Chapter 1060 - 1022: Rare Giant Tumor
Chapter 1060 - 1022: Rare Giant Tumor
Lin Jie finished listening to Dr. Skeller's presentation, and it was already close to twelve noon, mainly because the interaction time between Dr. Skeller and these graduates was too long.As the editor-in-chief of one of the four major international medical authoritative journals, Dr. Skeller's abilities are beyond doubt.
Her comments on current medical research are quite spot-on, and her insights into the future development of medicine are profound.
This made the newly graduated students deeply impressed, and it further ignited their great enthusiasm to actively interact with Dr. Skeller.
Dr. Skeller seemed to be infected as well, answering questions and engaging in discussions with great interest.
Finally, when Lin Jie communicated alone with Dr. Skeller and thanked her for her hard work, Dr. Skeller told him that she sensed professionalism, passion, and enthusiasm from this group of newly graduated medical students.
She is full of confidence in the future of Chinese Medicine.
In a good mood, Lin Jie, after having lunch with An Kexin and others, returned to the Affiliated Hospital, and it was already close to two o'clock in the afternoon.
Song Licheng, upon receiving the news, immediately came to report Wang Changming's physical examination results.
"Teacher, this is the largest tumor I've ever seen, it's truly astonishing!"
Song Licheng spoke excitedly: "The MRI images show that the patient's entire abdominal cavity is basically filled with the tumor, measuring approximately twenty by fifteen centimeters."
"It's like a large pancake covering the patient's intestines, pancreas, stomach, and several other organs."
"I'm extremely surprised that the patient didn't feel much discomfort."
Lin Jie looked at the images in his hand and spoke softly: "Currently, this tumor is nothing more than an extra thick layer of fat for the patient."
"For patients with a constantly bulging belly, not feeling anything is possible for now."
He flipped through a few images, frowned slightly, and asked: "Has the biopsy report come out?"
"It has!"
Song Licheng handed a report to Lin Jie and said: "Teacher, it has been confirmed to be a benign lymphangioma."
"This is considered the greatest news."
Lymphangiomas are a type of vascular tumor formed mainly due to lymphatic obstruction causing lymphatic expansion, leading to a continuous accumulation of lymph, resulting in a cystic lesion.
These tumors are generally benign, but such a large tumor like Wang Changming's is still quite rare.
Lin Jie finished reviewing the examination data, pondered, and said: "From the images, the patient's stomach, pancreas, intestines, and several other organs are all being compressed by the tumor, which has also started to press on the intestines, gallbladder, and liver."
"According to my inference, this tumor should already be adhered to the intestines and might have invaded the stomach, gallbladder, pancreas, and other organs; the surgical volume should be significant!"
"Whipple surgery?" Song Licheng asked excitedly.
Whipple surgery is a medical term referring to a highly complicated and challenging abdominal and gastrointestinal surgery.
The surgeon not only has to remove the tumor and diseased tissue but also reconstruct and reconnect various organs, which is equivalent to rearranging the patient's abdominal organs.
Lin Jie nodded and said: "There is a high possibility of such a situation."
"Conduct further examinations to confirm. Also, draft a surgical plan for me."
"Yes, Teacher!"
With the task assigned, Song Licheng cheerfully ran out.
Ten minutes later, Chen Shi came to Lin Jie's office and asked: "Is the research topic for the graduation thesis completed successfully?"
Lin Jie responded with a hum and said: "The results of animal experiments and the surgical outcomes of those five patients are quite satisfactory."
"The students are helping to write the completion report, and the thesis should be finished by mid-month."
Chen Shi laughed and said: "I have no doubts about the quality of the thesis."
"Lin Jie, you wouldn't believe it, but recently, many colleagues have been getting close to me, trying to establish connections, with the implication that they want to be your thesis defense instructor."
"This bunch of folks just wants to benefit from you."
Saying this, Chen Shi took a sip of tea and asked: "Have you set the surgery date for the lymphangioma patient you just accepted?"
Lin Jie shook his head and said: "Not yet, further examination is needed to determine the surgical plan."
Chen Shi shook his head and laughed lightly: "With your nearly omnipotent capabilities, even if you encounter the most complex scenarios in Whipple surgery upon opening the patient's abdomen, you could handle it to perfection, right?"
"Do you really need to specially determine the surgical plan? You probably just want to train the students, don't you?"
Lin Jie chuckled in acknowledgment.
Whipple surgery, as a relatively mature research subject with operational guidelines, mainly has complexities in abdominal multi-organ comprehensive management.
To Lin Jie, it's not considered much of a challenge.
"Lin Jie, you shouldn't only think about taking care of your own students, should you?"
