GĐXH - The patient was admitted to the hospital with bright red blood in the urine, blood clots, flank pain, and urinary retention due to large blood clots in the bladder. Doctors discovered a right kidney tumor measuring 47x52x72mm that had spread into the renal pelvis.
While doing normal activities, Mr. NH D (59 years old, Cu Chi) suddenly had blood in his urine and was taken to Xuyen A General Hospital for examination by his family.
Here, the doctors of the Department of Urology performed paraclinical tests to detect that the patient had an advanced stage kidney tumor, and the patient underwent surgery to remove the tumor.
The patient was admitted to the hospital with bright red blood in the urine, blood clots, pain in the right flank, and urinary retention due to a large blood clot in the bladder. According to the patient's statement, he had never experienced this condition before.
Surgery on a patient. Screenshot
Upon admission, the doctors of the Department of Urology conducted an examination, combined with paraclinical tests, and recorded that the patient had a right kidney tumor measuring 47x52x72mm, the tumor had spread to the renal pelvis.
Through vascular ultrasound, it was found that the kidney tumor had buds in the renal vein. The patient was indicated for surgery to remove the tumor. The renal scintigraphy results showed good left kidney function, which could ensure kidney function after right nephrectomy.
Determining this to be a difficult surgery because the tumor was in an advanced stage, there was a high risk of bleeding due to having to cut the blood vessels to remove the buds. After consulting with the patient's family, the doctors of the Department of Urology assessed that this case was still a possibility for laparoscopic surgery.
During the surgery, it was noted that the bud had not spread into the vena cava, so the doctor clamped the renal vein close to the vena cava junction, cut the renal artery and vein, and removed the tumor and bud through a small incision in the right iliac fossa.
At the same time, doctors performed a frozen biopsy of the tumor tissue in the renal pelvis to rule out the possibility that the tumor was an upper urinary tract urothelial tumor, because there were differences in treatment methods.
After 6 hours of surgery, the doctors completely removed the kidney tumor. One day after the surgery, the patient's condition was stable, test results were normal, and the patient could walk and eat normally. Because it was laparoscopic surgery, the incision was small, not very painful, and the patient's recovery time was quick.
The patient reported symptoms such as passing fresh blood in the urine, which he had never experienced before. Screenshot
Master, Doctor, CKII Nguyen Vinh Binh, Head of the Department of Urology, said: "For this patient's case, this is a difficult surgery because the tumor is in an advanced stage, especially with tumor buds in the veins, with a high risk of blood loss, so during the dissection process, the surgeon needs to be skillful, precise and coordinate smoothly with the members of the surgical team.
In cases of renal cell cancer, the main treatment is a wide nephrectomy. Renal tumors are often asymptomatic and are only discovered incidentally during a health check-up, or when you are examined for another condition. When renal tumors show symptoms, they are usually in an advanced stage."
Therefore, Dr. Binh also recommends that patients who have any unusual problems such as hematuria, lower back pain, palpable abnormal mass in the lower back, or when detecting an abnormal mass in the kidney through imaging tests... should urgently go to a specialized Urology clinic for timely examination, diagnosis and treatment.
Source: https://giadinh.suckhoedoisong.vn/nguoi-dan-ong-59-tuoi-giat-minh-vi-tieu-ra-mau-tuoi-di-kham-bat-ngo-mac-benh-hiem-1722411092310051.htm
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