Chapter 992 The King of Cancer! (Add 2 for Dameng Qingyan Xiaoguan)

However, before the diagnosis is clear!

These words are absolutely impossible to say.

However, Chen Cang's proposal to do pancreatic magnetic resonance elastography (MRE) actually made these doctors understand one-two-two of them.

Although the pancreas magnetic resonance elastography technology is not very mature compared with the traditional examination.

However, he is a valuable test for the pancreas.

Because the pancreas has its own characteristics such as deep location, irregular shape and complex structure of surrounding adjacent tissues.

At present, the methods for early clinical diagnosis of pancreatic diseases are not perfect.

Conventional CT currently used has been shown to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.

Although B-ultrasound and CT showed no obvious abnormality in the pancreas.

However, Chen Cang felt something unusual.

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

The three-dimensional sense and the sense of space are constantly overlapping, verifying various inspections...

Speaking of which, it is thanks to the old man that he has done a lot of examinations. What kind of abdominal CT scan directly produced more than a dozen films.

The addition of endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) can provide clear images of the biliary system with excellent detail.

After combining various inspection results, he felt that the echo of the abdominal B-ultrasound was actually a problem!

Although Chen Cang was only suspicious, this suspicion is worth exploring.

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

Qin Zhenhong also saw that everyone's expressions were not right, but he didn't say much when he was in the ward, and waited until the conference room.

Then he asked, "This little comrade, what did you suspect just now? But it doesn't matter."

Chen Cang shook his head: "I think we can do a pancreas examination to exclude it. After all, the examination is mainly to exclude options."

After Qin Zhenhong heard it, he naturally wouldn't believe Chen Cang's evasive remarks!

Thinking of this, he gave Sun Guangyu a wink.

After Sun Guangyu came over, he couldn't help but say: "Xiao Chen, tell me about your diagnosis, don't worry, since it's a consultation, everyone needs to speak freely."

Hearing this, Chen Cang glanced at the people around him and couldn't help but say, "I suspect pancreatic cancer."

In a word!

Suddenly the scene fell silent.

Qin Zhenhong was taken aback.

Isn't this a joke?

What is pancreatic cancer?

Pancreatic cancer is known as "the king of cancer"!

Pancreatic cancer is one of the most malignant tumors with the highest disease-related mortality.

The 5-year survival rate for stage 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 these families, the old man is the flag, and the old man is there, the flag will not fall, and, for the country, this is still a treasure.

So, when I heard Chen Cang say this, I was shocked!

And the group of directors around them were even more nervous, looking at Chen Cang with complex eyes.

But there are still people who say: "It's okay to rule it out."

"Well, Commander Qin, don't worry, the inspection must be ruled out. Besides, the imaging results do not support this option."

But some people said directly: "It is extremely unlikely! There is no sign at all."

"Yes, Commander Qin, don't worry, this little doctor may also be worried, so he came up with this idea, but I think the credibility is very low, almost zero!"

Seeing everyone's comfort, Qin Zhenhong breathed a sigh of relief.

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

but!

Chen Cang's words remained in his mind for a long time.

Seeing everyone like this, Chen Cang couldn't help shaking his head.

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

He is the health care doctor of the expert group, and diagnosis and treatment are his responsibility, so naturally he cannot let his guard down.

He knew Chen Cang, and he knew that Chen Cang would not aim at nothing.

Thinking of this, Sun Guangyu asked directly: "Xiao Chen, tell me what you think?"

After Chen Cang summed it up, he said three points!

"First: the pancreas is deep and small in size, and there are no organs around it that can cause symptoms quickly because of the pressure of the pancreatic mass. Other symptoms such as abdominal pain and anorexia are not specific, so it is difficult to detect pancreatic cancer at an early stage. The reason I want to get the pancreas as early as possible, avoid it late."

"Secondly, this disease lacks tumor markers with high specificity and high sensitivity. It is true that the single-force CA199 assay is normal, but as a more sensitive screening indicator for pancreatic cancer, its specificity is not good. However, B-ultrasound and CT lack effective and specific early screening methods for pancreatic cancer."

"The third point is that the elderly have predisposing factors. I have seen the elderly's disease history, long-term smoking, obesity, high blood sugar, and long-term use of statins. These are all in line with the predisposing factors. The most important thing is that the elderly have not been able to control their blood sugar recently. Living, that's what I'm considering."

Chen Cang's remarks, from the factors that cause the cause and history of the disease, to the current main symptoms, and the difficulty of early screening, explain his views very well.

Immediately!

The whole room fell silent, and even the person who was going to question Chen Cang just now stopped talking.

Sun Guangyu and the others couldn't help clapping their hands and applauding. This diagnosis is thoughtful, even more powerful than the physicians present!

Qin Zhenhong's heart is really like riding a roller coaster, one wave has not subsided, and another wave is coming!

What does he have a feeling?

The more afraid of what, the more and more!

Although he didn't know who this young man was, there must be a reason for Sun Guangyu to believe him so much.

The more he thought about it, the more panic he became.

There is a feeling of contemplation.

At this time, Sun Guangyu said, "Let's do an inspection, it's not a good idea to drag it."

Therefore, Sun Guangyu picked up the phone and directly contacted the imaging department to prepare for the pancreatic magnetic resonance elastography MRE examination.

MRE imaging equipment mainly includes stimulators, MR imaging systems, body coils and mechanical wave conduction fixation devices (such as plastic connecting tubes, abdominal belts), 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 it!

Then he personally took the old man to the radiology department, and Chen Cang followed behind.

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

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