About a month ago, her abdomen suddenly and rapidly became abnormally large, accompanied by a feeling of tightness in the lower abdomen, making walking and daily activities difficult. Worried about her mother's health, relatives took her to the Hanoi Obstetrics and Gynecology Hospital for examination.
Through examination, doctors discovered that the patient's cervix had a polyp about 3cm in size, the appendix was difficult to examine because the abdominal cavity was almost completely occupied by a large tumor extending from the pubic bone to the sternum, with a size of over 25cm.
Ultrasound results recorded ovarian cysts with dimensions of 229 x 258 x 170mm. Magnetic resonance imaging (MRI) showed that this was a polyvalve, with a dense component and classified as ORADS 4 – a group of lesions at high risk of malignacy, requiring early intervention.
After consultation, the doctors decided to prescribe surgery for the patient.
According to anesthesiologists and resuscitation doctors, for patients over 80 years old with giant abdominal tumors, anesthesiology and resuscitation play a particularly important role in ensuring the safety of the surgery. Elderly people often have reduced heart and lung function, a much higher risk of hemodynamic disorders, respiratory failure and postoperative complications than young people. In particular, patients also have a limb defect, so the monitoring and resuscitation process must be tightly controlled.
The anesthesia and resuscitation team conducted a comprehensive preoperative assessment, controlled blood pressure, respiratory, circulatory and applied multi-modal pain relief to help patients recover quickly after surgery.
The surgery was directly performed by MSc.BSCKII Do Khac Huynh - Deputy Director of the hospital - with the surgical and anesthesiology and resuscitation team in charge of MSc.BS Dang Xuan Huynh. After many hours of surgery, doctors successfully removed a tumor weighing nearly 8kg from the patient's body.
After surgery, the patient was monitored postoperatively at Department E5 and is currently recovering well.
Doctors recommend that women, even when they have been menopausal for many years, still need regular gynecological examinations. In fact, many older people often have a subjective mentality or are reluctant to go for examinations because they believe that when they are past reproductive age, there is no longer a risk of gynecological diseases. However, this is a stage when many dangerous diseases can appear silently such as ovarian tumors, endometrial cancer or cervical cancer.
