The good news Sun Lien said is that based on the characteristics of pmds malformation patients, they will have two sets of reproductive systems in their bodies. If Lin Lan is indeed a pmds patient, then she must still have a set of immature uterus hidden in her body.
If confirmed, it might be possible to remove Lin Lan’s cryptorchidism from her pelvic cavity and then use hormone therapy to promote the redevelopment of her uterus, thereby gaining fertility. However, the eggs need to rely on a donor. Lin Lan herself is
There is no such ability.
It’s just that this set of treatment can only be left to other general hospitals. After all, the Fourth Central Hospital is a hospital that prefers emergency care, and it is more appropriate to leave this kind of treatment to a hospital that specializes in endocrinology and reproductive medicine.
What the Fourth Central Hospital can do now is to diagnose Lin Lan’s condition.
"I think... Director Liu's judgment was right at the beginning." Sun Lien was leading the way in the corridor. He suddenly whispered, "Lin Lan's situation is not right." Sun Lien suddenly discovered a logical blind spot, a
The huge loophole that neither Dr. Pascal nor Xu Yourong could discover immediately was that in the status bar, Lin Lan was "male", not "female".
The genetic gender of pmds patients should be consistent with their social gender. Although they suffer from reproductive system disorders, they generally do not show reverse genetic gender. Generally speaking, male pmds patients with xy genes may
It will show up as an inguinal hernia. The content of the inguinal hernia is the immature uterus.
Female pmds patients with xx genes are different. They do not show obvious external differences and have a relatively normal female reproductive system but their ovaries are replaced by cryptorchidism. These female patients generally suffer from irregular menstruation.
Or they were sent to the hospital for treatment due to infertility.
The status bar is infallible. At least so far, the prompts in the status bar are 100% correct. Since the status bar thinks that Lin Lan is a male, it means that Lin Lan's genetic gender must be xy male, not xy male.
Female. But if it is a male with the xy gene, it is impossible to show pmds female deformity.
This doesn't make sense.
"Something's wrong?" Xu Yourong frowned, "The corridor is not the right place to discuss this issue. Go to my office."
It is one of the hospital rules and regulations not to discuss the patient's condition in public.
Today is not an operation day in Shenwai, but there are still not many doctors in the office. After greeting the two doctors who were familiar with each other in the office, Xu Yourong directly opened the door of the small conference room.
"Actually, there is nothing to discuss. Just do a genetic test." Dr. Pascal spread his hands after hearing Sun Lien's doubts. "I stick to my judgment. If it is AIS, she should not have menstrual cycle symptoms."
Sun Lien opened his mouth, but he didn't know how to explain his discovery. Of course, the fact that the status bar determined Lin Lan's gender couldn't be mentioned.
"I think the biggest point is the location of Lin Lan's cryptorchidism." Xu Yourong called up the CT image of Lin Lan's abdomen from the computer and projected it on the screen with a projector. "Although it is cryptorchidism, its location is in the groin.
If it is pmds, the cryptorchidism should be in the pelvic cavity, replacing the position of the ovary. This position is too low."
"Let's do genetic testing." Dr. Pascal continued to spread his hands, "This is the most direct way to check."
Sun Lien was about to nod when he suddenly saw a strange tissue structure on the picture. "Here..." He stood up from his seat and clicked on a small high-density area on the screen, "Isn't this location bladder tissue?
"
A small bulge could be barely seen in the area pointed by Sun Lien, about two centimeters thick.
"Maybe it's just a simple anatomy structural abnormality." Among the three doctors present, only Xu Yourong is a surgeon, and he is also a neurosurgeon. Sun Lien is inexperienced, and Dr. Pascal must not have seen CT images as often as Xu Yourong. The three people looked at
Naturally, the changes in this position were somewhat uncertain. She looked at the pelvic CT image and seemed a little hesitant.
"It seems that we need at least one surgeon in our team." Sun Lien joked helplessly, "Let's ask the gynecologist to come and take a look."
