"Boss, I admire your idea of flying in the air." Professor beilac said reluctantly after a few seconds.


    Even Wei Dabao could hear what he said.


    "Bellac, you haven''t made any progress in watching the film. What progress do you want me to see? Ha ha." Wu Mian said faintly.


    "..." Professor bellac did not comment on Wu Mian''s judgment, but close to the film reader and carefully look at the differences between the three films.


    "Pay attention to the difference between the second film and the first one," Wu Mian said. "The nodular shadow of the essence is much larger than that of the first film."


    "Miss Wu, can..."


    "How long is the tumor doubling time?" Wu Mian interrupted professor beilac and asked.


    "40 days."


    "Look at the time between the second CT image and the first one." Wu Mian said, "the tumor is growing too fast."


    "Boss, what you said is reasonable, but you can''t deny the fact that the younger people are, the faster the tumor grows."


    "No lymph node metastasis was found on the patient''s image, and the third CT image denied your statement." Wu Mian said, "the third film tells you that the parenchymal nodular shadow not only did not grow rapidly, but looked smaller because of different angles."


    "..." Professor beilac couldn''t refute. Mr. Wu turned back to himself with what he had just said.


    Based on his understanding of Wu Mian, as long as he dares to refute, he must be waiting for a pile of logical chain of evidence. The chain of evidence hit his face directly, and his face hurt.


    This has happened more than once, and Professor beilac has had enough.


    "Boss, then..."


    "And for the first time, the patient found that blood in stool coincided with menstrual period, although there was no further evidence..." Wu Mian pondered and then smiled. "There is no way to deny that it is endometriosis, isn''t it?"


    "Boss, you''re right. In any case, it''s necessary to have surgery and then see the big pathology." Professor beilac said weakly.


    Wei Dabao smiled in his heart. It seems that Mr. Wu is right. This sentence is already a habit of Professor bellac. It is like a mantra. Whether it is right or not, he will say it subconsciously, even if he doesn''t think so.


    "Bellac, we are discussing the patient''s condition. If you have any questions, just say," Wu Mian said.


    "Boss, the patient''s CA125 value is high." Professor beilac whispered his doubts.


    "I can''t believe you asked such a stupid question." Wu Mian shrugged. "Wei Dabao, tell Barack the definition of CA125."


    Like Weber''s conditioned reflex, he immediately recited, "CA125 is a glycoprotein that can be bound by monoclonal antibody OC125 detected by bast and others from epithelial ovarian cancer antigen in 1981. The diagnostic sensitivity is high, but the specificity is poor."


    "OK." Wu Mian smiled, "the serum CA125 level of ovarian cancer patients increases significantly, and the CA125 level of those who are effective in chemotherapy and surgery decreases quickly. If there is a recurrence, the CA125 rise can precede the clinical symptoms."


    "Other non ovarian malignancies also have a certain positive rate, such as breast cancer 40%, pancreatic cancer 50%, gastric cancer 47%, lung cancer 44%, colorectal cancer 32%, and other gynecological tumors 43%."


    "Bellac, 32% positive rate, do you think this is decisive?"


    Professor beilac looked at Wu Mian and said, "boss, I think you''re right."


    "Tell me if you have any questions," Wu Mian said.


    "Non malignant tumors, such as endometriosis, pelvic inflammatory disease, ovarian cyst, pancreatitis, hepatitis, liver cirrhosis and other CA125 have increased to varying degrees, but the positive rate is low." Professor beilac did not put forward a negative view, but refuted what he had just said from the perspective of Wu Mian.


    Wu Mian smiles.


    "And if endometriosis is diagnosed, there is a reasonable explanation that the first bleeding coincides with the time point of menstruation," Professor beilac continued.


    Wei Dabao was stunned. Is the professor ill? Section chief Wu asked him to find something wrong, but he agreed with section chief Wu.


    Look at the flattery of others. It''s really not... Before Wei Dabao finished thinking, Professor bellac suddenly changed his tone and said, "but there''s only one bleeding. What about other menstrual times?"


    Trinket is completely stupid. Professor beilac should not be schizophrenic.


    Immediately, Professor beilac''s tone changed slightly and became another self. "Often patients were mistaken for tumors due to unexplained nosebleeds, hemoptysis, blood in stool and urine. They were frightened. Finally, they found that the bleeding symptoms were the same cycle as menstruation, which was endometriosis."


    "You didn''t answer me why only once."


    "Stupid guy! Most endometriosis is blocked from the outside world and cannot be excreted. It is" locked "in the body, resulting in severe pain, nodules, fibrosis, and even infertility.


    In a misdiagnosed case in the orthopaedic department of Massachusetts General Hospital the year before last, I still remember that the diagnosis leading to paraplegia was endometriosis. "


    "You have a point..."


    "No, it''s not reasonable, but the truth! It''s the truth spoken by the boss!" Professor bellac kept changing his tone and scolded himself before. "Endometriosis seriously affects women''s health and quality of life, and has a wide range of lesions, diverse forms, aggressive and recurrent, which is a refractory disease.


    Clinically, it is described as a benign disease with malignant tumor biological characteristics. These are the basic knowledge, don''t you know? "


    Wei Dabao looked at professor beilac crazily. He was afraid that he was not ill


    Wu Mian had long been used to it and said with a smile, "you see, as long as you think about it, you will find that this is also a possibility."


    "No, boss, you''re wrong," Professor beilac said seriously. "After full dialectics, I think it''s endometriosis!"


    "Shut up."


    “OK。”


    "Dr. Wei."


    "Yes." Wei Dabao was very uncomfortable by Professor Barack''s division and felt very bad.


    "Please go with the patient''s family... Forget it, I''d better go." Wu Mian regretted before he finished saying, "I''ll explain to the patient''s family."


    Shi Zhonghua''s eyes straightened as he watched Professor Wu Mian and Professor beilac go all the way to the ward.


    At least once at Xiangjiang Yanghe hospital, Wei Dabao saw Professor bellac''s schizophrenia, but Shi Zhonghua never thought that someone would split face to face, and this is not the first time, and it is absolutely impossible to be the last time.


    Let him operate, really? Will it split directly on the operating table?


    In Shi Zhonghua''s mind, Professor beilac directly "burst" into the left and right halves, standing on both sides of the operating table, a man is both an operator and an assistant.