Judging from He Jiuliang's experience, as long as a patient of this age has some 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.
It is best to detect cancer within 1 centimeter in its early stages. Tumors within 1 centimeter are very unlikely to invade other organs, and the five-year survival rate is extremely high. However, it is too difficult to detect such early-stage tumors in China. Discovered abroad
There are many, and foreign countries are indeed better than China in terms of early cancer screening.
Non-very early-stage tumors are difficult for patients and doctors, and the results are tragic. This is even more prominent in the case of pancreatic cancer, because there are no targeted drugs for pancreatic cancer. It is precisely when the cancer metastasizes that the disease requires drugs instead of simple surgery.
So Xie Wanying took this into consideration when she first raised the issue of medicine with Tao Zhijie.
In desperation, we can only rely on the surgeon to work hard on the surgery.
"It can be done." Song Xuelin made the calculation in his mind based on the situation he saw in reality, and made the surgeon's judgment.
"What?" He Jiuliang almost thought he was deaf. He didn't hear a word of what he just said.
"Take a biopsy." Song Xuelin decided that he could do it. He then took the intraoperative pathological section and waited for a quick report from the pathology department to determine the scope of the operation. This was equivalent to completely denying He Jiuliang's suggestion, which indirectly showed that this patient's condition was not the most serious as He Jiuliang thought.
"Do you think the pathology results will be relatively good?" He Jiuliang asked, hearing the implication.
"It's not me, it's what Dr. Xie thinks." Song Xuelin told the truth, "We are a team."
Good guy, the newcomers formed their own group to fight monsters. He Jiuliang couldn't laugh or cry, and turned to ask Xie Wanying: "What did you say?"
Xie Wanying honestly answered the words of her predecessor: "If it is a young female patient, solid pseudocystic tumor of the pancreas is more common, and her tumor happens to be located in the tail of the pancreas. Even if the solid pseudocystic tumor of the pancreas deteriorates into cancer, it is of low malignancy.
Moreover, it is more common for the invasion to only metastasize to the peritoneum. As long as the surgical removal is clean, the survival period is longer. "
"The patient's CT scan does not seem to be like this cancer." He Jiuliang remembered that the CT scan showed a poor prediction of the malignant nature of the tumor. For this reason, Tao Zhijie was initially worried that the patient had pancreatoblasts, which are extremely malignant.
tumor.
"Pancreatoblastoma is more common in children." Xie Wanying added.
As a pathologist in my previous life, I was quite familiar with the patient groups of these two cancers. There may have been rare cases across age groups, but they were pitifully few.
"Besides, her gastrointestinal symptoms have been present for a long time, and pancreatoblastoma progresses very quickly." Xie Wanying added, "It is better to say that her cancer cells are the result of recent benign deterioration."
While He Jiuliang was thinking about her words, he asked Song Xuelin again: "Have you decided to adopt her opinion?"
There is pressure from seniors. I feel that Xie Wanying's analysis seems reasonable, 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 this string of words in his hoarse voice, showing that he was undergoing surgery.
The color is too cold and calm.
Look at these two newcomers who are doing the surgery for the first time and are leading the operation themselves. They seem to be pretending to be serious. He Jiuliang stood aside and wanted to watch the follow-up.
The door of the operating room opened with a bang, and Tao Zhijie came back as scheduled. He brushed his hands, put on surgical clothes, and entered the general guidance state on the operating table. He first asked about the investigation results: "How is the situation?"