Source: Qianjiang Evening News
Over the past five months, Mother Xiaojia has always thought that her 13 -year -old daughter may just gain weight. As long as she was not hurt by the bad guys, she would be "no problem."
It wasn’t until Xiao Jia was so painful that he came to Zhejiang University Women’s House. The doctor saw her huge belly like five or six months of pregnancy, and could not help but breathe.What exactly is going on?
The abdomen of the first day of the first day is getting up
The mother and daughter thought they were "fat"
Xiaojia’s early tide was 11 years old, and menstruation was usually regular.
At the end of last year, Xiaoga found that her abdomen seemed to be a bit bulging, but she had no other symptoms. She thought she was fat and didn’t take it to heart.
In February this year, Xiaojia’s mother also noticed that her daughter’s belly seemed to be bigger. The first reaction was that her daughter would not be pregnant by the bad guy?After repeated confirmation with Xiaojia, after a negative answer, Xiao Jia’s mother also felt, "Maybe just eat fat."
But Xiaoga seemed to go further and further on the road of "fat".In addition to the significantly bulging lower abdomen, constipation and abdomen will occur.
Xiaojia’s mother repeatedly asked Xiaojia again if she was pregnant.Xiaojia is also very aggrieved: "I haven’t done anything to get pregnant, how can I get pregnant!"
Figure self -vision China (not related to graphics)
Although the daughter’s belly is getting bigger and bigger, it does not look like pregnant.After using the pregnancy test strip to detect the pregnancy, Xiaojia’s mother thought that as long as she was not pregnant, she would be okay.
It wasn’t until Xiaojia’s body suddenly appeared obviously uncomfortable and her stomach had a bad stomach. The mother and daughter went to the local hospital for treatment.The result given by the doctor surprised the mother and daughter -children, there was no; but there was indeed a huge cyst!
Because the cyst is too large, the local hospital also recommends Xiaojia to a more authoritative hospital. The mother and daughter then came to the deputy chief physician of the Lan Yibing Bingbing of Zhejiang University.
After the B -ultrasound examination, I saw a huge capacity of a cystic mass in the abdomen, almost filled with the entire abdominal cavity, and even reached the lungs.
Dr. Lan first considered that this was an ovarian teratoma, but because the tumor was too large, he also gave Xiaojia a magnetic resonance with higher resolution of soft tissue and confirmed the source of the left ovary.The next step is to formulate surgical solutions to remove the tumor.
This operation is destined to be not easy, because Xiaojia’s ovarian teratoma is 30 cm!
Ovarian tumor is a tumor that comes from primitive germ cells and is generally composed of multi -complicated tissue.More than 95%of the teratoma is a benign mature teratoma, which can occur at any age. Most of them are 20-40 years old, mostly unilateral.The tumor is full of fats and hair, and sometimes the teeth and bone slices are visible.Most patients do not have obvious symptoms. They often find that abdominal pain can occur when the tumor is large, which can cause the attachment to reverse necrosis.
30 cm huge teratoma
How can surgery reduce damage?
The mother and daughter knew that the "baby" who was on the size of five or six months of pregnancy turned out to be a huge tumor, and she had already supported the same size as a walnut, like a full balloon, and panicked for a while.I don’t know what to do.
Director Zhou Jianhong and Deputy Director Lan Yibing of Women’s Third Section considers that Xiao Jia is only 13 years old this year. It is very young. In order to reduce damage, it is also based on beautiful reasons.Tumor resection.
"Orthododelidal laparoscopy" is a type of "undergoing endoscopic surgery", which refers to the use of endoscopy to the pelvic abdominal cavity through the natural cavity of the human body, such as oral cavity, internal organs, vagina, urethra, and anus.The way target organs organization and surgery are also a less invasive laparoscopic technology in recent years.It has the advantages of abdominal wall without scar, lighter pain, more minimally invasive, more beautiful, faster rehabilitation, low anesthesia risk, and low cost.Applications in the field of gynecology include tubal or attachment resection, ovarian cyst removal, uterine resection, etc.
Using this surgical method, you only need to open a small incision from Xiao Jia’s navel, and then dig out the huge ovarian teratoma tumor a little bit to achieve "surgery without traces."
However, such a huge tumor still has a lot of trouble when it is really removed."Because the navel is small and the teratoma is large, it must be taken out in step when you dig out." Dr. Lan Yibing introduced.
"But based on the current inspection, you can’t judge whether it is benign or malignant, so there is still a certain risk."
Moreover, this is a cystic tumor, and the real part has reached more than ten centimeters, so the process of digging has high requirements for surgical operations.During the surgery, Lan Yibing, the main doctor, first opened a hole in the tumor and sucked out the capsules inside.The liquid that was sucking at the beginning was 3,000 ml, weighing six pounds!
"The process of removing tumors can be imagined as grapes and pomegranates," said young doctor Chen Peiqiong."The ovaries are like a grape. We peel the skin and dig out the inside. Inside the ovarian, there are some ‘splits’ like pomegranates., To teeth, as well as heads and other organizations. We must dig out the "pomegranate seed ‘a little bit when trying to keep her normal ovarian tissue."
Such complex and fine operations are completed through the incision on the navel.
Gynecological tumors may also "attack" girls
Find the problem to deal with it early
After several hours of surgery, 30 cm ovarian teratoma composed of fat, hair, large nerve tissue and other forms was cleared.Fortunately, the pathological slices during the operation show that Xiao Jia’s tumor is benign, and most of the normal tissues of the ovary after the operation have also been retained.
Xiao Jia’s weight before the operation was 57 kg, and it was 48 catties after surgery -the 18 pounds dropped, most of them were the weight of ovarian teratoma.
The surgery is very successful, and only a small incision on the navel, almost no traces of surgery.
Xiaojia’s mother and daughter’s heart finally let go, and changed from the pre -operative "headache crying" to "laughing."While Dr. Lan Yibing was happy for them, he still had some regrets.
Because Xiaojia’s ovaries are affected by the development of teratoma for 8 months before and after, their functions will inevitably be affected to some extent.If you look at it earlier, perhaps the risk of surgery and damage to the ovaries will be smaller.
"For young girls like Xiaojia, many parents will feel that gynecological diseases have nothing to do with them." Some parents did not know enough about gynecological tumors. They confirmed that the child’s belly was not because of pregnancy.treat.
But in fact, patients like Xiaoga are very young, but patients with ovarian cysts or other gynecological tumors often see them at the Zhejiang Grand House.Because the tumor was not big at first and there was no obvious discomfort, it was also delayed to 10 cm.
"For such patients, we use more advanced surgical methods to reduce trauma and surgical traces, and minimize regrets on their growth."
In addition, Deputy Chief Physician of Lan Yibing also reminded that parents need to pay attention to their children’s development and weight changes. If there are doubts, or if abnormalities are found during the physical examination, they must be confirmed in an authoritative hospital in time to avoid delaying related related related related to the relevant related to the relevant hospital.The diagnosis and treatment of the disease minimize the relevant damage.
Source: Qianjiang Evening News · Correspondent Zhang Bingqing Correspondent Sun Meiyan Cheng Lin