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 suffered from 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 occupied 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 bone, 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 Aesthetic Surgery, Viet Duc Friendship Hospital said that the patient had to have surgery to remove the entire scalp tumor, including the invaded skull bone. The surgery was coordinated with a neurosurgeon to cut the affected skull bone.
The goal is to reconstruct the patient's scalp and head area in the best possible way, allowing the patient to achieve both the reconstructed skull and the reconstructed scalp coverage 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 microsurgical 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 reconstruct 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 successful.
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 and reconstruct the skull to protect the central nervous system. 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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