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Chapter 728 Tumor
Sun Li'en talked with Tang Min's mother for a long time, but Tang Min's mother was most concerned about only one question - where to get the samples for making genes.

"There are already two big scars on the child's head." Mentioning this, Tang Min's mother became a little emotional.The impact of brain biopsy on people is extremely huge, and the huge risk and uncontrollability of the biopsy process make every biopsy a big gamble.Tang Min's parents are almost using the child's remaining memory, mobility and other valuable abilities as bets on a clear diagnosis. "Since her last biopsy, her right foot has been less flexible..."

"For sampling, blood should be enough. And the amount doesn't need to be too much, about five milliliters." Sun Lien has some preliminary understanding of gene sequencing. Although it is still very superficial, it is used to answer questions for Tang Min's mother. Still enough. "However, taking samples may not be able to obtain valuable clues... I have to make this clear to you."

It is a very inhumane thing to offer false comfort to a desperate mother that will soon be exposed.At the same time, as a doctor, this is also a very unwise and unprofessional behavior.Although it may be cruel, clearly informing the risks and uncontrollable factors in advance can also allow the family members to have a more objective understanding of what is about to happen.

"Genetic testing, on the one hand, is limited by the fact that genetic testing methods are not yet perfect, and there may be some wrong results. If we find any valuable content, we may need to take another sample for a second comparison." Sun Lien explained "On the other hand, if the genetic test does not find any problems... then we may have to continue to observe Tang Min's subsequent changes in symptoms. This process may take a long time."

"How sure are you that you can... figure out what disease she has?" Tang Min's mother asked back, "We have been to many hospitals, and the experts and scholars there were full of confidence at the beginning, but later they were all overwhelmed. Said there was no way..."

"To put it bluntly, diagnosis is a process of repeated trial and error." Sun Lien took out a pack of tissues from his pocket and handed it to Tang Min's mother who was crying silently in front of him. "Although it sounds cruel...but it is the truth. We At present, we are considering from two aspects. One aspect is genetic disease - your brother's sudden vision loss is a clue. The other aspect is tumor. We have also invited experts from the United States to study and sort out the cases. It is estimated that I will get a preliminary opinion soon. But if you ask me about my certainty..." Sun Lien paused, then shook his head and said, "Less than three points."

Sun Li'en couldn't tell which situation was more cruel - a little girl who got a brain tumor at the age of seven, or a little girl who was diagnosed with a genetic disease at the age of seven.But blaming others or feeling sorry for yourself is not a constructive attitude.The main job of a doctor is to discover problems and improve or simply solve them.

"Then... I'll leave it to you." After a long silence, Tang Min's mother bowed to Sun Li'en. "We can hardly keep going any longer. No matter what, the Fourth Central Hospital will be the last hospital we visit." She raised her head and said to Sun Li'en, "You are the child's last hope."

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When Sun Lien returned to the office, it was already six o'clock in the evening.Hu Jia just sent a Wechat message asking Sun Lien what time he can get off work today, but Sun Lien could only describe in a general way that he had a very troublesome patient at hand, and he was still waiting for Xu Yourong and Rachel's diagnosis opinions on tumors.

"Sister Xu is back?" Hu Jia didn't care at all that Sun Lien might not be able to return home until very late, and her attention was all on Xu Yourong's return to China, "And she brought Rachel back together? That's great." Already!"

Before Sun Li'en had time to ask his girlfriend, Xu Yourong brought Raiqiu back what was the good thing, the phone was hung up.After a couple of wry smiles, he decided not to call back to find out what happened—compared to this, he felt that he should go to Rachel first and ask how far the progress had come.

Xu Yourong and Rachel occupied a small meeting room with a window.Since the two entered the room, they had hung a "in use, do not disturb" sign outside the door.If it weren't for the fact that the figures of the two of them were separated by the table on the frosted glass outside the meeting room, Sun Li'en would not have dared to knock on the door directly.

"Hey, Dr. Sun." After knocking on the door, it was Rachel with short hair who came to answer the door. She greeted Sun Lien, "Come over to supervise?"

"The supervisor is not enough." Sun Lien entered the meeting room under the leadership of Rachel, he nodded towards Xu Yourong, and then found an empty stool and sat down, "I have already contacted the sequencing company, wait a minute Let Tang Min draw blood and send a sample for testing."

"You already figured out what disease she has?" Rachel's eyes lit up, and then she showed a confused and thoughtful expression, "Are you sure it's not a tumor?"

"I haven't figured it out, and I'm not sure if it's a tumor." Sun Lien shook his head, "It's just that there are two directions of suspicion right now, let's work hard in two directions at the same time." He looked at Xu Yourong again, "You guys How is the translation going?"

"Basically, I've finished reading it." Xu Yourong didn't look up, she was still looking at the case in front of her, and wrote something on it with a pen from time to time.After writing the last few strokes, Xu Yourong raised his head and looked at Sun Lien, "I don't think this is a genetic disease."

"You think it's a tumor?" Xu Yourong has worked in neurosurgery for so many years, and she probably has seen more brain tumor patients than Sun Lien has seen ordinary patients.Sun Lien also attached great importance to Xu Yourong's opinion, "What's the reason?"

"Multiple lesions, and most of the lesions are located around the main cerebral blood vessels and lateral ventricles." Xu Yourong explained, "Although no valuable lesions were found in the two biopsies, mild hyperplasia of glial cells can be seen. , although it has not yet reached the point of diagnosing a tumor, it does look like a tumor."

"If it is a tumor, it is more likely to be a diffuse glioma." Rachel added on the side, "Multiple brain lobes are involved, and the condition is progressively aggravated, which is very consistent with the characteristics of a diffuse glioma. .”

"The problem now is how to judge whether it is a tumor or not when the biopsy failed to detect cancer cells." Xu Yourong seemed a little troubled, "If it is really a tumor, it is very likely that she is still in a relatively early stage. stage. Starting treatment early had a very positive impact on her prognosis."

(End of this chapter)