The 37-year-old female employee's abdominal distension was ignored, causing the "King of Gynecological Cancer"! Is this kind of cancer really "without saying hello"?

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Healthy Hangzhou abdominal pain and abdominal distension is like "becoming an uninvited guest." Ms. Chen lives in Yuyao. Ms. Chen always feels abdominal distension for no reason, and the tumor index is also soaring high. In order to seek better diagnosis and treatment, the deputy chief physician Shang Hongkai realized the seriousness of the disease and Ms. Chen's condition should be at an advanced stage. There may be a wide range of tumors involved in the peritoneum, greater omentum, and intestines. Ms. Chen had severe chest tightness and abdominal distension. Shang Hongkai immediately arranged ultrasound-guided abdominal puncture and drainage, and Ms. Chen's discomfort was finally temporarily relieved. As long as the lesions are still there, Shang Hongkai will contact the Medical Department to conduct a multidisciplinary consultation (MDT). "first of all, the team of Director Shang Hongkai will remove the peritoneum, uterus, bilateral appendages, greater omentum and so on."

Source: healthy Hangzhou

Abdominal pain and abdominal distension are like "friends of women", especially in those days of each month. But this seemingly common symptom may also be a hidden opportunity to kill.

Unfortunately, 37-year-old Ms. Chen (a pseudonym) was "hit". Six months ago, she suddenly began to have abdominal distension. Unexpectedly, she was finally diagnosed with "gynecological cancer king" ovarian cancer.

"period" becomes an uninvited guest.

Tumor index skyrocketing

Ms. Chen, who lives in Yuyao, felt little before she was told by the hospital that she had cancer. But in retrospect, Ms. Chen's body had already issued an alarm to her.

More than half a year ago, Ms. Chen always felt abdominal distension for no reason. At first, she thought it was just a small problem, but as time went on, the situation became more and more serious, and her stomach seemed to be inflated and bloated unbearably.

In late October last year, Ms. Chen's regular "period" became an uninvited guest. She came as soon as she wanted to, and it was more than ten days before she went to the gynecology department of the local hospital for consultation.

Originally, I just went to see "irregular menstruation", but the test result dealt a heavy blow to her: ovarian cancer, accompanied by ascites, extensive irregular thickening of peritoneum, and high tumor index.

In order to seek better diagnosis and treatment, after asking around, Ms. Chen and her family came to the gynecology department of the first people's Hospital of Hangzhou. Received by the doctorShang Hongkai, deputy chief physicianAware of the seriousness of the illness, he was admitted to hospital immediately.

Shang Hongkai judged that Ms. Chen's condition should have been advanced, and there may be a wide range of tumors involved in the peritoneum, greater omentum and intestines.

With the continuous production of a large number of hydrothorax and ascites, Ms. Chen developed serious chest tightness and abdominal distension. Shang Hongkai immediately arranged ultrasound-guided abdominal puncture and drainage, ascites continued to flow out of her abdominal cavity, releasing 500-1000ml every day, and Ms. Chen's discomfort was finally temporarily relieved.

Roll up the carpet with multiple surgeries.

To remove metastatic tumors.

As long as the focus is still there, ascites will continue to come out, the key to treatment is to solve the problem from the root.

Considering the complexity of the disease, Shang Hongkai contacted the Medical Department of organizational Infectious Diseases, Gastroenteroanal surgery and Nephrology for multidisciplinary consultation (MDT).

After discussion by experts in various departments and detailed communication with the patients' families, they determined a thorough and detailed treatment plan: a carpet-rolling operation for Ms. Chen: the entire abdominal cavity was opened and the tissue invaded by the tumor was removed one by one like a "carpet roll".

The 37-year-old female employee's abdominal distension was ignored, causing the

After fully improving the preoperative preparation, on October 31, the team of Deputy Chief physicians of Gynecology Shang Hongkai, together with Yu Pan of Gastrointestinal and anal surgery, looked forward to the rotation of the team of Deputy Chief physicians:

First of all, the gynecologic director Hongkai's team first removed the infiltrated peritoneum, uterus, bilateral appendages, greater omentum and so on. Then the team of Deputy Chief physician Yu Panpan of Gastrointestinal surgery performed parietal peritoneal resection + splenic surface focus resection + subtotal gastrectomy with gastrojejunostomy + right hemicolectomy + rectal and partial sigmoidectomy + sigmoidostomy.

After 10 hours of struggle, Ms. Chen's pelvic and abdominal cavity metastatic tumors were cleared, the pelvic and abdominal cavity basically achieved the goal of no residual tumor tissue to the naked eye, and this super-large-scale operation was successfully completed.

After the operation, Ms. Chen recovered smoothly, her body temperature and hemogram gradually returned to normal, and she was discharged smoothly. Postoperative reexamination showed no sign of recurrence.

70% of ovarian cancer is found to be advanced.

Catch these clues.

The incidence of ovarian cancer ranks third in female malignant reproductive system tumors, and the fatality rate has been the highest for a long time. Coupled with the fact that the ovary lives deep in the pelvic cavity, unlike organs such as the cervix and endometrium, which can be detected in time by means of examination, and there is no specific tumor marker, there is still a lack of effective screening and early diagnosis measures. About 70% of patients with ovarian cancer are at an advanced stage at the time of diagnosis, so they are also known as "silent killers."

Does ovarian cancer really come "without warning"? Shang Hongkai said that early ovarian cancer is almost asymptomatic and is indeed difficult to detect. But as long as you observe your physical changes carefully, you can still find some clues:

such asAbdominal bulge, abdominal distension, low back painThis may be due to the fact that the tumor oppresses the abdomen and causes abdominal effusion. In addition, menstrual disorders or irregular bleeding after menopause should also be paid enough attention. Some people will have fatigue, gastrointestinal symptoms and weight loss and so on. If you find something wrong with your body, you'd better pay more attention to it.

Shang Hongkai said that the cause of ovarian cancer is not clear, but it hasObvious familial genetic risk. Women with ovarian cancer in their families should pay more attention to it.Do pelvic ultrasonography once a year.

Excluding genetic factors, we should also try to avoid increasing the risk factors of ovarian cancer, such as advanced age, first birth or never giving birth, early menstruation and late menopause, obesity, long-term smoking, mental stress and so on.

In addition, usually should pay attention to adjust the rules of life, do not stay up late, do not give themselves too much pressure. It is very important to keep exercising and keep a good mood. Do not abuse hormone supplements such as breast enhancement, weight loss and anti-aging.

Contribution: Hangzhou first people's Hospital