NOVEL WEB I can see the status bar
Chapter 1184 Pathological Examination
Chapter 1184 Pathological Examination
Lung sequestration itself is a rare congenital malformation of lung development.
The patient's diseased lung tissue and normal lung tissue are separated and do not communicate with each other, and they rely entirely on systemic blood for their growth and development.In other words, a separate lung has grown, and it is useless.
Depending on where the sequestered lung occurs, the disease can be divided into intrapulmonary pulmonary sequestration and extrapulmonary pulmonary sequestration.Intrapulmonary extrapulmonary, also known as intralobar extralobar.
Liu Hui has alveolar-like tissue in the tumor in the adrenal gland area, which most likely indicates that she suffers from extralobar pulmonary sequestration.In other words, Liu Hui's previous waist swelling and soreness should be caused by extralobar lung sequestration.
And that brings up two other "rare" points.
The incidence of extralobar pulmonary sequestration is very low, and more men than women.
Even more rarely, extralobar sequestrations are mostly symptomatic in the immediate postnatal period.If asymptomatic in childhood, extralobar pulmonary sequestration is often detected as a mass scan when the patient undergoes abdominal CT scan in adulthood.
In other words, no symptoms.
Moreover, Liu Hui does not have any other congenital developmental abnormalities - more than 50% of patients with isolated lungs will be accompanied by problems including but not limited to congenital diaphragmatic hernia, congenital adenomatous malformation type II, and congenital heart disease.
All in all, Liu Hui is just like stacking buffs, stacking rare attributes all the way.
Pulmonary sequestration, rare; extralobar pattern, rare; female extralobar pattern, rare; detected in adulthood, rare; marked and long-standing symptoms prior to discovery, very rare; sequestered lung but no other congenital malformation, rarely See.
Sun Li'en thought about it again and again, but in the end he could only think that his aunt's luck was really good.
The ghost knows if there will be another such example among the 70 billion people in the world.
After about half an hour, the pathology department gave the final pathological examination opinion.
"The tissue submitted for examination showed a glandular cavity-like structure, covered with a single layer of ciliated columnar epithelium, interstitial fibrous tissue hyperplasia, accompanied by a large number of chronic inflammatory cell infiltration, and adrenal gland tissue can be seen locally. Proposed diagnosis: isolated lung in the left adrenal gland area. Please combine it with the clinic."
·
·
·
"Okay, just shut up." After getting the pathology results, Director Wu felt more at ease.This operation is equivalent to cutting out a useless lung from the patient's stomach.Although there is a manifestation of chronic inflammation, at least there is no need to worry about the spread of cancer cells.
More importantly, since it is only an isolated lung, it should be enough to resect all the tumors that can be seen visually-the extralobar isolated lung rarely has multiple tumors, and the previous CT scan did not find any suspicious tumors in other locations.
Just cut it off once.
As for those enlarging multiple lymphomas... there's a good chance it's just an infection.Cut off the isolated lung in the adrenal gland area, which is considered a one-hundred-one hundred and completely gone.
Director Wu asked Yizhu to close the abdomen and sew it up, and walked to the side to make a final confirmation with Rachel, "I don't think there is a problem, it's not a tumor."
"It really doesn't look like a tumor." After seeing the appearance of the tumor during the operation, Rachel also made a general judgment on the type of tumor.However, she really didn't foresee that... the tumor was actually an isolated lung.
She squinted her eyes and looked at the CT again, then frowned and said, "Director Wu, how do you think Director Sun can tell that this is not a tumor?"
"Where do I go?" Director Wu spread his hands and said, "To be honest, if I didn't see this tumor under the laparoscope, I would still think it was a tumor—and it was a relatively malignant one."
The two fell silent in the operating room, then shook their heads together, "I don't understand."
What they couldn't understand wasn't just Sun Lien's way of thinking about diagnosis.What is even more incomprehensible is Sun Lien's "confidence".Any doctor, when there is no PET result and only sees CT, will probably take malignant tumors as the first consideration.
Sun Li'en... How can he be sure that this is not a tumor?
With this question in mind, Rachel and Director Wu blocked Sun Lien's way in the corridor.
"The nature of the tumor?" Sun Lien was taken aback after hearing the question from the two, and then showed a helpless smile, "I'm not sure."
"Not sure?" Rachel's eyes widened, "But you were in the ward..."
Sun Lien spread his hands, and then continued his performance, "The one lying in the ward is my aunt, she thinks she has a tumor, so she doesn't plan to undergo surgery - I won't fool her, she doesn't even have a chance for a biopsy this time. "
"But..." Rachel still looked unacceptable, "You violated the patient's wishes."
"I'm not her attending doctor." Sun Li'en rolled his eyes. Fooling such a careless foreign female doctor always made him feel like he was fooling a fool.
Bullying fools is not what a gentleman does.
Of course, those who should be fooled still have to continue to fool.The existence of the status bar cannot be used as an issue, so you can only make up reasons to make your behavior seem reasonable.
