Changjiang Daily Wuhan Client May 21 (Correspondent Li Han) A 60-year-old man was diagnosed with a left kidney mass three years ago, but he did not pay attention to it until he was reexamined two months ago because of low back pain. The kidney cancer had progressed to the point of tumor thrombus formation, and an egg-sized hemangioma had grown in the splenic artery. Doctors from multiple departments worked together to “demine” him one by one and successfully operate.
The 66-year-old Mr. Wang discovered three years ago that he had a left kidney tumor and an enlarged spleen. However, because it was not painful or itchy, he thought there was no big problem, and because he was busy with family work, it was difficult to get out, so he refused the doctor’s suggestion for surgery. It was not until 2 months ago that he suffered from back pain on the left side, and he came to the Zhongnan Hospital of Wuhan University for treatment with the company of his family. Hu Dongliang, deputy chief physician of the Department of Urology, conducted a detailed examination for him and found that the left kidney cancer had grown to 11 cm, and a splenic aneurysm with a diameter of 7 cm, the size of a small cantaloupe, would be life-threatening if ruptured.
According to the characteristics of Mr. Wang’s condition, especially the risk of easy detachment of tumor thrombus and easy rupture of splenic aneurysm, the joint consultation of the departments of Urology, Vascular Surgery, Hepatobiliary and Pancreatic Surgery and ICU of Zhongnan Hospital made a plan for him. surgical plan. In mid-April, the doctor performed splenic aneurysm embolization for Mr. Wang, and his physical condition was stable after re-examination. The team of Professor Wang Xinghuan from the Department of Urology and the Department of Hepatobiliary and Pancreatic Surgery performed a left-sided renal cancer radical resection + tumor thrombus removal for Mr. Wang. The tip of the tumor thrombus of the left kidney has almost entered the inferior vena cava, which is very dangerous. The surgeons cooperated carefully, and there was no tumor thrombus falling off or rupture of the splenic aneurysm, and the operation was successfully completed. After the careful care of the urological medical staff, Mr. Wang recovered well and was discharged from the hospital on May 20.
Hu Dongliang, deputy chief physician of the Department of Urology of Zhongnan Hospital, said that kidney cancer patients often have no obvious clinical manifestations, and most of them rely on physical examination to find clues. “Many people have already progressed when they discovered kidney cancer. It is not uncommon for people like Mr. Wang to know there are signs of kidney cancer, but not take the initiative to diagnose and treat them in a timely manner.” Hu Dongliang reminded that citizens who discover abnormal body indicators at an early stage must seek medical attention in time , to avoid delaying the disease and affecting the treatment effect.