Doctor's Life Simulator

Chapter 266 Rare solitary fibrous tumor of the chest
After participating in this exchange activity, Qin Lang returned to the City No. [-] Hospital and started his daily work.

Of course, he also contacted the two chief editors and deputy editors of "Huaguo Journal of Burns" and "Huaguo Journal of Hand Surgery". Professor Qian and Director Xie both wrote back to him. Express delivery, samples will arrive soon.

For this, Qin Lang is of course very looking forward to it. After all, the previous few small papers are just some small magazines, and the two papers published this time are the top core journals in Huaguo, and they are all attention-grabbing existences in their respective fields. Just kidding, being able to get into any book is enough to guarantee a doctorate degree, and then be evaluated as a chief physician.

Of course, apart from Qin Lang, the corresponding author, the rest of the first and second authors have benefited a lot, enough for them to be promoted to deputy directors after their respective departments.

When Qin Lang walked to the door of the reception room of the emergency department, he heard a loud voice.

"Doctor Liu, what's the matter with my father, the old man is so uncomfortable?"

The patient was an old man in his seventies. He sat on a stool in the consulting room with some hunches, coughing from time to time, and kept talking about pain in his mouth.

His youngest son looked at his father with some distress. The old man held his chest with one hand, and had difficulty breathing from time to time.

"Don't worry, your father's situation is quite special, and he needs another CT scan. I now suspect that he has pleural effusion and symptoms of hypoglycemia."

Looking at the preliminary examination, Liu Peichun felt that his head was a little dizzy. In fact, this patient's condition was very strange.

After the order was given to the patient, the family members of the patient took the elderly to the next step of examination.

After the patient went out, Liu Peichun looked up and saw Qin Lang, and immediately waved:
"Qin Lang, come and help me take a look. This patient feels a little special."

Liu Peichun handed the patient's various physical examinations and chest X-rays to Qin Lang: "Qin Lang, look. The patient's chest X-ray showed a single, sharp-edged mass protruding from the pleura to the lungs. Moreover, most of the thoracic cavity on the affected side is opaque. I initially suspect that there is pleural effusion, which should be some kind of disgusting tumor."

It's just that Liu Peichun couldn't be sure what kind of disease it was, and further examination materials were needed.

After Qin Lang took a look, of course, he couldn't find out the cause of the disease solely by relying on these preliminary information.

"Qin Lang, do you want to use the liquid biopsy technique you mentioned last time and try again?"

Liu Peichun still has great trust in Qin Lang's latest technology, and Qin Lang also agrees with this.

However, liquid biopsy technology is only an auxiliary solution, and ultimately requires a comprehensive variety of physical examination and pathological experiments.

"Then arrange it like this. I will add a liquid biopsy technique to the patient. In addition to completing the routine examination, you will notify Director Zhou Heng of the Lower Thoracic Surgery Department, and our Director Zhuang will conduct a consultation together. I feel that the patient's The situation is very special, even if the diagnosis is confirmed, with our ability, we cannot completely operate on the patient.”

Qin Lang said a few words to Liu Peichun, turned around, and immediately started to consume 1 life simulation point, and started a single case simulation.

【You and Liu Peichun accepted a patient. According to Dr. Liu's initial diagnosis, he suspected some kind of malignant tumor and pleural effusion.Dr. Liu asked the patient to undergo another CT examination.At the same time, I went to Director Zhuang Tong and Director Zhou Heng to conduct a consultation together. 】

[You have performed liquid biopsy technology on the patient, but because the patient's condition is too special, the current equipment and detection technology in your hospital are not yet able to find out the real cause of the patient. 】

[In the end, under the consultation of Director Zhou Heng, Director Zhuang Tong and others, the patient was further improved with chest enhanced CT and three-dimensional imaging. It was only confirmed that it was some kind of chest tumor, but it could not be diagnosed.After the discussion, a thoracotomy was proposed, and the diagnosis was further confirmed during the operation. 】

