Hello inulin, I am a chrysanthemum doctor, today to talk to you about ovarian cancer, some people say chrysanthemum doctor, are you mistaken, are you not doing anorectal colon tumors? How to talk about ovarian cancer, in fact, here we want to talk about this ovarian cancer, in fact, it may invade the rectum.
This is one of the things I'm going to say, this is a real case, only a 40-year-old female comrade after a gynecological examination, found to be an ovarian cancer, and this ovarian cancer is not early, it has metastasized in the abdominal cavity, and implanted to the front of the nest, we call the Grasse nest, that is, the rectum or the lesbian vagina or bladder, there is a nest here called Grasse's nest. After this place was planted, it invaded our rectum, and at this time we had a very good tradition in Union Hospital, which is multidisciplinary collaboration or MDT multidisciplinary discussion. Obstetrics and gynecology experts invited me and I gave her a finger examination of the anus, found that she was four or five centimeters away from the anus, the rectal forearm, indeed has been affected by ovarian cancer, and very fixed, very large, I said that this through the gynecology of their own surgery may not be able to solve, during the operation we have to work together.
Sure enough, during the gynecological surgery they found a lump of this rectum involved, and the gynecology had no way to do anything, so they invited us to the general surgery, which is our specialty, and I went to the operation. Then try to go forward and remove her tumor intact, along with the ovarian cancer, and we saved the anus.
If you think about it, for a 40-year-old lesbian, very young, this anus is not only physiological, a very important organ, which is also a very important comfort for our psychology. If there is no anus, then this life may have no dignity, it is such a situation, so we saved the anus, but because her tumor was very large and cut up, the interface of this place is not very reliable, so we made a temporary ostomy for her, this patient is very obedient, and also followed some of our medical advice before surgery, and then did intestinal preparation, intestinal preparation is very clean, creating good conditions for me, cutting the rectum and then connecting it to make a temporary stoma, Later, she went to the obstetrics and gynecology department for several months of chemotherapy.
The chemotherapy interval came to me again and put the stoma back in. So she was lucky to both cut the tumor clean and keep the anus, but unfortunately she relapsed again after about 5 years, after the recurrence, it was not invading the pelvic cavity, violating the right side of the intestine, we call the right half colon, and some of her other abdominal cavity also has some metastases, and after chemotherapy there is no particularly good method, so the gynecology worked with me again We removed the nodules of the abdominal metastases for her, and then removed the right half of the colon and connected them.
So this patient has passed another 5 years, unfortunately she has relapsed again, at this time after the recurrence has been unable to do surgery, and then we gave her a fistula, this ostomy is permanent, is to hang a bag of feces, but you see before and after more than ten years, for an ovarian cancer, it is already very difficult. So advanced ovarian cancer is not terrible, multidisciplinary cooperation MDT and then follow the advice of doctors, we can cure the tumor, even to the survival of 5 years, 10 years is possible, for a late tumor is also possible. So don't abandon, don't give up on ovarian tumors, it's not terrible to invade the rectum, obstetrics and gynecology and surgery work together to cure the disease very well! Do you remember!