Successfully removed 8kg lipoma from man's abdomen

Doctors are examining patients

Previously, the patient felt abdominal distension and pain at night after long hours of driving a truck. Initially, he thought that the nature of his job as a driver and his love of drinking beer made his stomach increasingly distended, causing a feeling of heaviness. It was only when his stomach was tense and protruding forward and to the sides that he sought medical attention locally.

The ultrasound results showed that the patient had a mass that occupied almost the entire abdominal cavity. Mr. T. was transferred to Binh Dan Hospital for surgery to remove the large tumor from his body. Dr. Nguyen Phuc Minh, Head of the Department of Digestive Surgery, who directly performed the surgery on Mr. T., said that the abdominal MRI results showed that the tumor was up to 40cm in diameter, had a structure similar to fatty tissue, occupied almost the entire abdominal cavity and surrounded the right kidney.

More seriously, the tumor adheres to and compresses large blood vessels such as the artery, abdominal vena cava and neighboring blood vessels, causing impaired kidney function.

Doctors held a hospital-wide consultation to find the best surgical option. The surgery was performed by specialists in general surgery, cardio-vascular surgery, urology, and anesthesiology. General surgeons and urologists removed the retroperitoneal adhesion tumor while preserving the right kidney. Vascular doctors separated the blood vessels to reduce damage and avoid blood loss.

After more than 5 hours of surgery, the surgery was successful. Two days after the surgery, the patient was able to eat and drink as before and started moving. In a happy mood, Mr. T. expressed his deep gratitude to the medical team at Binh Dan Hospital for helping him remove the tumor and at the same time preserving his kidney.

Previously, Binh Dan Hospital also received a 27-year-old patient, 15 weeks pregnant, with a large tumor about 40cm in diameter that was directly pressing on the uterus, endangering the fetus. The patient underwent surgery to remove the tumor weighing more than 5kg. The pathological results were a well-differentiated primary retroperitoneal liposarcoma. The patient was discharged from the hospital and recovered quickly 5 days after surgery. The patient's pregnancy progressed well and the patient gave birth naturally.

Liposarcoma is a rare malignancy. The estimated incidence in the community is 0.3% to 0.4% per 100,000 people. Retroperitoneal lipomas are most common in the 60- to 70-year-old age group. The World Health Organization (WHO) classifies lipomas into five main types: well-differentiated, myxoid, round cell, pleomorphic, and dedifferentiated.

Well-differentiated lipomas are the most common histological type and have the best prognosis because they are less likely to invade or metastasize. Lipomas can develop in many areas of the body, most commonly in the extremities and retroperitoneum. The standard treatment is radical surgical excision. Treatment options are based on many factors, including age, underlying disease, and tumor location.

THANH SON

Source: https://www.sggp.org.vn/lay-thanh-cong-khoi-u-mo-8kg-trong-bung-nguoi-dan-ong-post795196.html