Zheng Ren understands the details of the whole process and the announced details.

So after seeing this film, Zheng Ren's first impression was that he had advanced pancreatic cancer, accompanied by liver metastasis.

But it is not ruled out that it is a pancreatic neuroendocrine tumor.

Zheng Ren nodded when he heard Yang Rui say this, and said, "Look at it carefully. If it is a pancreatic endocrine tumor, there may be a way."

The patient's family seemed to have lost the ability to make independent judgments. They stood aside and looked particularly ugly.

The local diagnosis was advanced pancreatic cancer. He came to the imperial capital for treatment with the idea of ​​giving it a try. However, when his professor heard this, his first opinion was also advanced pancreatic cancer. At this time, the patient's family thought about giving up treatment.

As for what pancreatic endocrine tumor, no matter what, isn’t it a tumor?

What's the difference?

Zheng Ren replaced the upper abdomen and inserted the magnetic enhancement film.

Enhancement looks like it can provide more information.

Although Zheng Ren has the ability to [reconstruct], more films can provide more details and are also helpful for reconstruction. However, reconstruction is only morphological and cannot provide a pathological basis. It does not help the diagnosis of patients in front of him.

From the perspective of hemodynamic image changes, Zheng Ren tried hard to identify pancreatic malignant tumors or pancreatic endocrine tumors.

"Have the immunostaining of chromophore A been investigated?" Zheng Ren asked.

"No."

"Check it out. The film shows that there is a problem with the artery stage, and it is more inclined to pancreatic endocrine tumors." 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 installment, so there is no way to talk about the next treatment.

If it is g3 staging, Professor Yang advises the patient's family to give up. However, if it is g1-2 staging, treatment can be carried out.

"By the way, Boss Zheng, if you can have surgery, will you have a way?"

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

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

The placeholder in the pancreatic area can be removed by surgical treatment. However, the placeholder in the liver is difficult and general surgical removal is difficult. The best way is to receive interventional treatment.

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

After putting on the film, Professor Yang's movements became slower and slower, and he felt the changes in the patient's family.

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

"Oh, OK, thank you, thank you." The patient's family said a few politely and bowed and left.

Seeing the patient's family disappearing, Professor Yang shook his head.

"Oh." He then sighed.

Zheng Ren is also an old doctor. He also judged that from the details of his family's words and actions, he also judged that what would happen is likely to happen.

The patient's family did not strongly request surgery and had the intention of treating the patient. He just asked for a confirmation so that he could give up the treatment more sufficient.

However, on this side, Zheng Ren and Professor Yang gave a specious conclusion and needed to be examined again.

Both of them noticed a certain kind of disappointment hidden in the patient's family's polite tone.

Even... still a little angry?

In fact, the malignant degree of neuroendocrine tumors is far less than that of pancreatic cancer. Although there is distal metastasis, it is just a characteristic of neuroendocrine tumors.

If confirmed, surgical treatment can be performed, Zheng Ren is confident that the patient's survival period will be increased to more than ten years.

According to the latest WikiLeaks, Jobs' death was due to the fact that he had neuroendocrine tumors and AIDS. After all, he was a hippie when he was young, so it was not surprising that he had AIDS.

But judging from the emotions of the patient's family, I guess I will give up after I go back.

Whether it is family or financial reasons, these have nothing to do with the doctor. It would be a pity if you give up on the condition alone.

However, the doctor can only provide advice to the patient's family. As for treatment or not, the doctor cannot make any decision.

Professor Yang patted Zheng Ren on the shoulder, quickly adjusted his mood, and said with a smile: "Xiao Zheng, the patient recovered very well after the operation of liver hydatum disease, and all test values ​​are gradually recovering. Your surgical level is really good. When will I find another patient and teach me?"

"Brother Yang, be polite." Zheng Ren smiled and said, "If there is, let's discuss it."

This was true, and Professor Yang was a little happy.

Autologous liver transplantation, whether someone teaches or no one teaches, are two different concepts.

In the Department of Hepatobiliary Surgery in 912, the director had undergone autologous liver transplantation, but the number was not large. Professor Yang also saw the director come on stage, and his level is really inferior to Zheng Ren.

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

There is also a precedent for general surgeons to engage in intervention. At least half of the tips surgery is done by general surgeons and interventional physicians.

But Boss Zheng grabbed both hands and was hard on both hands, which was more amazing.

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

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

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

Before Su Yun came back, Zheng Ren was not in a hurry. He returned to the ward and took a look at the patient after the operation.

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

Professor Rudolph Wagner is busy with statistics and data sorting.

The Nobel Prize review and the relevant information of surgical patients were reviewed very strictly. Zheng Ren had no idea of ​​these trivial things.

Leaving it to the professor and Su Yun is much better than interfering with it yourself.

However, the problem is that in terms of the number of patients, thousands of surgeries and postoperative follow-up will become a big problem as the number of surgeries increases.

To win the Nobel Prize, it is not enough to be just a skill, nor can it be achieved with just one passionate person.

Seeing that Corey was fine, Zheng Ren was going to find Xiao Yiren to have lunch.

In the past few days, Zheng Ren, the directors of relevant departments of the hospital, have visited them. Most of them are polite. If you want to point at these directors and accept them, Zheng Ren feels it is impossible.

It is no longer easy to do this.

I took out my cell phone and was about to send a WeChat message to Xie Yiren when I suddenly called in. It was Su Yun's.

Zheng Ren directly connected.

"Boss, take it in seconds!" Su Yun said on the other side: "Pediatric Emergency, come quickly!"

"What's wrong?"

"It's a trouble!"
Chapter completed!