Zhu Xiaojun called Zhang Shi on the way, and when he took Zhu Tianjiu to the tumor hospital, Zhang Shi was already waiting in the CT room. Pen & Fun & Pavilion www.biquge.info

Although Zhu Tianjiu was a hundred reluctant, he always hindered Zhu Xiaojun's identity as his leader, and he didn't dare to disobey too much, so he had to pinch his nose and lie on the CT examination table.

It's easy to have acquaintances, and it didn't take long for the film to come out, Zhang Shina looked at it carefully in his hand, and the more he looked at his face, the more wrong it became.

"It's pancreatic cancer......" Zhu Xiaojun followed Zhang Shi at the moment, and also looked at the CT films carefully.

Zhang Shi shook his head: "It's very similar to pancreatic cancer, but it's probably not pancreatic cancer!" ”

Zhu Xiaojun was shocked and delighted: "You mean to say that this is a benign tumor?" ”

Zhang Shi shook his head again: "Benign is not, I have been practicing medicine for so many years, and I have never seen a case of benign pancreatic tumors." ”

Zhu Xiaojun was puzzled, pointed to the suspicious lesion in the CT film and said: "You said that it is not pancreatic cancer, and you said that you have never seen a benign tumor of the pancreas, then you say, what is this lump?" ”

Zhang Shi put down the CT film in his hand and smiled: "I'll test your medical knowledge, what is cancer?" ”

Zhu Xiaojun was stunned: "It's a malignant tumor!" ”

Zhang Shi asked again: "Then why are some malignant tumors called cancer, and some malignant tumors should be called tumors, such as lymphoma and osteosarcoma, you can't say that it is lymphoma, osteosarcoma, otherwise, you will be laughed off by your peers." ”

Zhu Xiaojun scratched his head and smiled embarrassedly: "This ...... I really don't know! ”

Zhang Shidao: "Look, how long have you been graduating, and you have returned all the knowledge you have learned in five years of college to your teacher." Brother, you should remember that only malignant lesions that originate in organs of epithelial tissue are called cancer, and malignant tumors that originate in organs of other tissues can only be called tumors. ”

Zhu Xiaojun was puzzled: "If I'm not mistaken, the pancreas originates from epithelial cell tissue, and all organs of the human body, except for the heart, all originate from epithelial cell tissue?" ”

Zhang Shi nodded: "You're right, the pancreas does originate from epithelial tissue, so the malignant tumor on the pancreas is called pancreatic cancer, but doesn't the pancreas contain other tissue structures?" ”

Zhu Xiaojun was completely confused, this is the knowledge of histology and embryology, but histology and embryology is a freshman course, and now it has been five years, who can remember it so clearly? Fortunately, Zhang Shi didn't want to show off his theoretical knowledge, and he gave the answer without waiting for Zhu Xiaojun to speak: "Pancreatic islet cells are divided into two categories, one is exocrine cells, and the other is endocrine cells......"

Zhu Xiaojun listened as if he was listening to a book from heaven, and he couldn't help but interrupt Zhang Shi: "Brother, don't give lessons to your brother, brother confessed, when he was studying for the exam, his brother relied on cheating to get by." ”

Zhang Shi smiled: "Then I'll change to the one you like to hear, do you know Jobs?" ”

"Jobs? The American imperialist's old man Joe who grows apples? ”

Zhang Shi nodded: "What disease did Jobs die of?" ”

"Pancreatic cancer? Who doesn't know this? ”

Zhang Shi shook his head, picked up the CT film that he had just put on the table, and shook it twice: "Jobs didn't have pancreatic cancer, the kind of disease he got was called pancreatic islet cell neuroendocrine tumor. ”

"Islet cells...... What tumor? You say it again......"

"Pancreatic islet cell neuroendocrine tumors are completely different from what we often call pancreatic cancer, pancreatic cancer is known as the king of cancer, the degree of malignancy is extremely high, and the average survival time of patients is not more than nine months once it is found. But this kind of neuroendocrine tumor is different, its malignancy is not very high, the process is very slow, even without any treatment, the survival period can reach three or five years. So eight years for Jobs to live is not a long time. When Zhang Shi spoke, there was a hint of disdain on his face.

"Did you see all of this from the CT film?" Zhu Xiaojun also picked up the CT film on the table and looked at it again: "But why can't I see the difference with pancreatic cancer?" ”

Zhang Shi leaned over, pointed to the lesion in the CT film, and explained: "Look here, pancreatic cancer mostly occurs in the head or tail of the pancreas, and the CT sign is a high-density image with unclear edges, but if you look at the lesion of this patient, is its edge missing the signs of the burr edge that can only be found in ordinary cancers?" Also, the imaging of ordinary pancreatic cancer lesions in CT is relatively uniform, but what about this? Not only are they scattered, but they are also very uneven. ”

