Practicing Medical Skills in a Small Clinic novel Chapter 725

Chapter 725: Chapter 335: Dual Tumors, Another Warm Little Family Takes Shape

In this case, if there is indeed a problem in the patient’s ileum, a vibrant life might soon be taken by colon cancer.

She couldn’t bear it in her heart, and would feel guilty and regretful for life.

Doctors are accustomed to seeing life and death, but it doesn’t mean they are really cold-hearted.

"Let’s check! Be extremely careful!"

After a brief consideration, Xiao Linlin finally agreed to let Li Jingsheng continue to investigate.

"Alright!"

Li Jingsheng showed a delighted smile.

It’s not that he hoped for the patient to have a condition, but having already diagnosed a possible issue, he felt he owed it to the patient if not investigated. He would feel guilty about the white coat he wore.

Initially, medical staff chose to wear the white armor not only for hygiene but also for its sacred and noble implication.

In the presence of disease demons, ordinary people have no power to resist.

They can only rely on medical staff to save their lives.

He maneuvered the endoscope, cautiously bypassing the bend and then entered the ileum segment.

Things obviously began to narrow here.

The endoscope couldn’t examine the entire ileum.

Now, the hope was to quickly find the lesion.

He spotted a second strand of blood, then a third, a fourth. He was getting closer to the bleeding point.

Finally, a very small tumor came into view.

Not much larger than a soybean.

Clinically, tumors under 1cm are referred to as microtumors. As long as the doctor believes there’s no possibility of malignancy, they won’t be treated.

"The endoscope equipment has already circled it in red."

Nurse Tang said with a tone of surprise from the side.

Today’s endoscope equipment is increasingly advanced; through comprehensive judgments, it considers the likelihood of a malignant tumor and automatically circles it in red as a reminder.

The intention is to prevent careless doctors from overlooking malignant tumors.

"Dr. Li, lucky you insisted, otherwise we might have missed a big issue."

At this moment, Xiao Linlin acknowledged Li Jingsheng.

She truly didn’t expect two tumors inside this patient’s intestines.

"Darn, the large tumor previously discovered in the colonic segment might likely be a metastasis from this tumor."

As she seemed to realize something, her face changed promptly.

The newly discovered tumor isn’t large, yet its surface looks somewhat ’rugged’. Whenever tumors show such irregularity, unevenness, and bleeding, the situation is often very unfavorable.

The probability of malignancy is alarmingly high.

Not to say 100%, but at least over 95%.

"How about I first take cell tissue for a biopsy? It might also be carcinoma in situ."

Clinically, adenocarcinoma is more dreadful.

It’s almost equated with death.

Just look at those rapidly dying gastric and colorectal cancer patients.

However, there are exceptions.

Thyroid tumors, even at a late stage, still have a chance of being cured completely.

Thus, this can’t be compared individually, and carcinoma in situ is divided into squamous carcinoma in situ, adenocarcinoma in situ, and so on.

In a nutshell, the earlier cancer is detected, the more beneficial, many can be cured.

"This is all we can do for now. Let’s make a colon segment mark, convenient for surgical operation. This sister is really unfortunate, to find two tumors in her intestines. One of them even might already be malignant, alas! Truly heartbreaking."

Xiao Linlin agreed with Li Jingsheng’s proposal.

If it were polyps, they could have easily been removed.

But for these two tumors, they’re not to be tampered with casually. It’s still most prudent to have them handled by professional surgeons.

First, take the specimen for a pathological biopsy, which is beneficial for creating a surgical plan.

After completing the endoscopy, Li Jingsheng felt very sympathetic toward this female patient. Her age wasn’t particularly old, yet tumors had been found twice during her life.

This also led Li Jingsheng to ponder deeply.

Is there a connection between the tumor discovered now and the one removed from the abdomen years ago?

No one could say for certain.

When the biopsy results come out, it might draw some conclusions.

If it’s the same type of tumor, it implies some connection.

Only... theoretically, benign tumors shouldn’t spread or proliferate! Even if they do, it would be very slow.

Could benign become malignant?

Before performing the endoscopy, he reviewed the patient’s examination data and could confirm no tumors were temporarily found within the abdominal cavity.

"Your endoscopy skills have remarkably improved. Next time with tough cases, I’ll come to you!"

Xiao Linlin complimented him with a smile after coming out.

Initially, she intended for Li Jingsheng to comply, yet ironically it was she who ended up impressed.

"No problem. See you!"

Li Jingsheng waved his hand, summarizing the gain from this endoscopy in his mind.

Fate is intriguing, feeling like there’s an invisible large hand pushing him forward.

Never did he dream of having such a great development opportunity in endoscopy.

He’d been mingling in the gastroenterology department of the First Hospital before; not to mention the high-level task of endoscopy, he didn’t even get a chance at assisting during consult with a professor.

Now, he has finally made his way through, having weathered the storm.

Back in the clinic room, five of his subordinate doctors were already neatly in place.

"I wasn’t late, was I?"

Li Jingsheng asked Li Li.

"Not late, you’re just on time! I just registered the first patient."

She replied with a smile.

Jokingly, Li Jingsheng was the leader of the Bone Setting Clinic, not to mention being slightly late, even if by half an hour, Li Li would cover up for him.

"Mr. Tian, you’re really lucky. Just registered, and here comes our Dr. Li. Please go in!"

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