Doctor Started a Plug-in

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However, before the diagnosis is clear!

These words are absolutely impossible to say.

But Chen Cang’s proposal to do pancreatic magnetic resonance elastography MRE actually made these doctors understand one after another 2 2.

Although the pancreatic magnetic resonance elastography technology is not very mature compared to traditional examinations.

However, he is a very valuable test for the pancreas.

Because the pancreas is deep in position, irregular in shape and complicated in surrounding tissues, it has its own characteristics.

At present, the method of early diagnosis of pancreatic diseases is not perfect.

The traditional CT used at this stage has been proved to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.

Although both ultrasound and CT showed no obvious abnormalities in the pancreas.

However, Chen Cang felt abnormal.

Under the 4-dimensional graph, Chen Cang combined these dozens of CT films, Chen Cang has begun to restore the situation in the abdominal cavity.

The three-dimensional sense and the spatial sense continue to overlap, verifying various inspections…

Speaking of which, thanks to the old man who has done a lot of examinations, what abdomen CT scan directly produced a dozen films.

In addition, endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) can provide clear images with excellent details to the bile duct system.

After combining the results of various examinations, he felt that the echo of the abdominal ultrasound was actually problematic!

Although Chen Cang is only a doubt, this doubt is worth exploring.

Soon, everyone left the ward and returned to the office.

Qin Zhenhong also noticed that everyone’s expressions were not right, but he didn’t say much in the ward, after waiting in the Conference Hall.

He then asked: “This little comrade, you just suspected what happened? But it’s okay.”

Chen Cang shook the head: “I think you can do a pancreatic examination to rule out. After all, the examination is mainly to exclude the option.”

After listening to Qin Zhenhong, naturally, he would not believe Chen Cang’s remarks!

Thinking of this, he gave Sun Guangyu a glance.

After Sun Guangyu came to know it, Unable to Bear said: “Little Chen, please talk about your diagnosis, don’t worry, since it is a consultation, everyone needs to speak freely.”

Hearing this, Chen Cang glanced at the people around him, and Unable to Bear said, “I suspect pancreatic cancer.”

In a word!

Suddenly the scene fell silent.

Qin Zhenhong was taken aback.

Is this a joke?

What is pancreatic cancer?

Pancreatic cancer is called “the king of cancer”!

Pancreatic cancer is one of the tumors with the highest malignancy and the highest disease-related mortality.

The 5-year survival rate of I-IV pancreatic cancer is only about 8%.

It is precisely because of the poor prognosis that Jianghu is known as “the king of cancer”.

Qin Zhenhong didn’t understand the king of cancer, but when he heard about cancer, it was troublesome.

In their homes, the Old Master is the flag. If the Old Master is there, the flag will not fall, and, for the country, this is still a treasure.

So, I was shocked to hear Chen Cang say this!

And the group of directors around was even and frowning, each looking at Chen Cang’s eyes full of complexity.

But some people still said: “It’s fine to exclude.”

“Well, Commander Qin, don’t worry. Examination is definitely rule-based. Besides, the imaging results do not support this option now.”

But some people said directly: “probability is minimal! There is no sign at all.”

“Yes, Commander Qin, don’t worry, this Junior Doctor may also be worried, so I proposed this idea, but I think the credibility is very low, almost zero!”

Looking at everyone’s comfort, Qin Zhenhong relaxed.

Compared to Chen Cang, he is actually more willing to believe these experts.

but!

Chen Cang’s words were hard to disperse in his mind for a long time.

Seeing everyone like this, Chen Cang unable to bear shook the head, I already knew not to say it!

At this time, Sun Guangyu did not directly deny or comfort him like everyone else.

He is a health care expert in the expert group, and diagnosis and treatment are his responsibilities. Naturally, he cannot relax his vigilance.

He knows Chen Cang, and he knows that Chen Cang will not be aimless.

Thinking of this, Sun Guangyu directly asked: “Little Chen, how do you think about it?”

After summing up, Chen Cang said 3 points!

“First: The pancreas is deeper and smaller, and there are no organs around it that can quickly appear symptoms because of pancreatic mass compression. Other symptoms such as abdominal pain, anorexia, and so on are not specific, so early detection of pancreatic cancer is difficult, and the discovery is late. , I hope to get the cause of the pancreas as early as possible, and avoid the late stage.”

“Second, this disease lacks tumor markers with high specificity and high sensitivity. It is true that CA2 is normal, but he is not as specific as a more sensitive pancreatic cancer screening indicator. However, B-ultrasound and CT lack effective early screening methods for specific pancreatic cancer.”

“The third point is that the elderly have predisposing factors. I read the history of the elderly’s disease, long-term smoking, and obesity, high blood sugar, and long-term use of statin medicine. These are in line with the predisposing factors. The most important thing is that the elderly have not recently controlled blood sugar. Live, this is also my consideration.”

Chen Cang’s remarks, from the perspective of the cause of the etiology and history, to the current main symptoms, and the difficulty of screening in the early stage, put his point very well.

Suddenly!

The whole room was quiet, and even the person who was just about to question Chen Cang did not continue to speak.

Sun Guangyu and the others are unable to bear clapping, this diagnosis is meticulously thoughtful, and it is more powerful than those physicians present!

Qin Zhenhong’s heart is really the same as riding a roller coaster, one wave has not subsided, and another wave has come to invade!

What does he feel like?

What are you afraid of?

Although he didn’t know who this little young man was, Sun Guangyu believed him so for a reason.

The more he thought about it, the more he panicked.

There is a feeling of extreme fear.

At this time, Sun Guangyu said, “Let’s check it out, dragging is not a way.”

So, Sun Guangyu picked up the phone and directly contacted the Department of Radiology to prepare for MRE examination of pancreatic magnetic resonance elastography.

MRE imaging equipment mainly includes stimulator, MR imaging system, body coil and mechanical wave conduction fixing device (such as plastic connecting tube, abdominal belt), etc.

The stimulator consists of an active stimulator and a passive stimulator, which is a large-scale inspection device that has just appeared in recent years.

Local Hospitals, even provincial hospitals may not have them!

Then he personally took the old man moved towards Department of Radiology, and Chen Cang followed behind.

Soon, the old man was arranged in, and everyone was restless waiting for the result.

Although everyone thinks what Chen Cang said makes sense, but…it is still hard to believe an old man who has no symptoms. Why is pancreatic cancer?