"It's the uterus, an immature uterus." Feng Chujie, the attending gynecologist who came for consultation, made a judgment almost instantly. But as soon as she made the judgment, she ran into trouble again, "This picture is wrong."
"The shape of the pelvis is wrong." Sun Lien and Xu Yourong said in unison. Feng Chujie looked at the two of them, "Where did you find this picture?"
Sun Lien spread his hands and said, "These are the patients we admitted to the emergency department a few days ago."
"Transfer to our department." Doctor Feng trimmed his hair and pinned it behind his ears skillfully, "This should be a hermaphroditism, right?"
"It's not confirmed yet. He has been lying in the ICU, and he only regained consciousness the day before yesterday." Sun Lien frowned, "This patient has not been diagnosed yet."
Dr. Feng glanced at Sun Lien strangely, "What's so easy to diagnose? PMDS." She directly supported Professor Pascal's judgment. "It's obvious that the immature uterus plus cryptorchidism is obvious."
"PMDS will not have this kind of pelvis." Xu Yourong joined Sun Lien's camp, "AIS is more likely."
The conference room became lively, and neurosurgeons who were watching the excitement began to poke their heads in at the door. Ningyuan Medical College has a lively academic style, and it has almost become a habit for everyone to discuss together. Seeing the lively atmosphere in the conference room, they also joined in
lively.
"No... it's not just pmds." Sun Lien listened to the discussion and suddenly had an idea. "This is a compound case!"
The conference room fell silent, and Xu Yourong stared at Sun Lien expectantly. She vaguely felt that Lin Lan's case might be more complicated than everyone imagined.
"I think..." Sun Lien was still immersed in the excitement of his discovery, and did not notice that everyone around him became quiet. He stood up and pointed at the image on the screen, "Müllerian Permanent Syndrome caused her
She has an immature uterus and fallopian tubes in her body, and ais causes her cryptorchidism to be lower down, but the cryptorchidism still exists in the pelvic cavity... The patient suffers from both pmds and ais!"
Dr. Feng was about to refute, but Sun Lien took the initiative to ask, "If it is a female PMDS patient, she will show some masculine traits, right?"
Dr. Feng nodded hesitantly. Due to the active cryptorchidism in the body, most female pmds patients will have symptoms such as heavier hair, dark skin, deep voice, and hormone disorders.
"Lin Lan is very beautiful." Xu Yourong roughly understood what Sun Lien meant, "Her skin is very good, and her complexion is also very white."
"What kind of evidence is this?" Dr. Feng shook his head and said, "Is it because I stay up late every day and have acne all over my face that I have PMDS? Dr. Xu's skin is also very good, and she is also an AIS patient?"
Sun Lien was so shocked by Dr. Feng's theory that he couldn't catch his breath, "But other than that, there is no reasonable explanation."
"To see a doctor, we not only rely on logic and explanation, we also rely on evidence. Modern medicine is evidence-based medicine." Dr. Feng did not mean any harm. The legend of Sun Lien in the past few days has gradually spread to the entire hospital, even to her.
From what she heard, she didn't think that Sun Lien said this just to show off. After all, he was still young and sometimes lacked experience. "Let's do a genetic test. This evidence is the most important."
During lunch, Hu Jia heard that her boyfriend had eaten a lot in the morning. Instead of comforting him, he burst into laughter.
"What?" Sun Lien was a little depressed, "I made a mistake and am I worthy of laughing?"
"You." Hu Jia wiped his mouth with a tissue, looked at the depressed Sun Lien and laughed, "You should really look in the mirror and see how you look. This expression is exactly the same as Director Liu's when he lost an argument."
Sun Lien was shocked, "Director Liu, have you ever lost in a fight?"
"Of course." Hu Jia squinted her crescent-shaped eyes, "I saw Director Liu lose a fight with Dean Song last year, and he had this expression on his face for several days."