The whole process, the details of the announcement, Zheng Ren has an understanding.

So after seeing this film, Zheng Ren's first impression was that pancreatic cancer was advanced with liver metastases.

However, pancreatic neuroendocrine tumors are not ruled out.

Zheng Ren heard Yang Rui say this, nodded, and said, "Take a closer look, if it is a pancreatic endocrine tumor, there may be a way." ”

The patient's family seems to have lost the ability to make independent judgments and stands to the side, their faces are particularly ugly.

The local diagnosis was pancreatic cancer in the advanced stage, and he came to the imperial capital with the idea of giving it a try. However, when he heard this, the professor's first opinion was that pancreatic cancer was advanced, and the patient's family was thinking of giving up treatment.

As for pancreatic endocrine tumors, no matter what, isn't it also a tumor?

What's the difference?

Zheng Ren replaced the CT scan of the upper abdomen and inserted the MRI-enhanced film.

Enhance the look, and the more information can be provided.

Although Zheng Ren has the ability to [rebuild], more films can provide more details, which is also helpful for reconstruction. However, reconstruction is only morphological, cannot provide pathological evidence, and is not particularly helpful for the diagnosis of patients in front of them.

From the perspective of hemodynamic imaging changes, Zheng Ren tried to distinguish between pancreatic malignant tumors and pancreatic endocrine tumors.

"Has the immunostaining of chromophilin A been checked?" asked Zheng Ren.

"Nope. ”

"Check it out, the film looks like there is a problem in the arterial stage, and I still prefer pancreatic endocrine tumors. Zheng Ren said: "If possible, do an endoscopy and take a pathological biopsy." ”

"Okay. Professor Yang nodded.

With Zheng Ren's preliminary judgment, it is enough. At this time, no one can judge the stage, so the next step of treatment is impossible.

If it is a G3 stage, Professor Yang advises the patient's family to give up. However, if it is a G1-2 stage, it can be treated.

"By the way, Boss Zheng, if you can operate, do you have a way on that side?"

"Radiofrequency ablation can be done. Zheng Rendao.

It's good to be able to do it, Professor Yang smiled.

A mass in the pancreatic area, which can be surgically removed. However, it is difficult to remove the mass on the liver with general surgery, and the best way is to receive interventional treatment.

Boss Zheng can do it and dare to do it, which means that the patient's survival will be prolonged.

Putting the film on, Professor Yang moved more and more slowly, and he felt the change in the patient's family.

However, he still handed the bag to the patient's family and said, "Come as soon as possible, do a needle biopsy, and pathologically determine the nature of the patient's lesions." It doesn't have to be pancreatic cancer, if not, with treatment, the survival time can reach about ten years. ”

"Oh, okay, okay, thank you, thank you. The patient's family said a few polite words, bowed and left.

Seeing the back of the patient's family disappear, Professor Yang shook his head.

"Alas. He then sighed.

Zheng Ren is also an old doctor, and from the details of the family's words and actions, he also judged what would happen with a high probability.

The patient's family did not have a strong desire for surgery or treatment, but only came to ask for a certainty, so that he could have a stronger reason to give up treatment.

But on this side, Zheng Ren and Professor Yang gave a plausible conclusion and needed to be examined again.

Both of them noticed a certain disappointment hidden under the polite tone of the patient's family.

Even...... Still angry?

In fact, the malignancy of neuroendocrine tumor is far less than that of pancreatic cancer. Although there are distant metastases, they are just a characteristic of NET.

If it is confirmed, surgical treatment can be performed, and Zheng Ren is confident that the patient's survival time will be improved to more than 10 years.

Jobs' death, according to the latest WikiLeaks, was due to the presence of neuroendocrine tumors and AIDS. After all, he was a hippie when he was younger, and it is not surprising that he had AIDS.

But looking at the emotions of the patient's family, it is estimated that they will give up when they go back.

Whether it's family or financial reasons, these have nothing to do with doctors. In terms of illness alone, it would be a pity to give up.

However, doctors can only provide advice to the patient's family, and as for whether to treat or not, the doctor has no way to decide.

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 echinococcosis is very good, and all the laboratory values are gradually recovering, and your surgical level is really good." When will I find another patient, will you teach me?"

"Brother Yang, you're welcome. Zheng Ren smiled: "If there is, let's discuss it." ”

This is considered to be the answer, and Professor Yang is a little happier.

Autologous liver transplantation, taught and untaught, those are two different concepts.

In the hepatobiliary surgery department of 912, the director has done autologous liver transplantation, but the number is not large. Professor Yang has also seen the director come to power, and the level is ...... It's really not as good as Zheng Ren.

In fact, he was very curious, how did Zheng Ren practice surgery at his age?

There is also a precedent for general surgeons to engage in intervention. At least half of the TIPS surgeries are performed by general surgeons and interventional surgeons.

But Boss Zheng grasps both hands and is hard with both hands, which is more magical.

The patient's family left, and after watching the film, Zheng Ren immediately took his leave. Professor Yang sent Zheng Ren to the door and watched him leave.

Zheng Ren walked to the elevator, still feeling a little sorry in his heart.

This disease can still be treated, and it is indeed a pity to give up. But it can't be helped, Zheng Ren sighed.

Su Yun hadn't come back yet, and Zheng Ren wasn't in a hurry, so he returned to the ward and took a look at the postoperative patient.

Chang Yue and Little Oliver are not so busy, plus Dr. Shen, there are three people doing preoperative work, and Zheng Ren's group is considered to be strong.

Professor Rudolf Wagner is busy with statistical work and data collation.

The Nobel Prize review is very strict in the review of the relevant information of surgical patients. Zheng Ren didn't have any idea of doing these trivial things.

It is much better to leave it to the professor and Su Yun to do it than to mix it up blindly.

However, the problem is still in the number of patients, thousands of surgeries, postoperative follow-up, with the increase in the number of surgeries, will become a big problem.

If you want to win the Nobel Prize, you can't just have a level, and you can't achieve it with enthusiasm.

Zheng Ren saw that Cory was fine, and was going to go out for lunch with Xiao Yiren.

In the past few days, the director of the relevant departments of the hospital, Zheng Ren, has visited. Most of them are polite, and if they want to point at these directors and bow their heads, Zheng Ren feels impossible.

It's not easy to get to where we are now.

took out his mobile phone, and was just about to send WeChat to Shay, when suddenly the call came in, it was Su Yun's.

Zheng Ren directly connected.

"Boss, pick it up in seconds!" Su Yun said: "Pediatric emergency, hurry up!"

"What's wrong?"

"Trouble!"

。 m.