"My current identity is not a doctor, but a family member of a patient." Sun Lien said righteously, "As a family member of a patient, is there any problem with me persuading my aunt to accept the biopsy?"
Director Wu looked at Sun Li'en, and only after a long time could he say, "It would be great if other family members were like you."
·
·
·
After the general anesthesia wore off, it was already nine o'clock in the evening when Liu Hui woke up again.
Sun Li'en and Wang Caifeng were sitting on the sofa beside them chatting. The mother and son hadn't seen each other for several months.Although in the past two or three days, we would send a video chat or two, but face-to-face communication cannot be replaced by video chat after all-some things can only be chatted face-to-face.
For example, what Wang Caifeng cares most about is her son's lifelong event.
"Your photos were also taken, and people all over the country testified. Then you have to hurry up and do it?" In this regard, all parents in the world have the same attitude-reminder.Hurry up to get the certificate, and hold the banquet and ceremony, so that they can feel at ease in their hearts. "You and Xiao Hu are not under pressure to buy a house, so let's get things done quickly. Have you picked a date?"
"My mother..." Sun Li'en, who was urged to marry, was also very helpless, "The two of us just came back from Yunhe. We haven't done anything for two and a half months, so how can we find the time to spend? Besides... this What’s the point of picking a day? Just find a day when we both rest and the Civil Affairs Bureau works.”
Liu Hui opened her eyes, her eyes slowly came into focus, then she looked at Sun Lien at the side, and asked after a long time, "Is there any water?"
"You just woke up, and you can't drink water yet. Just bear with it." Sun Lien, who was urged to marry by his wife 360 degrees without dead ends, hurriedly went to his aunt's side and comforted him, "The operation is over for five hours, wait a little longer You can drink water."
Liu Hui blinked her eyes and opened her mouth to ask a question, but suddenly closed it again.
"Although I promised you not to tell the result before, if you intend to ask, I can still answer." Sun Li'en said to Liu Hui with a smile, "It's a good result."
Liu Hui's chapped lips squirmed up and down, and then two lines of tears flowed down her face.
The book is expected to be completed within this month.Rachel and Xu Yourong's episodes will be released at a later date after the book is finished (current progress, new folder).
The release date of the new book is to be determined, and the goal is to link up as soon as possible after the status bar is finished.I'm currently working on the beginning with the editor - the steampunk theme that I have prepared for many months has been temporarily put on hold, and the content of the new book will be Tokyo style.
(End of this chapter)
Lung sequestration itself is a rare congenital malformation of lung development.
The patient's diseased lung tissue and normal lung tissue are separated and do not communicate with each other, and they rely entirely on systemic blood for their growth and development.In other words, a separate lung has grown, and it is useless.
Depending on where the sequestered lung occurs, the disease can be divided into intrapulmonary pulmonary sequestration and extrapulmonary pulmonary sequestration.Intrapulmonary extrapulmonary, also known as intralobar extralobar.
Liu Hui has alveolar-like tissue in the tumor in the adrenal gland area, which most likely indicates that she suffers from extralobar pulmonary sequestration.In other words, Liu Hui's previous waist swelling and soreness should be caused by extralobar lung sequestration.
And that brings up two other "rare" points.
The incidence of extralobar pulmonary sequestration is very low, and more men than women.
Even more rarely, extralobar sequestrations are mostly symptomatic in the immediate postnatal period.If asymptomatic in childhood, extralobar pulmonary sequestration is often detected as a mass scan when the patient undergoes abdominal CT scan in adulthood.
In other words, no symptoms.
Moreover, Liu Hui does not have any other congenital developmental abnormalities - more than 50% of patients with isolated lungs will be accompanied by problems including but not limited to congenital diaphragmatic hernia, congenital adenomatous malformation type II, and congenital heart disease.
All in all, Liu Hui is just like stacking buffs, stacking rare attributes all the way.
Pulmonary sequestration, rare; extralobar pattern, rare; female extralobar pattern, rare; detected in adulthood, rare; marked and long-standing symptoms prior to discovery, very rare; sequestered lung but no other congenital malformation, rarely See.
Sun Li'en thought about it again and again, but in the end he could only think that his aunt's luck was really good.
The ghost knows if there will be another such example among the 70 billion people in the world.
After about half an hour, the pathology department gave the final pathological examination opinion.
"The tissue submitted for examination showed a glandular cavity-like structure, covered with a single layer of ciliated columnar epithelium, interstitial fibrous tissue hyperplasia, accompanied by a large number of chronic inflammatory cell infiltration, and adrenal gland tissue can be seen locally. Proposed diagnosis: isolated lung in the left adrenal gland area. Please combine it with the clinic."
·
·
·
"Okay, just shut up." After getting the pathology results, Director Wu felt more at ease.This operation is equivalent to cutting out a useless lung from the patient's stomach.Although there is a manifestation of chronic inflammation, at least there is no need to worry about the spread of cancer cells.
