Chapter 993: 993
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However, before the diagnosis is clear!
These words can never be said.
But Chen Cang's proposal to do pancreatic magnetic resonance elastography MRE actually made these doctors understand one of them.
Although the pancreatic magnetic resonance elastography technology is not very mature compared to the traditional examination.
However, he is a valuable test for the pancreas.
Because the pancreas is deep in position, irregular in shape and complicated in the surrounding tissues, it has its own characteristics.
At present, the method of early diagnosis of pancreatic diseases is not perfect.
The traditional CT used at this stage has been proven to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.
Although both ultrasound and CT showed no obvious abnormalities in the pancreas.
However, Chen Cang felt abnormal.
Under the four-dimensional graphics, Chen Cang has combined these dozens of CT films, and Chen Cang has begun to restore the situation in the abdominal cavity.
The three-dimensional sense and the spatial sense continue to overlap, verifying various inspections ...
Speaking of which, it is because the old man has done so much examination, and a dozen or so films have been directly produced.
The addition of endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) can provide a clear image with excellent details of the bile duct system.
After combining the results of various examinations, he felt that the echo of the abdominal ultrasound was actually problematic!
Although Chen Cang is only a doubt, this doubt is worth exploring.
Soon, everyone left the ward and returned to the office.
Qin Zhenhong also saw that everyone's expression was not right, but he didn't say much in the ward, and waited until after the meeting room.
He then asked: "This little comrade, you just suspected what was going on? But it's okay."
Chen Cang shook his head: "I think you can do a pancreatic examination to exclude. After all, the examination is mainly to exclude the option."
After Qin Zhenhong listened, naturally he wouldn't believe Chen Cang's excuses!
Thinking of this, he gave Sun Guangyu a glance.
Sun Guangyu could not help but said, "Xiao Chen, please talk about your diagnosis, don't worry, since it is a consultation, everyone needs to speak freely."
Hearing this, Chen Cang glanced at the people around him and couldn't help but say, "I suspect pancreatic cancer."
In a word!
Suddenly the scene fell silent.
Qin Zhenhong was taken aback.
Is this a joke?
What is pancreatic cancer?
Pancreatic cancer is called "the king of cancer"!
Pancreatic cancer is one of the tumors with the highest malignancy and the highest disease-related mortality.
The 5-year survival rate of I-IV pancreatic cancer is only about 8%.
It is precisely because of the poor prognosis that Jianghu is known as "the king of cancer".
Qin Zhenhong didn't understand the king of cancer, but when he heard about cancer, it was troublesome.
In their homes, the old man is the flag. If the old man is there, the flag will not fall, and for the country, this is still a treasure.
So, when I heard Chen Cang say this, I was shocked!
The group of directors around was even more eyebrowed, looking at Chen Cang's eyes full of complexity.
But some people still said: "It's fine to exclude."
"Well, Commander Qin, don't worry. Examination must be rule-based. Besides, this option is not supported in imaging results now."
But some people said directly: "The possibility is extremely small! There is no sign at all."
"Yes, Commander Qin, don't worry, this little doctor may also be worried, so I put forward this idea, but I think the credibility is very low, almost zero!"
Seeing everyone's comfort, Qin Zhenhong was relieved.
Compared to Chen Cang, he is actually more willing to trust these experts.
but!
Chen Cang's words were hard to disperse in his mind for a long time.
Seeing everyone like this, Chen Cang couldn't help but shook his head.
At this time, Sun Guangyu did not directly deny or comfort him like everyone else.
He is a health care expert in the expert group. Diagnosis and treatment are his responsibilities. Naturally, he cannot relax his vigilance.
He understands Chen Cang and knows that Chen Cang will not be targeted.
Thinking of this, Sun Guangyu directly asked: "Xiao Chen, how do you think about it?"
After summing up Chen Cang, he made three points!
