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Homechevron_rightTechnologychevron_rightWhen a 70-yr-old...

When a 70-yr-old Afghan came to India with 1 kg tumour in chest


New Delhi:  For 70-year-old Afghan national Firoza Sarwari, Indian doctors proved to be God-send, who successfully removed a one-kg tumour from her chest in a complicated surgery.

Sarwari was suffering from a rare form of tumour in the chest and had almost given up hopes for a normal life. She had swelling in the neck accompanied by difficulty in breathing and swallowing.

But, her sufferings ended when she was referred to the Indian doctors. She was brought here and doctors successfully performed a highly complicated 'retrosternal hemi thyroidectomy surgery', which removed the tumour from her chest.

Suresh Singh Naruka, an ENT Consultant in the Indraprastha Apollo Hospital, led a team of doctors, who performed the complicated surgery with precision.

After evaluating her condition, the team of doctors concluded that she had developed a massive tumour in her chest, which could have formed due to the thyroid gland in her neck.

"On imaging, the patient was found to have tumour in chest that was compressing the wind-pipe and food-pipe and was also affecting the heart vessels. Tumour was lying very close to the heart vessels therefore posing the danger of injury to the heart vessels at the time of surgery. Although, the tumour was arising from thyroid gland; it was mainly spread in the chest area," said Bhabha Nanda Das, Cardio Thoracic and Vascular Surgeon at the Hospital.

He further added, "This resulted in many other complications such as risk of loss of voice, permanent hole in the neck, damage to large vessels/arteries of heart leading to torrential hemorrhage (excessive bleeding) which posed a high risk to the patient's life and could lead to death of the patient during surgery."

Hence, the line of treatment which the doctors were supposed to adopt needed to be thorough and intricately precise in nature so that no other organs or blood vessels were damaged in the process of surgery.

After thorough evaluation, a multi-disciplinary effort was adopted for treatment with the team of doctors from various specialties coming together to treat the patient. A team comprising of Prof. Ameet Kishore, a senior consultant surgeon of ENT and Venus Rawat, the Registrar, adopted the immediate line of treatment -- removal of the tumour via an open chest surgery to access it and to avoid heavy bleeding from large vessels located in the heart.

Naruka said, "We decided to perform the retrosternal hemi thyroidectomy surgery to completely remove the tumour and to avoid any intraoperative complications. Such surgeries are extremely rare, technically challenging and requires a team of specialised surgeons and multi-disciplinary approach."

The fortunate patient was discharged after the second day of surgery and is planning to fly back to her country soon.

Kishore, the senior consultant surgeon said, "This was a case of rare tumour and required the combined efforts of multidisciplinary teams of doctors. Such cases are splendid examples of the clinical excellence shown by our doctors."

But as they say, all's well that ends well. And for the Afghan, it ended just the right way as she prepares to fly back home happily.

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