In her belly, besides a lovely baby, there are two "time bombs"-1 tumor on the left and right sides of the uterus and appendix, which is 18 cm long, which is caused by the metastasis of gastric cancer cells.
For the sake of her children, she chose to fight bravely against the disease. With the full cooperation of obstetrics and gynecology, general surgery, oncology and neonatology in Guangdong Qifu Hospital, cesarean section and tumor resection were performed at the same time, and finally the mother and baby passed smoothly.
After 29 weeks of pregnancy, it seems full-term, but it is actually a metastatic tumor.
At the 29th week of pregnancy, 37-year-old Ms. Gao felt more and more wrong, with full-term stomach, nausea and vomiting, abdominal distension and abdominal pain. At first, she thought it was just a normal pregnancy reaction, but the situation became more and more serious and she couldn't even eat any food. She went to Guangdong Qifu Hospital for obstetric treatment. The results of B-ultrasound showed that it was a bolt from the blue for this family who had been immersed in the joy of welcoming new life: two lumps with a length of 18cm were formed on both sides of the uterus and appendix. After Ms. Gao was admitted to the hospital for obstetric treatment, experts in gynecology, obstetrics, neonatology, oncology and general surgery of Guangdong Qifu Hospital believed that ovarian cancer during pregnancy did not rule out the possibility of metastasis, which seriously threatened the life of mother and baby.
"Doctor, be sure to keep the child!" The little life in the belly was moving happily, and Ms. Gao was in tears.
"We will do our best to save you and save the children." After a comprehensive evaluation of Ms. Gao's physical condition, the consultant made a diagnosis and treatment plan: first, injection was given to promote fetal lung maturity, and then cesarean section and tumor resection were arranged at the same time.
After dissecting the 3 kg baby, cut off 2 lumps 18 cm.
On June 30, Ms. Gao, who was pregnant for 30 weeks +6, was pushed into the operating room. Medical staff in gynecology, obstetrics, neonatology, general surgery, anesthesiology, blood transfusion and other departments have already made preparations. Xiong, vice president of Guangdong Clifford Hospital, director of obstetrics and gynecology, director of gynecology, and Cui Dongming, director of general surgery, personally performed the surgery.
Anesthetize, disinfect, enter the abdomen, open the uterus ... "Wow ..." A baby girl of 1650g was successfully dissected ten minutes later, 8 points. Neonatal department quickly relays it to the incubator for further monitoring, so as to minimize the occurrence of complications.
The baby's situation is optimistic, and everyone is a little relieved, but the mother's follow-up battle continues. With the tacit cooperation of doctors such as Zhu and Xie Hongyun Meng, He Xiong gradually removed the huge masses of the two appendages of the uterus completely, and the two masses taken out were almost as big as the cut baby, which surprised everyone present.
Diagnosis of rare liver metastasis of gastric hepatoid adenocarcinoma
Then the tumor mass was urgently sent to the laboratory for rapid pathological examination. Combined with pathological examination, immunohistochemistry and patient's medical history, it was consistent with ovarian metastasis of gastric hepatoid adenocarcinoma. This is a rare heterogeneous tumor with stronger invasion, easy metastasis and poor prognosis. In order to prevent the tumor from worsening, Director Cui Dongming of General Surgery led Dr. Xie Bo to continue the relay operation, further expanding the scope of surgical resection and cleaning the surrounding lymph nodes.
The operation lasted for 4 hours, and with the efforts of many departments, Ms. Gao finally passed the test. Later, she was sent to general surgery for further monitoring and treatment. Under the careful care of the medical staff, she can eat porridge and noodles in a few days. Two weeks later, she was discharged from the hospital and the baby left the incubator and went home. Ms. Gao said happily that she has many wishes: to buy new clothes for her children, to watch them learn to walk and talk, and to spend their birthdays with them.
Obstetricians and Gynecologists: Beware of nausea and vomiting in the third trimester!
"Many pregnant mothers think that stomach upset is a normal phenomenon of pregnancy, which often covers up stomach problems." It is not the first time for Xiong to meet a pregnant stomach cancer patient like Ms. Gao after decades of medical treatment. He said that many women may have symptoms such as nausea, vomiting and loss of appetite in the first trimester, most of which are normal physiological phenomena in the first trimester, but if this phenomenon occurs in the third trimester, we should be vigilant. In addition, many pregnant mothers are afraid of affecting the fetus or breastfeeding, and they are resistant to some examinations and treatments during pregnancy, so a large number of patients have delayed their illness. He reminded that if there are symptoms such as emaciation, black stool, stubborn abdominal distension and belching, you should see a doctor in time.
Correspondent Qi Yuan