Chapter 863 - Kidney Cancer with Implantation and Metastasis?
Chapter 863: Kidney Cancer with Implantation and Metastasis?
Returning to the Department of Interventional Medicine, Zheng Ren sat in his office and recalled the patient’s MRI diffusion. There were no problems with the surgery for the five patients. What he was more interested in was the patient with the porcelain gallbladder.
Because the gallbladder had a thin wall and was very fragile, it was very difficult to completely peel off the gallbladder.
Before the surgery, there was no doubt that he had to go to the operating theater of the System to practice more than a hundred surgeries.
Otherwise, even with Zheng Ren’s legend-level general surgery skill, he would not be able to guarantee a 100% success rate.
After he was done with what he needed to do, he just had to wait for the surgery. Zheng Ren found a sunny place and basked. He went into the System library and started reading.
It seemed pretty good to just live like this. He read books and performed surgeries. If he did not receive any awards, he would be fine with it. In addition, Little Yiren’s father and mother had not returned yet…
When he thought of this, Zheng Ren could not calm down.
He was so worried. Zheng Ren felt uneasy and sat in the System space in a daze.
What if Little Yiren’s parents did not agree? Would he still want to elope? What era was this? Eloping was too low class.
Just as he was thinking about it, his phone rang.
Since he was not in the mood to read books, Zheng Ren directly exited the System space. He picked up his phone and saw that it was the chief resident of the Department of Genitourinary Surgery, Yu Wangshan.
“Chief Yu.” Zheng Ren picked up the phone.
“Sure, I’ll go take a look,” Zheng Ren said.
After he finished speaking, he put down his phone, stood up, and prepared to leave.
“Boss, you’ve been busy like a dog these days.” Su Yun lowered his head and played with his phone. When he saw that Zheng Ren was about to leave, he said casually.
“There’s a patient in the Department of Genitourinary Surgery who wants to take a look at the radiographic films,” Zheng Ren said.
“You’ve already started to take a look at the radiographic films for Genitourinary Surgery? When are you going to perform the surgery in the Department of Genitourinary Surgery? Do you want the hospital to set up a general ward for you? You can do whatever you want.”
This fellow would never speak nicely. He had always been like this.
Zheng Ren was thinking about Xie Yiren’s parents in his heart. He was a little irritated and could not be bothered to deal with Su Yun.
However, the more he argued, the more Su Yun was like a slug that could not be shaken off. He laughed and got out of the Department of Interventional Surgery with Zheng Ren.
“Why are you coming with me?” Zheng Ren asked.
“I’m going to have a look,” Su Yun said casually. “I have nothing to do. Zhao Yunlong is dealing with a few of his colleagues who sacrificed themselves. The others have not returned from the frontline, so I can’t find anyone to drink with.”
Zheng Ren’s heart sank when he said this.
Colleagues who sacrificed themselves at the front line…
He sighed and lowered his head slightly. He waited for the elevator to take him to the Department of Genitourinary Surgery with Su Yun.
Not only on September 12, but even when he was in Sea City, Zheng Ren rarely interacted with the Department of Genitourinary Surgery. In Zheng Ren’s knowledge, the Department of Genitourinary Surgery was a department where foreskin was cut off…
Of course, Zheng Ren knew that his thoughts were wrong, but he did not think of correcting this wrong view.
Does it matter? After all, he was a doctor in the general surgery department.
The chain of contempt in the hospital’s surgical system always existed. The most high-end department was the Department of Neurosurgery. The Department of Neurosurgery could perform high-difficulty neurosurgery. If they could only drill holes to drain the fluid, they would not be able to look down on other departments.
The Department of Proctology was at the bottom of the chain of contempt.
The office of the doctor of the Genitourinary Surgery Department was a little quiet. Everyone was working with their heads down. Zheng Ren felt that something was not right. He knocked on the door.
Yu Wangshan saw that Zheng Ren had arrived. He immediately picked up a bag of radiographic films and came out to welcome him.
