When the boy's father heard Chen Cang say so, his expression was uncertain.
I can't think of the specific reason.
After hesitating for a moment, he said, "doctor, what are you thinking about now? Can you give us a general impression?"
After hesitating for a moment, Chen Cang couldn't help but want to say, but he still found a reason: "wait a minute, wait until the results come out, and the NMR results will come out soon!"
Because the brain metastasis of malignant tumor is really impossible to say.
It's hopeless to say it!
Malignant tumors have multiple metastases, major liver and spleen and brain metastases, which can not be more advanced.
The survival time may be less than three months.
So, it's too hard to say that.
At this time, Huang Binhai pushed the patient back, holding the film in his hand. He should have given the film in advance.
Chen Cang's style is also known there. Expediting is expediting. It can't take half a minute.
Huang Binhai's face was a little wrong. When he saw Chen Cang, he said, "Professor Chen, this is a film."
As soon as the family members heard this, the heart almost mentioned the throat and almost jumped out!
nervous!
worry!
Just like the hearing, waiting for the verdict.
Chen Cang picked up the film and looked carefully at the light source.
T1、T2……
When each film is taken out, Chen Cang's heart can click!
Chen Cang clearly saw that there were some small low-density shadows in many areas of the patient's brain!
Looking at these intracranial multiple abnormal signals, Chen Cang understood why Huang Binhai expressed this expression.
Tumor?!
Very likely!
Chen Cang suddenly thought of something: "give me a bedside B-ultrasound, focus on the liver, and find out the major causes of liver and spleen!"
Huang Binhai nodded and hurriedly got up to work.
Chen Cang stayed and looked at the patient's parents.
I don't know whether to say it or not.
But
At this time, it seems meaningless not to say it?
After hesitating for a moment, Chen Cang said:
"Your son, it may be a malignant tumor! That is, cancer."
As soon as this remark came out, the family members were stunned!
The child's mother was paralyzed directly on the ground, as if her body had been pulled out of a bone and had no strength.
The man quickly helped his wife to the chair. His face was very ugly: "doctor... How sure are you?"
Chen Cang said: "now it's just speculation and can't be diagnosed, but there are all the possibilities. After all, there are so many low-density shadows in the brain. Combined with the comprehensive performance of patients, I think it's the most likely one!"
"But don't be nervous and anxious. The diagnosis of malignant tumors is not so simple. We have to do puncture and tissue biopsy to make sure."
"Now what we have to do is to see if there are abnormal signals in the liver!"
The middle-aged man nodded quickly.
He can't hold any thoughts in his mind now.
It was a devastating blow to suddenly learn that his 19-year-old son was actually a malignant tumor.
"Doctor... He's only 19, isn't he... Unlikely?"
Chen Cang nodded: "well, in fact, I'm also hesitating. Such a situation at the age of 19 is very rare, so I couldn't make a diagnosis at the beginning. Now we'd better wait for the physiological and biochemical results."
By this time, Chen Cang had forgotten the infectious disease examination.
Now it's probably a tumor!
When Chen Cang went out, Huang Binhai decided: "Professor Chen, what tumor do you think this is?"
Chen Cang shook his head: "I don't know."
"But... It hasn't been diagnosed yet. Don't talk nonsense."
Huang Binhai sighed: "now the possibility of misdiagnosis is really too small?"
Chen Cang did not deny it.
Looking at the man's father behind him, he sighed, while his mother cried bitterly. Like losing his soul, Chen Cang was helpless.
He also hopes that the patient's situation will turn for the better.
However, while waiting for the physiological and biochemical results, Chen Cang watched the film carefully for a long time.
At this time, the blood routine results came out first!
Chen Cang looked at the blood routine, some doubts!
"White blood cells, red blood cells, platelets and lymphocytes are all reduced!"
Chen Cang looked at the inspection and was stunned!
Tumors don't seem to cause systemic hematopoietic abnormalities, do they?
Is it leukemia?
But some of the leukemia can't tell the intracranial abnormalities!
Huang Binhai looked at the patient's test sheet at this time, but he couldn't find the clue and reason!
Moreover, leukemia is a disease
How can a patient be a college student?
Here's the bedside ultrasound results.
There are abnormal signals in the liver, no blood flow, bit by bit, the same as intracranial.
No reason found!
Is it metastatic cancer cells?
Induce liver cancer?
The diagnosis is too complicated.
Here, the patient's family members don't know what relationship they found director Zhao Furun, director of Neurology.
Director Zhao is the director of Neurology of the emergency center.
"Hello, Professor Chen. I'm friends with the patient's father. Come and see what's going on with the patient."
After that, Zhao Furun said: "I tell you, in fact, you are completely superfluous. Professor Chen's level is much higher than me, and the key is to be very responsible for patients. You don't have to worry."
The patient's parents also nodded.
They don't doubt Chen Cang, but... The child's situation is too special to attract attention.
Chen Cang didn't mind. He handed over all the examination results. Director Zhao was not idle here. He directly found the director of tumor surgery. A group of people gathered in the office and began to discuss!
The patient's family members sat inside and listened to the discussion. The more they listened, the more frightened they became.
Because almost everyone thinks it should be a patient with advanced malignant tumor, which inhibits hematopoietic function.
However, at this time, Chen Cang looked at the intracranial situation and suddenly changed his face!
He clearly found some abnormal signals!
There are several different films on the MRI.
These films are different not because of different positions, but because of different weighting. In short, the calculation method is different from the imaging method.
In this way, the same level will get different signals because of different processing methods.
But!
Chen Cang clearly found that the patient's intracranial should be in the same position. As a result, the low-density shadow has some deviation!
This can't happen!
What the hell is going on?
You know, Chen Cang has the ability to restore the intracranial thinking framework according to the MRI film.
His unforgettable memory makes him have a strong memory of these images!
But why does the shadow shift?
At this time, the patient's infectious disease examination came back.
Chen Cang's most feared HIV test also came out.
The nurse hurried into the office: "Professor Chen, the result of AIDS police is negative. Syphilis... These are also negative."
Chen Cang frowned when he heard that!
After hearing this, other experts were more convinced of the possibility of malignant tumor and made a puncture diagnosis as soon as possible.
However, at this time, Chen Cang continued to pick up the test sheet, inspection results and influence films and looked at them carefully!
In a few minutes!
Chen Cang said directly: "re search a HIV test!"
As soon as he said this, everyone in the room was stunned.
"Professor Chen... Why do you check this?"
"Yes! It's definitely negative."
The patient's family members also don't understand why Chen Cang is obsessed with his child's sexually transmitted diseases.
Chen Cang shook his head and didn't answer the question. Instead, he said directly, "it's all right. Prepare for waist puncture, and then do brain biopsy to see if it's a tumor!"
The crowd nodded.
……
PS: thanks for the 10000 reward from the big man of "black after white", thank you.
Today, when I was practicing my car, the little girl behind the car said I was an old driver. I think she should praise me for driving steadily and fast. I drove in fourth gear to 50km. Well, that's right!
There are four more in the evening.
Ask for a ticket.