From small clinic to medical empire

Chapter 91 Thyroid Cancer【Please collect and recommend】

In this physical examination, the age span of the crowd is relatively large, ranging from people in their 20s to 60 years old, so the various test data are very variable.

For example, there are many people whose blood lipids, uric acid, and cholesterol levels are seriously exceeded. Naturally, Wang Jingjing will not bother Zhang Zifan because of this.

The physical examination report in her hand is indeed a bit special.

The subject was named Guo Yun, a 35-year-old male.

When Wang Jingjing performed a thyroid function test on the blood sample he left behind, she found a clue.

The main indicators of thyroid function testing are tetraiodothyronine and triiodothyronine, which are the famous T3 and T4.

In addition, there are FT3, FT4, and TSH.

Collectively known as the five items of Jiagong.

Wang Jingjing found that the TSH value in the subject's serum was seriously low, even so low that it was difficult to detect.

TSH is one of the hormones secreted by the anterior pituitary gland. Its main function is to control and regulate the activity of the thyroid gland.

When TSH decreases, the first consideration is whether the patient has symptoms of hyperthyroidism.

The patient is a young and middle-aged man, who is a high-risk group of hyperthyroidism.

However, it may be that the feature of "Specimen Affinity" played a role, Wang Jingjing always felt that things were not that simple.

She used the remaining blood samples to add the detection of thyroid cancer tumor markers, and found that there were also abnormalities.

A single indicator does not indicate any problem. Now that there are two indicators, the possibility of a patient suffering from thyroid cancer rises sharply.

Thyroid cancer is a type of adenocarcinoma whose incidence in my country has continued to increase in recent years. It often appears in news newspapers and is considered a cancer familiar to ordinary people.

Contrary to most cancers such as liver cancer, lung cancer, and gastric cancer, thyroid cancer is more common in women and very rare in men.

Wang Jingjing read the patient's color ultrasound examination report and found that Huang Jiawen, the examiner at the time, had indeed noticed the abnormality of the patient's thyroid gland.

However, according to the comprehensive analysis of the images and the patient's gender, age and other information, Huang Jiawen finally reported that the result was only thyroid nodules.

Of course, there is an essential difference between thyroid nodules and thyroid cancer. The former only needs regular observation, while the latter should be surgically removed immediately.

For the detection of thyroid cancer, the most accurate gold standard is puncture examination, followed by color ultrasound examination, followed by blood index examination and CT examination.

Therefore, theoretically speaking, Wang Jingjing's conclusion needs further verification.

"You did very well!"

Zhang Zifan nodded and praised Wang Jingjing's work.

Being able to discover blind spots from the abnormal results of blood tests is the role of an excellent inspector.

As for Huang Jiawen's side, he couldn't be wrong, he could only say that he was well-regulated, and he gave the most likely answer without further exploration.

But in the final analysis, whether this subject is a thyroid nodule or a thyroid cancer is still inconclusive.

……

Asking Wang Jingjing to return to her post to continue testing other specimens, Zhang Zifan called Nie Xinhua.

Nie Xinhua is Nie Xiaohui's father. He is over 50 years old this year and is the prince of Yuanhang Group.

It's just that this prince is at the risk of becoming Charles.

Nie Xinhua is in charge of many affairs of the Yuanhang Group, including health care.

For this physical examination, Zhang Zifan was in contact with him.

Since the matter is still unclear, Zhang Zifan did not disclose the specific situation, but only said that there were some problems in Guo Yun's test, and hoped that he could return to the physical examination center for another check.

Zhang Zifan's idea is to give him another color Doppler ultrasound. If he agrees, he can also perform a more accurate thyroid puncture.

After all, Nie Xinhua is a business leader in his 50s, and he is mature, so he naturally heard that Zhang Zifan seemed to have reservations in his words.

He said worriedly: "Director Zhang, is Guo Yun okay?"

After listening to Nie Xinhua's narration, Zhang Zifan realized that Guo Yun was not an employee of Yuanhang Group.

Graduated from Southwest University of Political Science and Law, he opened his own law firm at a young age and is the chief legal advisor of Yuanhang Group.

