Chapter 863 The Bones on the Belly (Leader Cws6682 Plus 4)

Yu Jianshui was startled for a moment, and then he was overjoyed.

At this time, as long as someone says that it is not cancer metastasis, he is willing to believe it. It's just that Boss Zheng's words seem to be a little stronger.

"Boss Zheng, Boss Zheng, what do you suspect?" Yu Jianshui asked eagerly.

"Promise." Su Yun gave him a contemptuous glance and said.

"I think it's heterotopic ossification." Zheng Ren said.

"Doesn't heterotopic ossification often appear near large joints?" Su Yun asked with a frown.

Yu Jianshui knew the term heterotopic ossification, but that was something to review before the exam. In clinical practice, for a urologist, it is rare...he has never been exposed to the disease of heterotopic ossification.

He tried hard to recall what is heterotopic ossification.

"Didn't you say it all, it often occurs near large joints, such as hip and elbow joints. But there are also rare events that occur in other positions, such as the patient in front of me." Zheng Ren shook the CT in his hand. Pian Zi smiled and said, "Don't worry, Mr. Yu, it's fine."

Seeing Zheng Ren's affirmation, Yu Jianshui smiled very relaxedly.

Heterotopic ossification refers to the appearance of osteoblasts in soft tissues, which form bone tissue. Yu Jianshui recalled the definition of this term. If it is heterotopic ossification, many difficulties can be explained. For example, CT looks like local calcification.

But... the incision and heterotopic ossification sound unreliable.

"Boss Zheng, how did this heterotopic ossification form?" Yu Jianshui asked in a low voice.

"The triggering factors may be nerve and bioelectrical factors, but until now, there is no definite statement." Zheng Rendao: "Most of these changes will appear near the large joints, which begin with redness, swelling, heat and pain, and finally after bone formation , leading to joint mobility impairment.”

"In fibrous connective tissue, primitive cells proliferate actively accompanied by rich capillary network, calcium salt deposition, and form bone. Mature heterotopic ossification has a bone structure, the outer layer is wrapped with fibrous connective tissue, and the inside is osteoblasts, which have Trabecular knots and osteoid tissue, with active primitive cells in the center." Zheng Ren pointed to the film and said, "The image in the film is exactly the same as the definition of heterotopic ossification."

"Boss, it's useless for you to say so much." Su Yun breathed out, his black hair fluttering, "Isn't it just to cut it off for pathology?"

"No." Zheng Ren said firmly.

"..."

"..."

Both Su Yun and Yu Jianshui were taken aback.

Generally speaking, the gold standard for judging whether an abnormal hyperplasia is a malignant tumor is pathological diagnosis. If in doubt, a biopsy will be done and sent to pathology for diagnosis.

This is already a clinical fixed thinking.

Why did Zheng Ren say no?

"Heterotopic ossification, which was first recognized in large numbers during World War I. Blast injury, spinal cord injury, was thought to be the cause of heterotopic ossification. But subsequent studies showed that it was only Part of it."

"Urinary tract infection is also one of the causes." Zheng Ren said: "The specific mechanism is not yet clear, it's just a guess."

Su Yun sighed. Judging from the existing medical science, there is no definitive conclusion for many diseases. In other words, there are big minefields everywhere, and you may be crushed if you step on it.

Heterotopic ossification is still good, although incision ossification is extremely rare, but it will not cause death of the patient.

If it's really that kind of menacing disease, such as the vicious high fever encountered by the boss...

The more I thought about it, the more tired I became, Su Yun sighed and said, "Boss, why don't you want to do it anymore."

"Because you know a lot and have a lot of contact, so the unknown is..."

"Stop, don't feed me chicken soup." Su Yun raised his hand and said, "You haven't said why you can't cut it."

"It is still in the osteogenesis stage. If it is cut off, it will grow again. It will take 9-12 months or the ossification is mature and the ossification is still. After the operation, etidronate disodium is used orally for one year. OK."

"At the cellular level?" Su Yun asked

"Guess so."

"Can you rely on some clues?"

"The research institution has no conclusions, and I haven't read the materials that are generally recognized as useful." Zheng Ren was also very helpless, and put up the film.

"Mr. Yu, please speak to Director Miao." Zheng Ren said, "If it's all right, I'll leave."

"That..." Yu Jianshui hesitated, wanted to say something, but found it difficult.

"The film is very clear, don't worry." Zheng Ren knew what he was pondering, smiled and patted Yu Jianshui on the shoulder, comforting him.

"It won't delay the illness." Yu Jianshui whispered.

"You don't understand the words." Su Yun was displeased, and directly confronted him, "It's all right, what's the delay? Are you hoping it's a tumor?"

"Brother Yun..." Yu Jianshui said hastily, "Isn't this really scary?"

"No." Zheng Ren said with a smile: "If you care about it, you will be in chaos. If you see patients from other departments, or see them in the outpatient clinic, I believe you can give a correct diagnosis."

After finishing speaking, Zheng Ren opened the door of the duty room and walked out.

Mr. Yu didn't leave, he was silent for a while, picked up his phone and called Director Miao.

"Director, I just met Boss Zheng and asked him to take a look at the film."

"Yeah, it happened by chance."

"Boss Zheng said it was heterotopic ossification."

"Oh, Director Chu thinks so too? That's good, that's good."

"Okay, we'll talk about it when you come back." Yu Jianshui hung up the phone, staring at the film bag in a daze.

Boss Zheng and Director Chu have the same opinion, that's good, that's good.

The patient's condition recovered very well, there was no other organ metastasis, and the blood urea nitrogen and creatinine were not high.

If incision planting transfer is excluded, then there is hope for survival of more than 5 years, and it can even be said that there is great hope.

No problem, that's good.

Mr. Yu heaved a sigh of relief, this day, he scared himself enough. Yesterday the patient came for a reexamination, and what he took was a local film. Director Miao was worried about the resolution and asked the patient to do one on this side.

From the time of the operation, Director Miao took the patient for examination, he has been very uneasy, but now he is finally relieved.

It's okay, it's fine.

But find time to treat Boss Zheng to a meal, let's get in touch, Yu Jianshui thought. Looking up and seeing down, there is something I can't do, and I still point to Boss Zheng to help me next time.

Not counting this time, Yu Jianshui inquired about the incident of malignant hyperthermia in the operating room. According to Director Xu of the Anesthesiology Department, if Boss Zheng wasn't there and he presided over the rescue, it wouldn't be so perfect.

Boss Zheng seemed to have personally experienced the successful rescue of malignant hyperthermia. Afterwards, everyone recalled that Boss Zheng could indeed be busy and not chaotic. Every order is extremely targeted.

This kind of person should have a better relationship with him.

Yu Jianshui secretly made up his mind.