Chapter 862： Porcelain gallbladder

Like a big painter, a simple picture quickly appeared on a4 paper.

Looking at this picture, Mu Tao's eyes lit up.

Needless to say, Mu Tao seems to have learned about several important nodes. Going back and comparing the films of nuclear magnetic dispersion, I think there should be a new breakthrough. Mu Tao thinks so.

"Old Mu, I won't tell you, you go back and see for yourself." After Zheng Ren finished painting, he said, "If you don't understand anything, or have doubts, please leave a message directly to me, or come early tomorrow. Let's talk about it together."

Mu Tao nodded, he understood the meaning of Zheng Ren.

Chang Yue went to call the family of the next patient. Mu Tao looked at Zheng Ren and was still thinking, and his heart was full of enthusiasm.

This is a selfless teaching, and I am afraid that I can't understand it. I want to do everything I can to explain it to myself.

With the idea of ​​a normal person, this is a stupid!

This thought flashed in the mind of Mu Tao.

Isn’t there such a person’s rapid progress in human society? Edison got a venture capital investment and summed up the experience of his predecessors. Before all the money was spent, he got the light bulb and monopolized the direct current.

He constantly suppressed Tesla, but the AC came into being, breaking Edison's dream.

Tesla did not use the patent of AC to obtain the patent fees that now seem to be more than 10 billion yuan, and all of them are used free of charge.

This move has greatly promoted the application of alternating current.

What Zheng Ren did is exactly this kind of thing.

Great good!

Looking back on the first time in the Emperor's contact with Zheng Ren, until the scene of Pengxi Township, and now, Zheng Ren's image is three-dimensional and fresh in the mind of Mu Tao.

The next explanation, every time Zheng Ren painted a sketch to Mu Tao.

Mu Tao took pictures, marked them, put the pictures in a good position, and waited for them to go back and study.

Unfortunately, there are too many operations and the time is too short. Mu Tao is afraid that he will not be able to study thoroughly before surgery.

With the boss of Zheng doing research, much stronger than the Mayo Clinic, Mu Tao heartfelt feelings.

The three patients in the Department of Gastroenterology continued to communicate, and Zheng Ren and the hospital always greeted him, with Chang Yue and Mu Tao going to the hepatobiliary surgery.

It was during the lunch break that Zheng Ren did not want to disturb the rest of Professor Yang Ruiyang.

However, when he came to the doctor's office of hepatobiliary surgery, Zheng Ren saw that Yang Rui was reading the film, which was a ct on the upper abdomen.

"Yang Ge, I am coming." Zheng Ren is also welcome, laughing and greeted a greeting.

"Zheng boss, come here." Yang Rui did not move his eyes from the film, just greeted Zheng Ren.

"Well? What film?" Zheng Ren asked.

Professor Yang is like this, it is definitely looking for himself to watch the film and make a diagnosis.

"It is a 62-year-old female patient. When I found a change in the gallbladder area during the physical examination, I did a ct in the upper abdomen." Professor Yang said, "Under the fourth section of the liver, there is no gallbladder in the gallbladder area, only a cystic package. There are calcified deposits, and it looks a bit odd, like a porcelain gallbladder, but it is not the same as the porcelain gallbladder I have seen before."

"Oh? There is no gallbladder?" Zheng Ren walked over and asked first, then he began to read the film.

On ct, the imaging of the gallbladder area is like a large bubble. The original gallbladder is in the position, the gallbladder disappears. Seeing a huge cystic occupying place there, the texture is uneven, and it is very strange.

Is it a tumor?

Zheng Ren does not think so. In general, tumors are solid and cystic is rare.

what is that?

Mu Tao took a look at the film and also came to interest.

In addition to the enchanting temperament of Zheng Ren, the people involved in the intervention are basically doctors with images.

Whether it is x-ray film or ct, nuclear magnetic has a certain research.

This film is interesting. Mu Tao temporarily forgot the patients with advanced tips for cirrhosis, and like Zheng Ren, began to watch the film.

Chang Yue is very helpless, and together with General Zheng to see the patient, it is a time of delay.

Say good-looking to the patient, and the result is that when you look at an abdomen ct, it stops again. Can you do it when you have time?

But soon, not a few minutes, Zheng Ren said, "Yang Ge, I think the porcelain gallbladder you said is right, and there is malignant tissue inside the gallbladder."

"I think so too." Yang Rui said, "Is Zheng boss interested?"

“Well?” Zheng Ren looked at Professor Yang sideways. “Is the patient already hospitalized?”

"Living." Professor Yang said, "I can do surgery, but the possibility of completely removing the gallbladder is not high. What day are you free?"

"Today's tips surgery, the day after tomorrow?" Zheng Ren's hand is a little itchy, smiled and said.

Porcelain gallbladder is a kind of reference to the gallbladder wall which has a special shape of hard, brittle and pale blue due to calcification.

In terms of clinicopathological features, porcelain gallbladder has its particularity.

Since rnell first reported and proposed the concept of “porcelain gallbladder” in 1959, there have been sporadic related literatures published abroad.

In particular, the correlation between porcelain gallbladder and gallbladder cancer was proposed. Porcelain gallbladder is easy to be associated with gallbladder cancer. Porcelain gallbladder cancer occurs mostly in the gallbladder body, occasionally in the bottom and neck.

In front of this patient, the entire gallbladder has a tendency to be porcelain.

Therefore, this calcified lesion is best to be completely removed. Once broken, it may lead to tumor metastasis But as the name suggests, the entire gallbladder has been as crisp as ceramics, and it is easy to cut it completely.

Therefore, when Professor Yang Ren came to Zheng, he did not hesitate to invite Zheng Ren to participate in the operation.

The autologous liver transplantation of liver hydatid disease is done by Zheng Ren. In the face of Zheng Ren, Yang Rui does not need to worry about what face is not.

I don’t have the perfect grasp, Zheng boss can do it, then do it.

However, the porcelain gallbladder is only a preliminary diagnosis, and Zheng Ren also asked the patient's liver function, hydatid antibody, cea and ca19-9 and other laboratory indicators.

The tests were normal, and there was no special history or family history.

"Considering the simple porcelain gallbladder is very likely, I have not seen a cancerous area." Zheng Ren finally said, "But the surgery still needs to be careful, the day after tomorrow, Yang Ge, you give me a call, I will take handle."

"Well." Yang Rui laughed and took the film off.

"Two patients with advanced cirrhosis, go, I will take you to see." Yang Rui did not rest, took Zheng Renxian to see the patient, and then called the doctor's office one by one, Zheng Ren explained the patient's condition to the patient's family.

Yang Rui is not very interested in Zheng Ren's paintings. After all, is it a surgeon? The **** liver area is disgusting, and can you be interested in a sketch?

It is estimated that only Zheng Ren, a doctor who crosses the ordinary and intervened, can draw such a sketch.

After communicating with the patient's family, Professor Zheng Ren and Professor Yang greeted him and returned to the department.

Chang Yue did not go with Zheng Ren, she stayed directly, and the patient's family explained the operation of the live broadcast.

And Mu Tao, can't wait for Zheng Ren to leave, to find the place with video information and sketch maps to study.

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