When the Doctor Uses A Hack-Chapter 991 - 993 The King Amongst Cancer (Additional

Chapter 991 -993: The King Amongst Cancer! (Additional release 2 for the great alliance Qingyan Xiaoguan)

Chapter 991 -993: The King Amongst Cancer! (Additional release 2 for the great alliance Qingyan Xiaoguan)

But before the diagnosis was clear,

these words must not be spoken.

Yet, when Chen Cang suggested undergoing Magnetic Resonance Elastography (MRE) for the pancreas, the doctors all understood the implications.

Although the pancreatic MRE technology was not as mature as traditional examinations,

it was a valuable assessment for the pancreas

because of its deep location, irregular shape, and the complex surrounding tissue structures.

Currently, the methods for early diagnosis of pancreatic diseases were not yet perfected.

The traditional CT used at this stage had been proven to lack specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.

Even though the ultrasound and CT scans showed no obvious abnormalities in the pancreas,

Chen Cang felt something was amiss.

Under the four-dimensional imaging, Chen Cang, combining these dozens of CT images, had already begun reconstructing the situation within the abdominal cavity.

The sense of three-dimensionality and spatial awareness continuously overlapped, validating each inspection…

Speaking of which, it was fortunate that the elderly patient had undergone numerous tests, which yielded more than a dozen CT scans.

Additionally, Endoscopic Retrograde Cholangiopancreatography (ERCP) and Magnetic Resonance Cholangiopancreatography (MRCP) provided clear images with excellent detail of the biliary system.

After combining the results of various examinations, he sensed that there were indeed issues with the abdominal ultrasound echoes!

Although Chen Cang only harbored suspicions, they were worth investigating.

Soon, everyone left the patient’s room and returned to the office.

Qin Zhenhong had noticed something off about everyone’s expressions, but he didn’t say much in the patient’s room. Once they were in the meeting room,

he then asked, “Young colleague, what was your suspicion just now? Feel free to speak your mind.”

Chen Cang shook his head, “I just think we should administer a pancreatic examination to rule it out. After all, the main purpose of testing is to eliminate options.”

After hearing this, Qin Zhenhong naturally did not believe Chen Cang’s evasive explanation!

Thinking this, he gave Sun Guangyu a meaningful look.

Understanding the hint, Sun Guangyu couldn’t help saying, “Chen, go ahead and share your diagnosis. Don’t worry, as this is a consultation, everyone should speak freely.”

Hearing this, Chen Cang glanced around at everyone present and couldn’t help saying, “I suspect it’s pancreatic cancer.”

Just one sentence!

The room immediately fell silent.

Qin Zhenhong was taken aback.

This was no joke.

What is pancreatic cancer?

Pancreatic cancer is known as the “king of cancer”!

It’s one of the most malignant tumors with one of the highest disease-related mortality rates.

The 5-year survival rate for stages I-IV of pancreatic cancer is only about 8%.

It’s called the “king of cancer” in the medical community because of its poor prognosis.

Qin Zhenhong didn’t know about the so-called king of cancer, but the mere mention of cancer was troubling.

In their families, the patriarch was the flag-bearer; as long as the patriarch stood, the flag would not fall, and moreover, the patriarch was still a treasure to the country.

So, hearing what Chen Cang said, he was also startled!

The group of directors around him were each furrowing their brows in concern, their eyes full of complexity as they looked at Chen Cang.

But still, someone said, “It would be good to rule it out.”

“Right, Commander Qin, don’t worry, the check-up is certainly aimed at ruling things out. Besides, the current radiological results don’t support that option.”

Yet some straightforwardly stated, “The likelihood is extremely small! There are absolutely no signs of it.”

“Yes, Commander Qin, there’s no need to worry. This young doctor is probably just being cautious, so he suggested this idea, but I think the credibility is very low, almost zero!”

Seeing everyone’s reassurance, Qin Zhenhong breathed a sigh of relief.

Compared to Chen Cang, he was actually more willing to believe these experts.

But!

Chen Cang’s statement lingered in his mind for a long time.

Seeing everyone’s reaction, Chen Cang couldn’t help shaking his head, regretting having spoken at all!

At this time, Sun Guangyu didn’t deny or comfort the others like the rest.

As the expert group’s health care physician, diagnosis and treatment were his responsibilities, so naturally, he could not let his guard down.

He understood Chen Cang and knew that Chen Cang wouldn’t speak without basis.

With that thought, Sun Guangyu directly asked, “Little Chen, tell us what you’re thinking?”

After summarizing, Chen Cang pointed out three things!

“Firstly, the pancreas is located deeply and is small in size, surrounded by no organs that would quickly manifest symptoms due to a pancreatic mass. Other symptoms such as abdominal pain and anorexia are not specific, so early detection of pancreatic cancer is difficult. By the time it’s detected, it’s usually in an advanced stage. I hope to find the cause of the pancreatic issue early to avoid it reaching an advanced stage.”

“Secondly, this disease lacks tumor markers with high specificity and sensitivity. Indeed, the blood test for CA 19-9 is normal, but as a more sensitive marker for pancreas cancer screening, it lacks specificity, and ultrasound and CT lack effective, specific early screening methods for pancreatic cancer.”

“Thirdly, the patient has risk factors. I’ve reviewed the elderly patient’s medical history — long-term smoking, obesity, high blood sugar, and long-term use of statins, which all fit the risk factors. Most importantly, his blood sugar has been uncontrollable recently, which is also one of the considerations.”

Chen Cang’s remarks, from etiology and history of inducing factors, to the current main symptoms, and the difficulties of early screening, were all very thorough in presenting his point of view.

At once!

The room fell silent; even those ready to question Chen Cang stopped speaking.

Sun Guangyu and others couldn’t help but applaud admiringly; such meticulous diagnostic thinking was more impressive than that of the internal medicine doctors present!

Qin Zhenhong’s heart really felt like a roller coaster, one wave had not yet subsided when another wave struck!

What was the feeling he had?

The more he feared something, the more likely it was to happen!

Although he didn’t know who this young man was, Sun Guangyu’s trust in him must have had a reason.

The more he pondered, the more panicked he became.

He felt deeply fearful after giving it some thought.

At this time, Sun Guangyu said, “Let’s just get a check-up; delaying it is of no use.”

So, Sun Guangyu picked up the phone and contacted the radiology department, preparing for a pancreas MRI Elastography (MRE) exam.

The MRE imaging equipment mainly includes a stimulator, an MR imaging system, coils for the body part, and mechanical wave propagation fixation devices (such as plastic connecting tubes, abdominal straps), etc.

The stimulator consists of an active stimulator and a passive one, and these are large-scale inspection devices that have emerged in recent years.

Even provincial hospitals, not to mention local ones, may not have them!

Afterward, Sun Guangyu personally escorted the elderly patient toward the radiology department, with Chen Cang following closely behind.

Soon, the elderly patient was arranged to go in, and everyone waited for the results with bated breath.

Although everyone felt that Chen Cang’s reasoning made sense, still… it was hard to believe that an elderly man without any signs could have pancreatic cancer, wasn’t it?