Come on, Dr. Wu

Chapter 459 Magical Traditional Chinese Medicine?
After careful consideration, he initially made a shocking diagnosis based on the child's age and the results of laboratory tests - undifferentiated embryonal sarcoma of the liver. However, in order to make a final diagnosis, it is necessary to wait for the results of postoperative pathological sections and immunohistochemical examinations to verify it.

Hearing the word "tumor", Mela and others present couldn't help but frown at the same time. After all, in their area, tumor cases are relatively rare, especially for such a young child to suffer from tumors, which is extremely rare.

Meila couldn't help but ask, "Teacher Wu, are you sure?" As soon as she said that, she immediately realized that her way of asking seemed a little inappropriate, so she quickly added, "Please don't get me wrong, I'm not doubting your professional ability. It's just that here, there are really not many children suffering from tumors."

Wu Xiaofu didn't mind and nodded. "It should be fine. Considering the patient's medical history, physical signs and laboratory tests, it is most likely one of these tumors: undifferentiated embryonal sarcoma of the liver, mesenchymal hamartoma of the liver, stem cell tumor, hepatocellular carcinoma and embryonal rhabdomyosarcoma of the liver."

Zheng Hua couldn't help but snort in his heart when he saw the hesitation of the crowd. These foreign doctors still didn't know how powerful Wu Xiaofu was and dared to have doubts. How could they guess how powerful their boss was? It had been so long, when had their boss ever made a mistake in what he said? Moreover, their boss always made statements based on the probability.

In other words, my eldest brother is more likely to have undifferentiated embryonal sarcoma of the liver.

What a boast, he is only the boss of the family. If it were anyone else, who would dare to confirm liver cancer without doing imaging examination? As for confirming the presence of a tumor such as undifferentiated embryonic sarcoma of the liver, to give such a result, Zheng Hua dares to say that no doctor in the world would dare to do so without the puncture pathology results.

He has to be the boss of the family. No matter whether others believe it or not, Zheng Hua has already believed it firmly. Information about undifferentiated embryonal sarcoma of the liver flashed through his mind.

Undifferentiated embryonal sarcoma of the liver is an extremely rare liver tumor. It is like a demon hidden in children's bodies, quietly eroding their fragile bodies.

It prefers to attack young lives, especially children between the ages of 6 and 11. According to detailed data analysis, this terrifying tumor has a highly concentrated trend in terms of age of onset, almost all of which are concentrated in this age group.

It is worth noting that the incidence of this tumor ranks third among primary malignant liver tumors in children, second only to hepatoblastoma and primary hepatocellular carcinoma.

The incidence rate is roughly between 9% and 15%, and regardless of gender, there is no significant difference in the probability of boys and girls being threatened.

In-depth exploration of its origin shows that undifferentiated embryonal sarcoma of the liver originates from the undifferentiated mesenchymal tissue of the liver and is extremely malignant. Once infected with it, the patient's prognosis is often not optimistic.

Children with the disease usually only experience symptoms such as abdominal distension and pain, lacking unique clinical signs and specific laboratory indicators. Because of this, doctors often misdiagnose the disease before surgery.

As for why Wu Xiaofu mentioned diseases such as hepatic mesenchymal hamartoma, hepatoblastoma, hepatocellular carcinoma and hepatic embryonal rhabdomyosarcoma, Zheng Hua said that he could fully understand it.

After all, when writing medical records, these symptoms are exactly the important objects that need to be distinguished from undifferentiated embryonal sarcoma of the liver. Because there are many similarities between them, if they are not clearly distinguished through puncture pathological examination, it is extremely difficult to accurately determine what kind of tumor is causing the problem.

Hepatic mesenchymal hamartoma is the second most common benign space-occupying lesion among liver tumors, and its main occurrence group is infants and young children under 2 years old.

The tumor originates from the mesenchymal tissue of the liver, and particularly prefers to appear in the right lobe of the liver. In terms of its imaging characteristics, it presents a multi-chamber cystic space-occupying state, and many partitions and a small number of soft tissue nodules can be observed inside the cyst. In addition, the cyst wall appears to be relatively thin and the surface is extremely smooth.

