A 90-year-old grandma Song suffered from advanced ovarian cancer 15 years ago. She was originally sentenced to the second half of her life by the doctor, but she and her family did not give up hope of survival. She was further referred to the Department of Obstetrics and Gynecology of Guotai Hospital for treatment. After the reduction surgery and chemotherapy by the hospital medical team, Grandma Song's ovarian cancer has not recurred and has lived for 15 years. Grandma Song was brave enough to face the disease at such an old age, and she also had the care of her family and the kindness of the medical team to save people. How admirable!
At the age of 76, he became unwell. The doctor told him that he had only six months to live.
Grandma Song had abdominal pain, constipation and gastrointestinal discomfort when she was 76 years old, but her appetite was poor, her abdominal circumference was enlarged, and her abdominal mass became more and more obvious, making her uncomfortable whether sitting or lying down. Grandma Song thought it was irritable bowel syndrome before, but after seeing a doctor to rule out gastrointestinal problems, she was diagnosed as ovarian cancer complicated with intestinal obstruction. However, the doctor thought that the patient was old and had a history of intestinal adhesion, so he suggested that Grandma Song should undergo chemotherapy and told her that she had only six months to live.
Her CA- 125 is as high as 16 14 U/ml, and normal adults 1% will exceed 35 U/ml.
He Zhiming, director of the Medical Research Department of Guotai General Hospital and director of the Women's Cancer Center, said that the tumor index of Grandma Song (CA- 125) is as high as 16 14 U/ml, while only 1% of healthy adults will be above 35 U/ml. Further examination revealed that her ovarian cancer was advanced 3 C and her abdominal tumor was about 15 cm. During the operation, intestinal adhesion was peeled off, abdominal tumor, uterus, ovary, fallopian tube, omentum, spleen, large intestine and other metastatic tumors were removed, and artificial ostomy was also performed.
The key point is that the residual tumor volume of ovarian cancer reduction surgery+paclitaxel plus platinum chemotherapy is less than 1 cm.
Director He Zhiming pointed out that Grandma Song's residual tumor was less than 1cm after operation, and she received 6 times of paclitaxel and platinum chemotherapy in the second week after operation. Tumor index ca-65,438+025 decreased to 65,438+00 u/ml, abdominal swelling and gastrointestinal discomfort disappeared. Usually, the treatment of advanced ovarian cancer with postoperative chemotherapy can last for 1.5 years on average, and then it will recur continuously, and there are not many long-term disease-free survivors. Reviewing the patients with ovarian cancer who have survived disease-free for more than 5 years without recurrence, it is found that 1 ovarian tumor resection is less than 1 cm, which is at least 1 times longer than that of patients who cannot achieve ideal reduction surgery.
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