Chapter 1473: with translation of chapter title

1426 Keep sprinkling dog food, and I won't tell you the truth (Sect Leader IPO extra).

Zheng Ren saw Su Yun had already hung up the phone, and he smiled helplessly.

He holds a grudge against the Qin family's attitude, but it should not affect performing surgery on Qin Lu.

He looked at Cen Peilan's image, habitually placing his left hand under his right armpit, right hand supporting his chin, mentally doing a 3D reconstruction.

Cen Peilan's pelvic CT indeed shows two uterine fibroids.

The larger is about 3.4 cm, the smaller only 2.2 cm.

Uterine fibroids are not a life-threatening disease; if menstruation is still present, they may cause prolonged periods, heavy bleeding, and a series of symptoms.

Before interventional surgery existed, the Obstetrics Department performed uterine fibroid enucleation and resection surgeries.

But with interventional surgery, any uterine fibroid located between the muscle layers can be resolved by embolization.

The embolization effect is very good, and this has been acknowledged by almost all doctors.

Minimally invasive surgery is silently permeating every corner of clinical medicine.

With a systematic diagnosis, Zheng Ren's reverse reasoning becomes much easier.

CT cannot provide a definitive diagnosis; through the passive reconstruction ability, Zheng Ren converts CT images into Nuclear Magnetic Resonance enhanced images.

Patients with malignant uterine leiomyosarcoma can observe delayed enhancement images on Nuclear Magnetic Resonance.

Whereas benign uterine fibroids rarely show delayed enhancement-like images.

Even if present, the blood supply of the tumor tissue enhancement image will show subtle differences.

Such differences are hard for others to discern, but for Zheng Ren they are much easier.

Cen Peilan's Nuclear Magnetic Resonance enhancement caused no trouble for Zheng Ren; the image is typical, and the enhancement-phase image shows no delayed enhancement.

In other words, the lung metastatic tumor is benign, not the malignant metastatic tumor diagnosed by the doctors of Harmony Nurture Hospital.

If one were to be more rigorous, it would be necessary to combine serum lactate dehydrogenase for judgment.

But Zheng Ren feels there is absolutely no need to perform such a complicated examination.

Simply and crudely using a Puncture Needle to obtain a pathological tissue biopsy, and employing Radiofrequency ablation, is enough to directly ablate the uterine fibroid metastasis in the lung.

The surgery causes little damage, provides a pathological diagnosis, and also treats the lesion.

As for the lesion beside the spine, it can be left untreated or treated by embolization.

But the blood vessels there are relatively abundant; if embolization is done, one cannot use embolizing agents, and it is better to use a Spring ring.

Otherwise, the embolizing agent would escape, causing ectopic embolism, and Cen Peilan would directly suffer high-level paraplegia... that would be a big deal.

It would be better not to do this procedure.

In less than 10 minutes, Zheng Ren had already deduced the diagnosis from the images and then the treatment from the diagnosis.

In his mind, Cen Peilan has already recovered.

"Boss, no matter how I look, it doesn't seem right." Su Yun said hesitantly: "I've read several reports saying uterine fibroids can metastasize to the lung. But I haven't seen..."

"You're right; it's the metastatic lesion of uterine fibroids. It's benign, not a malignant tumor without an identified primary lesion." Zheng Ren said affirmatively.

Speaking, he pointed his finger at the lesion on the edge of the lung in the image and said: "What CT shows is not obvious; if the image is converted to Nuclear Magnetic Resonance enhancement, one would find that the delayed-phase blood supply is not obvious, indicating a high likelihood of a benign lesion."

Su Yun had long been accustomed to Zheng Ren's behavior of using his brain to convert images; he could also do it, just not as finely as Zheng Ren.

"I was saying, it looks like a metastasis, but the more carefully I look, the more I feel there's a problem." After receiving Zheng Ren's confirmation, Su Yun was very happy.

Wu Hui and Cen Peilan stood aside, hearing the two's conversation, both felt it unbelievable.

The news is good news, but for a patient who is already desperate and awaiting death, the better the news, the less they dare to believe it.

"Zheng Lao Ban, Yun Ge'er, are you sure?" Zou Yu had no psychological burden; she merely felt surprised.

Whether it's the doctors of Harmony Nurture, or the diagnosis after a rough look at the images in the car just now, all point to lung metastatic cancer.

But after coming in, their statements changed.

"There's definitely no problem." Su Yun said: "Today we'll contact a pathological tissue puncture biopsy."

After saying that, he only then realized this place is not 912.

Moreover, even if a puncture is done, waiting for the pathology results to come back also takes some time.

Cen Peilan gave a faint bitter smile and softly said: "Zheng Lao Ban, Doctor Su, I've heard of your names."

"Mm, that's right." Su Yun said.

"Thank you for your comfort; I think I can accept the facts." Cen Peilan grasped Wu Hui's hand, speaking very earnestly and firmly: "Wu Hui said we'll get married these days. If that's the case, I'll have no regrets in this life. Although for Wu Hui..."

"This is also what I most hope for." Wu Hui gave a gentle smile, lightly put his arm around Cen Peilan's shoulder, and whispered.

"If you keep sprinkling dog food, I won't tell you why I made this judgment." Su Yun said.

"It's not that serious." Zheng Ren laughed, ignored Su Yun's protest, turned and said: "Although not common, in the past 30 years there are still 98 related case reports."

"What reports?" Wu Hui blinked and asked.

"Uterine fibroid lung metastasis." Zheng Ren said: "However, Miss Cen's condition is somewhat more special; there is a metastatic lesion beside the spine. This, relatively speaking, is a bit more troublesome."

"..." Wu Hui and Cen Peilan silently looked at Zheng Ren; seeing he was serious and not like he was lying, they felt even more perplexed.

He is truly perplexed.

He has already been sentenced to death, yet this is Harmony Nurture, such a top-tier private hospital.

Suddenly someone said, that's just a joke.

If it were someone else, they wouldn't immediately believe it either.

"I suggest we hurry and do a pathological tissue puncture biopsy." Zheng Ren said: "After the biopsy, we'll know whether the occupying tissue is benign or malignant."

"Speaking of treatment... if the doctors here have a method to treat, then do it here; if not, go to 912 to find me."

"Zheng Lao Ban, is that really true?" Wu Hui's voice trembled slightly.

"Mm." Zheng Ren nodded.

"Could you stay?" Wu Hui felt as if he had returned to the Mayo Clinic; having this honest and sincere Zheng Lao Ban beside him made him feel at ease.

"Maybe there's no time." Zheng Ren shook his head, "The turnaround time for pathology slides is long; I can't wait, there are still many things back home."

Seeing Wu Hui's expression, Zheng Ren smiled, "It's fine, a pathology tissue biopsy isn't difficult; the doctors at Harmony Nurture can definitely do it. The surgery is somewhat difficult, but you can also go to Di Du to find me."

Zheng Ren repeated what he had just said again, showing he wasn't lying.

"'Zheng...' Wu Hui was about to say something when Su Yun's phone rang again."