More importantly, since it is only an isolated lung, it should be enough to resect all the tumors that can be seen visually-the extralobar isolated lung rarely has multiple tumors, and the previous CT scan did not find any suspicious tumors in other locations.
Just cut it off once.
As for those enlarging multiple lymphomas... there's a good chance it's just an infection.Cut off the isolated lung in the adrenal gland area, which is considered a one-hundred-one hundred and completely gone.
Director Wu asked Yizhu to close the abdomen and sew it up, and walked to the side to make a final confirmation with Rachel, "I don't think there is a problem, it's not a tumor."
"It really doesn't look like a tumor." After seeing the appearance of the tumor during the operation, Rachel also made a general judgment on the type of tumor.However, she really didn't foresee that... the tumor was actually an isolated lung.
She squinted her eyes and looked at the CT again, then frowned and said, "Director Wu, how do you think Director Sun can tell that this is not a tumor?"
"Where do I go?" Director Wu spread his hands and said, "To be honest, if I didn't see this tumor under the laparoscope, I would still think it was a tumor—and it was a relatively malignant one."
The two fell silent in the operating room, then shook their heads together, "I don't understand."
What they couldn't understand wasn't just Sun Lien's way of thinking about diagnosis.What is even more incomprehensible is Sun Lien's "confidence".Any doctor, when there is no PET result and only sees CT, will probably take malignant tumors as the first consideration.
Sun Li'en... How can he be sure that this is not a tumor?
With this question in mind, Rachel and Director Wu blocked Sun Lien's way in the corridor.
"The nature of the tumor?" Sun Lien was taken aback after hearing the question from the two, and then showed a helpless smile, "I'm not sure."
"Not sure?" Rachel's eyes widened, "But you were in the ward..."
Sun Lien spread his hands, and then continued his performance, "The one lying in the ward is my aunt, she thinks she has a tumor, so she doesn't plan to undergo surgery - I won't fool her, she doesn't even have a chance for a biopsy this time. "
"But..." Rachel still looked unacceptable, "You violated the patient's wishes."
"I'm not her attending doctor." Sun Li'en rolled his eyes. Fooling such a careless foreign female doctor always made him feel like he was fooling a fool.
Bullying fools is not what a gentleman does.
Of course, those who should be fooled still have to continue to fool.The existence of the status bar cannot be used as an issue, so you can only make up reasons to make your behavior seem reasonable.
"My current identity is not a doctor, but a family member of a patient." Sun Lien said righteously, "As a family member of a patient, is there any problem with me persuading my aunt to accept the biopsy?"
Director Wu looked at Sun Li'en, and only after a long time could he say, "It would be great if other family members were like you."
·
·
·
After the general anesthesia wore off, it was already nine o'clock in the evening when Liu Hui woke up again.
Sun Li'en and Wang Caifeng were sitting on the sofa beside them chatting. The mother and son hadn't seen each other for several months.Although in the past two or three days, we would send a video chat or two, but face-to-face communication cannot be replaced by video chat after all-some things can only be chatted face-to-face.
For example, what Wang Caifeng cares most about is her son's lifelong event.
"Your photos were also taken, and people all over the country testified. Then you have to hurry up and do it?" In this regard, all parents in the world have the same attitude-reminder.Hurry up to get the certificate, and hold the banquet and ceremony, so that they can feel at ease in their hearts. "You and Xiao Hu are not under pressure to buy a house, so let's get things done quickly. Have you picked a date?"
"My mother..." Sun Li'en, who was urged to marry, was also very helpless, "The two of us just came back from Yunhe. We haven't done anything for two and a half months, so how can we find the time to spend? Besides... this What’s the point of picking a day? Just find a day when we both rest and the Civil Affairs Bureau works.”
Liu Hui opened her eyes, her eyes slowly came into focus, then she looked at Sun Lien at the side, and asked after a long time, "Is there any water?"
"You just woke up, and you can't drink water yet. Just bear with it." Sun Lien, who was urged to marry by his wife 360 degrees without dead ends, hurriedly went to his aunt's side and comforted him, "The operation is over for five hours, wait a little longer You can drink water."
Liu Hui blinked her eyes and opened her mouth to ask a question, but suddenly closed it again.
"Although I promised you not to tell the result before, if you intend to ask, I can still answer." Sun Li'en said to Liu Hui with a smile, "It's a good result."
Liu Hui's chapped lips squirmed up and down, and then two lines of tears flowed down her face.
The book is expected to be completed within this month.Rachel and Xu Yourong's episodes will be released at a later date after the book is finished (current progress, new folder).
The release date of the new book is to be determined, and the goal is to link up as soon as possible after the status bar is finished.I'm currently working on the beginning with the editor - the steampunk theme that I have prepared for many months has been temporarily put on hold, and the content of the new book will be Tokyo style.
(End of this chapter)
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