On February 4, Viet Duc Friendship Hospital informed about a rare case. The patient is Ms. LTT (46 years old, Tay ethnic group in Tuyen Quang), diagnosed with scalp cancer and had undergone four previous surgeries at another hospital.
However, because the cancer recurred, Ms. T is an ethnic minority living in the highlands, so she could not go to the hospital early. When the tumor spread, Ms. T went to Viet Duc Friendship Hospital for treatment. The tumor appeared in many locations, the entire cancerous skin area occupied 2/3 of the scalp, was hot and had bleeding spots, along with old skin areas from previous surgeries. The CT scan results showed that the tumor had invaded the skull bone, requiring close coordination between plastic surgery - microsurgery, neurosurgery, etc.
According to the treating doctors, the goal of the surgery is not only to remove the tumor and cut the invaded skull area, but also to reconstruct the scalp and the cranial vault to ensure the function of protecting the skull as well as the patient's aesthetics. The team of experts has meticulously planned and prepared all the best conditions for a surgery that lasts for many hours.
Patient with scalp cancer invading the skull bone before and after surgery (photo BVCC).
Dr. Bui Mai Anh, Department of Maxillofacial Surgery - Plastic and Cosmetic Surgery, Viet Duc Friendship Hospital shared: 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 way possible, helping the patient achieve both the shaped skull bone and the shaped scalp cover in the same surgery.
After removing the skull bone, the doctor will use titanium material to reshape the skull bone, and cover the titanium mesh with skin taken from the patient's thigh using microsurgical techniques. Because the area to be removed is 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 can fully cover 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 (
Doctor re-examines patient after surgery (photo: BVCC)
Dr. Bui Huy Manh, 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.
Returning to her daily life, Ms. T emotionally shared: "I never thought I could overcome this disease. Thanks to the dedication and excellent skills of the doctors at Viet Duc Friendship Hospital, I have been given a chance to live again."
Source: https://www.baogiaothong.vn/thot-tim-ca-mo-cuu-nguoi-phu-nu-ung-thu-da-dau-xam-lan-xuong-so-192250204105217305.htm
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