According to Dr. CK.2 Chu Tan Si, Head of the Department of Neurosurgery, Neurological Center, Tam Anh Hospital, patient N. came to the hospital with his head covered with a scarf because he had a very large tumor. The giant tumor was shiny, had many blood vessels, and felt like the tumor was about to burst. The shape of the tumor growing on his head looked like a gourd.
"The tumor is as big as a gourd (about 12 cm in diameter). On the surface of the tumor, there are many signs of necrotic hemorrhage. MRI scan results show that the tumor has spread through the skull bone to the meninges, causing skull bone destruction," Dr. Chu Tan Si informed.
A gourd-sized tumor grew on the patient's head.
After an interdisciplinary consultation, the doctors proposed a surgical plan to completely remove the tumor, reconstruct the damaged skull, and perform a cosmetic skin graft.
First, the neurosurgeons performed an entire excision of the tumor, leaving a 15 x 15 cm defect in the scalp below the lesion. The tumor that had invaded the brain was also completely removed and the skull was reconstructed with a titanium mesh. The surgery lasted 120 minutes.
Then, it took more than 6 hours for the surgical team to perform a microsurgical skin flap to cosmetically shape the patient's head.
After 4 days of surgery to remove the tumor and graft the skin, the patient was awake, able to walk and communicate well, the surgical wound was dry and clean. The patient will return for a follow-up visit to receive chemotherapy as prescribed, because this is a malignant tumor with previous pathological results.
According to the medical records provided by Ms. N., in 2004 she had a tumor on her head, the pathology results determined that it was a Sarcoma (a malignant tumor of the soft tissue of the skin). The patient underwent surgery, radiation therapy, chemotherapy and treatment, but still had a skin defect. In 2009, Ms. N. went to a hospital to rotate a skin flap to cover the defect.
Then, right at the time when the Covid-19 epidemic was intense, the tumor recurred and grew faster and more severe, but the patient could not go to the doctor. After the epidemic ended, the patient went to Singapore for treatment, then returned home to continue treatment with Eastern and Western medicine but did not respond. The tumor grew rapidly to the size of a gourd, with hemorrhage and necrosis on the skin surface, causing destruction of the skull bone.
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