Surgery saves boy with huge tumor

Updated 2017-08-30 09:57:08 Shanghai Daily

A 3-year-old boy has been released from Xinhua Hospital after doctors cooperated to remove a huge renal tumor and blood clot that had permeated into his heart.

In a case rarely seen in China or abroad, the treatment needed the cooperation of highly skilled doctors of several departments, the hospital said yesterday.

It added that the boy's parents touched his belly and discovered a big lump on April 15. They measured it and found it was 12 centimeters in diameter.

One week later, the frightened family visited Xinhua Hospital to see Doctor Wu Yeming, a professor for pediatric surgery.

The doctor found the boy had a huge tumor in his left kidney, which not only pressed other organs to the right side of his belly, but also intruded upwards into his chest.

The renal tumor cells had made their way into the vein vessel and formed a tumor embolus there, said Wu. He added that the tumor cells continued growing outside of the vein and crossed over the whole abdominal cavity into the postcava of the boy's right side.

"The postcava connects with the right atrium and the tumor embolus grew into the heart," said Wu. "What's worse, they were still expanding."

A multidisciplinary team was formed. The experts agreed to carry out the surgery as the boy might die from abnormal heartbeat, pulmonary embolism or cerebral embolism if the tumor embolus continued growing.

Though chemotherapy did not make the tumor smaller, it successfully stopped it from growing and reduced its blood supply, creating suitable conditions for surgery.

The complex operation began on August 10. It took more than five hours and the boy's heart had stopped beating for 20 hours during the process.

The young patient recovered well and has been released from the hospital, but will now need to go through therapy and radiotherapy treatment.

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