When Jounouchi Hiromi hurried to the ward with the nurse, she saw a female patient having a tantrum and a male doctor in front of her trying incessantly to explain sothing.
Jounouchi Hiromi recognized this doctor. He was an internist, apparently specializing mainly in the treatnt of gynecological diseases.
"I will not have an abortion! According to you, this is my only chance to get pregnant, and I will not abort the child just to treat the disease!" The female patient seed extrely agitated and very determined.
On the other hand, the woman who appeared to be her family mber was always persuading her, "Sha Hui-san, don’t be so agitated, getting angry is bad for the fetus!"
"Hello, I am a surgeon from General Surgery at this hospital. My na is Jounouchi Hiromi. Is there anything I can help you with?" Having already gathered a general understanding of the situation from the nurse, Jounouchi Hiromi greeted the woman and asked her what had happened.
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When the woman saw Jounouchi Hiromi, she seed to find a lifeline and hurriedly said to her in an agitated emotion, "Doctor, you’ve co at the right ti; being a woman, you should be able to understand my feelings, right? I have ovarian cancer, but I am also pregnant at the sa ti. This doctor has been advising to have an abortion and focus on the treatnt.
But this is my only chance to get pregnant, and if I abort the child, I’ll never be able to have children again! I don’t want to possibly cure myself and forever lose the chance to be a mother! I want to give birth to this child! Doctor, please help !"
The female patient was very emotional, and her words were sowhat incoherent, but fortunately, Jounouchi Hiromi had been briefed by the nurse beforehand, so she could still understand what the patient was saying.
Therefore, Jounouchi Hiromi tried to calm her emotions and said to her, "Madam, please don’t be so agitated. If you are pregnant, getting too emotional can easily lead to miscarriage. So, could you please calm down first? I will help you."
After calming the patient’s emotions and seeing that she had cald down, Jounouchi Hiromi then said to her, "Madam, could you show your dical record? Even if I want to help you, I need to read your record and know your specific situation to know how to help you."
Perhaps it was because Jounouchi Hiromi was also a woman, which made the female patient not have any guard up, and because Jounouchi Hiromi had been speaking to her in a very gentle tone all along, the patient was willing to trust her. After she nodded at Jounouchi Hiromi, the person beside her handed Jounouchi Hiromi the dical record.
"This is..." Looking at the disease na on the dical record, Jounouchi Hiromi’s eyebrows couldn’t help but raise slightly. Although she quickly controlled her expression, the surprise in her eyes still shone through.
"Doctor, is there any hope for my disease? It doesn’t matter if it’s incurable; please make sure to save my child!" The female patient obviously cared deeply about the child in her stomach, and upon seeing Jounouchi Hiromi’s surprised expression, her first thought was to save the child.
However, her thought clearly hadn’t taken her own well-being into account, prompting the woman beside her to quickly persuade her, "Sha Hui-san, how can you think like that! Once your illness is cured, you can have children in the future! Even if you truly can’t give birth, you can still adopt one! Don’t give up hope, getting yourself well should be your top priority!"
While saying this, the woman also looked toward Jounouchi Hiromi pleadingly, "Doctor, please persuade Sha Hui-san. Although she cares greatly for this child, please ensure that her treatnt prioritizes preserving her life."
"Both of you, please don’t get worked up. The doctors in our hospital are extrely professional, and we will treat the cure of the patient as our highest premise, based on the patient’s own wishes. Rest assured, we will co up with a treatnt plan based on the actual situation of the patient," said Jounouchi Hiromi, quickly calming both the patient and the woman beside her.
"Doctor, has the patient been definitively diagnosed with mucinous cystadenocarcinoma of the ovary? What is your treatnt plan?" Jounouchi Hiromi pulled aside a physician and inquired in a soft voice.
The physician also understood the present situation and took a covert glance at the patient beside him before explaining in a low voice to Jounouchi Hiromi, "The patient has been diagnosed with mucinous cystadenocarcinoma, the ultrasound shows an oval anechoic area in the left ovary, the cyst wall appears thick, and the tumor’s inner diater is 8cm.
Although it’s early-stage cancer, once it ruptures..."
The physician didn’t finish his sentence, but Jounouchi Hiromi naturally understood what he ant. This kind of cystadenoma was originally a benign tumor, but once it turned malignant and ruptured, the mucous substance could slowly leak into the abdominal cavity, causing peritoneal hyperplasia and the formation of epithelium producing mucous, creating pseudomyxoma peritonei.
Although repeated surgeries are possible, the prognosis is often poor due to the inability to completely remove residual implanted epithelium, significantly affecting the patient’s postoperative survival ti.
"That’s why I suggest that the patient undergo chemotherapy. At this early stage of the disease, chemotherapy is quite effective," said the physician. The treatnt plan he proposed was standard and not at fault, which was also a proven and feasible treatnt option after verification.
But the expression on the physician’s face was sowhat bitter, and he continued with a sense of helplessness to explain to Jounouchi Hiromi, "However, this patient is unwilling to undergo chemotherapy because she has a child in her womb. She even refuses to cooperate with treatnt in order to save this child.
I had no choice but to ask the nurse to consult with you, Doctor Jounouchi, in the hope that you, as a surgeon, might have another treatnt option."
"If we opted for surgical treatnt, it would essentially an surgery, and for such conditions, a Z-hysterectomy would be the best option, but the patient is already pregnant..." Jounouchi Hiromi shook her head, discarding that idea.
In fact, for such conditions, chemotherapy is a more suitable treatnt thod because of the large size of the cystadenoma; removing it surgically not only poses great difficulty but also risks rupture during the operation, and unless absolutely necessary, surgery would generally not be considered for treatnt.
"Doctor, have you finished looking? Are you confident about curing this disease?" The female patient, after seeing Jounouchi Hiromi and the physician discuss for a short while and say nothing, asked her concernedly.
"For this kind of disease, surgery is generally less common, and even if surgery were to be considered, it would involve removing one ovary and its appendages, or possibly even a Z-hysterectomy," explained Jounouchi Hiromi to the female patient, who took on a shocked expression before adding, "Of course, it’s not that there are no other thods.
We could start with conservative treatnt to control the disease, and I will co up with a satisfactory treatnt plan for you."
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