Chapter 1299 Occult Metastases
Zheng Ren had no idea what was happening in Rongcheng, so he had a few words with Director Kong and went to Dr. Mehar's side.
The two didn't even eat lunch and chatted until after three o'clock in the afternoon.
In the end, the selfless conversation was interrupted by Zheng Ren's phone ringing.
[They said to write a love song soon, and both the refined and the popular...]
Zheng Ren smiled apologetically, picked up the phone and walked out.
"Boss Zheng? President Yuan asked you to come." The voice on the other side of the phone was very familiar, it was Director Ye Qingqiuye.
"Director Ye?" Zheng Ren was stunned for a moment, why did he let himself go there?
"how?"
"Oh, it's fine, I just wanted to ask what's going on with the dean." Zheng Ren asked immediately.
"Elder Li from the Chinese Academy of Sciences came to see a doctor. I originally wanted to see Director Luo and Director Kong for a visit. Didn't this remind me of you?" Director Ye said with a smile.
"Oh, I'll go right now." Zheng Ren said immediately, and after a polite word with Director Ye, he hung up the phone.
The social status is different, and the patients who come into contact with them are also different.
In general, the director of the department has a high social status, but he will never ask Zheng Ren to see a doctor from the Chinese Academy of Sciences.
This may be the task of the health care team, Zheng Ren thought to himself.
Ready to say hello to Dr. Mayhal, his assistant Fischer stood at the door, motioning Zheng Ren not to go in.
It turned out that the doctor was excited for too long and fell asleep.
After getting old, the spirit really can't keep up. But save yourself and Dr. Mayhal explaining, but also save your worries. Zheng Ren smiled and went straight to the office building.
On the way, he began to think about Li Lao's condition.
It was looking for Director Luo and Director Kong again. It should be liver cancer. However, under normal circumstances, the dean will greet you first, and then take the patient directly to the inpatient department. It seems more formal to do so.
Who knows, Zheng Ren walked to the door of Vice President Yuan's office and knocked gently on the door.
"Come in." Vice President Yuan's voice came out.
Zheng Ren pushed the door in and glanced first, but did not see the system panel of the old man and Hong Huhu. There was a middle-aged woman in her forties sitting in the room of Vice President Yuan. She was sitting on the sofa and was talking to Vice President Yuan.
"Come on, Xiao Li, let me introduce you." Vice President Yuan stood up with a smile and said to the woman, "This is Dr. Zheng from our hospital, who has been nominated for this year's Nobel Prize in Medicine, and his level is quite high. "
The woman stood up, stretched out her hand, and said politely, "Dr. Zheng, it's a pleasure to meet you."
"You're welcome, you're welcome." Zheng Ren stretched out his hand and shook it and said, "President."
"We all sat down and talked." Vice President Yuan said, "Lao Li from the Chinese Academy of Sciences has been performing interventional operations on the liver and gallbladder in the imperial capital since he was diagnosed with liver cancer three years ago. The postoperative results are very good, and the tumor has been completely inactivated."
Zheng Ren listened quietly, is Zhou Chunyong? His level is pretty good too.
"But since a year ago, Mr. Li's alpha-fetoprotein level has begun to exceed the normal range. It is checked once every two months, and the value of each check is much higher than the last time." Vice President Yuan seems to have done it. Homework, otherwise it would not be so familiar.
Zheng Ren nodded, looking for similar cases in his head.
"Xiao Zheng, here are Mr. Li's film and laboratory report, take a look." Vice President Yuan said: "I have been to the liver and gallbladder of the Imperial Capital, Xiehe, and Dong Tumor. It is considered to be liver metastases. But the specific metastatic location... …”
In the last sentence, Vice President Yuan only said half of it.
Zheng Ren knew in his heart that this was a relatively rare situation in clinical practice. Just rare, but not uncommon.
In Haicheng No. 1 Hospital, he had seen similar patients.
He was not a patient of Zheng Ren's management, but because of his special condition, Zheng Ren remembered it.
The patient was after liver cancer resection, and there was no problem with liver CT and MRI enhancement, but the alpha-fetoprotein value was particularly high.
Finally, alpha-fetoprotein soared to more than 2000.
The patient itself did not have any autonomic symptoms, and all the tests were done, and no specific location of the metastases was found.
Liu Tianxing was helpless, so he asked the patient to go to the Affiliated Hospital of Medical University with the information. It is said that the Affiliated Hospital of Medical University did not give a definitive diagnosis in the end, saying that the patient went home for observation.
Apart from a high alpha-fetoprotein value, there were no positive test results.
After a full year and a half of observation, the patient is also older, and his vigilance is not as high as before. Brothers have been traveling for a few days, preparing for a party.
At this age, it is really rare to see each other.
The patient is the eldest, and his hometown is also in Haicheng, so the meeting place is naturally Haicheng.
It was supposed to be a happy event, but the patient's daughter-in-law went into a frenzy because of the grievances during the banquet, and scolded his son at the reunion table.
As soon as the old man got angry, he caught a cold.
After 1 week, I felt abdominal distension and came to Haicheng First Hospital for treatment. At that time, Liu Tianxing was also a little careless. He did a liver examination and found no problems.
Less than 1 month later, the elderly developed neurological symptoms, and then high paraplegia.
It turned out that the metastatic lesions were located in the thoracic spine. With the decline of the body's immunity, the tumor metastases grew explosively.
The old man died three months later.
This is a very regrettable thing. Zheng Ren guessed that if there was no quarrel in the banquet, would he live a few more years?
Zheng Ren has seen many similar cases in the system library.
There is no way to diagnose this kind of metastases. In the end, due to some predisposing factors, or no predisposing factors at all, the tumor spreads and grows explosively in a large area.
There is a time bomb in the body, but I don't know where it is, so I can only wait. This is a very troublesome thing.
This kind of situation rarely occurs in other tumors, only liver cancer will have this kind of hidden growth and finally a big outbreak.
Maybe this is the case with Old Man Li, Zheng Ren guessed in his heart.
He stood up, walked to Vice President Yuan's desk, and picked up a film bag and a folder. The film bags are arranged by date, and the top one is a PETCT 3 days ago.
Zheng Ren's heart moved, his guess should be right.
There should be no problems with PETCT, so I seek medical attention everywhere.
There was no film reader in Vice President Yuan's office, and Zheng Ren walked to the window with a film bag and a folder.
Take out the report book of PETCT and take a look at the report first.
No tumor tissue was found in the whole body, and there was no activity in liver tumor lesions, at least according to glucose tolerance.
Judging from this report, Mr. Li's condition is quite optimistic.
"Doctor Zheng, Director Zhou recommended you to me." Old Li's daughter said softly, "Please give me a hand."
Zheng Ren pondered for a while, nodded, did not say his guess, but took out the films and reviewed them one by one.
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Note: An old patient, unfortunately passed away. I don't comment on what is right or wrong at home. I have been thinking about this case for a long time, and I have also asked many teachers, but there is no good solution.