Chen Shi warmly smiled and said: "You're still my student, after all."
"I'm the chief physician of the General Surgery department at the hospital, overseeing a group of students and interns; you should let me, the instructor, benefit as well, right?"
"This should be a very rare Whipple surgery."
Lin Jie understood his implication and smiled: "Alright, Professor Chen, I will organize this surgery as an open teaching surgery."
He remarked with a sigh, "I have quite a lot on my plate now, and I'll be taking on fewer external surgeries. Plus, with Anlin Hospital opening in two months, I probably won't have many surgeries at the Affiliated Hospital either."
"Consider it a farewell and a thank you to the Affiliated Hospital!"
Hearing this, Chen Shi felt a sense of loss.
With Lin Jie around, no matter how complex the problems encountered at work, consulting Lin Jie would always yield effective solutions.
It could be said, Lin Jie was like a stabilizing anchor; having him around kept everyone calm.
This wasn't just Chen Shi's feeling, many doctors had shared similar sentiments with him.
The feeling of having someone to rely on can indeed be addicting.
Chen Shi sighed inwardly and then said, "Lin Jie, coincidentally, I also just received a patient with a giant abdominal tumor."
"Can you take a look at it?"
Well-prepared, Chen Shi handed a medical record to Lin Jie.
Lin Jie had just glanced through the medical record when he couldn't help but widen his eyes.
Darn, this tumor is really quite large, much larger than Wang Changming's, with a diameter of thirty-five centimeters.
"The patient is a seventeen-year-old girl!"
Chen Shi introduced with some sighing, "Initially, the girl thought she was pregnant and was afraid to tell her family."
"So she kept it hidden, but as her belly grew larger and the spring came, clothing became lighter, and she couldn't hide it anymore. Her family discovered it and brought her to the hospital for an examination."
"That's how they found out she wasn't pregnant but had such a large tumor in her abdomen."
"Lin Jie, this tumor is very dangerous."
Lin Jie nodded in agreement after looking through the medical record.
The surgical difficulty and risk of this tumor far exceed that of Wang Changming's tumor.
This girl's tumor was an exceptionally rare hepatic hemangioma!
This tumor was so massive it had invaded most of the liver and severely compressed the stomach, kidneys, intestines, and other organs, almost taking over the space of other organs entirely.
The girl's huge tumor made it extremely difficult to expose the porta hepatis, and being a hemangioma, there was a high risk of massive bleeding during surgery.
If there's any carelessness, the patient might not even make it off the operating table.
Moreover, post-operative complications such as bleeding, bile leakage, infection, liver failure, and coagulation disorders could also threaten the patient's life at any time.
Lin Jie closed the medical record and asked, "Professor Chen, are you asking me to take on this operation?"
Chen Shi nodded and said, "Only your expertise can ensure the patient won't have any unforeseen complications during the surgery."
"Oh, I forgot to tell you, the latest examination of that teacher Huang showed no signs of cancer metastasis, your surgery was a complete success."
Lin Jie, uninterested, replied, "It's still too early to make such a claim, at least wait a month before saying that."
"Did his son's surgery happen?"
"It did! Dr. Lei was the chief surgeon!"
Chen Shi tentatively asked again, "Lin Jie, is it really impossible to include both of them in your experimental treatment?"
Lin Jie sighed softly and said, "Professor Chen, it's not that I'm unsympathetic; it's just that I'm stretched too thin already."
"The dozens of patients from the military are already overwhelming me."
This was the truth, not an excuse.
Reviewing so many patients' medical records daily, recording and analyzing each tumor's growth, and adjusting treatment plans based on each patient's condition—all of this could only be done by Lin Jie alone.
In recent times, Lin Jie clearly felt that he was constantly mentally exhausted.
Chen Shi sighed and said, "I understand."
"Such a large research project primarily handled by you, with experimental patients having such unique backgrounds, the pressure is unimaginable."
"Your main focus now should be on your research project. The sooner there are research results, the sooner more tumor patients can benefit."
"I shouldn't have troubled you with this patient."
Saying this, Chen Shi picked up the girl's medical records, preparing to leave.
But Lin Jie reached out to hold the medical record, smiling: "I'll take this case."
He further explained, "Professor Chen, don't overthink it. Those patients in the annex tire me mentally."
"But stepping into the operating room for such tumor removal surgeries, without needing much mental exertion, is like a mental and physical release; it lets me enjoy the pure pleasure of surgery without distraction."
"Moreover, such a huge tumor is a rare opportunity not to be missed."
These words somewhat pained Chen Shi.
What others find extraordinarily challenging and pressurizing seems to be mere relaxation and enjoyment to Lin Jie.
The difference, truly, is indescribable...
Phi-Fic