Lung cancer surgery preparation, unexpectedly discovered brain vascular malformation

FV Hospital urgently coordinated with leading experts from Vietnam and Singapore to outline a treatment strategy for lung cancer and cerebral vascular malformations, helping the patient escape the brink of life and death.

Suddenly facing double danger: lung cancer and cerebral vascular malformation

The story began more than a month ago, Ms. D.N.Nga (58 years old, living in Ho Chi Minh City) had a persistent cough, so she went to a hospital in Ho Chi Minh City for a health check. The results showed an unusual white spot on her lung. The doctor advised her to have surgery immediately, then do a biopsy to see if it was a benign or malignant tumor.

Worried about the vague medical instructions, Nga and her husband felt uneasy, so they decided to go to FV Hospital to find another option.

Ung thư phổi chuẩn bị mổ, bất ngờ phát hiện khối dị dạng mạch máu não - Ảnh 1. — Master - Specialist Doctor 2 Luong Ngoc Trung and the surgical team removed a tumor in the patient's lung

Master - Specialist Doctor 2 Luong Ngoc Trung, Head of the Department of Vascular Surgery, Thoracic and Endovascular Intervention, FV Hospital, examined and consulted Ms. Nga. The X-ray showed that her lungs had a opaque spot larger than 2 cm. Dr. Trung meticulously analyzed each possible outcome and treatment options so that the patient and her family could understand clearly.

Despite being mentally prepared, the biopsy results came back with the words "lung cancer" which still shocked Ms. Nga and her husband. Her case needed surgery as soon as possible to prevent the cancer cells from spreading.

However, when performing a brain MRI test to screen for metastasis, another "time bomb" was revealed: in her brain there was a giant vascular malformation that could burst at any time, especially dangerous during surgery under anesthesia.

Connect with cerebrovascular specialists in Singapore to find the optimal treatment plan

"Suppose the lung surgery is successful but the patient suffers a stroke on the operating table, all efforts will be considered a failure," Dr. Trung analyzed. An interdisciplinary consultation with internal and external cerebrovascular experts was held to find the optimal solution for the surgery.

Older sister Nga was connected by a team of experts at Thomson Medical Group, the owner of FV Hospital, to meet with a cerebrovascular specialist in Singapore , and also had a PET-CT scan to determine the condition of the tumor , and was examined and consulted to have more valuable information for the consultation.

The opinions of Singaporean and Vietnamese experts converged on an important conclusion: Ms. Nga's brain vascular malformation was not serious enough to require emergency intervention. The risk of complications during lung surgery is real, but is within an acceptable range if factors such as blood pressure are well controlled. And so, the top priority is to operate on lung cancer first, when the tumor is still in its early stages and the chance of cure is very high.

- Ảnh 2. — Ms. Nga's family took a souvenir photo with the doctors before being discharged from the hospital.

The surgery was successful, the vascular malformation did not "cause trouble"

On the morning of July 31, the surgery began. The medical team at FV Hospital had prepared all contingency plans. The team proceeded to remove the entire tumor, completely removing all cancer cells, without lymph node metastasis.

The surgery ended after 3 hours, the surgical team breathed a sigh of relief: The vascular mass did not "cause problems", everything went smoothly as planned.

Pathology later confirmed that Ms. Nga had stage 1A lung cancer, with a very good prognosis, requiring only regular monitoring and no additional treatment. 7 days after the surgery, Ms. Nga was discharged from the hospital.

Source: https://thanhnien.vn/ung-thu-phoi-chuan-bi-mo-bat-ngo-phat-hien-khoi-di-dang-mach-mau-nao-185250816173919402.htm