Kang Hong's words made Dong Haotian feel a little uncomfortable. He turned his head and looked up and down. It was the first time that Kang Hong rejected his point of view. He had no similar experience and could not accept it for a while. However, after all, he was a university professor and had a cultivation. Although he was unhappy, he just nodded and said, "You have rejected us all, can you tell me your point of view?"

Kang Hong said: "Professor Dong, your opinion is quite close to the truth. I think this medical record is a metastasis of intrahepatic metastasis of the huge cyst cancer disease in the liver."

After hearing this, everyone was silent, and everyone was thinking about Kang Hong's judgment.

Dong Haotian said: "Primary tumors usually occur in the ovaries or pancreas. This patient is a male. Dr. Kang's words reminded me that I had had several cases of pancreatic cystic cancer before. Before the operation, imaging showed that intrahepatic cystic space-occupying lesions were reported, so I had this suspicion. Later, after the operation, pancreatic cystic cancer was found with intrahepatic metastasis, which confirmed that the previous suspicion was correct, so I corrected my point of view. The patient should be liver metastatic cystic cancer. Dr. Kang thanked you, you let me find the answer. Although your point of view is still different from mine."

It is already a great gift to Kang Hong for being able to admit his mistake in front of everyone, and the correct answer is obtained by Kang Hong’s reminder. This is already a great face for Kang Hong. Unfortunately, Kang Hong doesn’t take this trick.

Kang Hong continued to say calmly: "This is not liver metastatic cystic cancer, nor is it pancreatic cystic cancer combined with liver metastasis. It is very simple. CT shows that the patient has abnormal pancreatic enzymes, and clinically it shows that he does not have intrahepatic metastasis cancer."

Dong Haotian didn't expect Kang Hong to reject his point of view again, and he couldn't help but say, "Doctor Kang, is this wrong? Is it the only thing that your liver has huge cystic cancer and intrahepatic metastasis is correct?"

"Yes."

"How can I see it?"

Kang Hong said: "Hepatic cystocancer is very rare and many doctors don't know it, so it's not surprising that you don't know it."

These few words make the people who are doing it look at each other. What do you mean? Everyone is drunk but you are awake? You are so arrogant!

Kang Hong said calmly: "I don't mean to underestimate everyone, or this disease is very rare and no one can notice it. There is nothing strange about it. I have also recently reviewed some literature and I know how to identify this disease. Our imaging examination has helped us provide us with clear tumor images to diagnose this tumor. For example, you may not pay attention to B-ultrasound."

Kang Hong said to the technician responsible for displaying optical data: "Please project the patient's B-ultrasound picture onto the screen."

The screen quickly showed the results of B-ultrasound. Kang Hong explained: "The unique characteristics of B-ultrasound are cystic space-occupying lesions in the liver, the thickness of the cystic wall is uneven, the thickness of the cystic wall is shaped like a **-shaped protrusion, irregular bright light balls and scattered light spots float in the capsule, showing mixed echoes, the echo of the back wall is enhanced, and the nearby pipes are pushed and displaced. Please see ct."

The technician also displayed the ct result on the screen.

Kang Hong said: "The flat scan shows a low-density shadow of round or oval in the liver. The cauliflower-shaped mass appears to protrude into the cyst cavity by the right cyst wall. The enhanced scanning cyst wall is irregularly enhanced, with varying thicknesses and different tumors protruding in the cyst wall, which is more clearly displayed."

Kang Hong gave a detailed introduction and finally concluded: "This patient's B-ultrasound and CT were diagnosed as liver cysts. Everyone should take a closer look at the CT tablets. This diagnosis is not true. Because the cyst wall on one side of the huge cyst mass connected to the liver is uneven and has unclear boundaries, which is consistent with the image of liver cyst cancer, which is different from the general liver abscess. Although the difference is very small, because I said that this disease is too rare, the doctors in the laboratory may not be vigilant, and we rely too much on imaging test results, so we unconsciously agree with this result. This is actually wrong."

Because this disease is very rare, the doctors here did not conduct in-depth research. They actually did not know whether the identification Kang Hong said was accurate. Because they did not know the standard answer, they looked at each other, but could not find a basis for refuting it because they did not understand this disease.

Seeing that everyone was embarrassed, Yong Xing'an said, "Xiaokang, sit down."

After Kang Hong sat down, Yong Xing'an said: "This is just his own opinion. Dr. Kang has little clinical experience and may not be accurate. It is for reference only."

Everyone's expressions suddenly became clear. Yes! What are you involved in this little resident? Everyone is wrong? You are the one who is right? This is too underestimating people.

Especially Dr. Jiang, the attending physician of the Department of Gastroenterology, was a little unhappy, but he smiled reluctantly and said: "Dr. Kang's words are really unique, giving us some new ideas, but I don't agree with this view. After all, from the perspective of probability, it is too small to be like this. Treating patients is like marching and fighting. Of course, it is necessary to formulate countermeasures based on the possible conditions of the patient, and not to take countermeasures for situations that will not occur. It is correct to have everything, but it is not possible to grab the eyebrows and beards at once."

His speech was approved by many doctors, and he nodded repeatedly, and Wei Jun and several others looked at Kang Hong with a little ridiculous look.

Duan Rong also smiled and said with a smile: "Yes, I think Dr. Kang's statement is very novel and reasonable. You should consider it carefully. However, I also agree with Director Jiang's words that treatment should start with the patient's most likely disease and formulate countermeasures. You cannot ignore one or the other, nor do you lose the foundation and lose the foundation. I summarized everyone's views today. It seems that most of everyone agree with Professor Dong Haotian's view - it is a kind of polycystic cancer. I also tend to agree with this view. If this is the case, surgical treatment may be required, so..."

He turned his head and looked at Yong Xing'an sitting beside him: "Have the patient transferred to your general surgery department for surgery?"

Yong Xing'an nodded and said, "Yes, I also agree that a diagnosis of polycystic cancer is OK. Let's transfer the patient, we will arrange for immediate surgery and after surgery to investigate. If it is indeed polycystic cancer, then do a cyst window or drainage. Director Chang, you can do this surgery."

His eyes shone at Chang Qiu, who nodded and said, "Okay."

"You can decide on the specific operation members and just choose from your group. Then, the results will be given to the leaders of the gastroenterology department."

"OK."

After the meeting, Chang Qiu came out and called Yao Zhiming and Kang Hong to his office and said, "For this surgery, you two should be my assistant."

Of course, both of them nodded and agreed. Kang Hong said, "Director Chang, there is something I might want to remind you."

"you say."

"I looked up the medical records and I suspect that major blood loss may occur during the operation, because the tumor tissue is extremely fragile. Once it is forced to remove, it will cause continuous bleeding on the wound and it will be difficult to heal. This is a difficult-to-stop major bleeding. I have read similar documents, so we should prepare more blood in the end to prevent it."

Chang Qiu nodded and said, "Okay, go and notify the blood transfusion department and prepare a thousand milliliters."
Chapter completed!