HOW THE TUMOR STEALTHILY DESTROYED THE ORGAN AND REACHED ALARMING PROPORTIONS. RESCUE STORY

A resident of Orel turned to doctors when she became concerned about an unusually prolonged rise in temperature. This was the beginning of the detection of a serious disease: the woman was diagnosed with a rare pathology, an adrenal tumor.

“The tumor almost completely replaced the adrenal gland, exceeding its size by 10 times. The volumetric formation was so large that by the time the specialists were contacted, it had already involved the inferior vena cava, kidney, and liver in the tumor process, squeezing them and posing a serious threat to the patient’s life,” explains Iwad Taraki, attending doctor, oncosurgeon of the oncology-urology department of the P. Hertsen Moscow Oncology Research Institute (MORI) – branch of the FSBI “National Medical Research Radiological Centre” (NMRRC) of the Ministry of Health of the Russian Federation. The already difficult situation was aggravated by concomitant cardiologic problems – heart failure and rhythm disturbances, which multiply the risk of complications both during the operation and in the postoperative period”.

Taking into account the current clinical situation, local oncologists recommended that the patient go to the NMRRC, which has the most extensive experience in helping such a complex cohort of patients.

At the first stage, the doctors had to stabilize the heart and install a pacemaker. This was necessary in order to normalize the work of the cardiovascular system of the body and help the patient to undergo a serious surgical intervention. Then oncosurgeons started to save her.

The surgical team was headed by Director General of the National Medical Research Radiological Centre” (NMRRC) of the Ministry of Health of the Russian Federation, Academician of the Russian Academy of Sciences – Andrei Kaprin. Resection of the inferior vena cava, which was affected by the tumor process, was a special technical difficulty. In addition, the installed pacemaker significantly limited the doctors in the use of a number of surgical instruments, which also had to be taken into account. Therefore, the operation was prepared with special care, not to mention the fact that there were two anesthesiology teams in the operating room at once.

The surgeons had to perform truly jewelry and painstaking work. “We managed to carry out the entire planned volume of tumor removal, avoiding damage to vital structures. The right kidney and the section of the liver adjacent to the tumor were saved. The section of the inferior vena cava involved in the tumor process, we removed, and its integrity was restored using atraumatic sutures. Patients with such an aggravated anamnesis are always the prerogative of the federal center, as we have all the necessary conditions to provide high-tech care, including those requiring the participation of a multidisciplinary team of specialists”, – said Andrey Kaprin.

Today, the worst for our heroine is over. The patient has well undergone the surgery and subsequent rehabilitation. At the moment, the doctors and the patient are waiting for the results of morphologic examination, which will determine further tactics.