"First: The pancreas is deep and small in size, and there are no organs around it that can quickly appear symptoms because of pancreatic mass compression. Other symptoms such as abdominal pain and anorexia are not specific. Therefore, it is difficult to detect pancreatic cancer early, and the discovery is late. I hope to get the cause of the pancreas as soon as possible, and avoid the late stage. "
"Second, this disease lacks tumor markers with high specificity and high sensitivity. It is true that the single-strength CA199 test is normal, but as a more sensitive pancreatic cancer screening indicator, its specificity is not good. However, B-ultrasound and CT lack effective early screening methods for specific pancreatic cancer. "
"The third point is that old people have predisposing factors ~ www.novelhall.com ~ I read the old man ’s disease history, long-term smoking, and obesity, high blood sugar, long-term use of statin drugs, these are consistent with predisposing factors, the most important thing is , The elderly have recently been unable to control their blood sugar, which is also a factor I consider. "
Chen Cang's remarks, from the perspective of the cause of the etiology and medical history, to the current main symptoms and the difficulty of early screening, all of his views are fully explained.
Suddenly!
The whole room was quiet, and even those who had just questioned Chen Cang just now stopped talking.
Sun Guangyu and others couldn't help clapping their hands. This kind of meticulous diagnosis is more powerful than the doctors present!
Qin Zhenhong's heart is really the same as riding a roller coaster, one wave has not yet subsided, and another wave has invaded!
What does he feel like?
What are you afraid of?
Although he didn't know who this little young man was, Sun Guangyu believed him so much for a reason.
Please report us if you find any errors so we can fix it asap!
However, before the diagnosis is clear!
These words can never be said.
But Chen Cang's proposal to do pancreatic magnetic resonance elastography MRE actually made these doctors understand one of them.
Although the pancreatic magnetic resonance elastography technology is not very mature compared to the traditional examination.
However, he is a valuable test for the pancreas.
Because the pancreas is deep in position, irregular in shape and complicated in the surrounding tissues, it has its own characteristics.
At present, the method of early diagnosis of pancreatic diseases is not perfect.
The traditional CT used at this stage has been proven to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.
Although both ultrasound and CT showed no obvious abnormalities in the pancreas.
However, Chen Cang felt abnormal.
Under the four-dimensional graphics, Chen Cang has combined these dozens of CT films, and Chen Cang has begun to restore the situation in the abdominal cavity.
The three-dimensional sense and the spatial sense continue to overlap, verifying various inspections ...
Speaking of which, it is because the old man has done so much examination, and a dozen or so films have been directly produced.
The addition of endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) can provide a clear image with excellent details of the bile duct system.
After combining the results of various examinations, he felt that the echo of the abdominal ultrasound was actually problematic!
Although Chen Cang is only a doubt, this doubt is worth exploring.
Soon, everyone left the ward and returned to the office.
Qin Zhenhong also saw that everyone's expression was not right, but he didn't say much in the ward, and waited until after the meeting room.
He then asked: "This little comrade, you just suspected what was going on? But it's okay."
Chen Cang shook his head: "I think you can do a pancreatic examination to exclude. After all, the examination is mainly to exclude the option."
After Qin Zhenhong listened, naturally he wouldn't believe Chen Cang's excuses!
Thinking of this, he gave Sun Guangyu a glance.
Sun Guangyu could not help but said, "Xiao Chen, please talk about your diagnosis, don't worry, since it is a consultation, everyone needs to speak freely."
Hearing this, Chen Cang glanced at the people around him and couldn't help but say, "I suspect pancreatic cancer."
In a word!
Suddenly the scene fell silent.
Qin Zhenhong was taken aback.
Is this a joke?
What is pancreatic cancer?
Pancreatic cancer is called "the king of cancer"!
Pancreatic cancer is one of the tumors with the highest malignancy and the highest disease-related mortality.
The 5-year survival rate of I-IV pancreatic cancer is only about 8%.
It is precisely because of the poor prognosis that Jianghu is known as "the king of cancer".
Qin Zhenhong didn't understand the king of cancer, but when he heard about cancer, it was troublesome.
In their homes, the old man is the flag. If the old man is there, the flag will not fall, and for the country, this is still a treasure.
