Docs remove giant uterus tumour

◗ The woman was presented at SGRH in January 2018 with complaints of pain in abdomen and menorrhagia

Doctors at a city hospital successfully removed a giant tumour equal to nine- months of foetus from a 47- year- old woman, using hybrid technique. The tumour weighing four kg, had occupied the space from the depth of the pelvis till four inches below the breastbone and was adjoining to liver.

The woman was presented at Sir Ganga Ram Hospital ( SGRH) in January 2018 with complaints of pain in abdomen and menorrhagia ( abnormally high bleeding during menstruation) for last ten years. On her abdominal examination, a large firm mass, corresponding to 34 weeks gravid uterus ( 34 weeks size of a foetus in the womb), was felt.

“Our case is unique in many ways, firstly the huge size of the tumor, its rapid growth and its management laparoscopically,” said Dr Debasis Dutta, Senior Consultant, Department of Minimally Invasive Gynaecology, Institute of Obstetrics and Gynaecology, SGRH.

He said that due to the huge size of the tumor, and due its precarious position in the body, and chances of it being cancerous which could have increased the chances of bleeding made its removal challenging.

“Being cancerous, the tumour had to be removed in total, but at the same time, the blood loss has to be reduced and limited. Therefore, Hybrid Technique was planned in which laparoscopic hysterectomy was planned for minimising the blood loss and laparotomy was performed for total removal of tumour along with uterus owing to high suspicion of malignancy in the mass,” he said. According to Dr Kanika Chopra, Department of Minimally Invasive Gynaecology,

“Due to use of the ‘ Hybrid Technique’, there was no injury to adjoining vital organs like bladder, ureter or bowel loops as seen in other similar cases reported previously in the literature.”