Qujing Rong Media NewsEndometrial cancer is one of the common malignant tumors of the female reproductive system, but endometrial cancer is rare at the age of 84. Recently, the ** team of the First People's Hospital of Qujing City successfully performed laparoscopic comprehensive staging surgery for an 84-year-old patient with endometrial cancer, and the postoperative effect met expectations.
84-year-old grandma Zhang, who has been postmenopausal for more than 30 years, recently had a small amount of bleeding, and her family quickly accompanied her to the first hospital of the city for examination, and the ultrasound examination found that the uterine cavity occupied a mass, and then underwent endometrial disease examination and was diagnosed as endometrial cancer.
Endometrial cancer, also known as endometrial cancer, is one of the three most common malignant tumors. In China, the incidence rate is second only to cervical cancer, and its incidence is increasing year by year. The treatment of endometrial cancer is mainly surgery, supplemented by radiotherapy, chemotherapy and hormones, and laparotomy, laparoscopic surgery, etc., no matter what way, no tumor is the most important principle.
Considering the specific situation of the patient's grandmother Zhang, who is old, has many underlying diseases, and has early clinical stage, Feng Yuan, the chief physician of the First Municipal Hospital, led the team to formulate a thorough surgical plan for her. With the cooperation of the Department of Anesthesiology, the laparoscopic comprehensive staging surgery for endometrial cancer was successfully carried out for Grandma Zhang, and laparoscopic minimally invasive techniques were used to minimize the surgical trauma of Grandma Zhang, so as to provide guarantee for early postoperative recovery. On the first day after surgery, Grandma Zhang was able to get out of bed and move, and she was successfully discharged from the hospital one week after surgery.
Comprehensive staging surgery for endometrial cancer is a high-risk and difficult fourth-level surgery, which is a huge test for the doctor's clinical experience and surgical skills, especially pelvic and abdominal lymph node dissection, which requires the surgeon to have rich clinical experience and superb surgical skills.
According to Feng Yuan, chief physician of the First Municipal Hospital, the incidence of endometrial cancer in China has increased year by year in recent years, but obesity, hypertension and diabetes are high-risk factors. In addition, people with a family history of endometrial cancer should pay more attention to the use of estrogen for a long time, have not been pregnant, have early menarche, and have a late menopause. At the same time, it is also necessary to pay attention to the small signals sent by the body, such as abnormal bleeding, discharge, lower abdominal pain and other abnormalities after menopause or perimenopause, and go to the hospital in time. At present, the overall prognosis of endometrial cancer is good, so early detection, early diagnosis, and early diagnosis are the keys to prevention and treatment.
The First People's Hospital of Qujing City has a team of skilled and rigorous doctors, with a total of 40 medical staff, including 18 physicians (7 graduate students) and *22 doctors. It has established a first-class tumor and intractable disease specialty alliance with the First Affiliated Hospital of Chongqing Medical University and Yunnan Provincial Cancer Hospital to share resources and complement each other's advantages. The department routinely carries out laparoscopic minimally invasive hysteroscopic surgery, cytoreductive surgery for ovarian malignant tumors, comprehensive staging surgery for endometrial cancer and cervical cancer, as well as radiotherapy and chemotherapy after malignant tumors, targeting, etc., and forms a multidisciplinary collaboration of MDT team to provide safe, effective and high-quality medical services for the majority of women.
Yu Haiting, Yang Rong.