GĐXH - The patient came to the hospital with a widespread tumor, the entire cancerous skin area occupied 2/3 of the scalp, many areas were hot, red, and bleeding.
Having had scalp cancer for many years, Ms. LTT (46 years old, Tay ethnic group, in Tuyen Quang ) has undergone many surgeries. However, because the cancer recurred, Ms. T. lives in the highlands so she does not often go to the hospital for check-ups.
It was not until the tumor spread to many locations, the entire cancerous skin area took up 2/3 of the scalp, was hot and had bleeding spots, that Ms. T. went to Viet Duc Friendship Hospital for treatment.
Here, the CT scan results showed that the tumor had invaded the skull, requiring close coordination between plastic surgery, microsurgery, neurosurgery, etc.
The tumor spread, the cancerous skin area occupied 2/3 of the patient's scalp. Photo: BVCC.
Dr. Bui Mai Anh, Department of Maxillofacial Surgery - Plastic and Aesthetics, Viet Duc Friendship Hospital said that the patient had to undergo surgery to remove the entire scalp tumor, including the invaded skull bone. The surgery was coordinated with a neurosurgeon to remove the affected skull bone.
The goal is to best reconstruct the patient's scalp and head area, allowing the patient to achieve both the skull reconstruction and the scalp reconstruction in the same surgery.
After removing the skull, the doctor used titanium material to reshape the skull, and covered the titanium mesh with skin taken from the patient's thigh using microsurgery techniques. Because the area to be removed was very large (about 25 x 30 cm, almost the entire scalp), the doctors had to take the skin from the thigh and divide the skin flap into flexible islands that could hug the shape of the skull to recreate the function and aesthetics for the patient.
This is one of the specialized techniques in the field of microsurgery because it must ensure that the vascular dissection does not damage the very small percutaneous branches (
The surgery lasted 12 hours, fortunately it was a success.
The patient had a huge tumor removed from his head. Photo: BVCC.
Dr. Bui Huy Manh, MD, Department of Neurosurgery 1 - who participated in the surgery, said: The patient had a scalp cancer that invaded the skull bone, so it was necessary to remove the invaded part of the skull bone and reconstruct the skull to protect the central nervous system. The coordination between specialties in difficult diseases like this case will bring optimal results for the patient.
After more than 1 month of surgery, the patient's scalp condition has stabilized well. Currently, the patient has recovered both functionally and aesthetically.
Source: https://giadinh.suckhoedoisong.vn/choang-voi-khoi-u-khung-chiem-nua-dau-nguoi-phu-nu-46-tuoi-o-tuyen-quang-172250204164645132.htm
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