Chapter 1427

Zheng Renjian saw that Su Yun had hung up the phone and smiled helplessly.

The goods are resentful of the Qin family's attitude, but it should not affect the operation on Qin Lu.

He watched Cen Peilan's film. He habitually put his left hand under his right armpit and his right hand on his cheek. He was doing three-dimensional reconstruction in his mind.

CEN Peilan's pelvic CT can indeed see 2 hysteromyomas.

The big one is about 3.4cm and the small one is only 2.2cm.

Hysteromyoma is not a fatal disease. If there is menstruation, there may be a series of symptoms such as prolonged menstruation and large amount of bleeding.

Before interventional surgery, gynecological department performed hysteromyoma stripping and resection.

However, with interventional surgery, as long as the hysteromyoma between the myometrium can be solved by embolization.

The effect of embolization is very good, which has been recognized by almost all doctors.

Minimally invasive surgery is quietly infiltrating every corner of clinical medicine.

With systematic diagnosis, it is much easier for Zheng Ren to push back.

CT can not confirm the diagnosis. Through the passive ability of reconstruction, Zheng Ren transformed CT images into MRI enhanced images.

Delayed enhancement can be observed by MRI in patients with malignant uterine myoma.

Benign hysteromyomas rarely have delayed image enhancement.

Even if there is, there will be subtle differences in the blood supply of tumor tissue enhanced images.

This difference is difficult for others to distinguish. But it's much easier for Zheng Ren.

CEN Peilan's MRI enhancement did not add trouble to Zheng Ren. The image is very typical. The image in the enhancement period shows no delayed enhancement.

In other words, lung metastases are benign, not malignant metastases judged by doctors in nursing hospitals.

If it is more rigorous, it needs to be judged in combination with serum lactate dehydrogenase.

But Zheng Ren felt that there was no need to do such a complex inspection.

It is enough to simply and roughly take pathological tissue biopsy with a puncture needle and directly inactivate the metastatic hysteromyoma in the lung by radiofrequency ablation.

The surgical injury was small, there was pathological diagnosis, and the focus was treated.

As for the lesions near the spine, they can be treated without treatment or by embolization.

However, the blood vessels on that side are relatively rich. If embolic, embolic agent can not be used. It is better to use spring coil.

Otherwise, the embolic agent runs away, ectopic embolism occurs, and Cen Peilan directly has high paraplegia... That's a big deal.

It's better not to have this operation.

In less than 10 minutes, Zheng Ren thought of diagnosis from imaging and treatment from diagnosis.

In his mind, CEN Peilan has recovered.

"Boss, I don't think so." Su Yun hesitated and said: "I've read several reports that there are uterine fibroids with lung metastasis. But I didn't see..."

"You're right. It's the metastatic focus of hysteromyoma. It's benign, not a malignant tumor without primary focus." Zheng Ren definitely said.

With that, he pointed to the focus on the edge of the lung on the film and said, "the CT display is not obvious. If the image is converted to MRI enhancement, it will be found that the blood supply in the delayed period is not obvious. It is very likely that it is a benign lesion."

Su Yun has long been used to Zheng Ren's behavior of image conversion with his brain. He can also do it, but not as finely as Zheng Ren.

"I said it looked like a metastatic tumor, but the closer I looked, the more I felt there was a problem." Su Yun was very happy after being confirmed by Zheng Ren.

Wu Hui and Cen Peilan stood aside and felt incredible when they heard their dialogue.

The news is good news, but for patients who are desperate and waiting for death, the more good news, the more they can't believe it.

"Boss Zheng, Brother Yun, are you sure?" Zou Yu had no psychological burden. She was just surprised.

Whether it's the doctor he raised or the diagnosis just after watching the film in the car, it all points to lung metastasis.

But after they came in, their statements changed.

"Certainly no problem." Su Yun said: "today, contact a pathological tissue biopsy."

After that, he realized that this was not 912.

And even if it is a puncture, it will take some time for the pathological results to return.

CEN Peilan smiled bitterly and said softly, "boss Zheng, Dr. Su, I've heard your name."

"Well, I should." Su yundao.

"Thank you for your comfort. I think I can accept the facts." CEN Peilan held Wu Hui's hand and said very seriously and firmly, "brother Hui said we were going to get married. I think I wouldn't have any regrets if that happened. Although I'm sorry for brother Hui..."

"That's what I think." With a gentle smile, Wu Hui gently hugged Cen Peilan's shoulder and whispered.

"If you spread dog food again, I won't tell you why you judge so." Su yundao.

"It's not that serious." Zheng Ren smiled and ignored Su Yun's protest. He turned and said, "although it is not very common, there are still 98 relevant case reports in the past 30 years."

"What report?" Wu Hui was stunned and asked.

"Lung metastasis of hysteromyoma." Zheng Ren said: "it's just that Miss Cen's condition is more special. There are metastatic lesions next to the spine. This is a little troublesome relatively."

"..." Wu Hui and Cen Peilan looked at Zheng Ren silently. Seeing that he was serious and didn't seem to be lying, they were even more confused.

He is really confused.

Has been sentenced to death, or with the maintenance of this level of top private hospitals.

Suddenly someone said it was just a joke.

Other people won't believe it right away.

"I suggest taking the time to do pathological biopsy." "After biopsy, we know whether the space occupying tissue is benign or malignant," Zheng said

"When it comes to treatment... If the doctor has a way to treat it, do it here. If not, go 912 to me."

"Boss Zheng, really?" Wu Hui's voice trembled.

"Yes." Zheng Ren nodded.

"Can you stay?" Wu Hui felt that he had returned to the Mayo Clinic. With the simple, honest boss Zheng around, he felt at ease.

"There may be no time." Zheng Ren shook his head. "The return time of pathological section is very long. I can't wait. There are still a lot of things at home."

Seeing Wu Hui's expression, Zheng Ren smiled, "it's all right. It's not difficult for pathological tissue biopsy, and the doctor who raised him will certainly be able to do it. The operation is a little difficult, so you can also go to DIDU to find me."

Zheng Ren repeated what he had just said and showed that he didn't lie.

"Zheng..." what else does Wu Hui want to say? Su Yun's mobile phone rings again.