On the morning of May 18, Tam Anh General Hospital in Ho Chi Minh City announced that doctors there had just undergone a "brain-weighing" surgery with two simultaneous incisions to remove a giant pituitary tumor, measuring 8 cm (as big as a goose egg) with a strange shape from a woman.
The patient is Ms. NTN (50 years old, living in District 12, Ho Chi Minh City), who came to the clinic with vision disturbances, blurred vision, narrow vision, headache, and blurred vision. The disease progressed for many years, and Ms. N. only received medical treatment and painkillers.
The results of the MRI scan using a 3 Tesla machine discovered that the patient had a giant hyperplastic pituitary tumor, measuring 8 x 8 cm, penetrating many nooks and crannies into the spaces at the base of the skull, creating an image like an "ace of spades", with many lobes. 1 lobe grew very high up (near the 3rd ventricle), the 2 left and right lobes were smaller and 1 lobe fell down and was located in the sphenoid bone.
Strangely shaped tumor penetrates many corners of patient's head
After careful consultation, the doctors decided to remove the tumor using two incisions at the same time: endoscopic surgery from the nose up and open surgery from the top down to remove the entire tumor for the patient. Because the tumor was in many nooks and crannies, the doctors had to be meticulous to minimize damage to surrounding nerves and blood vessels.
Master, Doctor, CKII Chu Tan Si, Head of the Department of Neurosurgery, Neurology Center, Tam Anh General Hospital, Ho Chi Minh City, said that this was a difficult case and the surgery was expected to take a long time. The surgery was successful beyond expectations, the patient was alert, his vision improved, his headache was gone, he could eat, sleep and walk well.
"If we use one incision, the patient will definitely have to have another surgery. At that time, the risk of tumor recurrence and proliferation is high, and the first surgery will become meaningless. This is the first time we have operated on a brain tumor using two incisions at the same time, thanks to the support of modern technology in the field of neurosurgery," Dr. Si added.
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