According to He Jiuliang's experience, if a patient of this age has a little metastasis, the surgery will be in vain. Besides, the size of this patient's tumor cannot be said to be large, but it is definitely not small, almost 3 centimeters.
The best time to detect cancer in the early stage is to control it within 1 cm. Tumors within 1 cm are unlikely to invade other organs, and the five-year survival rate is extremely high. However, it is too difficult to detect such early tumors in China. More tumors are found abroad, and foreign countries are indeed better than China in early cancer screening.
If the tumor is not in the very early stage, it is difficult for the patient and the doctor, and the result is tragic. This is even more prominent in the case of pancreatic cancer. Because there is no targeted drug for pancreatic cancer. It is precisely when the cancer metastasizes that it is the drug that is fought, not just surgery.
So Xie Wanying took this into consideration when she first raised the issue of medicine with Tao Zhijie.
In desperation, the surgeon could only try his best to perform the operation.
"It can be done." Song Xuelin calculated in his mind based on what he saw in reality and made the decision to perform the surgery.
"What?" He Jiuliang almost thought he was deaf, as this kid didn't hear a word he had just said.
"Take a biopsy." Song Xuelin decided that it could be done, and then take an intraoperative pathological biopsy and wait for the quick report from the pathology department to determine the scope of the operation. This was tantamount to completely denying He Jiuliang's suggestion just now, and indirectly indicated that the patient's condition was not the most serious that He Jiuliang thought.
"Do you think the pathological results will be relatively good?" He Jiuliang asked, hearing the implicit meaning.
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...
"It's not me, it's Dr. Xie who thinks so." Song Xuelin said truthfully, "We are a team."
Wow, the newcomers formed a team to fight monsters. He Jiuliang didn't know whether to laugh or cry, and turned to ask Xie Wanying: "What did you say?"
Xie Wanying answered her senior honestly, "If it's a young female patient, solid pseudopancreatic tumors are more common, and her tumor happens to be located in the tail of the pancreas. Even if solid pseudopancreatic tumors deteriorate into cancer, they are of low malignancy, and if they invade, they usually just metastasize to the peritoneum. As long as the surgery is done cleanly, the survival period is long."
"The patient's CT scan doesn't seem to be this cancer." He Jiuliang remembered that the CT scan results were not very good at predicting the malignant nature of the tumor. For this reason, Tao Zhijie was worried at first that the patient had a highly malignant pancreatic blastoma.
"Pancreatoblastoma is more common in children," Xie Wanying added.
In my previous life as a pathologist, I had a better understanding of the patient groups of these two types of cancer. There may have been rare cases across age groups, but they were pitifully rare.
"Besides, she has had digestive tract symptoms for a long time. Pancreatoblastoma progresses very quickly." Xie Wanying added, "It's better to say that her cancer cells are the result of a recent benign deterioration."
While thinking about her words, He Jiuliang asked Song Xuelin again: "Have you decided to adopt her opinion?"
There is pressure from the seniors. I feel that Xie Wanying's analysis seems to make sense, but there is no clear evidence to confirm it, so I can only say: "Wait for the pathological analysis to come out." Song Xuelin said these words in a hoarse voice, showing his overly cold and calm color during the operation.
Look at these two newcomers, it's their first time to lead the operation with me, they seem to be acting quite serious. He Jiuliang stood aside, wanting to watch what happened next.
The door of the operating room opened, and Tao Zhijie returned as promised. He washed his hands, put on his surgical gown, and joined the operating table to give general guidance. He first asked about the results of the exploration: "How is the situation?"
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