Dr. Quach Thanh Dung, an internal oncologist from Vinmec Times City International Hospital's internal oncology department, wrote the article.
The technique of inserting an intra-abdominal chemical infusion port paired with surgery to inject intra-abdominal chemotherapy for cancer treatment is being used for the first time in Vietnam at Vinmec Hospital. The patient feels no discomfort at all and has no negative consequences. Mrs. Nguyen Thi Lieu, 49, who had advanced ovarian cancer, was effectively treated by the hospital with systemic chemotherapy, surgery, and heat therapy.
Ms. Nguyen Thi Lieu visited a hospital in Hanoi in October 2018 because she was experiencing bloating and fullness, and her abdomen was enlarging. She was then given the diagnosis of stage IIIC ovarian cancer. The woman was advised to have surgery, but she declined and went to Vinmec Hospital. She was exhausted when she arrived in Vinmec, weighed just 31 kg, had severe abdominal pain, a bloated stomach resembling that of a 9-month pregnant woman, and had trouble breathing when she exerted herself. HE4: 246. High levels of the ovarian cancer marker CA125.
Results of a full body CT scan show that there is bilateral pleural fluid, which causes the lower lobes on both sides to passively collapse. There is also a lot of free fluid in the abdomen, which is 134 mm thick at its thickest point. The pelvic peritoneum has thickened, making it difficult to see the adnexal uterine mass.
The patient consented to chemotherapy after having peritoneal fluid removed for a Cell-block test to diagnose serous adenocarcinoma of ovarian origin and stage IVa ovarian cancer (pleural metastases). three-cycle adjuvant. After three rounds of successful treatment, switching to the most destructive operation possible, and inserting an intra-abdominal chemotherapy chamber, evaluation is performed. Following that, Ms. Lieu received six rounds of heat therapy in addition to intravenous adjuvant chemotherapy and intra-abdominal chemotherapy.
The approach of inserting an intra-abdominal chemical infusion port paired with surgery to pump intra-abdominal chemicals has only been used by Vinmec as of now.
After surgery to remove the tumor, intra-abdominal chemotherapy is a treatment option for ovarian cancer with peritoneal metastases to eradicate any remaining cancer cells. This approach has been used in numerous nations all around the world. Only a few specialized cancer hospitals in Vietnam are currently using this procedure. However, the majority inject chemicals using standard catheters by sticking a needle through the abdomen wall and making several punctures. Because of the great danger of occluding the needle when piercing the visceral organs in the abdomen, it will not be possible when there is no peritoneal fluid.
The intra-abdominal chemical infusion port combined with surgery to pump intra-abdominal chemicals is a new technique that Vinmec is the first hospital to use. The infusion chamber has the advantages of being simple to use, not requiring repeated punctures, and not being dependent on the amount of fluid in the abdomen. The patient feels no discomfort at all and has no negative consequences.
The Internal Oncology Department treated Ms. Nguyen Thi Lieu using chemotherapy and thermotherapy in accordance with the idea that heat enhances blood flow to the lymphoma location. boosting the chemical concentration in this area, increasing the impact of chemotherapy.
The patient responded well to treatment, and after 7 months, 1 operation, 9 rounds of chemotherapy, and 6 sessions of heat therapy, they are in good condition, have gained 2 kg, are not experiencing any stomach pain or shortness of breath, and the abdomen is fluid-free. and gentle and undetectable. Cancer markers fell to levels comparable to healthy individuals (CA125: 23, HE4: 94).
There was no longer any plural or abdominal fluid present, according to the whole-body computed CT scans.
Ovarian cancer is a deadly condition, but its symptoms are frequently undetectable and silent, and most cases are discovered when they are already advanced and difficult to treat. Therefore, it is essential to seek out an oncologist for prompt examination and guidance whenever there are symptoms like abnormal vaginal bleeding, pain or a feeling of fullness in the belly, exhaustion, or lack of appetite.
For effective therapy to work, early illness detection through ovarian cancer screening is crucial. The current screening and early detection program offered by Vinmec International General Hospital helps find gynecological cancers early, even when there are no symptoms, such as cervical, uterine, and ovarian cancer.
Customers who sign up for the Gynecological Cancer Screening and Early Detection Package will get the following:
- An exam and consultation with an Obstetrics and Gynecology specialist.
- Screening for cervical cancer using procedures such transvaginal ultrasound of the uterus and ovaries, the automated system HPV genotype PCR test, and cytology using the Liqui Prep technique
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
