Patient Ly Van D, 17 years old in Tuyen Quang, was admitted to K Hospital in a coma, a brain tumor in the affected area developed and spread around the cerebral wall, causing brain drainage stagnation.
The family took the patient to K Hospital in a state of being in a corner of the water. Doctors specializing in neurology, radiotherapy, chemotherapy, and resuscitation at K Hospital consulted and determined that this was a difficult case, which could be fatal because the disease had progressed to the west. The patient underwent surgery to place the temporomandibular cerebral drainage into the abdomen to resolve the temporomandibular brain drainage problem, and tested for carcinogens in the melasma phase to show that the patient had endoscopic spring cell tumor.
After 1 day of surgery, the patient was still in a coma because the tumor had spread throughout the brain. The doctors decided to both resuscitate and chemically treat the patient. This is a big challenge for doctors because the patient is in a situation where thousands of kilos of hair are hanging, if he waits for stable chemotherapy after surgery, the tumor can progress further.
After only 10 days of the first phase of chemotherapy, the patient was able to unconsciously use the ventilator, proactively eat, walk and no longer feel as tired as when he was first admitted to the hospital.
Associate Professor, Dr. Nguyen Duc Lien, Head of the Neurosurgery Department, K Hospital shared: The biggest challenge of this case is having to perform emergency treatment for water retention, quickly diagnose the disease, and treat with chemotherapy in parallel with resuscitation of the patient.
Endocrinoscopic spring cell cancer is a rare disease, accounting for about 1-3% of endocrinological damage in children and is more common in men.
The exact cause of this tumor is not yet determined, but it comes from sperm cells that move abnormally during embryogenous development, often concentrated in the duodenal area, on the sternum or urticaria.
This is a tumor that responds well to chemicals and radiotherapy; the survival rate of endoscopic spring cell tumors after radiotherapy can be from 70% to 80% in 10 years. This rate depends largely on the type of tumor, stage of the disease and personal factors of the patient.
MSc. Dr. Hoang Thu Trang, Deputy Head of the Department of Pediatric Internal Medicine, K Hospital, said: The case of patient D was a special case of the severity of the tumor in the brain. The coordination between surgery in the Department of Neurosurgery, Emergency Resuscitation, and Pediatrics is very important, helping patients overcome the dangerous stage. We will continue to radiotherapy according to the standard regimen to achieve optimal results and reduce the risk of recurrence.
