Everyone was surprised to hear that he was so sure and looked at him. Kang Hong continued: "The most important thing in testing cystosomiasis is the casoni test. I have done a similar test in the data, which is negative. This test has strong specificity and sensitivity to cystosomiasis, but the result is negative, and it is not high in acidic white blood cells. The b-ultrasound did not see strong echoes in the wall of the liver ascan, and there was no circular or semi-annular calcification shadow in the scan. This lacks the morphological characteristics of cystosomiasis. Therefore, based on these completed data, the possibility of cystosomiasis can be basically ruled out."

He said that, he bowed slightly and sat down.

The venue was quiet and didn't speak, because most of the doctors present did not know about cysticides, nor did they know whether Kang Hong was right or not. It was just Kang Hong, a small hospitalist, and of course his words did not cause much response. Many doctors were indifferent and did not listen carefully to his words.

Yong Xing'an nodded with certainty and said, "Doctor Kang's words are very accurate. Neither casoni nor imaging supports this judgment. I think they are both very well-established. Cystosidosis can be basically ruled out."

Dr. Jiang's face looked a little ugly because he carefully prepared this view, but Kang Hong turned it straightforwardly.

He is the attending physician, all in his thirties, and Kang Hong is only in his twenties. A small resident doctor dared to directly deny his judgment in front of so many people. He was a little worried, but he wanted to find some reasons to refute it, but he did not know much about cysticides and could not find enough strong arguments to support it to refute it.

Duan Rong nodded slightly at Kang Hong and said, "Thank you, Dr. Kang, let's continue, who has any new opinions? Dr. Kang just now made his opinion because of cysticides. Do other comrades have different opinions or have new opinions?"

Yao Zhiming said: "Let me talk about it. I think this patient is a bit like an amoeba liver abscess. The patient has a history of dysentery before. I have seen his imaging examination - a fluid mass in the liver, so I think the patient is likely to have an amoeba liver abscess." Others also nodded, and even if they had different opinions, they didn't want to refute it in person.

So Duan Rong said again: "Do you have any other opinions? Everyone is precious, don't waste it on silence."

Many people laughed. Dong Haotian is a senior chief physician with a qualification in general surgery and is in his early fifties. He now said to the throat: "Let me tell me my point of view. I think the patient is more like a case of metastatic liver tumor, and solid tumor liver metastasis."

Dong Haotian is quite prestigious in general surgery. Although he does not have an administrative position, he is a chief physician and has rich clinical experience, so his words immediately received attention from all the doctors and listened attentively.

Dong Haotian's concept, cause and clinical characteristics of liver metastasis from solid tumors are all about it. It is really well-known, making people feel like they were back in college listening to professors' lectures.

He talked endlessly for half an hour before the ending. In fact, he talked about concepts and theoretical things. Combined with this case, he didn't study much.

After he finished speaking, everyone fell silent again, and no one wanted to continue the dog tail. Duan Rong urged him a few times and still no one spoke, so he said, "Since our gastroenterology department invites general surgery to consult, comrades in general surgery should not be humble and express their opinions."

Wei Jun said: "Then let me say a few words. I think the patient is likely to have an old hematoma in the liver. Because if the patient has trauma, it will be decomposed and absorbed liquid components as time goes by, thus forming a cystic mass. The b-ultrasound shows no echo or low echo area, and the ct shows a round or oval low-density shadow with unclear boundaries. These all confirm my speculation, so I think he should be an old hematoma."

Several doctors nodded in agreement. After he finished speaking, Chang Qiu said: "I'll say a few words, I think the patient is probably a congenital liver cyst. This disease is divided into two types: isolated and multiple liver cysts. About 50% of cases are accompanied by polycystic kidney or polycystic spleen. ct shows that single or multiple round or oval in the liver has smooth boundaries, clear boundaries, and most cyst walls do not show, and there is no enhancement effect of enhanced scans. Some liver cysts will have oppression disorder when they are large, and this is the case for patients."

Chang Qiu's analysis was recognized by everyone, and everyone basically nodded, thinking that his analysis was very reasonable.

Yong Xing'an said: "It's very good. Everyone's speeches make sense. This is our general surgery opinion. Let's see what help Director Duan needs us to provide, just speak." His words basically show his attitude and remind the meeting to end.

Now I’m waiting for Duan Rong’s speech meeting to end, but Duan Rong just nodded and looked at Kang Hong and said, “You still have a comrade who has not spoken, that’s Dr. Kang. Although he said a few words just now, that’s about liver cysticillitis. He hasn’t said his own point of view yet, can he also say it?”

Kang Hong held on to Chang Qiu's reminder, not talking if he didn't click. Now that he clicked on him, he looked at Chang Qiu. Seeing that Chang Qiu nodded slightly, he said that he could speak. So Kang Hong stood up and said, "I don't think this is a congenital liver cyst."

Chang Qiu was stunned. What kind of operation is this? I asked you to get up and express your opinions, not to let you oppose me as soon as you come up.

Chang Qiu's sympathizers include Dr. Dong on the opposite side, especially Dr. Jiang on the opposite side. They felt a sense of mutual sympathy. At the same time, they looked at Kang Hong angrily, thinking that Dr. Kang looked like he was born with a thorn, and he had to refute his opinion. It seemed that Kang Hong was not specifically targeting him. Chang Qiu figured this out and he felt much better.

Kang Hong continued: "I also disagree with the old hematoma in the liver. The patient is not an old hematoma in the liver. It is because I asked the patient that he had never suffered any trauma. Where did the old hematoma in the liver come from? There is no medical history support."

Wei Jun was ruthlessly hit by Kang Hong many times, and he was used to it, so he shook his head and refused to speak.

Kang Hong continued: "This disease is not an amoeba liver cyst, because the patient does not have any symptoms of inflammatory poisoning such as fever and sweating, and the blood cells are not high and the blood is not submerged quickly. No amoeba protozoa was found in the stool. The CT value of the cystic low-density zone is lower than the CT value of the pus, so this disease can be ruled out."

Yao Zhiming said: "Kang Hong, you are amazing. You shot us all, leaving only Professor Dong. Do you support Professor Dong's opinion? Do you think it is a tumor liver metastasis?"
Chapter completed!