Practicing Medical Skills in a Small Clinic novel Chapter 723

Chapter 723: Chapter 334: Transverse Intestinal Tumor, the Doctor’s Decision (Part 2)

There might also be an occurrence of intestinal torsion.

The patient is currently under general anesthesia.

Normally, if it’s just a regular colonoscopy, there’s actually no need for anesthesia.

Only painless colonoscopies generally require general anesthesia, and the preoperative assessment requirements are much higher.

There are two types of people who choose painless colonoscopy: one is those who fear pain and opt for general anesthesia, and the other is those whom doctors predict might have something like intestinal polyps, which can be removed along with the colonoscopy.

This patient belongs to the latter category.

"It seems like there’s bleeding."

Li Jingsheng felt a tightness in his chest, and his expression became even more serious.

Xiao Linlin was closely watching the screen.

A mountain-like tumor appeared in view.

"This tumor is growing laterally, and its proliferation is particularly strong. It is rapidly expanding in this direction. There is an ulcer point on the tumor, and it’s currently bleeding."

Li Jingsheng reported on his findings.

Xiao Linlin had already seen it.

"Has it turned malignant yet?"

She was somewhat uncertain and asked for Li Jingsheng’s opinion.

"I feel it hasn’t turned malignant yet, but the probability of malignancy for this type of tumor is very high. Normally, an intestinal tumor might take three to five years or even longer to turn malignant. However, this tumor is very invasive, its evil nature is exposed, and if not operated on in time, it will definitely turn malignant in a very short period."

As Li Jingsheng’s clinical experience increased, he became more precise in predicting various types of tumors.

If not extremely precise, it’s at least pretty close.

He’s especially skilled with bone tumors.

Basically, just by touching, he can know the nature of a tumor.

The Bone Touching Skill is advancing to the next level, currently at a well-honed stage.

In fact, knowing the general nature of a tumor just by feeling through the skin isn’t exclusive to him. Many experienced experts possess this skill.

Especially experts in thyroid and breast departments, due to frequently encountering patients with thyroid tumors, nodules, breast hyperplasia, and nodules, can basically determine the type just by feeling.

"It should still be possible to operate on it now. Although the boundaries are unclear, it seems their infiltration depth into the intestine is very shallow. It should only have infiltrated up to the mucosal layer and submucosal layer at this point, not yet reaching the muscle layer. Surgery should be able to thoroughly clear it."

The intestine has four layers.

The innermost two layers are the mucosal layer and submucosal layer.

Lymph and blood vessels are densely packed in the submucosal layer.

This tumor’s rapid proliferation requires a large intake of nutrients.

It was precisely the nutrients absorbed from the submucosal layer that accelerated its proliferation, causing it to expand fiercely toward both ends and infiltrate deeper into the intestine.

If this colonoscopy wasn’t performed this time, this tumor would soon become malignant.

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