After enhanced scanning, it can be found that the septa, nodules and cystic walls are slightly enhanced, but it is worth noting that there is no sign of enhancement in the cystic part.

It has to be said that this unique imaging feature is so similar to undifferentiated embryonal sarcoma of the liver that if I have to describe it, it is exactly the same!
Because of this, if you want to distinguish these two tumors based solely on imaging findings, it is almost impossible to do so! However, nothing is absolute, and perhaps the only basis for making a distinction is the age of onset.

However, it should be remembered that the so-called "frequent occurrence" is only a high probability situation, and it cannot be asserted that there are no other special cases. Therefore, it is obviously unrealistic to draw a final and accurate diagnosis conclusion based solely on this point.

At this moment, Zheng Hua was actually hoping that the child's disease was hepatic mesenchymal hamartoma, because this tumor was benign. However, his elder brother, who had superb medical skills and had never made a mistake, was here, so he did not dare to have too many unrealistic fantasies about this little hope in his heart.

Hepatoblastoma is one of the most common malignant tumors of the liver in children, and the peak incidence is usually before the age of 5. This tumor originates from liver embryonic cells, and when alpha-fetoprotein is tested in patients, its value is often found to be significantly increased.

From the imaging manifestations, it is quite different from undifferentiated embryonal sarcoma of the liver. However, no imaging examinations have been performed at present, so it is impossible to rule out the possibility of this disease. It should be noted that hepatoblastoma is the most common malignant tumor in the liver of children!

At this moment, Zheng Hua thought to himself, "Wu Xiaofu actually ranked it third, so it can be basically concluded that it is unlikely to be this disease. If there is still a glimmer of hope for ranking second, then ranking third is simply impossible."

Since even the possibility of hepatoblastoma, which ranks third, is almost zero, let alone hepatocellular carcinoma, which ranks fourth in Wu Xiaofu's answer, and embryonal rhabdomyosarcoma of the liver, which ranks fifth. They are definitely impossible options.

But no matter what the final diagnosis is, the fact that these are all terrifying tumors cannot be ignored. Faced with such a serious situation, Mela knew that she had to make a decision as soon as possible and could not delay any longer.

Regardless of whether they trusted Wu Xiaofu or not, at this moment, everyone could not help but start to hesitate. After all, Wu Xiaofu had already given the answer. If they turned a deaf ear to it and ignored it, then once a problem occurred, this inaction would most likely lead to serious consequences, and could even be said to be a disregard for life.

Meila clenched her teeth tightly at this moment, thinking secretly in her heart. As we all know, medicine is a subject that focuses on the accumulation of experience, and as a professional trained in medicine, she originally just wanted to give it a try and suggested that Wu Xiaofu diagnose the condition by feeling the pulse.

However, when Wu Xiaofu really diagnosed the disease accurately, Meila became suspicious and could not believe it completely. What was particularly difficult for her was that she would have to convince the patient's family to accept the diagnosis. If she told the patient's family that the disease was a tumor, but it turned out not to be the case, it would be extremely difficult to save the situation.

Mela raised her head and looked at Wu Xiaofu, and instantly felt the strong confidence in his eyes. Then, she recalled all the glorious deeds of Wu Xiaofu: whether it was his outstanding achievements in fighting the Ebola virus or his superb skills in digestive tumor resection surgery, each one was enough to convince people. Thinking of this, Mela nodded secretly, and kept persuading herself in her heart: Yes, he has so many dazzling achievements in front of him, and he should really choose to believe him. After a fierce ideological struggle, Mela finally made up her mind, took a deep breath and said: "Okay, I will go and communicate with the patient's family now!"

At this moment, the family members of the patient are in a dilemma: should they stick to their own beliefs and customs, or save their child’s precious life? This is undoubtedly a difficult choice.

