Giant tumor causes abdominal and thoracic cavity deformity
On June 10, the Department of Gynecology Surgery, K Hospital said that it had just successfully performed a special surgery for patient T.T. D. (16 years old, H'Mong ethnicity, Lao Cai province) carrying two giant ovarian tumors with a total weight of nearly 15kg.
Born into a family with difficult circumstances, D is studying at an ethnic minority boarding school and only occasionally returns home to visit. About 6 months ago, her abdomen became increasingly abnormally swollen. However, due to limited economic conditions and awareness of illness, she has not been taken for examination.
Only when her abdomen became abnormally large, the tumor could be clearly seen with the naked eye, and walking and living became extremely difficult, did the family take her to K Hospital.
Examination and diagnostic imaging results showed that the patient had two very large ovarian tumors. Among them, the right ovarian tumor was about 20x25cm in size, and the left ovarian tumor was up to 50cm in diameter, occupying almost the entire abdominal cavity.
The giant tumor pushed the organs in the abdominal cavity high, compressing the diaphragm, deforming the chest cavity and causing shortness of breath. It is worth mentioning that despite carrying a tumor weighing nearly 15kg, the patient only weighed 47kg, her body was thin and weak and faced a high risk of complications during treatment.
Brain surgery to preserve motherhood
Recognizing this as a rare case with many potential risks, immediately after receiving the patient, under the direction of Dr. Le Tri Chinh - Head of Obstetrics and Gynecology Surgery Department, K Hospital organized a multi-specialized consultation and developed an optimal treatment plan.
Experts assessed this as a particularly difficult case, requiring close coordination between gynecological cancer surgery, anesthesia and resuscitation, intensive care, pathology and many related specialties to ensure maximum safety for patients.
The biggest challenge is that the tumor is huge in size, occupying the entire abdominal cavity, compressing many important organs such as the liver, spleen, intestines and diaphragm. In particular, removing a large tumor from the body can cause sudden hemodynamic changes, leading to the risk of acute heart failure or other dangerous complications.
After a thorough assessment and preparation of many contingency plans, the surgical team has well controlled all situations arising during surgery.
Not only focusing on removing the tumor, doctors also had to calculate to maximize the patient's fertility. After assessing the characteristics of the injury, the team decided to remove the left ovary containing the large tumor, while dissecting the tumor from the right ovary and preserving the remaining healthy ovary and the entire uterus.
At the end of the surgery, doctors successfully removed a tumor in the left ovary with a size of 50x30cm, weighing 9.5kg and a tumor in the right ovary with a size of 20x25cm, weighing 5.3kg. The total weight of the two tumors is nearly 15kg.
Dr. Le Tri Chinh said that this is a rare case because the patient is still very young but the tumor has grown to a giant size.
For young patients, the treatment goal is not only to eliminate injuries and ensure life safety, but also to consider the quality of life and the long-term future of the children," Dr. Le Tri Chinh shared.
