Chapter 225: Thyroid Cancer Grows from the Neck to the Heart
After the operation, Ruan Bin told Qin Zhihai to stay in the hospital for a few days first, and then avoid eating after going back, insist that the medicine cannot be stopped, and rest for half a month.
The wound healing period is three months, and you must be careful not to bump and bump during these three months.
When he had finished his orders, he drove home.
Got home and took a shower.
I took out my phone calendar and checked it.
"On the eighteenth day of the eighth month of the lunar calendar, it is advisable to: pray for blessings, marry, and ask for heirs. Don't: None. ”
"It seems that today is a good day, suitable for drawing big prizes!" Ruan Bin immediately clicked on the system, ready to draw the lottery opportunities for those who completed the task a few days ago!
"System, I want a lottery!"
Rumble......
In the next second, the blue screen changed, and a golden lottery wheel appeared.
There are a total of eighteen prizes on it.
1: System points: 1 billion.
2: Radical thyroidectomy (world-class).
3: A Ferrari 488.
4: A T-type special agent that can cure any cancer.
5: Thank you for your patronage.
6: 3 more times.
7: Reward a robot girlfriend.
8: 100,000 system points.
......
"1 billion points?" When he saw the first reward item, Ruan Bin's eyes couldn't take his eyes off.
One billion is in hand, and I won't worry about this cheat's money-losing system in the future.
Thousands of surgeries are all ordered to the innovation level in minutes!
"Let's start spinning!"
Brush, the next second, the gold lottery wheel began to move.
"The Three Qing Patriarchs, the Buddha, the Monkey Boss, Demacia, Noxus, Jesus...... Bless me for getting what I want the most!" Ruan Bin prayed in his heart.
"Ding-dong...... Congratulations to the host for drawing 100,000 points in the system!"
"Damn, ruthless! Lao Tzu is thinking about a billion points...... Ruan Bin's heart hurts.
"Is it better to ask for an heir today?"
............
The next day, go back to work.
In a flash, it was afternoon.
Ruan Bin, who had just finished a gastrojejunostomy operation, walked out of the operating room and saw Director Qian hurriedly walking by.
"Ruan Bin, are you stepping down?" Director Qian saw Ruan Bin and stopped.
"Well, just stepped down. ”
"Let's go, I'll take you to the rising pose. Director Qian said.
"Consultation?" Ruan Bin guessed.
Recently, Director Qian likes to take him to the consultation, of course, the consultation is basically a tricky operation.
"Yes, go to the general surgery consultation and let's go. You can still be lazy. Director Qian said with a smile.
“......”
So you're taking me lazy?
"What kind of operation is it?" Ruan Bin said curiously.
"I don't know, Xiao Dai didn't tell me, I'll know when I arrive. Director Qian said.
Soon, the two were in the general surgery consultation room.
After entering, I found that it was not only the two of them, but also representatives from anesthesiology, vascular surgery, cardiothoracic surgery, and ICU.
In general surgery, Deputy Director Dai Yaowen also has an attending doctor.
As for why the director of general surgery is not there, it seems that he has gone abroad for further study, and it is estimated that he will not come back until a few months.
Everyone is almost here, and the consultation has begun.
Ruan Bin saw that it was a surgical consultation on thyroid cancer!
"Thyroid cancer grows from the neck to the heart?" said Director Qian's face changed after listening to Director Dai's words. He has been a doctor for decades and has never seen such a serious condition of thyroid cancer!
"The patient, a 28-year-old male, had a recurrence of thyroid cancer after resection surgery, and the tumor grew along the superior vena cava from the neck to the heart, and formed a "cancer clot" in the right atrium, which completely "blocked" the veins of the patient's upper body, and the patient could die suddenly at any time. We had already had a consultation with the Department of General Surgery and the Department of Cardiothoracic Surgery, and we were not very sure about the operation. Therefore, this time, the second consultation of the six departments will be carried out, and I hope that everyone will actively analyze and give opinions. Dai Yaowen said.
The reason why he invited Director Qian from the emergency department to come over was mainly because Director Qian was originally from general surgery, and later became a general medicine boss.
Like thyroid cancer, which belongs to the operation of general surgery, he feels that his senior brother Director Qian is definitely more powerful than their general surgery director.
Since he didn't have much clue about the first consultation, he called Senior Brother Qian over, maybe what can the general practitioner do?
"This operation can't be done at all, the "cancer thrombus" blocks the veins and blood vessels of the upper body, unless the entire upper body veins are removed and then reconstructed, but the reconstruction is as difficult as heavenly!" the vascular surgeon shook his head.
"I looked at the examination report and found that in addition to the local recurrence of thyroid cancer and the formation of a huge tumor in the mediastinum, the tumor also directly invaded the left internal jugular vein and grew in the left internal jugular vein to form a "cancer clot" similar to a blood clot. ”
Not only that, the distal end of the cancer thrombus extends into the intracranial vein, and the proximal end enters the left subclavian vein, the left innominate vein, the right innominate vein, and the superior vena cava through the superior vena cava until it grows into the heart, forming a "cancer thrombus" in the right atrium, so that the patient's upper body vein blood vessels are completely "blocked", and the blood in the upper body veins cannot be returned to the heart at all, resulting in a serious "superior vena cava reflux obstruction syndrome". I estimate that such a serious thyroid cancer condition is rare in history. The cardiothoracic surgeon commented.
"Admittedly, this surgery was really difficult, and I looked up countless literature a few hours ago. But the results are not encouraging: there are no documented cases of this type in the world. In other words, the case of thyroid cancer growing from the neck to the heart may be the first case we have encountered in history, if not the first, then there is at least no surgical record for patients with similar serious conditions in the world! Although I know that this operation may be the most difficult we have ever encountered, but the patient has already traveled to seven or eight large hospitals, and if we have no way, I believe that other hospitals in China may not have a way. Director Dai said in a deep voice.
Ruan Bin listened, and was also surprised in his heart, generally speaking, thyroid cancer is more likely to grow in the neck. Even if the cancer cells metastasize, it will not metastasize almost half of the upper body like this patient!
Straight to the heart!
And similar surgeries are not documented at all, that is, they cannot be referred to at all!
"The risk is unknown, and I guess we can't even be sure!" the vascular surgeon shook his head.
"Has he been to the hospital in the capital?" asked Director Qian. This operation can't be done at all! Maybe a few top companies in the capital may be able to try to do it?
"I've been to two of them, and the hospital over there persuaded him to have radiotherapy!" Dai Yaowen said.
After hearing this, everyone shook their heads, proving that the hospitals in the capital were also helpless! Moreover, radiotherapy is only a palliative treatment for patients, and once radiotherapy is given, it means that the opportunity for the final surgical cure is lost!
:。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~