis, as well as a quick review of the X-ray in the car, all pointing to metastatic cancer in the lungs.
But after coming in, their stories changed.
"There must be no problem." Su Yun said: "Contact a pathological tissue biopsy today."
After saying that, he realized that this was not 912.
And even if a puncture is performed, it will take some time to wait for the pathology results to be reported.
Cen Peilan showed a wry smile and said softly: "Boss Zheng, Dr. Su, I have heard of your names."
"Well, it should be." Su Yun said.
"Thank you for your comfort. I think I can accept the fact." Cen Peilan held Wu Hui's hand and said seriously and firmly: "Brother Hui said that we will get married in a few days. I think, if that happens If so, I have no regrets in this life. Although I feel sorry for Brother Hui... "
"This is what I hope for most." Wu Hui smiled softly, gently hugged Cen Peilan's shoulders, and whispered softly.
"If you continue to spread your lies, I won't tell you why you made such a judgment." Su Yundao said.
"It's not that serious." Zheng Ren smiled and ignored Su Yun's protest. He turned around and said, "Although it is not very common, there are still 98 related case reports in the past 30 years."
"What report?" Wu Hui was stunned and asked.
"Pulmonary metastasis from uterine fibroids." Zheng Ren said, "It's just that Miss Cen's condition is a bit more special. There are metastatic lesions next to the spine. This is a little more troublesome."
"..." Wu Hui and Cen Peilan both looked at Zheng Ren speechlessly. Seeing that he was serious and didn't look like he was telling lies, they felt even more confused.
He was really confused.
He has been sentenced to death, but he still goes to a top private hospital like Heyang.
Suddenly someone said that it was just a joke.
Anyone else wouldn't believe it right away.
"I suggest you hurry up and do a biopsy of the pathological tissue." Zheng Rendao: "After the biopsy, you will know whether the space-occupying tissue is benign or malignant."
"Speaking of treatment... If the doctors here have a way to treat it, then they can do it here. If not, go to 912 and see me."
"Boss Zheng, is it true?" Wu Hui's voice was trembling.
"Yeah." Zheng Ren nodded.
"Can you stay?" Wu Hui felt that he had returned to the Mayo Clinic. With this honest and honest boss Zheng by his side, he felt at ease.
"Maybe I don't have time." Zheng Ren shook his head. "The return of the pathology slides will take a long time. I can't wait. There are still many things at home."
Seeing Wu Hui's expression, Zheng Ren smiled and said, "It's okay. It's not difficult to perform biopsy of pathological tissue. The doctors in Heyang can definitely do it. The operation is a little difficult, so you can go to the Imperial Capital to see me."
Zheng Ren repeated what he just said to show that he was not lying.
"Zheng..." Wu Hui wanted to say something else, but Su Yun's cell phone rang again.