Successful Treatment Of Mesenchymal Tumor In a Three Year Old Child Through Right Hepatectomy Surgery @Chandan Hospital

Tumor can occur at any age and recently at Chandan Hospital, Dr Alankar (Director, Chandan Institute of Gastro-liver & Billary Sciences) diagnosed baby Ananya of three years with Mesenchymal tumor in the right lobe of the liver. It is a rare tumor occurrence in the liver for a child of her age. Typically, the cells grow, divide and replace one another with new cells forming old cells die in a healthy body. When a person has a tumor, it is when several new cells or an accumulation of cells can develop.

Tumor is an abnormal increase in resulting in excess of cell growth into a mass of tissue, which seems like swelling. The official definition of the tumor by the National Cancer Institute is, “an abnormal mass of tissue that results when cells divide more than they should or do not die when they should.”

Let’s understand the kind of tumors that exist, their diagnosis and approach of treatment differ in patients depending on its kind.

Kinds of Tumor:

Tumors appear on the body in numerous sizes ranging from a small nodule to a huge mass depending on the kind of tumor it is. Tumors can occur on any part of the body. Below are mentioned the three kinds of Tumors are found:

  • Benign: The benign tumors are not cancerous, and they do not spread or grow (even if they do that, they do that very slowly). Doctors can easily remove it, and they usually do not return. They might not be harmful but can affect other parts of the body by causing pain, pressing against a blood vessel or a nerve, and triggering overproduction of hormones. Example of benign tumors are adenomas, fibroids, hemangiomas, and lipomas.
  • Premalignant: The premalignant tumors suggest that tumor cells are not yet cancerous but have the capability to become malignant. Therefore, it is required to monitor its growth. Example of premalignant tumors are actinic keratosis, cervical dysplasia, metaplasia of the lung, and leukoplakia.
  • Malignant: The malignant tumors are cancerous as it can grow and spread to other parts of the body. They can grow at a higher rate spreading to other parts, and this process is known as metastasis. It is a life-threatening condition, and they begin to invade other body parts of the body as well. Example of malignant tumors are carcinoma, sarcoma, germ cell tumor and blastoma.

Still, it is never absolutely known the reaction of a tumor as even the benign one can turn into premalignant and then malignant. It becomes essential to check in case there is any growth.

Tumour Diagnosis:

At times a person might feel or see a tumor and a few people have to get it diagnosed through imaging test like MRI & mammogram etc. These tests can only detect a lump if present. Biopsy of the lump becomes essential to find out what kind of lump it is. For the biopsy, the doctor collects a tiny tissue sample and send it to technicians to further examine it with a microscope. The doctor collects the sample during the surgery or at his office. There is a requirement of surgery in cases where the tumor is found to be malignant, or it is pressing a nerve or causing pain.

The above information provides an overview of a tumor, its kinds and diagnosis process. She came to the hospital with persistent pain in her abdominal region and frequent vomiting. She met with Dr Alankar, and after a brief examination, he suggested her to take a few tests. After the test, he concluded that she had a mesenchymal tumor in the right lobe of the liver. The mesenchymal tumor is a benign presenting with numerous clinical signs & symptoms. Its diagnosis can be achieved by radiology and histopathology. For long term satisfaction and in most cases, it is adequate for curative purposes to opt liver resection.

The diagnosis of baby Ananya of having a tumor in the right lobe of the liver at such a tender age required with pain and other symptoms Dr Alankar suggested her parents for right hepatectomy (pediatric) procedure. She was admitted on 27th September for the operation at Chandan Hospital. The team operating her comprised of Dr Alankar as a surgeon, Dr Khalid (Sr Consultant, Chandan Institute of General Surgery) as an assistant surgeon, Dr Himangi (Consultant, Intensivist & Anaesthetist) as a paediatric anaesthetist, Dr Narendra (Director, Chandan Institute of Paediatric & Neonatology) as a Paediatric Intensivist, and Dr Rohit Agarwal as an interventional radiologist.

Typically, experienced surgeons perform liver resections as it is a high-risk procedure. With the advancement in the field of medicine, the experts assure enhanced care during the surgery, understand the anatomy of the liver entirely, and the technological progress has advanced the patient care aspect. Without prior liver mobilization, the anterior approach of right hepatectomy is a trusted technique. Although, in hepatectomy procedure, blood loss control is essential as exorbitant loss of blood and transfusion of blood in patients are correlated to postoperative risen rates of mortality and endangered to prolonged oncological consequences. The team performed the procedure of right hepatectomy on baby Ananya keeping all the above points into consideration. Her surgery was a success with minimal blood loss. She was discharged after observing her recover swiftly on the fifth day after the surgery on 1st October.

