Chapter 791 Reluctantly Giving Up

Zheng Ren understood the whole process and the details of the release.

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

However, pancreatic neuroendocrine tumors are not ruled out.

Hearing what Yang Rui said, Zheng Ren nodded, and said, "Look carefully, if it's a pancreatic endocrine tumor, there might be a solution."

The patient's family members seemed to have lost their ability to judge independently, and they stood aside with particularly ugly faces.

The local diagnosis was advanced pancreatic cancer, and he came to the imperial capital to see a doctor with the idea of ​​giving it a try. But when he heard the professor here, his first opinion was that the pancreatic cancer was at an advanced stage. At this time, the patient's family members were thinking of giving up treatment.

As for pancreatic endocrine tumors, no matter what, aren’t they also tumors?

What's the difference?

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

Enhanced looks, more information can be provided.

Although Zheng Ren has the ability to "reconstruct", more films can provide more details, which is also helpful for reconstruction. However, the reconstruction is only morphological and cannot provide pathological basis. It is not particularly helpful for the diagnosis of the patient in front of him.

Analyzing from the perspective of hemodynamic imaging changes, Zheng Ren worked hard to distinguish pancreatic malignant tumors from pancreatic endocrine tumors.

"Have you checked the immunostaining for chromaffin A?" Zheng Ren asked.

"No."

"Let's check it out. There are problems in the arterial phase on the film, and it's more likely to be a pancreatic endocrine tumor." Zheng Ren said: "If possible, do an endoscopy and take a pathological tissue biopsy."

"Okay." Professor Yang nodded.

It is enough to have Zheng Ren's preliminary judgment. At this time, no one can judge the stage, so the next step of treatment is out of the question.

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

"By the way, Boss Zheng, if there is an operation, is there anything you can do?"

"Radiofrequency ablation can be done." Zheng Ren said.

As long as you can do it, Professor Yang smiled.

The space occupying in the pancreas area can be removed surgically. However, general surgical resection is very difficult for the space occupying on the liver, and the best way is to receive interventional therapy.

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

After installing the film, Professor Yang moved more and more slowly, and he felt the changes in the patient's family.

However, he still handed the tablet bag to the patient's family and said, "Come as soon as possible, do a biopsy, and pathologically determine the nature of the patient's lesion. It may not be pancreatic cancer. If it is not, after treatment, the survival period can reach ten years." about."

"Oh, yes, thank you, thank you." The family member of the patient said a few words politely, bowed and left.

Seeing the disappearance of the patient's family members, Professor Yang shook his head.

"Oh." He then sighed.

Zheng Ren is also an old doctor, and from the details of the family members' words and actions, he can also judge that there is a high probability that something will happen.

The family members of the patient had no strong desire for surgery or treatment. He just came to ask for a confirmation so that he could have more reasons to give up treatment.

But here, Zheng Ren and Professor Yang came to a plausible conclusion and needed to do another inspection.

Both of them noticed some kind of disappointment hidden under the polite tone of the patient's family.

Even... a little angry?

In fact, neuroendocrine tumors are far less malignant than pancreatic cancer. Although there is distant metastasis, it is only a characteristic of neuroendocrine tumors.

If it is confirmed, surgical treatment is possible, and Zheng Ren is sure that the patient's survival time will be increased to more than ten years.

Jobs' death, according to the latest WikiLeaks, was due to neuroendocrine tumors and AIDS. After all, he was a hippie in his youth, and it's no wonder he had AIDS.

But judging by the emotions of the patient's family members, it is estimated that they will give up after going back.

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

However, the doctor can only provide advice to the family members of the patient. As for the treatment 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 patients with hepatic hydatid disease are recovering very well, and all the test values ​​are gradually recovering. Your surgical skills are really good. It’s not bad. When will I find another patient, can you teach me?”

"Brother Yang, you're welcome." Zheng Ren smiled and said, "If there is, we can discuss it."

This was accepted, and Professor Yang was a little happier.

Autologous liver transplantation is taught or not taught, those are two concepts.

In the hepatobiliary surgery department on 912, the director had done autologous liver transplantation, but the number was not large. Professor Yang has also seen the director come on stage, and his level...is not as good as Zheng Ren.

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

There are precedents for general surgeons to intervene. At least half of TIPS operations are performed jointly by general surgeons and interventional surgeons.

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

The patient's family members left, and the movie was over, so Zheng Ren left immediately. Professor Yang sent Zheng Ren to the door and watched him leave.

When Zheng Ren walked to the elevator, he still felt a little regretful.

This disease can still be cured, it is indeed a pity to give up. But there was no way, Zheng Ren sighed.

Su Yun hadn't returned yet, and Zheng Ren was not in a hurry. He returned to the ward and took a look at the postoperative patient.

Chang Yue and Little Oliver were not so busy anymore. In addition to Dr. Shen, there were three people doing preoperative work. Zheng Ren's team was considered strong.

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

For the Nobel Prize review, the review of relevant data of surgical patients is very strict. Zheng Ren had no intention of doing these trivial things at all.

It's much better to leave it to the professor and Su Yun than to meddle by yourself.

However, the problem still lies in the number of patients. Thousands of operations and postoperative follow-up will become a big problem with the increase in the number of operations.

To win the Nobel Prize, it is not enough to just have a level, nor can it be achieved with a passion.

Zheng Ren saw that there was nothing wrong with Corey, so he was going to take Xiao Yiren out for lunch.

In the past few days, Zheng Ren, the director of the relevant departments of the hospital, has visited. Most of them were polite, and Zheng Ren felt it was impossible to point to these directors and bow down.

It's not easy to do this now.

He took out his mobile phone and was about to send Xie Yiren a WeChat message when suddenly a call came in, it was from Su Yun.

Zheng Ren connected directly.

"Boss, answer in seconds!" Su Yun said on the other side: "Pediatric emergency, come quickly!"

"What's wrong?"

"There's trouble!"