[The family members did not accept this surgical plan.The youngest son of the patient contacted his elder brother Wang Tai, who is a leader of Hecheng City and the boss of the City Investment Company, who was unable to leave due to his busy schedule.Knowing that his father's illness was rare and special, and that the city's first hospital could not diagnose it, he used his own connections to learn that Liao Yan, the director of oncology surgery at the Imperial Union Hospital, was coming to Hangzhou. 】

[Under Wang Tai's relationship, Director Liao came to Hecheng to diagnose and operate on patients.Director Liao deserves to be the top director of Xiehe Hospital. Through various symptoms, he finally found the real cause of the patient, which is a very rare solitary fibrous tumor of the chest (SFTs)]

[This disease is very rare. Most SFTs originate from the pleura, that is, pleural SFT, accounting for 5% of pleural-derived tumors, about 80% from the visceral pleura, 20% from the parietal pleura, and occasionally occur in the lungs, trachea , reproductive system, abdominal cavity, soft tissue and muscle and other connective tissue, SFTs from lung parenchyma are very rare.At present, there are few studies on the surgical treatment of some special SFTs of the chest. 】

[After the diagnosis, several directors of the city's No. [-] hospital were also a little shocked. If Director Liao hadn't come to diagnose this in person, they really couldn't make a diagnosis based on their experience. treat. 】

[Because the patient's tumor was larger than 10cm in diameter, open surgery was required. Director Liao decided on thoracotomy. Because the tumor occupied half of the chest cavity, the lesion involved the hilum, multiple mediastinal lymph nodes were enlarged, and the left pulmonary aneurysm was formed. The blood supply was rich and block resection was not possible, so it was finally decided that in addition to tumor resection, left total non-pneumonectomy was added. 】

[Because the patient's condition is very complicated and severe, Director Liao needs to build a multidisciplinary team, led by him, and also needs the assistance of top physicians in the Department of Thoracic Surgery and General Surgery.Because of your basic surgical skills and chest tumor skills, you were recommended by Zhou Heng and Zhuang Tong to serve as Director Liao's second assistant. 】

[The operation officially started. Under Director Liao's command, the operation was progressing steadily. However, due to the patient's tumor lesion involving the inside and outside of the trachea, the boundary with the surrounding tissue was unclear.Surgical complete resection is very difficult and risky.Director Liao also fell into a predicament all of a sudden, and began to consider palliative resection of the tumor through endoscopy, but this method cannot achieve radical resection.At this time, you propose to perform a complete resection by yourself. 】

[Having a super surgical field, plus +1 vision, and perfect control skills of breast bleeding, as well as your perfect level of incision, exposure, and suture, you are skilled and bold.Director Liao was a little surprised by your coming forward, after all, you are too young.However, under the guarantee of Zhou Heng and Zhuang Tong, Director Liao agreed. 】

【Director Liao is on the sidelines, under the command, combined with your top technology, you have perfectly completed your task, Director Liao was greatly shocked.Next, he performed a total pneumonectomy.The operation was finally successfully completed. 】

[You won the favor of Director Liao, and then Director Liao visited your wound treatment center and was greatly shocked.Reported your situation to Academician Wu Jizong.At the same time, Director Liao also invited you to give a speech at the Symposium on Surgery Youth of Huaguo Medical Association. 】

【During this operation, you also received the gratitude of Wang Tai, the boss of Chengtou Company.For you and Wei Guoqiang, this is a very large network that solved a crisis for you. 】

[Ding, complete the single case simulation, whether to gain clinical experience of this case! 】

[Congratulations to the host for obtaining clinical experience in this case. 】

Qin Lang was a little surprised. For this operation, the patient invited Liao Yan, the director of oncology surgery at Union Medical College Hospital. At the same time, this director Liao also had contact with Academician Wu Jizong.

Academician Wu, that's not my dear uncle, thigh!
(End of this chapter)