<h4>Chapter 862: Porcin Galldder</h4>
Like a master painter, a simple picture quickly appeared on a sheet of A4 paper.
Looking at this picture, Mu Tao’s eyes lit up.
Mu Tao seemed to have understood several important points without needing to exin. When he went back andpared it with the radiographic films, he thought that there would be a new breakthrough. That was what Mu Tao thought.
“Old Mu, I’m not going to tell you. Go back and see for yourself.” After Zheng Ren finished drawing, he said, “If there’s anything you don’t understand, or if you have any doubts, leave me a message. Ore early tomorrow and we can discuss it together.”
Mu Tao nodded. He understood Zheng Ren’s meaning.
Chang Yue went to call the next patient’s family member. Mu Tao saw that Zheng Ren was still in deep thought, and a thousand emotions surged in his heart.
This was a selfless teaching, and he was afraid that he would not understand, so he tried all means to exin it to him.
Using the thoughts of a normal person, he was a f*cking idiot!
This thought shed through Mu Tao’s mind.
The rapid progress of human society precisely because of such a person, right? Edison obtained venture capital investment and summarized the experience of his predecessors. Before all the money was spent, he created a light bulb and wanted to monopolize DC power.
He continued to suppress Te, but AC still came into being and shattered Edison’s beautiful dream.
Te did not use the AC patent to obtain the patent fee that now seemed to be more than ten billion dors. Everything was used for free.
This move greatly promoted the application of AC.
What Zheng Ren did was exactly this kind of thing.
A great kindness!
He recalled the first time he met Zheng Ren in the Imperial Capital before Pengxi Vige. Up until now, Zheng Ren’s image became three-dimensional and vivid in Mu Tao’s mind.
In the following exnations, Zheng Ren drew a simple picture for Mu Tao each time.
Mu Tao took radiographic films, marked them, and ced the pictures carefully, waiting for him to study them properlyter.
Unfortunately, there were too many surgeries, and the time was too short. Mu Tao was afraid that he would not be able to study them thoroughly before the surgery.
It was much better to do research with Boss Zheng than at the Mayo Clinic. Mu Tao sighed emphatically from the bottom of his heart.
After the three patients from the Digestive Department finished theirmunication, Zheng Ren greeted the chief resident and brought Chang Yue and Mu Tao to the Department of Hepatobiliary and Pancreatic Surgery.
It was lunchtime, so Zheng Ren did not want to disturb Professor Yang’s rest.
However, when he arrived at the Hepatobiliary and Pancreatic Surgery Department’s doctor’s office, Zheng Ren saw that Yang Lei was reading the radiographic films. It was a CT scan of the upper abdomen.
“Brother Yang, I’m here.” Zheng Ren did not stand on ceremony and greeted him with a smile.
“Boss Zheng,e here.” Yang Lei did not even look at the radiographic films. He only called Zheng Ren over.
“Huh? What radiographic films?” Zheng Ren asked.
Professor Yang must have asked him to look at the radiographic films with him to make a diagnosis.
“62-year-old female patient. During the physical examination, there was a change in the galldder area, so we did a CT scan of the upper abdomen,” Professor Yang said. “Below the fourth stage of the liver, there is no galldder in the galldder area. There is only a cystic package.
“There are calcification deposits. It looked a little strange, like a porcin galldder, but it was different from porcin galldders I have seen before.”
“Oh? No galldder?” Zheng Ren walked over and asked first. Then, he rested his chin on his hand and began to read the CT scan.
On the CT scan, the galldder area was like a big bubble. The galldder in the original position of the galldder had disappeared, and a huge cystic space was there. The texture was uneven, and it looked very strange.
Was it a tumor?
Zheng Ren did not think so. Generally speaking, tumors were solid, and cystic ones were rarely seen.
What was that?
Mu Tao took a look at the radiographic films and was also interested.
The people involved in the intervention, other than freaks like Zheng Ren, were basically doctors who came from radiographic backgrounds.
Regardless of whether it was X-ray radiographic films, CT, or nuclear MRI, there was a certain amount of research.
This radiographic film was interesting. Mu Tao temporarily forgot about the patients with advanced cirrhosis who were undergoing the TIPS surgery. Just like Zheng Ren, he started to look at the radiographic films.
Chang Yue was very helpless. Coming out with Chief Zheng to look at the patients was really a waste of time.
They said that they would look at the patients, but when they saw an abdominal CT, they stopped. When would they be able to finish their work?
However, very quickly, within a few minutes, Zheng Ren said, “Brother Yang, I think that what you said about the porcin galldder is right. Moreover, there is malignant tissue in the galldder.”
“I think so too,” Yang Lei said. “Boss Zheng, are you interested?”
“Hmm?” Zheng Ren turned his head to look at Professor Yang. “The patient has already been hospitalized?”
“Yes,” Professor Yang said. “I can do the surgery, but the possibility ofpletely removing the porcin galldder is not high. When are you free?”
“I have to do the TIPS surgery tomorrow. The day after tomorrow?” Zheng Ren’s hand was a little itchy. He chuckled.
Porcin galldder was a reference to the galldder with a hard and fragile form due to calcification of the galldder wall.
Porcin galldders had its particrity in clinicopathological features.
Since Cornell first reported and proposed the concept of ‘Porcin galldder’ in 1959, there have been sporadic instances of rted literature published abroad.
In particr, the corrtion between porcin galldder and galldder cancer was raised. Porcin galldders easily apanied galldder cancer, and porcin galldder cancer urred in the body of the galldder, asionally at the bottom and neck.
In this patient, the whole galldder had a tendency to calcify.
With these calcified lesions, it was best to remove the whole. Once broken, it may lead to tumor imntation and metastasis.
However, as the name implied, the entire galldder was as fragile as ceramic. It was easier said than done to cut it offpletely.
Therefore, when Zheng Ren arrived, Professor Yang did not hesitate to invite Zheng Ren to participate in the surgery.
Zheng Ren was the one who performed the liver autotransntation for liver hydatidosis. In front of Zheng Ren, Yang Lei no longer had to worry about losing face.
He was notpletely confident. If Boss Zheng could do it, he would do it.
However, the porcin galldder was only the initial diagnosis. Zheng Ren asked the patient about the liver function, antibody to echinocosis, CEA, and CA19-9.
The test results were normal. There was no special history of the patient or her family history.
“Considering the possibility of a simple porcin galldder, I don’t see any cancerous areas,” Zheng Ren said with certainty. “However, you still have to be careful during the surgery. Go on stage the day after tomorrow. Brother Yang, give me a call. I’ll go and help.”
“Okay.” Yang Lei chuckled and took off the radiographic films.
“Two patients with advanced cirrhosis. Let’s go. I’ll bring you to see them.” Yang Lei did not rest. He brought Zheng Ren to see the patients first, then called them one by one to the doctor’s office. Zheng Ren exined the condition to the patients’ families.
Yang Lei was not very interested in Zheng Ren’s drawing. After all, he was a surgeon. The bloody liver area was disgusting to look at, so how could he be interested in a sketch?
Probably only a doctor like Zheng Ren, who was involved in general surgery, could draw such a sketch.
Aftermunicating with the patient’s family, Zheng Ren wished Professor Yang goodbye and returned to the Department of Interventional Medicine.
Chang Yue did not go with Zheng Ren. She stayed behind and exined the live broadcast of the surgery to the patient’s family.
Mu Tao, on the other hand, could not wait to take a leave of absence from Zheng Ren. With the footage and the sketch, he looked for a ce to study it.