Huge tumor removed from 18-year-old’s thigh

NEW DELHI: An 18-year-old man received a new lease of life after undergoing an over nine-hour-long surgery for removal of a huge tumor in his thigh at a city hospital, doctors said here.

Praveen Kumar Gupta was admitted to the department of orthopedics at Sir Ganga Ram Hospital on December 26, 2018 with huge swelling in his left thigh, they said.

Examination revealed that there was a huge tumor of 37 cm x 18 cm x 12 cm size, which was affecting the hip and the full length of back of the thigh. The swelling first appeared in 2012 and had increased gradually, a hospital spokesperson said.

Because of the size of the swelling and the excruciating pain it caused Gupta was not able to walk or sit properly. Due to pressure on the nerves and blood vessels, there was weakness and loss of sensation in the limb, doctors said.

The patient approached many hospitals which had advised amputation of the leg, but he was not ready for it, they said.

The challenge was not only to successfully remove this huge tumor but also to save the limb. To overcome this, a medical board was formed consisting of departments of orthopedics, vascular surgery, plastic surgery and anesthesiology, the hospital said.

The surgery took nine-and-a-half hours and only one unit of blood was transfused. Patient recovered well after the surgery and started walking with the help of walking aid from third post-operative day, it said in a statement.

“According to the reported literature, this was the largest tumor ever removed from inside a thigh, without compromising the limb. The largest tumor earlier reported was 32 cm x 13.5 cm x 5.5 cm by the University of Miami in 2014,” Dr Brajesh Nandan, orthopedic onco surgeon, who led the surgery, said.

According to Dr Jayashree Sood, chairperson of department of anesthesiology, pain and preoperative medicine, at the hospital, “This was a challenging case for anesthesia because it was a long surgery performed in the prone position (lying on abdomen), which has its own problems. Blood loss was anticipated, but managed with meticulous surgical and anesthetic technique.” PTI

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