A woman suffers from a large cancerous tumour around the kidney

A woman suffers from  a large cancerous tumour around the kidney

Anantapuram, September13, 2021: Kidneys play a major role in the human body. They are responsible for cleansing and purifying the body. Even the slightest damage to the kidneys will disturb the health. But, KIMS Saveera doctors successfully performed surgery on a woman in Anantapur who had a large tumour around the kidneys and which has also spread to the surrounding organs. Consultant Urologist of KIMS Saveera Dr Durga Prasad explained the details.

 

"A woman(55) from Dharmavaram came to KIMS Saveera with unbearable pain in the left flank region for almost a month. After performing a CT scan, doctors diagnosed a large tumour around the kidneys which was 30 X 25 cms. This is rare cancer known as Liposarcoma. Also, this was adherent to organs like the spleen, pancreas, stomach, colon and vessels like the aorta. There was a high risk of injury to all these, and risk of extensive bleeding. There was also a chance of severe infection post-surgery. 

 

After explaining to the patient's attenders about the disease, treatment and complications associated, we admitted her. Before starting the procedure, we consulted cardiologists, anaesthesia team and took their opinion. We have reserved 3 units of blood of her blood group. We decided to remove the tumour through Explorative laparotomy.

 

During the surgery, firstly we removed the tumour from surrounding organs like the colon, pancreas, spleen, aorta. But, the tumour has penetrated deep into the kidneys. So, we had to remove part of the kidney which was affected by the tumour and repaired the normal kidney with graft and sutures. During the operation, bleeding was also minimal and the whole surgery was completed within 2 hours.

 

The next day after surgery, we started the oral diet. Postoperative recovery was also very smooth. No other complications were observed. So, we discharged her after 5 days. After 2 weeks, we removed all the clips. We got the biopsy reports also by then and it was confirmed to be a well-differentiated Liposarcoma. All the other organs were healthy meant that the total tumour was removed successfully," he explained. In this surgery, Urologist Dr Jithendar, Anaesthesia Dr Parasuram were present.

 

Liposarcoma is a very rare cancer. Of all the cancers, the occurrence of this is just 0.2 to 0.3%. This can involve any part of the body but those originating from the retroperitoneum are challenging in this case. Before they become symptomatic, this usually becomes very large. Also, chemotherapy or radiation cannot be given. Surgical resection with a negative margin is the only way. Sometimes, kidneys, spleen or part of the colon are also to be removed. Post-surgical recovery and life expectancy of the patient depends on the quality of surgery. Though the tumour was very large in this case, with the updated infrastructure and extraordinary facilities available in KIMS Saveera, doctors were able to remove this tumour without causing damage to other organs.