radicalducati Chapter 703
Chapter 703
Although Lin Feng said that he was not sure whether it was lung cancer, he was more sure in his heart.
At this age, coughing and coughing up blood, chest CT also saw a mass in the lung, most of which were lung cancer.
Moreover, the patient also has a low-grade fever, perhaps a secondary infection.
Anyway.
Let's stay in the hospital for further observation!
The patient's wife is also very cooperative.
After completing the wishful procedures, Lin Feng began to arrange for the patient to improve various blood tests, including blood routine, liver and kidney function, electrolytes, coagulation indicators, tumor indicators and so on.
After all, he still thinks that the possibility of patients having lung cancer is relatively high.
CT looks like lung cancer is still different from ordinary pneumonia and tuberculosis.
......
About two hours...
The results of these tests are in.
All tumor indicators turned out to be normal.
Of course, even if the patient has lung cancer, the tumor index is not 100% elevated, and there are many tumor patients whose tumor markers are normal, and the possibility of lung cancer cannot be ruled out because the tumor markers are normal.
At this time, the doctor next to him whispered to Lin Feng: "Doctor Lin, there is no problem with the examination." The patient has a little fever, and the blood routine is also high in the white blood cell count, will the patient be pneumonia, lung abscess and other conditions? "
"Not a lung abscess!" Lin Feng shook his head and whispered: "Typical lung abscess is not like this, typical lung abscess will have high fever, high blood white blood cell count, patients will cough, how thick phlegm!" "
"Could that be tuberculosis?" Doctor Guan Pei continued to ask.
The most common symptoms of typical tuberculosis are coughing up blood, as well as fever, fatigue, night sweats, and so on. The patient has a low-grade fever these days, and the possibility of tuberculosis cannot be easily ruled out. But CT doesn't look like tuberculosis! In addition, repeated sputum smears did not find acid-fast bacilli, not much like tuberculosis.
But Lin Feng could not rule out tuberculosis, and then shook his head and said: "Let's review another chest CT!" This time, a chest CT scan was done with contrast scan. "
If the patient has lung cancer, then the tumor will have abundant blood vessels. "
However, when the patient's wife learned that the patient had already done CT and needed to do CT again, she asked Lin Feng with a puzzled face: "If CT enhancement is so good, why not do it at the beginning, but do it now?" "
Faced with this problem, Lin Feng explained softly: "CT enhancement is much more troublesome than CT plain scanning, first of all, the patient must be injected with contrast agent, and secondly, the price is doubled. And a small number of patients may be allergic to the contrast agent, and the contrast agent will damage the kidneys, so under normal circumstances, we will not directly let the patient do CT enhancement! "
After listening to Lin Feng's explanation, the patient's wife also understood.
Also agreed to do CT enhancement.
Finally, the patient signs and agrees to have a CT scan with contrast.
Lin Feng's side also arranged it very quickly.
In the afternoon, the results of the CT enhancement came in.
It is only written that lung cancer may be suspected, and it is recommended to further combine it clinically.
Lin Feng himself watched the film himself.
It does look like lung cancer, but before there is no pathology, no one dares to diagnose the patient as lung cancer.
After all, CT enhancement is only an auxiliary examination, and the diagnosis of lung cancer should be cautious, and if it is misdiagnosed, it will be a big trouble.
The patients themselves are also very anxious.
Before the results came out, he kept coming to Lin Feng to understand the situation.
After learning the results, I was even more anxious.
Looking at the patient's anxious look, Lin Feng said: "The results of CT enhancement have come out, and lung cancer is suspected, but it is not certain." "
"Doctor, just tell me the truth! Don't worry, I can afford it! Hearing Lin Feng's uncertain words, the patient thought that he was diagnosed, but he didn't dare to tell him, for fear that he wouldn't be able to bear it.
Hearsay.
Lin Feng smiled, turned on the computer reporting system, and let the patient see for himself. While looking at it, he said: "Oh! Did you see it, it clearly said that lung cancer was suspected. How could I lie to you! Now it's just doubt, not sure. Without pathological tissue examination, there is no way to determine whether it is lung cancer. "
"So how do you get pathological tissue?" The patient asked immediately.
"Lung biopsy!" Lin Feng explained: "Because the lump in your lung is relatively close to your back, we can directly use a needle to pierce through your back, pierce into the lump, clamp a part of the tissue out and take it for testing." If it's a tumor, we'll find cancer cells in it. "
Lin Feng said while gesturing to the patient, when the finger poked the patient's back.
Obviously feeling that the patient was frightened, the whole person was stunned, his throat moved, and his face was livid.
Good for a while.
Only then did the patient come to his senses and said with a tangled face: "Doctor, can you not pierce!" Is there no other way to make it clear? I've been afraid of pain since I was a child, I can't see blood, and if I had surgery, it really was... It's difficult! "
Hearing this and seeing the patient's expression, Lin Feng couldn't laugh or cry.
A lung puncture scares you like this.
In case you are operated on to remove the tumor, it will not kill you!
Of course, Lin Feng did not say this.
Instead, he gently persuaded: "Don't worry, we have anesthesia, you just want to sleep!" "
But no matter how much you persuade, the result has not changed at all!
Then, the patient said directly: "Doctor, I heard that there is a very expensive test, called PET-CT, can it also diagnose tumors?" "
"E~" Lin Feng nodded and said: "PET-CT is non-invasive, which can help determine whether there is distant metastasis of the tumor, and can also help determine whether it is a tumor, but this is not 100% accurate." Moreover, this is a self-funded project, which is very expensive. You may still need a lung puncture for this PET-CT! "
After listening, the patient pondered for a moment, and finally said: "I still decided to do PET-CT!" "
For the patient's choice, Lin Feng will not refuse.
This PET-CT is also clinically meaningful for patients.
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