So, when I heard Chen Cang say this, I was shocked!
The group of directors around was even more eyebrowed, looking at Chen Cang's eyes full of complexity.
But some people still said: "It's fine to exclude."
"Well, Commander Qin, don't worry. Examination must be rule-based. Besides, this option is not supported in imaging results now."
But some people said directly: "The possibility is extremely small! There is no sign at all."
"Yes, Commander Qin, don't worry, this little doctor may also be worried, so I put forward this idea, but I think the credibility is very low, almost zero!"
Seeing everyone's comfort, Qin Zhenhong was relieved.
Compared to Chen Cang, he is actually more willing to trust these experts.
but!
Chen Cang's words were hard to disperse in his mind for a long time.
Seeing everyone like this, Chen Cang couldn't help but shook his head.
At this time, Sun Guangyu did not directly deny or comfort him like everyone else.
He is a health care expert in the expert group. Diagnosis and treatment are his responsibilities. Naturally, he cannot relax his vigilance.
He understands Chen Cang and knows that Chen Cang will not be targeted.
Thinking of this, Sun Guangyu directly asked: "Xiao Chen, how do you think about it?"
After summing up Chen Cang, he made three points!
"First: The pancreas is deep and small in size, and there are no organs around it that can quickly appear symptoms because of pancreatic mass compression. Other symptoms such as abdominal pain and anorexia are not specific. Therefore, it is difficult to detect pancreatic cancer early, and the discovery is late. I hope to get the cause of the pancreas as soon as possible, and avoid the late stage. "
"Second, this disease lacks tumor markers with high specificity and high sensitivity. It is true that the single-strength CA199 test is normal, but as a more sensitive pancreatic cancer screening indicator, its specificity is not good. However, B-ultrasound and CT lack effective early screening methods for specific pancreatic cancer. "
"The third point is that old people have predisposing factors ~ www.novelhall.com ~ I read the old man ’s disease history, long-term smoking, and obesity, high blood sugar, long-term use of statin drugs, these are consistent with predisposing factors, the most important thing is , The elderly have recently been unable to control their blood sugar, which is also a factor I consider. "
Chen Cang's remarks, from the perspective of the cause of the etiology and medical history, to the current main symptoms and the difficulty of early screening, all of his views are fully explained.
Suddenly!
The whole room was quiet, and even those who had just questioned Chen Cang just now stopped talking.
Sun Guangyu and others couldn't help clapping their hands. This kind of meticulous diagnosis is more powerful than the doctors present!
Qin Zhenhong's heart is really the same as riding a roller coaster, one wave has not yet subsided, and another wave has invaded!
What does he feel like?
What are you afraid of?
Although he didn't know who this little young man was, Sun Guangyu believed him so much for a reason.
However, before the diagnosis is clear!These words can never be said.But Chen Cang's proposal to do pancreatic magnetic resonance elastography MRE actually made these doctors understand one of them.Although the pancreatic magnetic resonance elastography technology is not very mature compared to the traditional examination.However, he is a valuable test for the pancreas.Because the pancreas is deep in position, irregular in shape and complicated in the surrounding tissues, it has its own characteristics.At present, the method of early diagnosis of pancreatic diseases is not perfect.The traditional CT used at this stage has been proven to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.Although both ultrasound and CT showed no obvious abnormalities in the pancreas.However, Chen Cang felt abnormal.Under the four-dimensional graphics, Chen Cang has combined these dozens of CT films, and Chen Cang has begun to restore the situation in the abdominal cavity.The three-dimensional sense and the spatial sense continue to overlap, verifying various inspections ...Speaking of which, it is because the old man has done so much examination, and a dozen or so films have been directly produced.The addition of endoscopic retrograde cholangiopancreatography ERCP and magnetic resonance cholangiopancreatography MRCP can provide a clear image with excellent details of the bile duct system.After combining the results of various examinations, he felt that the echo of the abdominal ultrasound was actually problematic!Although