Ultrasound: Color Doppler blood flow imaging has revealed the lesion.

CT scan: Imaging of a 3.5cm x 6.9cm tumor on the patient's liver.

Magnetic resonance imaging (MRI): Abnormal blood supply to the tumor.

Looking at several indicators.

Suppressing her excitement, Xia Tian asked the patient's family.

Does the patient experience symptoms such as upper abdominal fullness, indigestion, nausea, vomiting, or diarrhea?

The patient's family member paused for a moment, then said, "Yes!"

"It lasted for about a year, but it wasn't serious. My dad always thought he was getting old and his health wasn't what it used to be."

Ask again in the summer.

"Does the patient habitually experience fever in the afternoon? The temperature is not high, generally not exceeding 39 degrees Celsius."

The patient's family members nodded repeatedly.

"That's right."

"I often have fevers, and I've been to the hospital a few times before. The doctor prescribed some fever reducers and I felt better."

"Doctor, how is it?"

"What's wrong with my dad?"

"Is it a very serious illness?"

"My dad's health has been declining since he retired. He's always getting minor ailments, but isn't that normal for older people?"

The family members kept trying to brainwash themselves.

As I get older, my health is not as good as it used to be.

It is precisely because of this kind of thinking that some diseases are aggravated.

Summer pushed up his glasses and said to the patient.

"Preliminary diagnosis: The patient has liver cancer."

"As for the stage of liver cancer, further examination is needed."

What!

The patient's family members turned pale instantly.

Cancer is a terrifying disease!

Almost everyone associates cancer with death. In fact, early-stage cancer is very easy to cure. However, most people do not take care of their health and ignore minor problems.

There's also the ostrich mentality.

You won't get sick as long as you don't go to the hospital.

This led to the severity of the illness.

"Doctor, my dad is only 61 years old this year, and he has always been in very good health. Could you have made a mistake?"

"There is no family history of cancer in our family."

The man is the patient's son.

She looks young, not even 30 years old.

Wearing glasses and appearing refined, the word "cancer" seemed to cause him to tremble uncontrollably as if the sky had fallen.

Summer was afraid he would collapse at any moment.

"Please sit down."

"Having no history of cancer does not mean you will not get cancer."

"But I can confirm that the patient has cancer."

"The most urgent task now is to admit the patient to the hospital immediately, perform a biopsy, and determine the stage of the cancer. If it is in the early stage, it is still very treatable."

After being soothed by Xia Tian, ​​the young man gradually calmed down and went outside to discuss the matter with a middle-aged woman for a while.

Then, I was admitted to the hospital.

Dr. Qi Changfeng, Chief Physician of the Oncology Department, conducted a consultation.

"It's definitely liver cancer."

"Dr. Xia's diagnosis was very accurate."

"Get ready, let's perform a biopsy on the patient."

A biopsy, as the name suggests, involves using an 18G or 16G hollow needle to take a small piece from the tumor for pathological examination.

Two days later.

Xia Tian personally went to the laboratory to retrieve the biopsy report.

Type 3a

There was vascular invasion but no extrahepatic metastasis.

Xia Tian immediately took the report to Director Qi Changfeng.

"Dr. Qi, the lesions haven't completely metastasized. If they can be completely removed surgically, is a cure possible?"

A few days ago, Xia Tian was selected for stage IV liver cancer treatment.

All stages of the disease can be cured, and stage three can also be treated.

Summer is already eagerly approaching.

Director Qi Changfeng glanced at the report and fell into deep thought.

He said quietly:

"Although the lesion has not completely metastasized, the aorta has been completely invaded and surrounded, making surgery very risky."

"A detailed surgical plan is needed."

Stage III liver cancer requires major surgery.

Zhang Ming, Qi Changfeng, and two other doctors from the oncology department held a joint consultation to study the surgery.

"The patient is 61 years old. If conservative chemotherapy is used, it may not be curable, but the patient can survive for at least three years."

"If surgery is performed, there is hope for a cure, but the risks are too high. The tumor has wrapped around the aorta. If any tumor remains, the cancer will be incurable. If the aorta is damaged, the patient may not survive the operation."

What are your thoughts?

Conservative approach or surgery?

It is a false proposition.

No one can make choices for patients, but doctors can improve the success rate of surgeries.

"Director Qi, what is the success rate of the surgery?"

Summer spoke up to ask.

Qi Changfeng glanced at Xia Tian and didn't realize that this intern was also there. Generally speaking, even resident doctors are not qualified to attend such meetings where chief physicians consult.

After glancing at Zhang Ming, Qi Changfeng understood.

He answered Xia Tian's question.

"I'm 65% sure."

65% is too low.

If given the choice, the patient's family will almost certainly choose the conservative approach.

At this point, a doctor mentioned it.

"I heard that Professor Tan is currently in Jiangnan City. He is an expert in this field. We can ask Professor Tan to perform the surgery."

Qi Changfeng nodded.

"I was just thinking of Professor Tan too."

"However, we'll have to ask the patient's family for their opinion, and see if they're willing."

"Xia, go and ask if they would be willing to hire an expert. Professor Tan is a master in this field, but the cost will be higher. The cost of hiring a professor cannot be reimbursed, so it may cost an extra 20,000 to 30,000 yuan."

"If they're willing, I'll call Professor Tan tonight."

"Okay!" Xia Tian nodded.

He informed the patient's family about inviting the professor, and the family agreed without hesitation.

Money is not important as long as the illness can be cured.

Xia Tian conveyed the family's message to everyone.

Qi Changfeng nodded: "Okay, I'll invite Professor Tan tonight and give you an answer tomorrow."

"Everyone, go ahead and get busy."

After the meeting, Xia Tian followed Zhang Ming toward the emergency room.

Xia Tian frowned the whole way. Zhang Ming glanced at him and asked a question.

"You want to participate in this surgery?"

"think!"

Summer answered without hesitation.

"Then let's go," Zhang Ming said casually.

Xia Tian's brows remained furrowed as she said quietly, "But I'm just an intern. This patient has already been transferred to the oncology department. If it were an emergency patient, I could go up with you in the operating room."

"Now... I can't even get into the operating room, let alone go on stage."

Summer is a bit tough.

We finally encountered a liver cancer patient, but because his level was too low, he couldn't even get into the operating room.

It's like you've been dating a beautiful woman online for a month, and finally you meet in person, only to find out she's on her period and has mouth ulcers—it's absolutely devastating...

Zhang Ming chuckled.

"Go ahead and go, don't worry, I'm here, you'll be able to get up."

Summer's eyes lit up, and she said excitedly.

"Director, are you going up on stage too?"

If Zhang Ming goes on stage, he can bring Xia Tian along.

"I'm not going," Zhang Ming shook his head.

"Then..." Xia Tian didn't understand.

"I can talk to Qi Changfeng and get you promoted to the third assistant position."

What if he disagrees?

"You disagree?" Zhang Ming cleared his throat, his hands behind his back, and said, "If you disagree, I'll cry until he agrees."

Summer: Σ( ° △ °|||)︴

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