medical road high rise

Chapter 292 Not Liver Cancer
Chapter 293 It's Not Liver Cancer
The dinner only lasted for more than an hour, and it ended after eating.

After leaving, Mr. He took Qin Feng to chat for a while in his office.

"Do you know why I dragged you to have dinner with him today?" Elder He asked.

Qin Feng shook his head.

"Because I am getting older and will retire sooner or later. Huamao will need a spokesperson for the hospital, and you are the most suitable one." He said.

Qin Feng frowned slightly, still a little puzzled.

"Xiao Qin, you have to understand one thing, that is, it is difficult to move an inch in this society without money, no matter what you do, and if we doctors want to get more money, most of our money comes from these medical device companies." He Lao explained.

After saying this, Qin Feng understood a little bit, and the two communicated for a while, and Qin Feng left.

"Xiao Qin, come here to see a patient." Professor Xie called Qin Feng.

Last night, all four of them left calls to each other.

"A female patient, 35 years old, had pain in the upper right abdomen for five years, which had worsened in recent months. She was diagnosed with liver cancer and underwent an interventional operation, but the effect was not good. The lesion was still there, and all indicators were normal. The alpha-fetoprotein is not high, so let you come and have a look." Professor Xie said.

"Okay, you can ask the patient to come directly to my clinic." Qin Feng said.

10 minute later.

A middle-aged man appeared outside Qin Feng's clinic, and saw Qin Feng sitting inside showing a puzzled expression.

"This is the awesome doctor recommended by Professor Xie? Why does he look like an intern?" The middle-aged man frowned.

"Little doctor, where's your teacher?" The middle-aged man asked.

"What teacher? You are recommended by Professor Xie, you give me the film yourself." Qin Feng stretched out his hand to ask for the film.

The middle-aged man frowned, but still handed the bag to Qin Feng.

Qin Feng hung the film on the film reader, and it was obvious that a scar tissue had appeared in the spleen.

"Who is the patient?" Qin Feng asked.

"My wife."

"Have you had a splenectomy? When did you do it?" Qin Feng asked.

The middle-aged man said: "Twelve years ago, my wife had a car accident and the surgery was performed at that time."

Middle-aged men are already numb to this question. Basically, as long as their wives go to see a doctor, the doctor will always ask this question, the kind that changes the soup but not the medicine.

Qin Feng looked at the liver cancer nodes on the film, and the more he looked at it, the more he felt that something was wrong. It was completely different from the liver cancer nodes in his impression.

On the contrary, it looks a bit like a spleen node, but if there is a spleen node in the liver, isn't that because the spleen is ectopic?But the patient’s spleen had been removed!

A series of questions appeared in Qin Feng's mind.

"Your wife may not have liver cancer." Qin Feng was silent for a while and said, "You see, after the patient here has undergone interventional embolization, if it is liver cancer, the signal will not be like this. I suspect it may be an ectopic spleen transplant."

Instead, the middle-aged man was stunned. In the past, when he went to see a doctor, those doctors concluded that it was liver cancer.

But at Qin Feng's place, it's not liver cancer anymore, but ectopic spleen implantation instead...

"In this way, I will write you a diagnosis and operation suggestion, and you can just show it to Professor Xie to see it, and he will understand." Qin Feng took out a piece of A4 paper, wrote his own diagnosis and operation suggestion on it Handed it to the middle-aged man.

The middle-aged man thought about many scenes, but he never expected that Qin Feng would handle it like this.

"But..." The middle-aged man originally wanted to say that he had just come from the general surgery department, but Qin Feng actually asked him to return to the general surgery department now, but was interrupted directly by Qin Feng.

"You can go directly to Professor Xie. The reason why your wife has epigastric pain all year round is not liver cancer, but the spleen transplant squeezed the liver. The problem is not serious, just remove it." Qin Feng said.

Afterwards, Qin Feng called Professor Xie in front of the patient and told Professor Xie about his diagnosis.

Professor Xie also took a look at the patient's film again, and found that several points Qin Feng said were correct, so he quickly asked Qin Feng to wait in the outpatient clinic, and he would come over immediately.

Soon, a figure in a white coat hurried over.

"Xiao Qin, tell me how you diagnosed ectopic spleen transplantation." Professor Xie looked curious.

There are some parts that Professor Xie still doesn't understand. It would be best to just come down and listen to Qin Feng explain it again.

"This is mainly related to the interventional imaging. Look here. The patient had undergone an interventional embolization. After embolization, iodized oil was deposited, but there was no typical liver cancer focus, but only embolism necrosis." Qin Feng pointed at the location of the embolism Dao said, "Generally speaking, such images are rarely seen in liver cancer. In addition to the patient's medical history, intermittent abdominal pain for many years, and a history of splenectomy, the possibility of ectopic spleen implantation is relatively high."

"Xiao Qin, if you have a spleen transplant, you can't deny liver cancer." Professor Xie said.

"Well, indeed, the patient's preoperative 64-slice CT double-enhancement showed uniform enhancement in the arterial phase of the lesion, and slight enhancement in the venous phase. It is indeed suspected that it is liver cancer. However, the patient underwent a second re-examination, and the MRI arterial phase enhancement It's not obvious, on the contrary, the metastatic lesions on the abdominal wall are more obvious." Qin Feng said.

Professor Xie nodded in understanding. As a doctor at Ruijin Hospital, he was familiar with intervention. After all, he had never eaten pork, but he had seen pigs running away.

Professor Xie has participated in [-] interventional surgery consultations, if not [-].

"Xiao Ming, you bring your lover to the hospital tomorrow, and I will arrange for them to make a bed tonight." Professor Xie said.

"Professor Xie, my wife's liver cancer..."

"What kind of liver cancer? Didn't you hear what Dr. Xiao Qin said? It's caused by ectopic spleen transplantation. Just remove it directly. It's much easier to treat than liver cancer." Professor Xie said.

"Doctor Xiao Qin, what does the heterotopic spleen transplant mean?" the middle-aged man said a little embarrassedly.

In fact, before Professor Xie came, the middle-aged man had never believed in Qin Feng's diagnosis, thinking that Qin Feng was talking nonsense, how could liver cancer turn into a spleen transplant.

But now that Professor Xie came over, he agreed with Qin Feng's statement, and the middle-aged man also changed his mind.

Qin Feng patiently explained: "It's very simple. After a normal splenectomy, when the back membrane of the spleen is intact, the accessory spleen may compensate part of the spleen's function and increase in size. This is a good thing."

"However, in your wife's case, it should be that the fragmented spleen tissue was left near the liver, and a new spleen was directly formed over the years." Qin Feng said, "The spleen and liver have very strong regenerative capabilities. This is why the spleen and liver can be surgically removed without affecting the body's nutritional circulation."

The middle-aged man understood, but his expression was still a little worried.

"Doctor Qin, I took my wife to many hospitals. They all said it was liver cancer, but now..."

"Spleen heterotopia, we can't be 100% sure, but it's probably not liver cancer with a high probability." Qin Feng said.

The middle-aged man left with a little worry, while Qin Feng continued to sit down in the outpatient clinic and browse the medical website, looking at relevant papers and documents, and sometimes he could find some suitable surgical methods and techniques from them, which could be applied to the corresponding operations.

(End of this chapter)