A 23-year-old female patient was admitted to Bach Mai Hospital for emergency care with symptoms of frequent vomiting, loss of appetite, emaciation, and weight loss.
Taking a medical history, about 2 months before coming to the hospital, the patient had signs of weight loss and vomiting after eating. However, because he subjectively thought that this was a symptom of gastritis leading to reflux, the patient did not go to the doctor, allowing the disease to progress silently.
The patient was assigned to do paraclinical tests. The abdominal CT scan results showed: The patient had a 16cm right kidney tumor, suggesting RCC (renal cell carcinoma). The giant tumor had budded into the inferior vena cava, meaning the tumor was in the late stage. It is worth mentioning that this is a malignant tumor. If not operated on promptly, the tumor will metastasize to other organs, the patient will become exhausted and the risk of early death is inevitable.
The patient is only 23 years old - too young with a future and many plans ahead. Dr. Nguyen Minh Tuan, Head of the Department of Urology Surgery, Benh Mai Hospital, and the doctors of the department worked together to save the patient's life.
The major surgery lasted nearly 4 hours, the doctors skillfully removed the entire giant tumor and completely removed the tumor bud invading the inferior vena cava.
The success of the surgery helped the patient escape death in a spectacular way. Currently, the patient's health has gradually stabilized.
The histopathological and immunohistochemical images were consistent with renal cell carcinoma as initially diagnosed. The patient continued to receive immunotherapy in 21-day cycles. To date, the patient has had no particular side effects, is completely healthy, and tolerates the drug well.
