Chapter 880: with translation of chapter title

863 Kidney cancer implantation metastasis?

Returning to the Intervention Department, Zheng Ren sat in the office, reviewing the patients' MRI diffusion. Five patients, the surgeries had no issues. What interested him more was the patient with porcelain gallbladder.

Because the gallbladder wall is thin and fragile, completely dissecting the gallbladder is difficult.

Before surgery, he definitely needed to train in the System Operating Room on a hundred or so procedures; there's no doubt about that.

Otherwise, even with Zheng Ren's master-level general surgery skill, he couldn't guarantee a hundred percent success.

All the urgent tasks were done; just waiting for surgery, Zheng Ren found a sunny spot, basked in the sun, and went into the System Library to read.

Days passed like this, which seemed quite nice. Reading books, doing surgeries, if it weren't for the Nobel Prize matter hanging over him like a whip, plus Xiao Yi Ren's parents still not having returned...

Just thinking about it, Zheng Ren couldn't calm his heart.

So worrisome, Zheng Ren felt uneasy, sitting in the System Space in a daze.

What if Xiao Yi Ren's parents don't agree? Do we have to elope? What era is this; eloping is too low.

As he pondered, his phone rang.

Anyway, he had no mood to read; Zheng Ren left the System Space, picked up his phone, and saw it was the Inpatient Chief of Urology Department, Yu Jianshui.

"Chief Yu." Zheng Ren answered the phone.

"Sure, I'll go take a look." Zheng Ren said.

After briefly speaking, he hung up, stood up, and prepared to go out.

"Boss, you're busy as a dog every day." Su Yun lowered her head, playing with her phone, seeing Zheng Ren about to leave, she casually said.

"There's a patient in Urology who needs his films checked." Zheng Ren said.

"You're already looking at urology films? When will you do urology surgery? Should the hospital set up a general ward for you so you can do whatever you want?"

This guy never speaks nicely when he's fine; he's always like this.

Zheng Ren was thinking about Xie Yiren's parents, feeling annoyed, and couldn't be bothered to deal with Su Yun.

But the more so, Su Yun clung like a runny-nosed worm, chuckling as she followed Zheng Ren out of the Intervention Department.

"Why are you coming with me?" Zheng Ren asked.

"Just to take a look." Su Yun said casually: "Idling is idling; Zhao Yunlong is handling the aftermath of several fallen comrades, others haven't returned from the front, so there's no one to drink with."

Saying this, Zheng Ren's heart dimmed.

The comrades who sacrificed on the front line...

He sighed, head slightly lowered, waited for the elevator, and he and Su Yun rushed to the Urology Department.

Not only in 912, but also during his time in Hai Cheng, Zheng Ren rarely dealt with Urology; in his view, Urology was just the department for circumcisions...

Of course, Zheng Ren knew his thought was wrong, but he didn't intend to correct it.

Does it matter? Anyway, I'm a general surgery doctor.

The hierarchy of disdain in the hospital's surgical system has always existed. The top department is neurosurgery, specifically neurosurgery capable of high-difficulty neurosurgery. If one can only do burr hole drainage, they can't look down on other departments.

And proctology is at the bottom of that disdain hierarchy.

The urology doctors' office was somewhat quiet; everyone was busy with their heads down. Zheng Ren felt something was off, so he knocked on the door.

Yu Jianshui saw Zheng Ren arrive, immediately picked up a film bag, and went out to meet him.

This meant something was up; Zheng Ren realized.

Without a word, Yu Jianshui gave Zheng Ren a look, then headed straight to the doctors' on-call room.

Su Yun followed behind, saying nothing.

Surely something happened; otherwise it wouldn't be so quiet. Could it be a mistaken kidney removal? No way, such a basic mistake shouldn't happen in 912.

Arriving at the on-call room, closing the door, Chief Yu finally exhaled.

"What's wrong?" Zheng Ren asked doubtfully.

"Boss Zheng, help me take a look." Yu Jianshui said: "This isn't a follow-up check of a patient from last year post-op; they found something strange. Director Miao couldn't figure it out, so he went to the CT room to find Director Chu."

Um... Zheng Ren and Su Yun both froze.

It definitely wasn't a mistaken kidney removal; otherwise Director Miao wouldn't have gone for outside help. But what could the problem be? Zheng Ren's mind filled with many urology-related cases, mostly endocrine-related, all quite odd.

Chief Yu produced the film, apologetically saying: "Boss Zheng, just give it a quick look."

Zheng Ren picked up the film, while Chief Yu said beside him: "The patient is a 54-year-old male who underwent right nephrectomy for renal cell carcinoma at our hospital last year. I assisted in the surgery; the resection, including lymph node clearance, was very clean."

"Hmm." Zheng Ren listened to Chief Yu's case summary while looking at the film against the outside sunlight.

"After surgery, the patient returned to his hometown for follow-up CT." Chief Yu continued: "Three months ago, the incision site scar ulcerated and became inflamed. There wasn't much pus, but the redness and swelling were severe. On CT, it showed calcific changes."

As Chief Yu spoke, his voice grew softer.

"Soft tissue calcification?" Saying that, he felt lacking confidence.

Zheng Ren narrowed his eyes at the film, motionless, like a statue.

Su Yun scoffed: "That's just calcification; it's not impossible, why be so secretive?"

"The local doctors diagnosed it as tumor implantation metastasis at the incision, and the patient's family has emotional instability tendencies; isn't this just being cautious, just in case?" Chief Yu's face looked somewhat grim.

"Impossible!" Su Yun said: "With a radical nephrectomy, incision protection is definitely fine; peritoneal metastasis is still possible. Thinking incision metastasis is possible? You're dreaming."

Although his tone was off, this was also what Chief Yu thought. He gave an embarrassed chuckle, then whispered: "Isn't that why I called Boss Zheng to take a look?"

"Boss, do you think it looks like a metastatic lesion?" Su Yun asked.

He couldn't be bothered to look at the film.

Because Zheng Ren is skilled at reading films, Su Yun has become lazier too. It's a habit: since she wouldn't understand it as well as Zheng Ren does, why bother looking?

Zheng Ren didn't speak; he was deep in thought.

The more this happened, the more Yu Jianshui felt uneasy.

Although incision implantation metastasis is often seen, if the patient's family is properly spoken to, there wouldn't be a problem. But he just felt panicky, panicky to the extreme.

The malignancy of kidney cancer is not high, relatively 'lazy'; if it metastasizes, by the time the patient seeks medical attention, it's already too late.

In other words, among cancers, kidney cancer has a relatively good prognosis.

But, once there is metastasis at the surgical incision……

This means that the doctor's work has made a mistake, leading to a substantial reduction in the patient's survival time.

In Yu Jianshui's view, this is an unforgivable major mistake.

Although there are still questions about the film, the chance of the patient complaining is also not high, but he already feels extremely guilty inside.

"It's not metastasis." In the silence, Zheng Ren suddenly said.