Over the years, he has helped Yuanhang solve many difficulties and provided a lot of legal assistance.

However, even the legal and political elites are useless in the face of disease, and what should come will still come.

……

The next day, Guo Yun came to Haoran Medical Examination Center with some suspicion.

To be honest, he didn't think much of this small clinic.

At the end of last year, he went to a high-end chain medical examination center for a physical examination at his own expense, and the environment there was absolutely first-class.

How about this Haoran Medical Examination Center...

The service is really good, and the decoration and furnishings inside are more atmospheric.

But the house is still a bit older, and the scale is relatively small, and it is still a step behind the high-end medical examination center.

However, when he received a call from Nie Xinhua today, saying that he needed to be reexamined, Guo Yun felt uncomfortable.

Because he just had a physical examination half a year ago, he didn't think too much about his illness, thinking that the medical examination center was negligent and lost his data.

This made Guo Yun very upset.

However, he heard that the boss of this outpatient department and Mr. Nie were close friends, Guo Yun was not willing to offend, after all, Yuanhang Group was his biggest client.

……

"Mr. Guo, here is your medical report!"

Zhang Zifan explained the situation to Guo Yun straight to the point, and suggested that he undergo another color ultrasound examination or a biopsy.

Hearing that he might have cancer, Guo Yunru was struck by lightning, and he was stunned for half a minute with the report in his hand.

Then he asked in disbelief: "I just had a check-up half a year ago! The doctor said that I just had thyroid nodules. I checked the relevant information on the Internet. In the past six months, I ate a lot of seafood to supplement iodine. How could I get thyroid? cancer?"

"This... is just a suspicion at the moment. Further testing is also for early detection and early treatment. If not, that would be the best."

Zhang Zifan shook his head. In addition, "The possibility of missed diagnosis also existed at that time, and not all thyroid diseases can be supplemented with iodine. In your case, supplementing iodine may be counterproductive."

Due to the promotion of iodized salt, the concept that iodine has a health care effect on the thyroid gland has been deeply rooted in the hearts of the Chinese people.

However, although there is no conclusive evidence yet, academic circles generally believe that excessive intake of iodine will increase the risk of thyroid cancer.

After Guo Yun discovered the thyroid nodule, he did not consult a professional doctor, but searched for information on the Internet, and then blindly supplemented with iodine, which may be the reason for the deterioration of his nodule.

Color Doppler ultrasound was performed again, and Zhang Zifan and Huang Jiawen had a consultation together.

With a warning in mind, it is much easier to find imaging evidence.

Microcalcifications, irregular margins, solid hypoechoic nodules...

There were even microcalcifications and cystic changes in the lymph nodes in the neck!

"It is highly suspected that it is a malignant thyroid nodule, that is, thyroid cancer. It is strongly recommended that you undergo a biopsy!"

Hearing Zhang Zifan's final conclusion, Guo Yun's expression alternated between fear, worry, and suspicion.

Although Guo Yun didn't fully believe it in his heart, he found that at least this medical examination center was indeed very professional.

After careful comparison, you will find that compared with the one I have been to before, this place has less commercial operation factors and more medical care and seriousness.

However, even so, it is still just a small outpatient department.

Guo Yun thought for a while and said, "Thank you, Dr. Zhang, but the puncture is a traumatic operation after all. I plan to go to Shanghai to do it. If it is really cancer, I will consider going abroad for surgery. I know the channels to do this. friend."

Zhang Zifan was stunned, and explained: "Mr. Guo, there is no need, more than 90% of the types of thyroid cancer are well-differentiated adenocarcinoma, and the prognosis is very good.

In our top three hospitals in S city, the cure rate of highly differentiated thyroid cancer is close to [-]%, and the hospitals in Shanghai are even more sure. You don't need to look far away! "

Guo Yun shook his head, not thinking so in his heart.

I made so much money from running a law firm, should I bring it into the coffin?
I, Guo Yun, am not Grandet, I have to spend money to save lives!
How can the domestic medical level be compared with that of foreign countries?
"No, no, Doctor Zhang, I will think about it myself, thank you!"

After thanking Zhang Zifan, Guo Yun left.

(End of this chapter)