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(Health Times network end of the reporter Wei Wei in Shanghai Renji Hospital special correspondent Yuan Wei)
. Although it is summer, but wearing a velvet jacket ... Not long ago, a particularly strangely dressed young man came to The Clinic of Cao Ziang, a chief of thoracic surgery at Renji Hospital affiliated with Shanghai Jiaotong University Medical College.
untie the coat, the patient exposed the right chest wall like a ball of a giant tumor, about 18 x 15 cm, the surface of the tumor skin is affected by the tumor tissue and has broken the fluid and give off a burst of odor. It turned out that the patient was wearing a thick coat to cover up the huge tumor on the chest wall.
recently, Cao Ziang, chief of thoracic surgery at Renji Hospital affiliated with Shanghai Jiaotong University School of Medicine, teamed up with Lu Yi, deputy director of plastic surgery, to successfully perform a huge lump removal operation and rebuild the chest wall for the patient with right breast wall fibroid splinter.Professor Cao Ziang (right), director ofthoracic surgery, for patientsurgery Shanghai Renji Hospital for a map
doctor asked about the medical history learned that 40-year-old Xiao Wang is alone in Shanghai to fight the express brother, 2 years ago found the chest wall of the size of the coin, did not attract enough attention. In the last six months the tumor rapidly increased and broke the impact of the work, he had to go to Renji Hospital, because the tumor is too big to transfer many hospitals have not been admitted. Looking at the patient who had been suffering from a chest wall tumor and was unable to work, Cao decided to take over the "hot potato".
after a thorough examination, the doctor found that the patient has anemia, hypoproteinemia and other symptoms of malnutrition. According to Cao Ziang, with the improvement of living standards and the popularity of health awareness, in recent years has rarely seen such a large superficial chest wall tumor, the difficulty of such tumor surgery involves the complete removal of the tumor and chest wall reconstruction two aspects.
in strengthening his nutritional support at the same time, Cao Ziang invited the deputy director of plastic surgery physician Lu Yi consultation, for him to develop a thorough surgical program. Because of the large size of the tumor, the reconstruction of post-removal chest wall defect sorcing is a problem, according to the CT assessment of the depth of tumor immersion, the surgical team prepared "simple skin graft" and "th isocarloid transfer" two sets of chest wall reconstruction plan.
after the improvement of nutritional status, Renji Hospital thoracic surgery and plastic surgery jointly for Xiao Wang surgery, Cao director in the surgery carefully tied each large tumor nourishing blood vessels, almost no bleeding during surgery, doctors finally completely removed the huge chest wall tumor, fortunately the tumor only violated the chest wall muscle shallow layer.
plastic surgery Lu Yi followed up with skin graft surgery. He cut the medium thick skin from the patient's right lower limb, cut and stitched it to repair the nearly 15cm chest wall defect left by the tumor removal.
the entire operation took more than 2 hours. A week after the operation, after removing the chest wall to pack the dressing, Lu Yi confirmed that the transplant flap survived and the patient was discharged from the hospital.
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