But before the diagnosis is clear!


    These words must not be said.


    However, Chen Cang''s proposal to do pancreatic magnetic resonance elastography MRE actually made these doctors understand one or two of them.


    Although the technology of pancreatic magnetic resonance elastography is not very mature compared with traditional examination.


    But he is a valuable test for the pancreas.


    Because the pancreas has its own characteristics, such as deep location, irregular shape and complex surrounding tissue structure.


    At present, the method of clinical early diagnosis of pancreatic diseases is not perfect.


    The traditional CT used at this stage has been proved to be lack of specificity in the early diagnosis of pancreatic cancer and chronic pancreatitis.


    Although B-ultrasound and CT showed no obvious abnormality of pancreas.


    However, Chen Cang felt abnormal.


    Under the four-dimensional graphics, Chen Cang combined with more than a dozen CT films, Chen Cang has begun to restore the situation in the abdominal cavity.


    The sense of three-dimensional and space constantly coincide to verify various inspections


    In a word, thanks to the examination done by the elderly, more than a dozen films were directly produced by abdominal CT plain scan.


    In addition, endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) can provide clear images with excellent details for the biliary system.


    Combined with various examination results, he felt that the echo of abdominal B-ultrasound was actually problematic!


    Although Chen Cang is only skeptical, this doubt is worth exploring.


    Soon, everyone left the ward and returned to the office.


    Qin Zhenhong also saw that everyone''s expression was wrong, but he didn''t say much when he was in the ward. He waited in the conference room.


    He then asked, "little comrade, what did you suspect just now? But it doesn''t hurt to say."


    Chen Cang shook his head: "I think I can do a pancreatic examination to rule it out. After all, the examination is mainly the exclusion option."


    After hearing this, Qin Zhenhong naturally won''t believe Chen Cang''s prevarication!


    Thinking of this, he winked at Sun Guangyu.


    After sun Guangyu came over, he couldn''t help saying, "Xiao Chen, tell me about your diagnosis. Don''t worry. Since it''s a consultation, everyone needs to speak freely."


    Hearing this, Chen Cang looked at the crowd around him and said, "I suspect pancreatic cancer."


    in a word!


    Suddenly the scene was silent.


    Qin Zhenhong was startled.


    This is not a joke, is it?


    What is pancreatic cancer?


    Pancreatic cancer is known as "the king of cancer".


    Pancreatic cancer is one of the most malignant tumors with the highest mortality.


    The 5 year survival rate of pancreatic cancer in I-IV is only about 8%.


    It is precisely because of the poor prognosis that the Jianghu is known as the "king of cancer".


    Qin Zhenhong doesn''t know the king of cancer, but it''s troublesome to hear about cancer.


    In their homes, the old man is the flag. If the old man is there, the flag will not fall. Moreover, for the country, it is still a treasure.


    Therefore, I was shocked to hear Chen Cang say so!


    And a group of directors around him were even more tense, and their eyes were full of complexity when they looked at Chen Cang.


    But someone still said, "it''s good to rule it out."


    "Well, commander Qin, don''t worry. The examination must be based on exclusion. Besides, the imaging results don''t support this option."


    But some people said directly, "it''s very unlikely! There''s no sign at all."


    "Yes, commander Qin, don''t worry. The little doctor may also be worried, so he put forward this idea, but I think the credibility is very low, almost zero!"


    Looking at the people''s comfort, Qin Zhenhong breathed a sigh of relief.


    Compared with Chen Cang, he is actually more willing to trust these experts.


    But!


    Chen Cang''s words were hard to disperse in his mind for a long time.


    Seeing the crowd like this, Chen Cang couldn''t help shaking his head. He knew he wouldn''t say it!


    At this time, sun Guangyu did not directly deny or comfort like everyone else.


    He is the health care doctor of the expert group. Diagnosis and treatment are his responsibility. Naturally, he can''t relax his vigilance.


    He knew Chen Cang and knew that Chen Cang would not be aimless.


    Thinking of this, sun Guangyu directly asked, "Xiao Chen, what do you think?"


    After summing up, Chen Cang said three points!


    "First: the pancreas is deep and small, and there is no organ that can cause symptoms quickly due to pancreatic mass compression. What other symptoms such as abdominal pain and anorexia are not specific, so early detection of pancreatic cancer is very difficult. It is found that it is late. I hope to get the pancreas as early as possible and avoid the late stage."


    "Second, the disease is short of tumor markers with high specificity and sensitivity. Indeed, single CA199 is normal, but as a sensitive pancreatic cancer screening indicator, its specificity is not good, while B-ultrasound and CT lack effective early screening for pancreatic cancer."


    "Third, the elderly have predisposing factors. I looked at the elderly''s disease history, long-term smoking, obesity, high blood sugar and long-term use of statins. These are in line with the predisposing factors. Most importantly, the elderly can''t control their blood sugar recently, which is also my consideration."


    Chen Cang''s remarks, from the etiology, medical history, inducing factors, to the current main symptoms, as well as all angles that are difficult to screen in the early stage, expounded his views in place.


    Suddenly!


    The whole room was quiet. Even the people who were just going to question Chen Cang stopped talking.


    Sun Guangyu and others can''t help clapping their hands. This diagnostic thinking is meticulous, which is more powerful than those physicians present!


    Qin Zhenhong''s heart is really like taking a roller coaster. One wave has not subsided, and another wave has invaded!


    What''s his feeling?


    What are you afraid of, what are you afraid of!


    Although he didn''t know who the young man was, sun Guangyu believed him for a reason.


    The more he thought about it, the more flustered he became.


    There is a feeling of deep thought and fear.


    Sun Guangyu said at this time, "let''s have a check. Dragging is not a way."


    Therefore, sun Guangyu picked up the phone and directly contacted the imaging department to prepare for pancreatic magnetic resonance elastography MRE.


    MRE imaging equipment mainly includes stimulator, MR imaging system, body coil and mechanical wave conduction fixing device (such as plastic connecting tube, abdominal band), etc.


    Stimulator is composed of active stimulator and passive stimulator, which is a large inspection equipment just emerging in recent years.


    Local hospitals, even provincial hospitals, may not have!


    Then he personally took the old man to the radiology department, and Chen Cang followed him.


    Soon, the old man was arranged in, and everyone was uneasy waiting for the result.


    Although Chen Chen said what he said is reasonable, it is still hard to believe what an old man with no symptoms is. What is pancreatic cancer?