Two hospitals operate for women with cervical cancer

Ms. Nguyen Thi Viet H. was admitted to the hospital on March 15, at K Hospital, with a diagnosis of cervical cancer, a retrograde vaginal tumor during her second pregnancy.

During the third month of pregnancy, Ms. H. did not go to the doctor when she saw vaginal bleeding because she thought it was pregnancy bleeding. Until the bleeding lasted, she went to Hai Phong Obstetrics and Gynecology Hospital and discovered that she had a cervical tumor at 4 months of pregnancy.

At K Hospital, after doing the tests, Ms. H. was diagnosed with cervical cancer. The doctors conducted in-hospital and inter-institutional consultations with the National Hospital of Obstetrics and Gynecology, giving the treatment plan of intravenous fluids and antibiotics, hemostasis, and blood transfusion during the period from March 15 to March 27. 4.

After receiving care and monitoring at K Hospital, the mother’s health improved. Two issues noted by doctors are trying to maintain the maximum length of pregnancy to help the fetus develop, ensure the mother’s health and closely monitor the growth of the tumor.

MRI results on April 20 showed that the patient had an irregularly strong tumor after injection, invading 1/3 of the vagina, 6mm left iliac lymph node, poor enhancement after injection, and 1 pregnancy in the uterus. .

Pregnancy ultrasound on May 19, at the National Hospital of Obstetrics and Gynecology, the patient was 33 weeks and 3 days pregnant, the estimated fetal weight was 1.9 kg, the cervix had a tumor.

From April 28 to May 26, Ms. H received protein and blood transfusions at the Emergency Department, K Hospital. By the morning of May 27, the patient was awake, in good contact, and hemodynamically stable. , skin and mucous membranes pale pink, pregnant, no abnormal vaginal bleeding.

On the morning of May 27, doctors who are leading experts from the two hospitals collaborated to perform cesarean section and radical hysterectomy for Ms.

The team includes Assoc. Tran Danh Cuong, Director of the Central Obstetrics and Gynecology Hospital, Dr. BS Le Tri Chinh, Head of the Department of Surgery and Gynecology at K Hospital, and doctors and nurses performed cesarean sections and radical hysterectomy to help a 2 kg baby boy. born. Postoperative assessment, both mother and child have positive signals. The baby was transferred to the Central Obstetrics and Gynecology Hospital for further care and monitoring.

After surgery, pregnant women are actively monitored, with a diagnosis of stage 2A cervical cancer, so the prognosis for treatment is very positive. “The hospital cooperates with specialists to find the optimal solution, the patient will continue to be closely monitored after today’s surgery,” said Dr. Chinh.

Ms. H’s case was discovered in the early stages of pregnancy, so the doctors of the two hospitals took the initiative in closely monitoring the mother’s tumor progression, trying to do their best. strength to maximize the week of your baby’s life.

The surgery took place successfully, the removal of the entire uterus and lymph node dissection after caesarean section is the optimal treatment option, ensuring oncology for the patient.

Ngoc Trang