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Gurugram hospital removes world’s largest chest tumour at 13.85 kgs

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Gurugram hospital removes world's largest chest tumour at 13.85 kgs

A team of doctors at Fortis Memorial Research Institute successfully removed the world’s largest chest tumour weighing 13.85 kgs from the chest of a 25-year-old male patient.

As per the available medical literature and published papers, the largest chest tumour removed till date, prior to this case, was in Gujarat in 2015 weighing 9.5 kgs, the hospital said in a statement on Thursday.

Patient Devesh Sharma came to Fortis with breathlessness and extreme uneasiness in the chest. He wasn’t able to sleep straight on the bed due to breathing trouble since the last 2-3 months.

An earlier CT scan at another hospital in the city indicated the presence of a massive tumour in the chest. It occupied more than 90 per cent of the chest area, engulfing the heart and displacing both lungs which led to only 10 per cent of the lungs functioning.

In addition, the patient had a very rare blood group, AB negative.

Due to the vast size of the tumour, it could not be removed through minimal invasive surgery. Thus, the Fortis doctors, in a 4-hour long surgery, opened both the sides of the chest and cut the chest bone (sternum) in between.

“In technical terms, we call it clam shell incision. Throughout the procedure, maintaining adequate blood flow was critical. This was a high risk surgery owing to the bulk of the tumour, which had occupied the entire chest making it difficult to operate on multiple vessels as the neck of the tumour couldn’t be controlled and the capsule of the tumour cannot be breached,” said Dr Udgeath Dhir, Director and Head, CTVS, at Fortis, in the statement.

Post the surgery, the patient was shifted to the ICU, and was initially kept on ventilation and later weaned off.

However, the carbon dioxide in his blood started rising owing to which his lungs which had initially contracted started expanding leading to Re-expansion Pulmonary Edema (RPE).

“We tried to manage this conservatively without invasive ventilator support, but after 48 hours had to put him back on ventilator. Considering his condition, we decided to do a tracheostomy, where we created a mini hole in the neck so that we could take out his secretions since he had also developed dense adhesions in his heart,” Dhir said.

“The patient stayed in the ICU for 39 days, post which he was shifted to a room and his tracheostomy was removed. The patient is doing well, and on bare minimal oxygen support. We are happy that he is gradually recovering,” Dhir added.

HEALTH NEWS

Know about some common types of cancer

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Know about some common types of cancer

Cancer is not just one disease. There are more than 100 types, which can start anywhere in the body. They are named by the organ or tissue in which they start growing. They can form in organs, bones, muscles, tendons, fat, blood vessels, an lymph fluid.

Examples of more common types include:

  1. Carcinoma- This is the most common type, which forms a solid mass of tissue (tumor). Brest, lung, an colrectal cancer are types of carcinomas.
  2. Leukemia– This cancer starts in the blood, occurring when large number of abnormal white blood cells build up in the blood an bone, crowding out healthy blood cells. A lack of healthy blood cells can lower one’s immune function, increasing the risk of frequent infections, fatigue, and recurrent bruising or bleeding.
  3. Lymphoma- this cancer arises in lymphocytes, a type of white blood cell.lymphocytes normally fight infection, but here they grow out of control. This can cause swollen lymph nodes, shortness of breath, and fatigue.
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Here are some sleep hygiene tips

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Here are some sleep hygiene tips
  1. Try to avoid large meals, heavy snacking, or alcohol 2-3 hours before bed.
  2. Ensure a comfortable temperature, as feeling too hot or cold can disrupt sleep.
  3. Stop using electronic devices an hour before bed, especially those emitting blue light such as smartphones, tablets, and televisions.
  4. If your are sensitive to caffeine, try to avoid drinking caffeinated beverages 4-6 hours before bedtime.
  5. Schedule before-bed activities to signal that you are winding down, such as changing into pajamas and brushing teeth.
  6. If you awaken and can’t return to sleep, don’t stay in bed. Get up and do quiet Relaxing activities, such as reading, until you feel tired enough to fall back asleep.
  7. create a quiet, dark, relaxing environment in your bedroom. Dim lights and turn off your cell phone’s sound and vibration modes if possible.
  8. Set a sleep schedule and stick to it. Try to go to bed at night and awaken in the morning around the same times, even on weekends. This helps to regulate the body’s sleep cycles and circadian rhythms.
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How do you know if your back pain is serious?

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How do you know if your back pain is serious?

Back pain:

Back pain develops without a cause that your doctor can identify with a test. Conditions commonly linked to back pain include muscle or ligament strain.repeated heavy lifting or a sudden awkward movement can strain back muscles and spinal ligaments.

Signs that indicate, that its time to consult doctor for your back pain:

  1. If you have been in pain for over a week
  2. If the pain extends to other body parts
  3. If you have numbness, tingling or weakness
  4. If you have pain after an accident
  5. If your pain is worse at certain times or in certain positions
  6. If you are having problems with bowels or urination
  7. If you have unexplained weight loss
  8. If you have a fever
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