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Chapter 770 Hemangioreticulocytoma

The timid female doctors or junior doctors could not stand this bloody face-flipping act at this time, and all of them were extremely frightened.

In fact, the amount of bleeding during this operation was very large from the beginning, Baotuquan.

The surgeon is mentally prepared, but the audience is not.

The older experts, on the other hand, adjusted their glasses and widened their eyes, trying to see clearly what the protruding bones under the face were.

Everyone has a consensus that this is abnormal bone hyperplasia, but no one knows why it occurs.

Others don't know, but Professor Chen Qi and Ge Minghua know that they have already undergone "biopsy."

So during the live broadcast of the surgery, Professor Ge’s voice came again:

"Comrades, do you think that what you are seeing now is typical skull thickening, and then the outer plate of the skull and the parietal bone expand in a unilateral bubble-like manner, and the inner plate of the bone bulges into the plate barrier and the cranial cavity.

On CT films, localized and diffuse radiolucent areas and dense areas can be seen coexisting in the thickened skull, which looks very similar to the manifestations of Paget's deforming osteitis.

So it looks like this is the skull, and it's enlarged and hardened, from the frontal bone to the occipital bone, causing facial involvement, narrowing of the orbits and nasal cavities, and disappearance of the sinus cavities."

There was a lot of discussion in the multimedia classroom, and the doctors from the Department of Orthopedics and Department of Otology were a little scornful. They felt that Professor Ge's explanation was too simple. Everyone was not blind and had already seen it.

Meng Yushu was still chatting with a few old friends next to him, hinting that Ge Minghua wanted to run for academic department member at this level?

But then a picture of a pathological slide appeared in front of the camera, and Professor Ge's voice came again.

"Comrades, this is the "biopsy" report I did on the patient's bone overnight last night. You can take a closer look. This protrusion is not normal bone tissue."

Many people frowned and thought, if this is not bone tissue, what is it?

Professor Meng Yushu, Professor Fang Bing and Professor Cao Lichun, these three competitors are eager to put their faces on the TV screen.

"Yes, this is not normal bone tissue, but after the bone tissue has been absorbed, it is replaced by homogeneous spindle cell fibrous tissue and poorly developed reticular bone trabeculae. I guess it may be immature reticular bone bone.

It is caused by arrested maturation or poor differentiation of the mesenchyme that makes up bone.”

Once this conclusion comes out, the diagnosis of "osteofibroma" originally supported by most people will be overturned.

Meng Yushu was obviously not convinced: "If it's not fibroma, then what is it? Is there any diagnosis in the book that is more consistent with the current status of the disease than fibroma?"

An expert nearby reminded: "Maybe this is a new, unrecognized disease?"

"Ha, Ge Minghua can discover a new disease? Are you kidding me?"

Professor Fang Bing was obviously not convinced either.

A professor from Peking University next to him said angrily:

"Lao Ge even took out the pathological slides. This is the evidence. If you understand it so well, you must be sure it is osteofibroma? Everyone has remembered it. Look at the clear diagnosis given by these two people."

Another professor from Peking University Hospital also sarcastically said:

"Lao Meng, Lao Fang, you two are awesome. After all, they have biopsies, auxiliary examinations, and operations on site. Do you doctors from other hospitals understand this? Come on, come on, tell us your diagnostic basis and differential diagnosis.

What is it?"

This is the home stadium of Peking University Hospital. Most experts and professors from Peking University Hospital come here. Of course, our own people are helping our own people.

Perhaps it is jealousy that changes people beyond recognition, but now Professor Fang Bing is dissatisfied both mentally and verbally:

"Okay, let's see how Lao Ge performs the surgery. Whether it's bone or not, this thing is in front of him. How does he cut it? If he cuts off this part of the deformed and protruding bone,

Without bones, who will protect the intracranial tissue?"

"Yes, yes, what Lao Fang said makes sense."

"The operation cannot be performed unless the bone is removed. If the bone is removed, the brain stem will not be protected. A slight bump or bump in the future may cause the patient's brain stem to be damaged and die."

To put it this way, the skull is the hardest of all bones.

After many corpses have decomposed for many years, or during archeology, the bones of the tomb owner have long since rotted away, but the skull or part of the long bones are often left behind.

It is because the skull is the strongest and cannot be damaged easily. There is an old saying called "head iron" to describe a stubborn species.

Nature creates all things for a reason. The reason why the skull is made so strong has four functions.

The first and most important role is to protect brain tissue.

The human brain tissue is soft and tender and is easily damaged by external force impact, while the skull is a hard protective shell that can prevent external force from damaging the intracranial brain tissue;

The second function is to maintain intracranial pressure.

After the skull is molded, the internal space is relatively closed and fixed, which can ensure that the internal pressure is relatively stable and will not change due to changes in atmospheric pressure.

For example, when taking an elevator, flying, climbing, or diving, if there is no stable intracranial pressure, the scalp will be affected by atmospheric pressure and the shape of the skull will change.

