MTL - Doctor’s Life Simulator-Chapter 263 Rare solitary fibroma of the chest
After participating in this exchange activity, Qin Lang returned to the first hospital of the city and went into his daily work.
Of course, he also contacted the two editors-in-chief and deputy editors of "Huaguo Journal of Burns" and "Huaguo Journal of Hand Surgery". Professor Qian and Director Xie both replied to him, and the journal is about to come out. Let Qin Lang pay attention to the recent , the sample issue will arrive soon.
For this, Qin Lang is of course very looking forward to it. The previous small papers are only small magazines after all, and the two published this time are the top core journals in China, and they are all eye-catching in their respective fields. Just kidding, being able to get any book is enough to guarantee that you will graduate with a doctorate, and then you will be rated as a chief physician.
Of course, with the exception of Qin Lang, the corresponding author, the rest of the first author, second author, etc. have benefited a lot, enough for them to be promoted to deputy directors after their respective departments.
When Qin Lang walked to the door of the admission room of the emergency department, he heard a loud noise.
"Doctor Liu, what's wrong with my father, the old man is suffering?"
The patient was an old man in his seventies. He sat on the stool in the consultation room with a hunch, coughing from time to time, and his mouth kept talking about pain.
Beside his younger son, he looked at his father with some distress. The old man covered his chest with one hand, and sometimes had difficulty breathing.
"Don't worry, your father's situation is quite special, and he needs to do another CT examination. I now suspect that he has pleural effusion and symptoms of hypoglycemia."
Liu Peichun looked at the preliminary examination, and the whole person also had a big head. In fact, the situation of this patient was very strange.
After the patient was given the order, the patient's family took the elderly to the next step of the examination.
After the patient went out, Liu Peichun looked up and saw Qin Lang, and immediately waved:
"Qin Lang, come and help me take a look. This patient feels a bit special."
Liu Peichun handed various physical examinations and chest X-rays of the patient to Qin Lang: "Qin Lang, look. The patient's chest X-ray shows a single, sharp-edged mass protruding from the pleural surface to the lungs. Field lesions, and most of the pleural cavity on the affected side is opaque. I initially suspected that there was pleural effusion, which should be some kind of nauseating tumor."
It's just that Liu Peichun can't be sure what kind of disease it is, and needs further inspection data.
After Qin Lang looked at it, of course, it was impossible to find out the cause with these preliminary data alone.
"Qin Lang, do you want to use the liquid biopsy technique you mentioned last time and try again."
Liu Peichun still trusts Qin Lang's latest technology, and Qin Lang also agrees with this.
However, liquid biopsy technology is only an auxiliary solution, and ultimately requires a comprehensive variety of physical examinations and pathological experiments.
"Then this is the arrangement. I will add a liquid biopsy technique to the patient in a while. Besides you complete the routine examination, you will notify Director Zhou Heng of the lower thoracic surgery department and our Director Zhuang to conduct a consultation together. I feel that the patient's The situation is very special, even if it is diagnosed, we cannot completely operate the patient with our ability."
Qin Lang said a few words to Liu Peichun, turned around, and immediately started to consume 1 life simulation point to start a single case simulation.
