Surgery Godfather Chapter 1090 - 1090 887 The Truth Revealed

Chapter 1090: Chapter 887: The Truth Revealed Chapter 1090: Chapter 887: The Truth Revealed Doctor Wen from the Pathology Departnt was highly efficient, and Nong Tiesheng’s postoperative pathology report was issued quickly. The surgery area on both sides of the neck had a total of twelve tissue sections examined for pathology, and none of the twelve specins revealed any tumor tissue.

This pathological examination was only intended to guide postoperative treatnt and could not affect the diagnosis at the ti.

From this, it seed that no treatnt aid at the tumor was required post-surgery. Throughout Nong Tiesheng’s treatnt process, including imaging studies such as PET-CT, there were no signs of tumor tastasis, suggesting that Nong Tiesheng’s tumor had been cured.

Yang Ping recalled Nong Tiesheng’s dical records, which included only one surface ultrasound of the thyroid suggesting a possible thyroid carcinoma. However, surprisingly, no further ultrasound was perford at Affiliated Hospital No. 4; instead, tests like CT, enhanced CT, PET-CT were conducted, and the crucial surface ultrasound and essential pathology report were missing, which was truly odd.

The surface ultrasound considering thyroid carcinoma wasn’t conducted at Affiliated Hospital No. 4, but at the county hospital by Nong Tiesheng. Seeing that the result indicated cancer, he imdiately went to the Provincial City for treatnt.

Yang Ping asked Li Guodong to retrieve all imaging studies of Nong Tiesheng from the General Surgery Departnt. Yang Ping then ticulously reviewed the images again in his office, one by one.

Since so images were greatly blurred and deteriorated, Yang Ping instructed Nong Zhiwen to duplicate all imaging studies onto a CD at Affiliated Hospital No. 4. Although it was a bit troubleso, treating dical issues was inherently cumberso—being a little troubled was nothing extraordinary in ensuring a job well done.

Nong Zhiwen was very proactive in complying; he imdiately followed Yang Ping’s instructions, copied all the imaging data onto a CD, and brought it over. Normally, a USB drive would be more convenient, but many hospital USB ports are sealed off to prevent computer viruses, as a virus infection in the hospital systems could lead to serious issues.

Yang Ping knew that many patients’ imaging data were on CDs, so his computer was not only connected to a specialized imaging display but also equipped with a CD drive.

After repeatedly examining each image, Yang Ping took a deep breath. From the very first preoperative images to those taken after two surgeries and the most recent ones, Yang Ping judged based on the imaging that the thyroid tumor should be benign. Relying on his extensive experience in image reading, he was very confident.

However, pathological diagnosis remains the gold standard for tumors. Without the original pathology report, the exact nature of the tumor would remain a mystery.

Even though Yang Ping was absolutely certain, he could not assert that the tumor was definitively benign. He once again repeatedly reviewed the dical records, from the records of two admissions, discharge summaries, and surgical notes. The diagnosis had always been thyroid cancer, but critically, there was no ntion of what subtype or stage—only thyroid cancer from start to finish, which was highly contradictory.

In principle, as a triple-A teaching hospital, such dical records were not acceptable, especially not from a large triple-A teaching hospital like Affiliated Hospital No. 4. Could it be that the records at Affiliated Hospital No. 4 are now so sloppy? Is the managent so lax?

If it was a benign tumor, and they perford a radical surgery for thyroid cancer on it, followed by various rounds of radiotherapy and targeted therapy?

Yang Ping dared not think so, but he couldn’t help but consider such possibilities.

It should be impossible; there must be so misunderstanding, Yang Ping told himself.

From his graduation from university to date, through his years of work, although he had encountered a few unscrupulous doctors, such rare instances only involved them taking advantage of loopholes for profit at most. The vast majority of doctors are ethical, principled, and professional, never engaging in actions contrary to fundantal principles.

At least, in his experience, no doctor would exaggeratedly treat a benign tumor as malignant, then prescribe a host of treatnts.

At most, for aggressive treatnt, they would completely resect a benign tumor, which is entirely in line with dical principles.

For instance, the treatnt of lung nodules is highly debated. So doctors believe in surgical resection to eliminate future problems, while others think such active asures are unnecessary. With ample evidence supporting benignity, they support observation and regular follow-ups since most lung nodules are benign.

There are even specialized outpatient clinics for lung nodules in so hospitals, and so doctors focus their research on lung nodules.

This is an academic controversy and remains unresolved—differing opinions and treatnt approaches are entirely normal.

However, regarding the treatnt of malignant tumors, having undergone two surgeries, regardless of the judgnts at the ti, conducting a pathological examination post-surgery should be a mandatory rule and a global consensus, without dispute.

If it truly wasn’t thyroid cancer, misdiagnosing a benign tumor as thyroid cancer would have a trendous impact on the patient.

Yang Ping’s extensive experience in reading images could not replace a pathology report, so out of caution, he hoped to find the pathology report. Since Affiliated Hospital No. 4 couldn’t locate it, he pondered whether the county hospital where Nong Tiesheng initially visited had conducted a biopsy.

Following this thought, Yang Ping shared his ideas with Director Fang, asking her to find ways to inquire from the patient. If possible, contacting the doctors at the county hospital would be ideal to help check the records and determine if a biopsy had been perford. If so, they should obtain the pathology report and pathology slices.

Additionally, Yang Ping reminded Director Fang to contact acquaintances at Affiliated Hospital No. 4 to ascertain whether the pathology examination was indeed not perford or if the report was simply lost; these were entirely different issues.