Super Doctor: Become Stronger From Signing In
Chapter 113 Diagnosis-Osteosarcoma
"Doctor Su, is this boy's condition serious?"
The boy and his father went to check, and Dong Xin couldn't help asking when seeing Su Yang's solemn expression.
"If my guess is not wrong, this boy, he has osteosarcoma."
Pain avoidance claudication, and local redness and swelling, these two symptoms, listed separately, are actually nothing, but once they appear together on the patient, it is most likely to be osteosarcoma.
But because these two symptoms are not particularly serious, they are very easy to be ignored.
Therefore, when most osteosarcomas are discovered, they are already at an advanced stage.
Osteosarcoma generally occurs in children and adolescents. This malignant tumor has a very high mortality rate. Once discovered, the only way is to cure the tumor tissue.
This kind of radical operation is currently amputation.
Therefore, Su Yang's face was so solemn.
"Ah? Is it true, Doctor Su?"
Dong Xin looked shocked. The boy just now looked fine, but he was walking a little lame, and she also saw the redness and swelling just now, just like a normal sprain.
"The possibility is very high. Pain-avoidance claudication and local redness and swelling. The two together are the characteristic manifestations of osteosarcoma. It is just for ordinary people, it is not easy to associate these two symptoms that do not seem to be serious. ."
Su Yang continued.
"Then Dr. Su, patients and family members, would you believe it?"
Dong Xin asked another key question. Even her medical staff felt a little shocked and unbelievable. When it came to patients and family members, how could they believe it all at once?
Moreover, the treatment of osteosarcoma is generally amputation.
The boy really looks good. Su Yang's words, he is about to face amputation. Such a cruel fact, can the boy and his father accept and believe it?
"Let's talk about it when the test results come out, but I have a hunch that this patient will probably have osteosarcoma."
Su Yang has a strong feeling that this boy is suffering from osteosarcoma.
An hour later, the boy's father, holding a paper bag, ran in hastily, handed the paper bag to Su Yang, and said eagerly to Su Yang: "Doctor, the results of the examination are out."
"Yep"
Su Yang nodded, took the CT film out of the paper bag and put it on the reading rack.
However, Su Yang only saw the sleeve-shaped triangle at the first glance. This is a specific sign of bone tissue destruction, local tumor growth, piercing the bone cortex, and pushing up the periosteum.
There is no doubt that this boy is suffering from osteosarcoma.
Although all radionuclide bone scans are needed to further confirm whether the tumor has metastasized, but based on this alone, the diagnosis of local osteosarcoma can already be established!
Su Yang was silent.
"Doctor, how is Xiaoshuai's situation? Can you be sure what the problem is?"
The boy's father, seeing Su Yang's solemn expression, asked eagerly.
"Xiao Dong, you take the patient out and give him an infrared treatment for the redness and swelling of his right leg."
Su Yang wanted to distract the boy and talk to the boy's father alone.
Dong Xin understood, nodded, and took the boy out.
"Doctor, isn't Xiao Shuai's condition not good?"
The boy's father only talked to him when he saw that Su Yang had spent the boy out, and then thought of Su Yang's solemn look just now, he seemed to understand.
"sit down."
Su Yang said to the boy's father, turned around and poured a glass of water, and handed it to the boy's father.
The boy's father trembled with his hands holding the water cup. He forced himself to calm down and said, "Doctor, just tell me, no matter what it is, as long as you know what kind of illness Xiao Shuai is getting, there is always hope. "
"He got osteosarcoma, a malignant tumor."
Su Yang looked at the boy's father and said slowly.
"what?"
The boy's father exclaimed all of a sudden, and the cup in his hand seemed to be as heavy as a pinch.
"Can you make a mistake? Xiaoshuai just has a bit of pain in his legs, and the redness and swelling is not enough to reduce the swelling?"
The boy's father couldn't believe what he had heard.
"The results of the CT examination are very specific. Combined with his symptoms, the diagnosis has been clear."
Although Su Yang couldn't bear it, he could only tell the truth.
"This... how come?"
The boy's father muttered to himself.
After a long while, he asked in a dry voice: "Doctor, can the disease that Xiaoshuai got, can it be cured?"
"For osteosarcoma, the only way now is to eradicate the tumor tissue. In this case, if he has metastasis elsewhere, combined with later treatment, it may be cured."
Su Yang could only tell the truth. At this time, he couldn't give the boy's father a hope.
"Eradication? Doctor, what does eradication mean?"
The boy's father, when he heard what Su Yang said, he only remembered two words, eradicate!
"For the safety of his life, all parts that may contain tumor tissue must be removed."
Su Yang said slowly.
"Is it amputated?"
The boy's father has an unusually heavy tone, full of helplessness and despair.
"Yes, it depends on the situation during the operation. However, if the tumor tissue is only confined to a small area, the limbs can be preserved."
The boy developed symptoms for only two weeks, so the situation that Su Yang said without amputation is very likely to happen.
"Yes, doctor, Xiaoshuai has only had two weeks of pain in his leg, so he definitely can't have his limbs amputated, right?"
The boy's father, hearing Su Yang's words, seemed to have caught the straw for life, and asked eagerly and hopefully, as if he was comforting himself.
"This possibility is very high, but even so, after removing the part with the tumor, he will not be able to perform vigorous exercises in the future."
At this point, Su Yang is still sure that the boy's situation should be early. Otherwise, once the course of osteosarcoma progresses to an advanced stage, metastasis to the lungs or other parts will occur, and the systemic condition will deteriorate, including fever, malaise, extreme weight loss and even organ failure.
However, it is almost a foregone conclusion that vigorous exercise cannot be carried out after the operation.
"Doctor, there are other ways, right? The coach said Xiaoshuai is very talented in track and field. This time he will definitely be able to enter the provincial team, and there will be hopes of entering the national team in the future. If this kid can't exercise, he will live his entire life. , It's ruined!"
The boy's father begged Su Yang and said.
"We will find a way to preserve his bone as much as possible during the operation. However, this kind of tumor is too malignant and it is difficult to guarantee that it will not metastasize to other parts and recur without extensive resection. Once metastasis occurs And relapse, the mortality rate is very high."
Su Yang was also a little helpless, he could only do what he could.
"Doctor, can I think about this matter?"
The boy's father said desperately.
"Yes, but it can't be too long. At most one week, he must undergo surgery."
This is the helplessness of being a doctor. In many cases, a doctor is not an almighty god!
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