It's just that Wu Xiaofu underestimated these people's insistence on customs. The patient's family directly refused, which made Wu Xiaofu find it difficult to understand these people's stubbornness. How could they ignore the life and death of a child just because of traditional customs?
Mela, who was standing by, also felt very embarrassed. Although this treatment was of a public welfare nature, according to regulations, if the patient firmly disagreed and signed relevant documents requesting discharge, then the hospital had actually fulfilled its obligations.

However, when she gazed at the haggard little girl of only six years old lying on the hospital bed, she couldn't help feeling a deep pity in her heart.

After some thought, Mela decided to take a more direct approach - perform a liver puncture and obtain pathological samples to determine the condition. This method does not require filming, so the patient should not refuse again. Fortunately, the patient did not object this time.

Perhaps people are used to considering such invasive examinations as a last resort, but Mela almost overlooked this due to her habitual thinking.

Fortunately, Wu Xiaofu firmly believed that the little girl's disease was most likely a tumor, so there was no need to hesitate and he went straight to the puncture examination. In this way, not only could the diagnosis result be confirmed as soon as possible, but it could also be used to test whether Wu Xiaofu's judgment was correct.

Is it really worthy of its reputation, or is it unworthy of its reputation?

The puncture biopsy takes time, but Mela has said that it must be expedited, so the pathology was obtained in the morning and the results came out in the afternoon.

"Undifferentiated embryonal sarcoma of the liver!"

From this morning till now, Zheng Hua has revealed Wu Xiaofu's speaking habits to several people. Although he gave so many answers, Wu Xiaofu basically arranged them according to the degree of possibility.

Is Chinese medicine pulse diagnosis really that magical?
If the patient's condition can be determined by taking the pulse, then why is a puncture biopsy necessary? After all, a puncture biopsy is an invasive examination, which is not as simple and cheap as taking the pulse.

Mela suddenly understood why the Ebola virus could not adapt to the local climate in China and was conquered directly.

It turned out that it was not that the Ebola virus was not powerful enough, but that Chinese traditional Chinese medicine was too powerful. Their eyes fell on Wu Xiaofu again. Mela and others no longer had any feelings of disbelief. At this moment, they could only admire him. After all, the ability Wu Xiaofu demonstrated in the morning had surpassed everyone present.

There is an old Chinese saying, "There is no false reputation under a great name!"

The patient's family was also shocked. It turned out to be a tumor. You know, when they heard Mela say that the child had cancer, they simply dismissed it. After all, how could such a young child get cancer? But now the results are out, they are the child's parents after all, and they love their child.

The previous idea of ​​blackmailing the hospital if the examination did not reveal anything was no longer there. Now they just wanted the child to be able to stand up healthily.

The tumor has not yet metastasized, which can be said to be the best time for surgery. Mela looked at Wu Xiaofu.

"Teacher Wu, we heard that you are not only good at Chinese medicine, but also an expert in surgery. I wonder if you can let us learn from you this time."

Wu Xiaofu looked at the child on the hospital bed, hesitated, and nodded.

This time it is the patient's family who agrees, so there should not be any disputes. No matter how good a doctor is, he has to check the medical environment before treatment. Otherwise, why put environmental assessment first when teaching cardiopulmonary resuscitation? It means telling medical staff to check the environment before treatment. Others may not be able to cure the patient, and they will get themselves involved.

Of course, the most important thing is that Wu Xiaofu hasn’t had surgery for a long time, and his hands are really itching.

Surgeons are like this. They feel uncomfortable if they don’t touch a scalpel for a day.

Nodding, Mela and others couldn't help but be overjoyed when they saw this. They wanted to see how good Wu Xiaofu's surgical skills were. After all, Traditional Chinese Medicine is the quintessence of China. It is understandable that Traditional Chinese Medicine is so powerful. Could it be that he can really practice both and be so powerful?

Rumors are just rumors. They want to see it in person. If it is really that amazing, they can learn from it.

"Right hepatic trisegmentectomy under general anesthesia!"

Wu Xiaofu decided on the surgical method directly, but preoperative preparation would still take some time.

During this period of time, the magic of Wu Xiaofu and the magic of traditional Chinese medicine have spread throughout the Meldor Hospital.

(End of this chapter)