There is a tumor like a "malformed fetus" in the lumbar spinal canal, which not only causes lumbar pain, but even affects the ...... of bowel and bowel functionSuch a bizarre experience really happened to Ms. Deng, a citizen of Zhuhai, recently.
What is wrong with Ms. Tang's body? How does the hospital do it? Nandu's "Zhuhai Great Health Affairs" column recently walked into the Fifth Affiliated Hospital of Sun Yat-sen University in Zhuhai and invited the attending doctor to introduce the relevant situation.
Case presentation. Symptoms include pain in the lower back and buttocks, and weakness in the right leg
Diagnosed with lumbar spinal teratoma
According to reports, 39-year-old Ms. Deng recently had pain in her waist and buttocks, and weakness in her right leg. Soon after, Ms Tang's pain was not relieved, and she began to experience symptoms such as difficulty urinating, and she immediately went to the Five Hospitals of CUHK for treatment. Upon further examination, Ms. Tang was diagnosed with a lumbar spinal teratoma.
What is a teratoma? Liu Fei, Director of the Department of Neurosurgery at the Five Hospitals of CUHK, introduced that teratoma is a tumor of ovarian germ cells, because germ cells have the ability to differentiate into a variety of tissue cells, and the tumor can be seen in tissues such as hair, teeth, bones, oil, and nerves. "These tissue structures are similar to the normal tissue composition of the human body, a bit like a 'fetus' with dysplastic development. ”
"Hometown" in the ovaries, why does the teratoma appear in the lumbar spinal canal? Liu Fei said that teratomas often occur in the gonads, such as women's ovaries and men's **, but as the disease progresses, it will also grow along the midline of the body, such as the anterior mediastinum, sacrococcygeal, retroperitoneal, lumbar spinal canal and other parts. "Teratomas can occur at any age, are more common in women than men and are more common in childhood and adolescence. ”
It is reported that Liu Fei's team quickly performed tumor resection for Ms. Deng. On the second day after surgery, Ms. Deng was able to move on the ground, and on the third day, her urine was restored. During her hospitalization, Ms. Deng's low back pain was significantly relieved, and her limb strength gradually recovered, and she has now been discharged from the hospital.
Expert interpretation. Regardless of whether it is benign or malignant, you should seek medical attention in time
Surgical resection, radiotherapy, or chemotherapy are given as appropriate
Lumbar spinal teratomas usually occur near the spinal cord and can compress the spinal cord and nerve roots, causing a range of symptoms in the lumbar spine. Liu Fei introduced that the main symptoms caused by lumbar spinal teratoma include low back pain, like a knife cut, needle prick or cautery; weakness and numbness of the lower limbs, unsteady walking, easy to fall; Dysfunction of urine and urine, such as weakness of urine and urine, constipation, difficulty urinating, etc.
Liu Fei said that if the examination finds that the teratoma is benign, surgical resection is the main method. "This method is a common and well-established method in neurosurgery to remove the tumor while protecting the surrounding spinal cord and nerve roots. Due to the robot-assisted positioning and minimally invasive method used throughout the operation, it has the advantages of accurate surgical site, small wound, less bleeding and fast recovery. ”
Liu Fei also said that if the examination results show malignancy, in addition to surgical resection, radiotherapy or chemotherapy may be required for adjuvant**. Whether it is benign or malignant teratoma, it is necessary to go to the hospital in time for further **. If left untimely, the tumor may continue to grow and spread, seriously affecting the patient's health and quality of life. ”
For the prevention of teratoma, Liu Fei reminded the general public that in daily life, they should maintain a healthy lifestyle, face life with a good attitude, avoid sitting for a long time, and maintain good work and rest and eating habits.
Zhuhai Great Health Affairs" column.
Co-ordinator: Nandu reporter Wang Jinghao.
Group members: Zhang Jingsong, Zeng Kuida, Wei Ruijia.