Chapter 792： Helpless give up

The entire process, the details of the announcement, Zheng Ren have an understanding.

So after seeing this film, Zheng Ren’s first impression was late stage pancreatic cancer with liver metastases.

However, it is not excluded that it is a pancreatic neuroendocrine tumor.

Zheng Ren listened to Yang Rui and said, nodded and said: "A closer look, if there is a pancreatic endocrine tumor, there may be a way."

The family members of the patient seem to have lost their ability to judge independently, standing on one side, and their faces are particularly ugly.

The local diagnosis is the late stage of pancreatic cancer. He took the idea of ​​trying it and went to the emperor to see a doctor. However, the first view he heard from this professor was also the late stage of pancreatic cancer. At this time, the family members of the patient wanted to give up treatment.

As for what pancreatic endocrine tumors, how about, isn't it a tumor?

What's the difference?

Zheng Ren changed the upper abdomen t and inserted the nuclear magnetic enhanced film.

Enhancements seem to provide more information.

Although Zheng Ren has the ability to [reconstruct], more films can provide more details and help with reconstruction. However, reconstruction is only morphological, and it cannot provide a pathological basis. There is no special help for the diagnosis of the immediate patient.

From the perspective of hemodynamic image changes, Zheng Ren strives to identify pancreatic malignancies or pancreatic endocrine tumors.

"Is the immunostaining of chromophore a checked?" Zheng Ren asked.

"No."

"Check it out, look at the arterial period on the film, or prefer pancreatic endocrine tumors." Zheng Rendao: "If possible, do an endoscopy, take a pathological biopsy."

"Yes." Professor Yang nodded.

With Zheng Ren’s preliminary judgment, it is enough. At this time, no one can judge the stage, so the next treatment is impossible to talk about.

If g is staging, Professor Yang advises the family members to give up. However, if it is a staging of g1-2, it can be treated completely.

"Right, boss Zheng, if you can have surgery, is there a way for you?"

"Can do radiofrequency ablation." Zheng Rendao.

Can do it, Professor Yang smiled.

The place in the pancreas can be removed by surgery. However, the occupation of the liver is difficult, and the best way is to receive interventional therapy.

Zheng boss can do it, dare to do it, which means that the patient's survival will be extended.

Putting the film up, Professor Yang is getting slower and slower, and he feels the change of the patient's family.

However, he still handed the bag to the patient's family and said: "Come on as soon as possible, do a needle biopsy, pathologically determine the nature of the patient's disease. Not necessarily pancreatic cancer, if not, after treatment, the survival period can reach ten years. about."

"Oh, good, thank you, thank you." The family members of the patient were polite and left.

Looking at the back of the patient's family disappeared, Professor Yang shook his head.

"Oh." He then sighed.

Zheng Ren is also an old doctor. Judging from the family's speech and movement details, he also judges what happens with great probability.

The patient's family did not have a strong desire for surgery and treatment. He just came to seek a certainty, so that the reasons for giving up treatment were more adequate.

But on this side, Professor Zheng Ren and Professor Yang gave a plausible conclusion and wanted to check again.

Both of them noticed the disappointment of the implied tone of the patient's family.

Even... is there some anger?

In fact, the degree of malignancy of neuroendocrine tumors is far from high in pancreatic cancer. Although there is a distal metastasis, it is a trait of neuroendocrine tumors.

If it is determined that surgery can be performed, Zheng Ren is confident that the patient's survival period will be raised to more than ten years.

Jobs’ death, according to the latest WikiLeaks, is due to the presence of neuroendocrine tumors and AIDS. After all, he was a hippie when he was young, and it is not surprising to have AIDS.

But look at the emotions of the family members of the patients, it is estimated that they will give up when they go back.

These are not related to doctors, whether for family reasons or economic reasons. If you give up on a single illness, it is really a pity.

However, the doctor can only provide advice to the patient's family members. As the treatment is not treated, the doctor can't do it.

Professor Yang took a shot of Zheng Ren’s shoulder and quickly adjusted his emotions. He smiled: “Xiao Zheng, the postoperative patient with hepatic echinococcosis is particularly good, and the test values ​​are gradually recovering. It’s good. When do I find another patient, do you teach me?”

"Yang Ge, polite." Zheng Ren smiled: "If there is, we will discuss it."

This is supposed to be down, Professor Yang is happy.

Autologous liver transplantation, taught and taught by no one, is two concepts.

In the 912 hepatobiliary surgery, the director had done autologous liver transplantation, but the number was small. Professor Yang also saw the director coming to power, level... really not as good as Zheng Ren.

In fact, he is very curious, Zheng Ren, at this age, how is the surgery practiced?

There are precedents for surgeons to get involved. At least half of the tips surgery is done by a surgeon and an interventionist.

But the boss of Zheng, both hands, both hands are hard, which is more magical.

The patient's family went away and the film was finished. Zheng Ren immediately left. Professor Yang sent Zheng Ren to the door and watched him leave.

When Zheng Ren walked to the elevator, there was still some regret in his heart.

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

Su Yun has not returned yet, and Zheng Ren is not in a hurry. He returns to the ward and takes a look at the postoperative patients.

Chang Yue and Little Oliver are not so busy, plus Dr. Shen, there are three people doing pre-operative work, Zheng Ren this group, is considered a strong horse.

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

The Nobel Prize review, the review of the relevant data of the surgical patients is very strict. These trivial things, Zheng Ren did not have any ideas at all.

It is much better to give it to the professor and Su Yun to do it.

However, the problem lies in the number of patients ~www.novelhall.com ~ thousands of operations, postoperative follow-up, with the increase in the amount of surgery, will become a big problem.

To get the Nobel Prize, it’s not just a matter of level, it’s not something that can be achieved with a **** blood.

Zheng Ren didn't have anything to look at in Cory. He was going to find a small Iraqi to go out for lunch.

In the past few days, Zheng Ren, the director of the relevant departments of the whole hospital, has visited. Most of them are polite. If you want to point to these directors, you can see that Zheng Ren feels impossible.

It is not easy to do this step now.

Taking out the mobile phone, I just sent a WeChat to the Xie Yi people. Suddenly the phone came in and it was Su Yun.

Zheng Ren is directly connected.

"Boss, second!" Su Yun said: "Pediatric emergency, hurry!"

"what happened?"

"Make trouble!"