Putting down the CT film, Zhang Shi continued: "When Jobs died, I was full of curiosity about the progress of his disease, and I never believed that the medical level in the United States could reach such a high level, so I looked for some information about Jobs through Tong Luxin, and found that Jobs did not have pancreatic cancer as we say." After that, I spent a lot of time studying this pancreatic cell neuroendocrine tumor, and although there are very few clinical reports on this disease, there are still a few articles. Also, that patient of yours said that when he found it half a year ago, under normal circumstances, half a year after the pancreatic cancer was discovered, that person is no longer the same, but the patient's condition is very good, what does this mean? ”

Zhu Xiaojun replied: "What, he was born in martial arts, and he has a good foundation!" ”

Zhang Shi glanced at Zhu Xiaojun and snorted: "Xi Wu? Even if he learns six or seven, he will be useless in the face of pancreatic cancer. ”

Zhu Xiaojun smiled: "Count you ruthless, I won't talk to you, let's say, how to treat this disease?" ”

Zhang Shi shrugged his shoulders: "In addition to cutting or cutting, but this patient's surgery chance ......"

Zhang Shi didn't finish his words, but Zhu Xiaojun already understood.

Partial pancreatic removal surgery sounds simple, but in fact it is one of the most difficult surgeries in the field of general surgery, and its difficulty is no less than liver transplantation.

"Can Old Man Meng do it over there?" Although Zhu Xiaojun understood that Zhu Tianjiu's disease had lost the opportunity for surgery, he still did not give up.

Zhang Shi shook his head and said, "I don't know, in the field of surgery, I, Zhang Shi, am a frog at the bottom of a well, I can see the sky, but I can't see how big the sky is." ”

Zhu Xiaojun understood the overtone in Zhang Shi's words, which meant that let alone Old Man Meng, even if he invited the Jigong Living Buddha back then, it was difficult to say whether this knife would succeed or not. Letting go of the idea of surgery, Zhu Xiaojun asked again: "What about radiotherapy and chemotherapy?" Is there any effect? ”

Zhang Shi smiled bitterly: "If you really believe me, then don't do anything, I have seen your patient, the psychology is very strong, I guess the psychological hint is useless for him...... Jun, don't be in vain, leave it to fate! ”

Although Zhu Xiaojun didn't read hard when he was in school, he worked hard for most of the clinical half a year, and he knew that if an inappropriate treatment method was applied to malignant tumors, it would only be equivalent to sending the patient on the road ahead of schedule.

However, Zhu Tianjiu was so important to him, how could he bear to watch Zhu Tianjiu be eaten away by the cancer demon little by little.

"What about Chinese medicine? Can Chinese medicine alleviate the course of his disease? ”

Zhang Shi frowned: "I don't doubt the glory of the motherland's medicine in history, but the motherland's medicine has come to this day but it is so withered, don't say that the research progress in the treatment of malignant tumors is the essence left by the ancestors, I think it has been almost buried by our generation!" ”

Zhu Xiaojun couldn't figure out the basis of Zhang Shi's words for a while: "How to say it? ”

Zhang Shi sighed: "Whether it is motherland medicine or Western medicine, although they are both an integral part of science, there is a complete difference between the two. The medicine of the motherland is theoretically more mysterious, what the eight veins of the strange meridians, the five internal organs, what the balance of yin and yang, the balance of cold and heat, the existence of these theories can only rely on imagination, and can not be presented alive in front of people's eyes, you dissect a corpse, the eight veins of the strange meridians for me to find out? ”

Zhu Xiaojun smiled: "That's true! You say you don't have it, but it does exist, you have to say it does, you can't see it, you can't touch it. ”

Zhang Shi nodded: "The medicine of the motherland is more of an inheritance of experience, that is to learn from a teacher and teach it one-on-one, but what about us now?" Directly opening a school of traditional Chinese medicine and cultivating it batch by batch, can it cultivate good Chinese medicine practitioners? ”

Zhu Xiaojun echoed: "It's not! You see how much difference there is between the current Chinese medicine hospital and the hospital that engages in Western medicine, except that the scale of its Chinese medicine department is larger. ”

Zhang Shi smiled: "I'm not saying this to slander our motherland's medicine, I just want to tell you that the Chinese medicine you can find on the market now is basically a disguise, it would be good to be able to treat headaches and brain fevers, if you can treat some incurable diseases, it is already an excellent Chinese medicine, as for tumors ......" Zhang Shi said, shaking his head with a very bitter face: "Chinese medicine that can treat tumors must be a charlatan!" ”

Zhu Xiaojun immediately thought of Zhu Daliang, isn't it, Comrade Zhu Daliang advertised that he had an ancestral secret recipe that could treat tumors well, others didn't know, could Zhu Xiaojun still not know? Isn't that pure just cheating money!

"Let's do a full-body heat therapy! Xiaojun, the only treatment I can think of that is suitable for him is whole-body hyperthermia! Zhang Shi finally patted Zhu Xiaojun on the shoulder, leaving Zhu Xiaojun with a trace of hope. (To be continued.) )