Zheng Ren was aware of the entire process and the announced details.
So after seeing this film, Zheng Ren's first impression was that he had advanced pancreatic cancer with liver metastasis.
However, pancreatic neuroendocrine tumors are not excluded.
When Zheng Ren heard what Yang Rui said, he nodded and said, "Let's take a closer look. If it's a pancreatic endocrine tumor, there might be a way."
The patient's family members seemed to have lost the ability to make independent judgments and stood aside with particularly ugly faces.
The local diagnosis was late-stage pancreatic cancer. He came to the Imperial Capital to see a doctor with the idea of giving it a try. But when he heard the professor's first opinion, he thought it was an advanced stage of pancreatic cancer. At this time, the patient's family members were thinking of giving up treatment.
As for pancreatic endocrine tumors, no matter what, aren’t they still tumors
What's the difference
Zheng Ren replaced the CT scan on the upper abdomen and inserted the MRI-enhanced film.
Enhanced appearance provides more information.
Although Zheng Ren has the ability to reconstruct, more films can provide more details, which is also helpful for reconstruction. However, the reconstruction is only morphological and cannot provide pathological basis. It is not particularly helpful for the diagnosis of the patient in front of us.
From the perspective of hemodynamic imaging changes, Zheng Ren worked hard to identify pancreatic malignant tumors or pancreatic endocrine tumors.
"Have you checked the immunostaining of chromogranin a?" Zheng Ren asked.
"No."
"Let's check it out. It looks like there is a problem with the arterial phase on the film, and it is more likely to be a pancreatic endocrine tumor." Zheng Ren said: "If possible, do an endoscopy and take a biopsy of the pathological tissue."
"Okay." Professor Yang nodded.
Zheng Ren's preliminary judgment is enough. At this time, no one can determine the stage, so the next step of treatment is impossible to discuss.
If it is staged G3, Professor Yang advises the patient’s family to give up. However, if it is stage g1-2, treatment is completely possible.
"By the way, Boss Zheng, if surgery is possible, is there anything you can do?"
"Radio frequency ablation can be done." Zheng Ren said.
As long as you can do it, Professor Yang smiled.
The space occupied by the pancreas can be removed surgically. However, general surgical resection is difficult for space-occupying lesions on the liver, and the best way is to undergo interventional treatment.
As long as Boss Zheng can do it and dares to do it, this means that the survival period of patients will be extended.
As he loaded up the film, Professor Yang moved slower and slower. He felt the changes in the patient's family.
However, he still handed the film bag to the patient's family and said: "Come as soon as possible, do a puncture biopsy, and pathologically determine the nature of the patient's disease. It does not necessarily have to be pancreatic cancer. If not, after treatment, the survival period can reach ten years. about."
"Oh, okay, okay, thank you, thank you." The patient's family members said a few polite words and bowed to leave.
Seeing the patient's family disappear, Professor Yang shook his head.
"Alas." He sighed then.
Zheng Ren is also an old doctor. From the details of the family members' words and actions, he can also judge what is likely to happen.
The patient's family did not strongly demand surgery or treatment. He just came to seek confirmation so that he could have more reasons to give up treatment.
But here, Zheng Ren and Professor Yang gave a specious conclusion and asked for further examination.
Both of them noticed a certain disappointment hidden under the polite tone of the patient's family.
Even... a little angry
In fact, neuroendocrine tumors are far less malignant than pancreatic cancer. Although there is distant metastasis, it is just a characteristic of neuroendocrine tumors.
If confirmed, surgical treatment can be performed. Zheng Ren is confident that the patient's survival time will be extended to more than ten years.
According to the latest WikiLeaks report, Steve Jobs died due to neuroendocrine tumors and AIDS. After all, he was a hippie when he was young, so it's not surprising that he has AIDS.
But judging from the mood of the patient’s family, they probably gave up when they returned.
Whether it is family reasons or financial reasons, these have nothing to do with doctors. Considering the condition alone, it would be a pity to give up.
However, doctors can only provide advice to the patient's family. As for whether to treat or not, the doctor cannot make the final decision.
Professor Yang patted Zheng Ren on the shoulder, quickly adjusted his mood, and said with a smile: "Xiao Zheng, the postoperative recovery of patients with hepatic hydatid disease is very good, and all laboratory values are gradually recovering. Your surgical skills are really good." That's good. When will I find another patient? Can you teach me?"
"Brother Yang, you're welcome." Zheng Ren smiled and said, "If necessary, we can discuss it."
This was accepted, and Professor Yang felt a little happier.
Autologous liver transplantation is taught by some people and taught by no one. Those are two different concepts.
In the hepatobiliary surgery department of 912, the director has done autologous liver transplants, but the number is not large. Professor Yang has also seen the director come on stage, and his level... is really not as good as Zheng Ren.
In fact, he was very curious, how did Zheng Ren master the surgery at his age
There is precedent for general surgeons to perform interventional procedures. At least half of tips surgeries are performed jointly by general surgeons and interventionalists.
But Boss Zheng can grab it with both hands, and both hands are hard, which is more magical.
The patient's family left, and after watching the movie, Zheng Ren left immediately. Professor Yang walked Zheng Ren to the door and watched him leave.
Zheng Ren walked to the elevator, still feeling a little regretful.
This disease can still be cured, so it would be a pity to give up. But there was no other way, Zheng Ren sighed.
Su Yun hadn't come back yet, so Zheng Ren wasn't in a hurry. He returned to the ward and took a look at the postoperative patients.
Chang Yue and little Oliver are no longer so busy. Together with Dr. Shen, there are three people doing pre-operative work. Zheng Ren's team is considered to be strong.
Professor Rudolf Wagner was busy with statistical work and data compilation.
The Nobel Prize review is very strict in reviewing the relevant information of surgical patients. Zheng Ren had no idea of doing these trivial things.
It is much better to leave it to the professor and Su Yun than to mess around on your own.
However, the problem still lies in the number of patients. With thousands of surgeries, postoperative follow-up will become a big problem as the number of surgeries increases.
To win the Nobel Prize, it is not just a matter of skill, nor can it be achieved with passion.
Zheng Ren saw that Corey was fine and was going to go out for lunch with Xiao Yiren.
In the past few days, Zheng Ren, the director of relevant departments in the hospital, has visited. Most of them were just polite. Zheng Ren thought it was impossible to point his finger at these directors and bow down to them.
It’s no longer easy to get to this point.
He took out his cell phone and was about to send a WeChat message to Xie Yiren when suddenly a call came in. It was from Su Yun.
Zheng Ren got through directly.
"Boss, pick me up in a second!" Su Yun said on the other side: "Pediatric emergency, come quickly!"
"What's wrong?"
"There's trouble!"