Zheng Ren understood the whole process and the details of the announcement.
Therefore, after seeing this radiographic film, Zheng Ren's first impression was that it was advanced pancreatic cancer with liver metastases.
However, the possibility of pancreatic neuroendocrine tumor could not be ruled out.
When Zheng Ren heard what Yang Lei said, he nodded and said, "Take a closer look. If it's a pancreatic endocrine tumor, there might be a way."
The patient's family seemed to have lost the ability to make decisions on their own. They stood to the side with a particularly ugly expression.
The local diagnosis was advanced pancreatic cancer. He came to the imperial capital with the idea of giving it a try. However, when he heard from the professor, his first thought was that it was terminal pancreatic cancer. At this time, the patient's family was thinking of giving up treatment.
As for the endocrine tumor of the pancreas, it was still a tumor.
What was the difference?
Zheng Ren replaced the CT scan of the upper abdomen with an enhanced MRI scan.
The enhancement seemed to provide even more information.
Although Zheng Ren had the [Reconstruction] ability, more radiographic films could provide more details. It would also be helpful for the reconstruction. However, the reconstruction was only based on morphology and could not provide pathological evidence. It was not particularly helpful for the diagnosis of the patient in front of him.
Based on the changes in hemodynamics, Zheng Ren tried to differentiate between pancreatic malignancy and endocrine tumor.
"Have you checked the immunostaining for pheochromogen A?" Zheng Ren asked.
"No."
"Let's check it out. There's a problem with the arterial phase on the radiographic films. It's still more inclined to be a pancreatic endocrine tumor," Zheng Ren said. "If possible, do an endoscopy and take a pathological tissue biopsy."
"Okay." Professor Yang nodded.
Zheng Ren's initial judgment was enough. At this time, no one could determine the stage, so there was no way to talk about the next step of treatment.
If it was the G3 stage, Professor Yang suggested that the patient's family give up. However, if it was the G1-2 stage, it could definitely be treated.
"By the way, Boss Zheng, if the surgery can be done, do you have a way on your side?"
"We can do radiofrequency ablation," Zheng Ren said.
It was good that he could do it. Professor Yang smiled.
The space occupying the pancreatic region could be removed by the surgeon. However, it was difficult for general surgery to remove the space occupying on the liver. The best way was to receive interventional treatment.
It was good that Boss Zheng could and dared to do it. This meant that the patient's survival period would be extended.
Putting the radiographic films together, Professor Yang's movements became slower and slower. He could feel the change in the patient's family.
However, he still handed the bag of films to the patient's family and said, "Come as soon as possible. Do a biopsy and pathology to determine the nature of the patient's lesion. It doesn't have to be pancreatic cancer. If it isn't, he can live for about ten years after treatment. "
"Oh, okay, okay. Thank you, thank you." The patient's family said a few polite words, bowed, and left.
Professor Yang shook his head as he watched the patient's family member disappear.
"Sigh." He then sighed.
Zheng Ren was also an experienced doctor. From the details of the family's words and actions, he could also determine what would happen.
The patient's family did not have the intention to strongly request surgery or treatment. He only came to ask for confirmation so that he would have a better reason to give up treatment.
However, on this side, Zheng Ren and Professor Yang gave a specious conclusion. They wanted to do another examination.
Both of them noticed the disappointment hidden under the patient's family's polite tone.
And even … a little angry?
In fact, the malignancy of neuroendocrine tumors was far less than that of pancreatic cancer. Although there was distant metastasis, that was just a characteristic of neuroendocrine tumors.
If it was confirmed that surgery could be performed, Zheng Ren was confident that the patient's survival time would increase to more than ten years.
According to the latest WikiLeaks, Jobs' death was because he had neuroendocrine tumors and AIDS at the same time. After all, when he was young, he was a hippie, so it was not surprising that he had AIDS.
However, looking at the patient's family's emotions, they probably gave up when they went back.
Whether it was family reasons or financial reasons, these had nothing to do with the doctor. In terms of the condition alone, it would be a pity if he gave up.
However, the doctor could only provide advice to the patient's family. As for whether to treat it or not, the doctor could not make the decision.
Professor Yang patted Zheng Ren's shoulder and quickly adjusted his emotions. He smiled and said, "Little Zheng, the patient with liver hydatid disease has recovered very well after the surgery. All the test values are gradually recovering. Your surgical skills are really good. When I find another patient, can you teach me? "
"Brother Yang, you're too polite." Zheng Ren smiled and said, "If there's anything, let's discuss it."
This was considered a yes, and Professor Yang was a little happier.
Autologous liver transplantation, with someone teaching and no one teaching, were two different concepts.
In the Department of Hepatobiliary and Pancreatic Surgery of 912, the chief had performed autologous liver transplantation, but the number was not large. Professor Yang had also seen the chief go on stage. His level … was really not as good as Zheng Ren's.
In fact, he was very curious. How did Zheng Ren manage to practice surgery at his age?
There were precedents for general surgeons to engage in interventional surgery. At least half of the TIPS surgeries were performed by general surgeons and interventional surgeons.
However, Boss Zheng had both hands. Both hands were hard, which was more magical.
The patient's family left and the radiographic films were finished. Zheng Ren immediately took his leave. Professor Yang sent Zheng Ren to the door and watched him leave.
Zheng Ren walked to the elevator and still felt a little regretful.
This disease could still be treated. It was indeed a pity to give up. However, there was nothing he could do. Zheng Ren sighed.
Su Yun had not returned yet, so Zheng Ren was not in a hurry. He returned to the ward area and took a look at the postoperative patient.
Chang Yue and Little Oliver were not that busy. Together with Chief Resident Shen, there were three people doing the preoperative work. Zheng Ren's group could be considered strong.
Professor Rudolf Wagner was busy with statistical work and data collation.
The Nobel Prize judges were very strict with the relevant information of the surgery patients. Zheng Ren did not have any intention of doing these trivial things.
It was much better to leave it to the professor and Su Yun than to meddle blindly.
However, the problem was still the number of patients. There were thousands of surgeries and postoperative follow-up. As the number of surgeries increased, it would become a big problem.
If he wanted to win the Nobel Prize, he could not just rely on his skills. It was also not something that could be achieved by being hot-blooded.
Zheng Ren saw that there was nothing much to do in the department, so he was ready to look for Little Yiren to go out for lunch.
In the past few days, Zheng Ren had visited all the chief physicians of the relevant departments in the hospital. Most of them were polite. Zheng Ren felt that it was impossible to point at these chief physicians and bow down to them.
It was already not easy to get to this point.
He took out his phone and was about to send Xie Yiren a WeChat message when a call suddenly came in. It was Su Yun.
Zheng Ren picked up the call directly.
"Boss, I'll pick it up immediately!" Su Yun said. "Pediatric Emergency, come quickly!"
"What's wrong?"
"Causing trouble!"
。 m.
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