Patient Testimonial:

I was in a lot of pain, and my parents were worried about me. They took me to Chandan hospital Lucknow, and Dr Alankar operated me. After the discharge, my health started recovering, and the pain subsided in the abdominal region. I am thankful to the doctors and team Chandan for taking care of me.

Doctors Assessment:

The patient came in here with an issue of persisting pain in the abdominal region, vomiting and low body weight. She was of merely three years old, and after a few tests, it was clear that she had a mesenchymal tumor in the right lobe of her liver. I advised her parents for her to go through the right hepatectomy procedure. This procedure would relieve her of the constant pain. During her follow up after the surgery, she had gained a little weight and was looking better after the checkup.

Bariatric Surgery for Weightloss successfully done @ Chandnan

Increase the Metabolic Process of Your Body with a Simple Procedure & Rid Yourself of Obesity Related Illness

An ever-growing health issue is being obese. There are a rising number of obese, and overweight Indians, also there are a high number of people who are morbidly or severely obese. Morbid obesity is a grave condition that is many times not taken seriously. It hinders with the primary physical functionalities like walking or breathing. People with morbid obesity have higher chances of getting ailments such as heart disease, sleep apnea, gallstones, diabetes, osteoarthritis, high blood pressure, cancer and GERD (Gastroesophageal Reflux Disease).

To track your obesity BMI (Body Mass Index) is an ideal way to do so as through the ratio of height and weight it assesses. The standard weight consideration is 45 kg for any individual with a height of about 5 feet. In the case of BMI, if it is 35 or more, then an individual can be said as to having obesity condition and has higher chances to have the following health conditions such as diabetes, high blood pressure and many others.

A case of obesity of a fifty-seven-year-old lady was successfully handled by Dr. Alankar Gupta (Department of Gastro-Liver & Billary Sciences, Chandan Hospital). The patient’s name was Neerja Mathur, and she weighed around 95 kg with a BMI of 42. As earlier pointed out that morbid obesity comes along with related illness, also Neerja was suffering from diabetes, HTN (Hypertension), OSA (Obstructive Sleep Apnea), and Hypothyroidism.

OSA (Obstructive Sleep Apnea) is a severe sleep disorder as your sleep is obstructed as the breath stops frequently and disturbs sleep. Various kinds of sleep apnea are there. However, the most prevalent and found is obstructive sleep apnea. It is a sort of apnea happens your airway is blocked during sleep when the muscles of the throat intermittently relax. The most obvious and common symptom of obstructive sleep apnea is snoring. Diabetes mellitus is the most generally known as diabetes. It is a disease related to metabolic causing high blood sugar. In normal healthy condition, the insulin hormone transfers sugar to your cells from the blood to be stored or utilized for energy. In diabetes, the body is unable to produce insulin hormone or incapable to use the produced insulin hormone. Also, if the high blood sugar is not treated on time, it has the potential to impair your many organs such as eyes, nerves, kidneys etc. Hypertension is more commonly known as high blood pressure. If this hypertension persists for a longer period, it can lead to drastic complications in your health conditions and increase the hazard of heart stroke, heart disease, and seldom death.

Dr Alankar suggested a procedure of laparoscopic sleeve gastrectomy to relieve of her increasing health issues and increase the metabolic process of the body. It was a minimally invasive surgery to reduce her pre-treatment weight which was ninety-five kg. This procedure requires making approximately 5 tiny holes in the abdominal wall. It is performed utilizing a video camera along with the long instruments positioned through the small incisions. The procedure involves eighty-five per cent removal of the stomach leaving a “sleeve” or a narrow gastric “tube”. The laparoscopic sleeve gastrectomy takes about 1 to 2 hours for completion.

This procedure completely resolved her three health conditions she was previously suffering with were OSA (Obstructive Sleep Apnea), HTN (Hypertension) and DM (Diabetes). Also, Neerja lost 5 kgs when she came back for her first follow-up. Dr. Alankar expects she will lose around 30 kgs until March next year.

Patient Testimonial:

I had gained weight over time and wasn’t able to lose by conventional methods such as dieting or exercises. As expected, being overweight, I also had health issues such as HTN, OSA, Hypothyroidism and Diabetes. With increasing age and illness, it was getting difficult to lose weight. I was suggested to go to Chandan Hospital by one of my dear friends. When I consulted Dr. Alankar, I was relieved that through his suggested procedure of laparoscopic sleeve gastrectomy. Through this procedure, I will lose weight, the metabolic process of my body will increase, and three of my major illnesses will be resolved. I am grateful to Chandan Hospital’s caring staff and Dr. Alankar for leading me to better health.