21st Century Necromancer

Chapter 275 - 272 Mucinous Cystadenocarcinoma of the Ovary

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 something.

Jounouchi Hiromi recognized this doctor. He was an internist, apparently specializing mainly in the treatment 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 seemed extremely agitated and very determined.

On the other hand, the woman who appeared to be her family member 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 name 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 seemed to find a lifeline and hurriedly said to her in an agitated emotion, "Doctor, you’ve come at the right time; being a woman, you should be able to understand my feelings, right? I have ovarian cancer, but I am also pregnant at the same time. This doctor has been advising me to have an abortion and focus on the treatment.

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 me!"

The female patient was very emotional, and her words were somewhat 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."

The physician didn’t finish his sentence, but Jounouchi Hiromi naturally understood what he meant. 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 time.

"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 treatment plan he proposed was standard and not at fault, which was also a proven and feasible treatment option after verification.

But the expression on the physician’s face was somewhat 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 treatment 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 treatment option."

"If we opted for surgical treatment, it would essentially mean 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 treatment method 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 treatment.

"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 methods.

We could start with conservative treatment to control the disease, and I will come up with a satisfactory treatment plan for you."