[You and Liu Peichun accepted a patient, and Dr. Liu's preliminary diagnosis was suspected to be some kind of malignant tumor and pleural effusion. Dr. Liu asked the patient for another CT scan. At the same time, I went to Director Zhuang Tong and Director Zhou Heng to conduct a consultation together. 】
[You have performed liquid biopsy technology on the patient, but because the patient's condition is too special, the current equipment and detection technology in your hospital cannot find out the real cause of the patient. 】
[Finally, under the consultation of Director Zhou Heng, Director Zhuang Tong and others, the patient was further improved by enhanced chest CT and three imaging, only to determine that it was a certain type of chest tumor, but it could not be diagnosed. After the discussion, exploratory thoracotomy was proposed, and the diagnosis was further confirmed during the operation. 】
[The family does not accept this surgical plan. The patient's youngest son is in contact with his eldest brother, Wang Tai. Wang Tai is a leader of Hecheng City and the CEO of Shicheng Investment Company. Due to his busy work, he cannot leave. Knowing that his father's illness was rare and special, and the first hospital in the city could not diagnose it, he used his own connections, just in time to learn that Liao Yan, the director of oncology surgery of the Imperial Union Medical College Hospital, was coming to Hangzhou. 】
[Under the relationship of Wang Tai, Director Liao personally came to Hecheng to diagnose and operate the patient. Director Liao is worthy of being the top director of Xiehe Hospital. Through various symptoms, he finally found the real cause of the patient, which is a very rare solitary fibroma of the chest (SFTs)]
[This disease is very rare, most SFTs originate from the pleura, namely pleural SFT, accounting for 5% of pleural-derived tumors, about 80% from the visceral pleura, 20% from the parietal pleura, and occasionally in the lung and trachea , reproductive system, abdominal cavity, soft tissue and muscle and other connective tissues, SFTs from lung parenchyma are very rare. At present, there are few studies on the surgical treatment of some special SFTs of the chest. 】
[After the diagnosis, several directors of the city's first hospital were also a little scared. If it wasn't for Director Liao to come to the diagnosis in person, they really couldn't make a diagnosis based on their experience. treat. 】
[Because the patient's tumor diameter is greater than 10cm, open surgery is required. Director Liao decided to open thoracic surgery. Since the tumor occupies half of the thoracic cavity, the lesions involve the hilum of the lung, multiple lymph nodes in the mediastinum are swollen, and the left pulmonary aneurysm is formed. With abundant blood supply, it was impossible to resection in blocks, and finally it was decided that in addition to tumor resection, left pneumonectomy was added. 】
[Because the patient's situation is very complex and severe, Director Liao needs to establish a multidisciplinary team, led by him, and needs the assistance of top doctors in thoracic surgery and general surgery. Due to your basic surgical skills and thoracic tumor skills, you were recommended by Zhou Heng and Zhuang Tong to serve as Director Liao's second assistant. 】
[The operation officially started, and under the command of Director Liao, the operation progressed steadily, but because the patient's tumor lesions involved the inside and outside of the trachea, the boundary with the surrounding tissues was unclear. Complete surgical excision is very difficult and risky. Director Liao also fell into a predicament and began to consider palliative resection of the tumor through endoscopy, but this method could not achieve radical resection. At this point, you propose that you perform a complete excision. 】
[With super surgical field, plus vision +1, and perfect chest bleeding control skills~www.novelbuddy.com~ and your perfect level of incision, exposure, and suturing, you are talented and bold. Director Liao was a little surprised by your coming forward. After all, you are too young. However, under the bailout of Zhou Heng and Zhuang Tong, Director Liao agreed. 】
[Director Liao guarded and commanded, combined with your top skills, you completed your task perfectly, Director Liao was greatly shocked. Next, he performed a total lung resection. The operation was finally completed successfully. 】
[You won the favor of Director Liao, and then Director Liao visited your wound treatment center and was greatly shocked. Reported your situation to Academician Wu Jizong. At the same time, Director Liao also invites you to give a speech at the Symposium for Young Surgeons of the Chinese Medical Association. 】
[During this operation, you also received gratitude from Wang Tai, the CEO of the Urban Investment Corporation. For you and Wei Guoqiang, it was a very large network that solved a crisis for you later. 】
[Ding, complete the single-case simulation, whether to obtain the clinical experience of this case! 】
[Congratulations to the host for obtaining the clinical experience of this case. 】
Qin Lang was a little surprised. For this operation, the patient actually invited Liao Yan, the director of the Department of Oncology at the Union Medical College Hospital. At the same time, this director Liao was also in contact with Academician Wu Jizong.
Academician Wu, that's not his own grandfather, thigh!