Chen Cang is only a doubt, this doubt is worth exploring.Soon, everyone left the ward and returned to the office.Qin Zhenhong also saw that everyone's expression was not right, but he didn't say much in the ward, and waited until after the meeting room.He then asked: "This little comrade, you just suspected what was going on? But it's okay."Chen Cang shook his head: "I think you can do a pancreatic examination to exclude. After all, the examination is mainly to exclude the option."After Qin Zhenhong listened, naturally he wouldn't believe Chen Cang's excuses!Thinking of this, he gave Sun Guangyu a glance.Sun Guangyu could not help but said, "Xiao Chen, please talk about your diagnosis, don't worry, since it is a consultation, everyone needs to speak freely."Hearing this, Chen Cang glanced at the people around him and couldn't help but say, "I suspect pancreatic cancer."In a word!Suddenly the scene fell silent.Qin Zhenhong was taken aback.Is this a joke?What is pancreatic cancer?Pancreatic cancer is called "the king of cancer"!Pancreatic cancer is one of the tumors with the highest malignancy and the highest disease-related mortality.The 5-year survival rate of I-IV pancreatic cancer is only about 8%.It is precisely because of the poor prognosis that Jianghu is known as "the king of cancer".Qin Zhenhong didn't understand the king of cancer, but when he heard about cancer, it was troublesome.In their homes, the old man is the flag. If the old man is there, the flag will not fall, and for the country, this is still a treasure.So, when I heard Chen Cang say this, I was shocked!The group of directors around was even more eyebrowed, looking at Chen Cang's eyes full of complexity.But some people still said: "It's fine to exclude.""Well, Commander Qin, don't worry. Examination must be rule-based. Besides, this option is not supported in imaging results now."But some people said directly: "The possibility is extremely small! There is no sign at all.""Yes, Commander Qin, don't worry, this little doctor may also be worried, so I put forward this idea, but I think the credibility is very low, almost zero!"Seeing everyone's comfort, Qin Zhenhong was relieved.Compared to Chen Cang, he is actually more willing to trust these experts.but!Chen Cang's words were hard to disperse in his mind for a long time.Seeing everyone like this, Chen Cang couldn't help but shook his head.At this time, Sun Guangyu did not directly deny or comfort him like everyone else.He is a health care expert in the expert group. Diagnosis and treatment are his responsibilities. Naturally, he cannot relax his vigilance.He understands Chen Cang and knows that Chen Cang will not be targeted.Thinking of this, Sun Guangyu directly asked: "Xiao Chen, how do you think about it?"After summing up Chen Cang, he made three points!"First: The pancreas is deep and small in size, and there are no organs around it that can quickly appear symptoms because of pancreatic mass compression. Other symptoms such as abdominal pain and anorexia are not specific. Therefore, it is difficult to detect pancreatic cancer early, and the discovery is late. I hope to get the cause of the pancreas as soon as possible, and avoid the late stage. ""Second, this disease lacks tumor markers with high specificity and high sensitivity. It is true that the single-strength CA199 test is normal, but as a more sensitive pancreatic cancer screening indicator, its specificity is not good. However, B-ultrasound and CT lack effective early screening methods for specific pancreatic cancer. ""The third point is that old people have predisposing factors ~ www.novelhall.com ~ I read the old man 's disease history, long-term smoking, and obesity, high blood sugar, long-term use of statin drugs, these are consistent with predisposing factors, the most important thing is , The elderly have recently been unable to control their blood sugar, which is also a factor I consider. "Chen Cang's remarks, from the perspective of the cause of the etiology and medical history, to the current main symptoms and the difficulty of early screening, all of his views are fully explained.Suddenly!The whole room was quiet, and even those who had just questioned Chen Cang just now stopped talking.Sun Guangyu and others couldn't help clapping their hands. This kind of meticulous diagnosis is more powerful than the doctors present!Qin Zhenhong's heart is really the same as riding a roller coaster, one wave has not yet subsided, and another wave has invaded!What does he feel like?What are you afraid of?Although he didn't know who this little young man was, Sun Guangyu believed him so much for a reason.