‘Something must have happened,’ Zheng Ren realized.
He did not say anything. Yu Wangshan gave Zheng Ren a look. Then, he went straight to the doctor’s duty room.
Su Yun followed behind him and did not say a word.
Something must have happened. Otherwise, it would not have been so quiet. Could it be that he had cut the wrong kidney? That was impossible. Such a low-level mistake should not have happened at the 912.
When he came to the duty room and closed the door, Chief Yu heaved a sigh of relief.
“What’s wrong?” Zheng Ren asked in puzzlement.
“Boss Zheng, give me a hand,” Yu Wangshan said. “This is not a post-operative follow-up of a patient last year. Something strange was discovered. Chief Miao did not understand and went to the CT room to look for Chief Chu.”
Uh… Zheng Ren and Su Yun were stunned.
It was definitely not the wrong kidney. Otherwise, Chief Miao would not have gone to look for external help. But what was the problem? Many cases related to genitourinary surgery appeared in Zheng Ren’s mind. Most of them were related to endocrinology. They were all strange.
Chief Yu took out the radiographic films and said apologetically, “Boss Zheng, let’s take a look first.”
Zheng Ren picked up the radiographic films and Chief Yu said, “The patient is a 54-year-old male. Last year, he underwent right nephrectomy in our hospital because of renal cell carcinoma. I followed him in the surgery. The resection, including lymph node dissection, was done very cleanly.”
“Okay.” Zheng Ren looked at the radiographic films while listening to Chief Yu’s introduction of the patient’s condition.
“The patient returned to his hometown after the surgery and followed up with CT,” Chief Yu continued. “Three months ago, the scar on the incision site of the patient had ulceration and inflammation. There was not much juice, but the redness and swelling were more severe. On the CT, it was calcification.”
The more Chief Yu spoke, the quieter his voice became.
Calcification of soft tissue? Even when he said these words, he felt that he did not have enough confidence.
Zheng Ren narrowed his eyes and looked at the radiographic films. He did not move at all, just like a statue.
Su Yun said disdainfully, “Then it’s calcification. It’s not impossible. Why are you acting so sneakily?”
“The local doctor diagnosed that it was the metastasis of the tumor incision. The patient’s family members tend to be emotionally unstable. I’m just being careful, just in case. Is that wrong?” Chief Yu’s expression was a little ugly.
“Impossible!” Su Yun said, “After nephrectomy, the incision protection is definitely not a problem. Intra-abdominal metastasization is still possible. Do you want the incision metastasized? Are you dreaming?”
Although there was something wrong with the tone of his words, this was also Chief Yu’s idea. He smiled awkwardly and said in a low voice, “Didn’t we ask Boss Zheng to take a look?”
“Boss, do you think it looks like a metastasized lesion?” Su Yun asked.
He could not even be bothered to look at the radiographic films.
Because Zheng Ren was good at reading radiographic films, Su Yun was getting lazier and lazier. This was a set pattern of behavior. Even if he looked at it, he would not understand it as well as Zheng Ren, so why would he need to take a look.
Zheng Ren did not say anything, but he was deep in thought.
The more he did, the more nervous Yu Wangshan became.
Although it was common for incisions to be implanted and metastasized, as long as the patient’s family was properly spoken to, there would not be any problems. Still, he just felt flustered, flustered to the point of no return.
The degree of malignancy of kidney cancer was not high, and it was relatively ‘lazy.’ If it metastasized, when the patient saw a doctor, it would already be very late.
In other words, when it came to cancer, the recovery of kidney cancer was better.
But once there was incision metastasis…
This meant that the doctor’s work had gone wrong, causing the patient’s survival period to be greatly reduced.
From the point of view of the patient, this was an unforgivable mistake.
Although there were still doubts in the radiographic films and the possibility of the patient complaining was not high, he already felt extremely guilty.
“It’s not a transfer,” Zheng Ren suddenly said in silence.