Yu Wangshui was stunned for a moment before he was overjoyed.
At this time, as long as someone said that it was not a metastasis of cancer, he was willing to believe it. However, when Boss Zheng said it, it seemed to be a little more powerful.
"Boss Zheng, Boss Zheng, what do you suspect?" Yu Wangshui asked anxiously.
"Useless," Su Yun looked at him disdainfully and said.
"I think it's ectopic ossification," Zheng Ren said.
"Doesn't ectopic ossification often appear near the major joints?" Su Yun asked with a frown.
Yu Wangshui knew about the term ectopic ossification, but that was something he had to review before the exam. In the clinic, as a urologist, there was very little … He could not come into contact with ectopic ossification at all.
He tried hard to remember what ectopic ossification was.
"Didn't you say that it often appears near the major joints, such as the hip joint and elbow joint? But there is a small probability that it will appear in other positions, such as the patient in front of us. "Zheng Ren shook the CT scan in his hand and smiled." Don't worry, Chief Yu. It's fine. "
Yu Wangshui saw that Zheng Ren was certain and smiled in a relaxed manner.
Ectopic ossification referred to the appearance of osteoblasts in the soft tissue and the formation of bone tissue. Yu Wangshui recalled the definition of this term. If it was ectopic ossification, many difficulties could be explained. For example, the CT scan looked like a local calcification focus.
But … the incision, ectopic ossification, no matter how it sounded.
"Boss Zheng, how is this ectopic ossification formed?" Yu Wangshui asked in a low voice.
"The triggering factors may be neurological and bioelectric factors, but until now, there is no definite explanation," Zheng Ren said. "Most of these changes will appear near the major joints. They will start to become red, swollen, hot, and painful. Finally, after bone formation, they will cause joint movement disorders.
"In the fibrous connective tissue, the primitive cells proliferate actively, accompanied by a rich capillary network, calcium salt deposition, and bone formation. "Mature ectopic ossification has a bone structure. The outer layer is wrapped in fibrous connective tissue, and inside are osteoblasts with trabecular nodes and bone-like tissues. The center is an active primitive cell," Zheng Ren pointed at the radiographic films and said. "The images in the radiographic films are exactly the same as the definition of ectopic ossification."
"Boss, it's useless for you to say so much." Su Yun blew on it, and his black hair fluttered in the wind. "Can't we just cut it off for pathology?"
"No," Zheng Ren said firmly.
"…"
"…"
Su Yun and Yu Wangshui were both startled.
Generally speaking, the gold standard to determine whether an abnormal hyperplasia was a malignant tumor was the pathological diagnosis. If there was any doubt, a biopsy would be done and a pathology diagnosis would be sent.
This was already a fixed thinking in clinical practice.
Why did Zheng Ren say no?
"Heterotopic ossification was first recognized during the First World War when it appeared in large numbers. Blast injuries and spinal cord injuries were thought to be the cause of ectopic ossification. But subsequent studies have shown that this is only part of the reason. "
"Urinary tract infection is also one of the causes," Zheng Ren said. "The specific mechanism is still unclear. It's just speculation."
Su Yun sighed. Based on the current medical science, there were many diseases that did not have a conclusion. In other words, there were huge minefields everywhere, and it was hard to say which one of them would be crushed to pieces.
Heterotopic ossification was considered good. Although ossification of the incision was extremely rare, it would not cause the patient to die.
If it was really one of those aggressive diseases, such as the malignant high fever that Boss encountered …
The more he thought about it, the more tired he felt. Su Yun sighed and said, "Boss, why do I feel like I don't want to work anymore?"
"Because you know a lot and come into contact with a lot, so the unknown is …"
"Stop, don't feed me chicken soup." Su Yun raised his hand and said, "You haven't told me why I can't cut it."
"It's still in the bone formation stage. If it's cut, it will grow again. It can only be carried out after 9 to 12 months or after the ossification matures and the ossification stops. After the surgery, use disodium etidronate and take it orally for a year. "
"At the cellular level?" Su Yun asked.
"I think so."
"Can you be more reliable?"
"The research institute hasn't come to a conclusion. I haven't seen the publicly recognized useful information." Zheng Ren was also very helpless as he put away the radiographic films.
"Chief Yu, let Chief Miao know," Zheng Ren said. "If there's nothing else, I'll be leaving."
"That …" Yu Wangshan was a little hesitant. He wanted to say something, but he was in a difficult position.
"The radiographic films are already very clear. Don't worry." Zheng Ren knew what he was thinking about. He smiled and patted Yu Wangshan's shoulder to comfort him.
"It won't delay the condition, right?" Yu Wangshan said softly.
"Don't you understand?" Su Yun was unhappy and directly retorted. "It's fine, it's fine. What's there to delay? Are you hoping that it's a tumor? "
"Brother Yun …" Yu Wangshan hurriedly said, "Aren't I especially afraid?"
"No," Zheng Ren said with a smile. "You're too concerned. If it's a patient from another department or you see it in the outpatient department, I believe you can also give the correct diagnosis."
After saying that, Zheng Ren opened the door of the duty room and walked out.
Chief Yu did not leave. He was silent for a moment before picking up his phone and calling Chief Miao.
"Chief, I just met Boss Zheng. I asked him to take a look at the radiographic films."
"Yes, yes, I happened to meet him."
"Boss Zheng said that it's ectopic ossification."
"Oh, Chief Chu thinks so too? That's good, that's good. "
"Okay, we'll talk about it when you come back." Yu Wangshan hung up the phone and looked at the bag of radiographic films in a daze.
Boss Zheng and Chief Chu's opinions were the same. That was good, that was good.
The patient's condition was recovering very well. There was no transfer of other organs, and the urea nitrogen and creatinine were not high.
If incision implantation and transfer were ruled out, then there was hope for survival for more than five years. It could even be said that there was a high chance.
If there was no problem, then that was good.
Chief Yu heaved a sigh of relief. That day, he had scared himself to death. Yesterday, the patient came for a follow-up and took the local radiographic films. Chief Miao was worried about the problem of resolution, so he asked the patient to do one on this side.
From the moment Chief Miao brought the patient to do a check-up after the surgery, he had been very nervous. Now, he was finally relieved.
It was good that he was fine.
However, he should find time to treat Boss Zheng to a meal and get in touch with him, Yu Wangshan thought to himself. They would meet each other frequently. What could he not do? He was still counting on Boss Zheng to help him next time.
This time did not count. After the incident of the malignant high fever in the operating theater, Yu Wangshan inquired about it. According to Chief Xu of the Anesthesiology Department, if Boss Zheng was not there, he would not have presided over the rescue so perfectly.
It was as if Boss Zheng had personally experienced the successful rescue of the malignant high fever. After that, everyone recalled and realized that Boss Zheng could indeed be busy but not chaotic. Every order was extremely targeted.
It was better to have a good relationship with such a person.
Yu Wangshan secretly made up his mind.
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