Medical staff operating on small columbium. Photo by Zhu Wushen
China News Service, Hefei, May 18 (Liu Liyang and Zhang Qiang) A few months ago, a 3-year-old boy Xiaoqi (pseudonym) was diagnosed with advanced neuroblastoma, and once lost hope of treatment. Recently, after a multi-disciplinary joint consultation of the Second Affiliated Hospital of Anhui Medical University, the intra-abdominal tumor of small columbium was successfully removed, and he will recover and be discharged from the hospital in the near future.
Xiaoqi had pain in her thigh for a month, and she also had a little limp when she walked. At first, the parents thought it was a bone development problem, so they took the child to the local hospital for treatment. The examination revealed that a tumor had grown in the abdominal cavity of the small columbium, which was diagnosed as neuroblastoma. The pain in the thigh was caused by the tumor’s bone metastasis. Since the local hospital did not have the conditions for treatment, Xiaoqi’s family made inquiries from various sources and then went to the Second Affiliated Hospital of Anhui Medical University for treatment.
In the Second Affiliated Hospital of Anhui Medical University, the doctor further examined the small columbium and found that the volume of the tumor in the abdominal cavity was very large. More serious, the tumor encircled the inferior vena cava and the right renal artery and vein and other important organs. Blood vessel. There are various indications that the small columbium is already at stage IV neuroblastoma, and has missed the best opportunity for surgery.
The Pediatric Oncology Team of the Second Affiliated Hospital of An Medical University immediately organized a multidisciplinary consultation of the whole hospital to formulate an optimal treatment plan for Xiaoqi. After repeated discussions, it was decided to carry out transformation therapy for small columbium first. If the chemotherapy is effective, the tumor volume will be reduced before surgical resection. After receiving 5 courses of chemotherapy, the CT scan showed that the tumor had shrunk significantly, and the opportunity for surgery was regained.
Due to the characteristics of neuroblastoma surrounding the growth of blood vessels, when the tumor is completely removed, the abdominal aortic lymph nodes also need to be dissected. A little carelessness will damage the blood vessels, causing fatal bleeding and complications The surgery is very difficult. Recently, Xiaoqi underwent neuroblastoma resection at the Second Affiliated Hospital of Anhui Medical University.
Safety verification, anesthesia, endotracheal intubation, deep vein catheterization, arterial puncture… The steps of the operation are carried out in sequence. As the small columbium abdominal cavity was opened, the tumor came into view. Zhou Lianbang, the chief surgeon of the operation and the director of the First General Ward of the Second Affiliated Hospital of Anhui Medical University, remained calm. The scalpel flexibly moved between the tumor and blood vessels. The tumor was successfully removed, and the metastatic lymph nodes adjacent to the abdominal aorta were also “cleaned”. After a short period of treatment in the PICU (Children’s Intensive Care Unit), Xiao Qi has been successfully transferred back to the general ward and will be discharged from the hospital in the near future.
According to Zhou Lianbang, director and chief physician of the First Ward of General Surgery, Second Affiliated Hospital of Anhui Medical University, neuroblastoma is the most common malignant solid tumor in children. Mortality is high if treatment is not timely or appropriate. In addition to malignant hematological diseases, malignant solid tumors are the leading cause of death in children. With the advancement of medical technology, multidisciplinary collaboration has re-created surgical opportunities for children with advanced solid tumors, and the effectiveness of surgery has been significantly improved. (End)