If your head is round for a while, long for a while, and flat for a while, this is not a question of whether you look good or not, but a question of whether you are going to die.

The third function is that there are many small holes at the base of the skull, and each small hole has nerves and blood vessels passing through it to communicate with the internal and external structures of the skull.

The fourth function is easier to understand. The shape of the skull is also part of the appearance and is the basis for maintaining a good face. If the skull is rounder, the head shape will be better-looking.

For example, before the plastic surgery, the chin was so wide and ugly, but after the bone reduction surgery, the chin became more pointed and more beautiful. This is the importance of bones.

The brain is the headquarters of the human body, so the skull is the garrison that protects the headquarters.

Then you can imagine, if the garrison protecting the headquarters is gone and the city gate is opened, what will happen to the headquarters? The enemy will definitely go straight to Huanglong.

If you were a patient, it would be one word: death!

This chapter is not over yet, please click on the next page to continue reading the exciting content! This is one of the reasons why everyone is not optimistic about this surgery.

The "bone" now placed in front of the surgeon looks like an upside-down bowl.

But it is obvious that Chen Qi is not an ordinary doctor. The operation he needs to perform now is to remove the inverted bowl.

Last night, Chen Qi had used the most advanced Siemens Force CT to conduct a comprehensive scan and three-dimensional structural reconstruction, and he had a clear picture of the situation under the bones.

So Chen Qi decisively picked up the "craniotomy electric saw" specially designed for brain surgery and began to cut the bones.

"Squeak~~~kakaka~~~~"

The sound of a chainsaw cutting bones sounded from the operating room.

People in the multimedia classroom couldn't understand. Everyone covered their mouths and discussed:

"This old Ge is really crazy. He really cut his skull?"

"Didn't Lao Ge say that this is not a real skull, but a kind of bone?"

"It doesn't matter what the bone is. If this bone is gone, what will happen to the little patient's brain tissue next?"

Meng Yushu was overjoyed, and deeply agreed with Ge Minghua's "adventurous" behavior, and watched how he overturned.

Even some professors from Peking University are discussing privately: "Cutting the bone is just the beginning of the operation. We don't know what it will look like inside. It's too easy to have an accident."

In the operating room, Professor Ge was so anxious that the corners of his mouth were blistered.

I yelled in my heart: What kind of trouble is this? Oh my God, this is going to kill people.

He really wanted to ask Chen Qi, how did you really cut off the bones? The cut bones couldn't be put back. Did you use water to glue them? If there were no bones, wouldn't the city gate be open?

Professor Ge did not dare to ask in front of the live broadcast camera, so he could only keep gesturing to Chen Qi with his eyes, trying to get a hint.

But his eyes were blinking red, and Chen Qiniao ignored him and concentrated on the operation.

About half an hour later, as the chainsaw head suddenly fell, the circumferential cutting was completed, and the protruding abnormal "bone" was finally cut off.

The next step is to open the lid of the bowl.

Now comes the most exciting part of revealing the secret, what exactly is here?

Everyone in the operating room, including the anesthetist and nurses, all stretched their heads.

Chen Qi himself was very curious, so he held the cut bone with his left hand, and then slowly opened it with a swish like an upside-down bowl.

Then everyone screamed in surprise.

Chen Qi and Professor Ge looked at each other. Chen Qi was okay anyway, but Professor Ge's eyes were filled with despair.

At this time, everyone in the multimedia classroom also expressed regret after seeing it.

Several brain surgeons are already doing popular science:

"This looks like intracranial hemangioblastoma. Now Professor Ge will be in trouble..."

"Intracranial hemangioblastoma is too much for our brain surgeons to handle, and plastic surgeon Ge Minghua cannot handle it at all..."

"This operation is going to be overturned. It will definitely not go on, but all the bones have been removed. It's a pity..."

There were many experts from other disciplines nearby who also asked:

"Tell me, what is intracranial hemangioblastoma? Why do you all look like you are sighing?"

At this time, Professor He from the Neurosurgery Department of Peking University First Hospital stood up and gave everyone popular science:

"Cerebral hemangioblastoma, also known as hemangioreticuloma, is generally benign and a vasculogenic non-encapsulated tumor. It mainly affects young adults and is relatively rare clinically.

The tumor you see is the most complex brainstem hemangioblastoma.

Everyone knows that the brainstem itself has special functions and the risks of surgery are extremely high. Important complications such as hemiplegia and coma are very likely to occur after surgery.

In addition, there are many important nerves and blood vessels around the brainstem, including the trigeminal nerve, facial nerve, posterior cranial nerves, etc. A slight mistake in the operation can cause neurological dysfunction.

The young patient already suffers from insomnia, loss of sense of smell, hearing loss and other neurological damage. If surgery is not performed in time, it is likely to cause further damage to neurological function until it is life-threatening.
Chapter completed!
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