Yu Jianshui was stunned for a moment, and then he was overjoyed.

At this time, as long as someone says that it is not cancer metastasis, he is willing to believe it. It's just that Boss Zheng said it, and it seemed to be a little stronger.

"Boss Zheng, Boss Zheng, what do you suspect?" Yu Jianshui asked eagerly.

"Out of breath. Su Yun glanced at him with disdain and said.

"I think it's ectopic ossification. Zheng Rendao.

"Doesn't heterotopic ossification often appear near major joints?" Su Yun asked with a frown.

Yu Jianshui knew the word heterotopic ossification, but that was a matter of review before the exam. Clinically, for a urologist, there are very few ...... There is no contact with the disease of heterotopic ossification.

He struggled to recall what heterotopic ossification was.

"Didn't you say it all, it often appears near large joints, such as hips and elbows. However, there is a small probability that the event will occur in other locations, such as the patient in front of you. Zheng Ren shook the CT film in his hand and smiled: "Don't worry, Mr. Yu, it's okay." ”

Yu Jianshui saw that Zheng Ren said yes, and smiled very relaxedly.

Heterotopic ossification is the appearance of osteoblasts in soft tissues and the formation of bone tissue. Yu Jianshui recalled the definition of the word, if it is ectopic ossification, many difficulties can be explained, such as CT appearance, local calcification.

But...... Incisions, ectopic ossification, how unreliable it sounds.

"Boss Zheng, how did this heterotopic ossification form?" Yu Jianshui asked in a low voice.

"The precipitating factors may be neurological and bioelectric factors, but until now, there has not been a definitive statement. Zheng Ren said: "Most of this kind of change will appear near the large joints, starting to be red, swollen, hot and painful, and finally after bone formation, leading to joint mobility disorders. ”

"In fibrous connective tissues, blasts proliferate actively, accompanied by a rich capillary network, calcium salt deposition, and the formation of bone. Mature ectopic ossification has a bone structure with an outer layer of fibrous connective tissue and an inner layer of osteoblasts, with trabecular nodes and osteoid tissue, and active blasts in the center. Zheng Ren pointed to the film and said, "The images in the film are exactly the same as the definition of heterotopic ossification. ”

"Boss, it's useless for you to say so much. Su Yun blew a breath, his black hair fluttering, "Wouldn't it be okay to cut it off and do pathology?"

"No, I can't. Zheng Ren said very resolutely.

“……”

“……”

Su Yun and Yu Jianshui were stunned.

Generally speaking, the gold standard for determining whether an abnormal hyperplasia is a malignant tumor is pathological diagnosis. If there is suspicion, a needle biopsy will be performed and sent for pathological diagnosis.

This is already a fixed thinking in clinical practice.

Why did Jung in say no?

"Heterotopic ossification was first recognized when it appeared in large numbers during the First World War. Detonation injuries and spinal cord injuries are thought to be the predisposing causes of heterotopic ossification. But subsequent research has shown that this is only part of the reason. ”

"Urinary tract infections are also one of the triggers. Zheng Ren said: "The specific mechanism is not clear, it is just speculation." ”

Su Yun sighed, judging from the existing medical science, many diseases are inconclusive. In other words, there are huge minefields everywhere, and if you step on it, you will be a crusher.

Heterotopic ossification is good, and although incision ossification is extremely rare, it does not cause death.

If it's really that kind of menacing disease, such as the malignant hyperthermia that the boss encounters......

The more I thought about it, the more tired I felt, Su Yun sighed and said, "Boss, why don't you want to do it anymore." ”

"Because you know a lot and you have a lot of contact, you don't know ......"

"Stop, don't pour me chicken soup. Su Yun raised his hand and said, "You haven't said why you can't cut it." ”

"It's still osteogenic, and if you cut it off, it will grow even longer. It should be done after 9-12 months or after the ossification has matured and the ossification has subsided. Postoperatively, etidronic acid disodium is used orally for one year. ”

"Cell-level?" Su Yun asked

"Probably yes. ”

"Can you be reliable?"

"The research institute is inconclusive, and I haven't read the materials that are recognized as useful. Zheng Ren was also helpless and put the film up.

"Mr. Yu, let's talk to Director Miao. Zheng Ren said: "If it's okay, I'll leave." ”

"That ......" Yu Jianshui was a little hesitant, wanting to say something, but he was very embarrassed.

"The film is already clear, don't worry. Zheng Ren knew what he was pondering, smiled and patted Yu Jianshui's shoulder and comforted.

"It won't delay the illness. Yu Jianshui whispered.

"You don't understand. Su Yun was displeased, and directly scolded, "It's okay, it's okay, what's there to delay? Are you looking forward to a tumor?"

"Brother Yun'er......" Yu Jianshui hurriedly said: "Isn't this particularly afraid." ”

"No, it won't. Zheng Ren smiled: "If you are concerned, if you are a patient in other departments, or see it in the outpatient clinic, I believe you can also give a correct diagnosis." ”

After speaking, Zheng Ren opened the door of the duty room and walked out.

Mr. Yu didn't leave, he was silent for a while, picked up his mobile phone and called Director Miao.

"Director, I just met Boss Zheng and took a look at the film with him. ”

"Uh-huh, I happened to meet it. ”

"Boss Zheng said that it was heterotopic ossification. ”

"Oh, Director Chu thinks so too? That's good, that's good. ”

"Okay, I'll talk about it when you get back. Yu Jianshui hung up the phone and looked at the film bag a little stunned.

Boss Zheng and Director Chu have the same opinion, that's good, that's good.

The patient recovered well, there was no metastasis of other organs, and the urea nitrogen and creatinine were not high.

If the incision planting transfer is excluded, then there is hope for survival for more than 5 years, and it can even be said that there is great hope.

No problem, that's good.

Mr. Yu breathed a sigh of relief, on this day, he scared himself enough. Yesterday, the patient came for a follow-up examination and took a local film. Director Miao was worried about the resolution and asked the patient to do one on this side.

Since the next operation, Director Miao took the patient for an examination, he has been very nervous, and now he is finally relieved.

It's okay, it's fine.

But find time to invite Boss Zheng to a meal and contact the feelings, Yu Jianshui thought in his heart. When I looked up and didn't look down, I couldn't do anything, and I pointed to Boss Zheng to help me next time.

Not counting this time, the operating room encountered a malignant high fever, and then Yu Jianshui inquired. According to Director Xu of the Department of Anesthesiology, if Boss Zheng was not there, he would not be so perfect in presiding over the rescue.

Boss Zheng is like having experienced the successful rescue of malignant high fever, and then everyone recalled, only to find that Boss Zheng can indeed be busy but not chaotic. Every command is extremely targeted.

This kind of person should have a better relationship with him.

Yu Jianshui secretly made up his mind.

Sogou reading website: