Text/Reporter Xing Liang Photo/Provided by Yili Prefecture Maternal and Child Health Hospital
In the past two days, after Ms. Zhang had a follow-up visit from Yili Prefecture Maternal and Child Health Hospital, she learned that all the results were normal, and she was finally relieved. Two months ago, Yili Prefecture Maternal and Child Health Hospital successfully removed a spindle cell tumor the size of a melon for her. Such a large spindle cell tumor is rare in the country. This resection operation was also the first laparoscopic surgery performed in Yili Prefecture. Combined resection of giant malignant tumors in the rectovaginal septum.
html On April 15, Ms. Zhang went to an outside hospital for treatment due to heavy vaginal bleeding. During the examination, the doctor found that there was a huge mass in her pelvic cavity. Due to the squeezing, her vagina could not be examined with fingers, and her cervix could not be seen at all. Doctors from other hospitals thought the situation was rare and urgently transferred her to Yili Prefecture Maternal and Child Health Hospital in order to "prescribe the right medicine.""I was also surprised when I saw the patient's condition. This is by no means an ordinary gynecological tumor." Hu Lingjie, director of the Gynecology Department of Yili Prefecture Maternal and Child Health Hospital, said, "After careful examination, we found that the location of the tumor is very special, located between the vagina and the vagina. The patient had a large amount of bleeding and needed surgery as soon as possible to save her life. The diameter of the tumor in Ms. Zhang’s body reached , the lower edge of the promontory, and the lower edge of the hymen. It extends sideways to the pelvic wall, is about the size of a melon, and occupies almost the entire pelvic cavity. The blood supply around the tumor is rich and connected to several organs. It has invaded most of the vaginal wall and cervix, completely flattening the vagina, squeezing the uterus upward, and pushing the rectum to one side.
Although she is very large, the tumor is located at the back of the pelvic cavity and is not easily noticeable from the outside. In addition, Ms. Zhang has not had a physical examination for many years, so the tumor has been growing quietly in her abdomen. This time it was found that the tumor on the vaginal wall had ruptured because of the tumor that was still growing. When she arrived at Yili Maternal and Child Health Hospital, Ms. Zhang had already bled 2,000 ml.
In the operation,
without further ado, Hu Lingjie led the surgical team to use laparoscopy combined with vaginal surgery to remove the tumor. He said: "First, we must ensure that the tumor is completely removed to prevent the patient from undergoing a second operation in the future. Second, we must ensure that the organs near the tumor and the invaded organs are not damaged, so that the patient can live a normal life."
The blood supply near the tumor is very rich, so it is necessary to remove it. After peeling off the nearby organs, there was a large amount of bleeding during the operation. Hu Lingjie used the "rolled carpet" compression method to stop bleeding - using a large piece of gauze to fill the bleeding wound, roll up a corner of the gauze, see the bleeding point clearly, and use electrocoagulation according to the situation. Or use suture to stop the bleeding, and then push the gauze to find the new bleeding point . In this way, the entire wound was sutured bit by bit, and the bleeding was finally completely stopped.
After carefully removing the entire tumor and stopping the bleeding, Hu Lingjie reinforced Ms. Zhang's rectum, which was compressed by the tumor and was thin, removed the posterior vaginal wall destroyed by the tumor, and reshaped and repaired the vagina with the front and side walls to maintain the rectovaginal condition. Normal function to ensure her future quality of life.
During the operation
After 3 hours, Ms. Zhang was pushed out of the operating room, leaving only a few laparoscopic scars with a diameter of one centimeter on the abdomen.
But everyone still has a common question: What is the nature of this tumor? By inviting multidisciplinary experts from Jiangsu Provincial People's Hospital, to conduct repeated pathological consultation , 7 days later, it was determined that the nature of the tumor was spindle cell tumor.
"Spindle cell tumors can theoretically occur in any organ or tissue, but it grows so large in this location. Not only is this the first time we have seen it, but after reviewing the information, we found that it is also very rare in the country." Hu Lingjie explain.
The tumor was low-grade malignant and required follow-up observation. Fortunately, there was no sign of recurrence after 2 months. At the same time, Ms. Zhang completely returned to her normal life.
"If Ms. Zhang had had a physical examination earlier, the tumor would have been discovered long ago, and only a small operation would have been able to solve the problem." Hu Lingjie reminded women that they must pay attention to annual physical examinations, early detection, early treatment, and early treatment.
(editor/Tian Jiang review/Xia Lijuan)
