Tag: tumor

Health

Minimally invasive surgery in the brain saves life of a 28 year old female with tennis ball size tumor

Dec 28, 2021 by Gouri Achary 0 Comments #brain tumour, #Gera, #Max Hospital, #Max Hospital Gurugram, #Ravinder Gera, #tumor

Doctors at Max Hospital Gurugram successfully removed a tennis ball-sized tumour from the head of a 28-year-old young female, who had been persistently complaining of severe headache for over two months. Pertaining to the size and hard to access location of the tumour, doctors made use of the minimally invasive endoscopic transnasal trans-sphenoidal (TNTS) method to access the tumour through her nose. The patient was not only cured completely but her functional and aesthetic outcomes have also been preserved.

While headache seems to be a common complaint attributed to daily life stress, noise pollution, and /or an underlying medical ailment, the persistent headache should seldom be ignored. Since the patient was having severe intermittent headaches for over two months, made a visit to Max Hospital Gurugram. Upon examination, doctors found a tennis ball-sized tumour in the head.

“The non-cancerous tumour was almost the size of a tennis ball and located at the pituitary gland (which is a pea-sized gland at the base of the brain). She was suffering from a condition known as Pituitary Macroadenoma which is caused by mutations in the DNA of the cells in the pituitary gland.
While the patient upon consultation did not show any signs of nasal discharge, giddiness, visual disturbance and she showed no symptoms of hypothyroidism or hyperthyroidism, she was also opinionated by various departments including Ophthalmology, Neurosurgery, and Endocrinology, pre-operatively.” Said Dr Ravinder Gera, Director and Head of Department, ENT, Max Hospital, Gurugram

While the ophthalmological results were not suggestive of any visual field defects, brain MRI was advised that revealed a well-defined sellar (region around pituitary gland) mass lesion, that was extending into the suprasellar region (fluid-filled space between pituitary and hypothalamus gland) causing superior displacement of the optic chiasma (crossing of the two optic nerves below the brain).

“Being a young female, she was worried about the post complications of the surgery, and her quality of life. But with recent technological advancements available, we performed a transnasal trans-sphenoidal (TNTS) excision or surgical removal of pituitary macroadenoma along with the neurosurgery team under aseptic conditions using endoscopic guidance. The tumour was visualised and was removed completely. The patient has improved post-surgery and resumed normal day-to-day functions.” Added Dr Gera

Health

Doctors remove 3 kg tumor from man’s face after 11 hours of surgery

Sep 18, 2020 by Gouri Achary 0 Comments #Dr. Saurabh Gupta, #Dr. Vipin Bhathwal, #Max Hospital Shalimar Bagh, #tumor

Panipat – A 3Kg massive tumour, equal to the size of an adult human head, was successfully removed from the face of a 37-year old man at Max Hospital Shalimar Bagh, New Delhi. The marathon life-saving surgery that took 11 hours involved the removal of the patient’s jaw and cheekbone and reconstruction of his face and neck was done to sustain the functional and aesthetic outcomes.

In order to shrink the size of the tumour, the patient had to be given two quick cycles of chemotherapy within a span of 3 weeks before the surgery. Since the chemotherapy was hardly having any effect on the tumour, the chances of its spread to other organs were high. The timing of the surgery was challenging too, as it was right in the middle of the ongoing pandemic. The patient was operated and the surgeons carefully excised the cancerous growth as a single piece that weighed 3 kgs and measured 18×12 cm with a depth of 8 cm.

The 37-year old Mahender (name changed), who was a regular tobacco chewer for several years, presented himself at the Max Hospital with an enormous tumour that covered the left side of his face. The cancerous tumour that was hanging from the left side of his face, was not only bleeding excessively but also had huge portions of dead and decaying cells. Due to the humongous size of the tumour, Mahender was having extreme difficulty in opening his mouth, eating food, or even moving his head from side to side. He had also lost a lot of weight because of poor nutrition intake over the last few months.

“The patient noticed early signs of the disease at the beginning of this year. He was extremely lucky that the tumour, despite being huge, had not spread to other organs of the body. We decided to conduct a life-saving surgery as soon as possible considering the fast rate of growth of the tumour, which was also bleeding excessively. Any further delay may have led cancer to metastasize to other body parts like bones, lungs, liver, etc. The safest option was to operate and remove the cancerous growth.” Said Dr. Saurabh Gupta, Consultant, Surgical Oncology, at Max Super Specialty Hospital, Shalimar Bagh, who led the surgery.

The surgery was hugely successful, with uneventful post-op recovery for the patient who was discharged from the hospital after 11 days. The patient as on date has completed his three months of chemotherapy and radiotherapy. He is able to eat and speak properly and has resumed his daily activities.

According to the recent data provided by Globacan India 2018, Haryana has the third-highest incidences of cancer in India followed by Kerala and Mizoram accounting for approximately 9 lakh cases in 2018. And of the total cases of cancer from the state, 30% of them attribute to oral cancer. With a mortality rate of 9.3%, oral cancer in Haryana is the second deadliest cancer in India.

Since the tumour had to be removed in a single piece and allow reconstruction of the face and neck to restore his speech and normal eating, the case was extremely challenging.

“For a reconstruction of the patient’s face and neck, we took skin and muscles from the left side of his chest and right thigh. Then we carefully crafted the contours of the face so that they would smoothly blend with the facial skin and not restrict movement post the surgery. This was undoubtedly an extremely complicated case. However, we were determined to do our best to give the patient a new lease of life.” Explained Dr. Vipin Bhathwal, Associate Director, Oncology Reconstructive Surgery, Max Super Specialty Hospital, Vaishali, Ghaziabad.