Friday, 23 February 2018

Doctors successfully remove 4-pound brain tumor, bigger than head itself


Surgeons in India successfully removed what they think is the largest brain tumor in record, weighing in at 4 pounds.

Ever since he was the age of one, Santlal Pal lived with swelling of the scalp, heaviness, headaches and poor vision in both eyes.

Leading up to surgery, scans revealed the tumor had invaded the brain on both sides of the midline through his skull bone. The patient’s scalp had swelled up so much, he appeared as if he had two heads.

See SWNS story SWBRAIN; MR scan of tumour. Santlal Pal, male aged 31 years, a cloth vendor was admitted in the Department of Neurosurgery of B.Y.L. Nair Charitable Hospital and Topiwala National Medical College with progressive swelling of scalp, heaviness, headaches and dimunition of vision in both eyes since one year. On examination he had a firm scalp swelling measuring 30 x 30 x 20 cms. It appeared as if he had two heads mounted on top of each other. The scalp vessels were tortuous and dilated. The patient was blind. The patient was investigated with CT and MR scans of the brain. Specialised CT angiography was performed to study blood supply of the tumor. The tumor was noted to have invaded into the brain on both sides of the midline through skull bone. The patient and his relatives were explained the High Risk of surgery, He underwent a successful seven hour long operation to surgically excise the brain tumor by a team led by Dr Trimurti D Nadkarni, Professor and Head of Neurosurgery at Nair Hospital.The patient required transfusion of 11 units of blood. He was on ventilatory support for 3 days. The tumor was totally excised along with involved skull bone and that which had invaded into the brain. The tumor weighed 1.873 kgs which is the largest weight of a brain tumor to be excised successfully in the world.

Scans revealed the tumor had invaded the patient’s brain on both sides of the midline through his skull bone. His scalp had swelled to 30 x 30 x 20 cm and appeared as if he had two heads on top of each other.

 ( © SWNS.com)

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“Such large tumors are rare and are a surgical challenge,” Dr. Trimurti Nadkarni, the lead surgeon, told news service SWNS.

During the seven-hour surgery, doctors removed the massive tumor along with skull bone which had moved into the brain.

The cloth seller, who is 31 years old, has made a remarkable recovery following a transfusion of 11 units of blood and three days on life support.

“There was a heavy blood loss and this required great team skill in perioperative monitoring for a successful result,” Nadkarni said.

See SWNS story SWBRAIN; Removed brain tumour. Santlal Pal, male aged 31 years, a cloth vendor was admitted in the Department of Neurosurgery of B.Y.L. Nair Charitable Hospital and Topiwala National Medical College with progressive swelling of scalp, heaviness, headaches and dimunition of vision in both eyes since one year. On examination he had a firm scalp swelling measuring 30 x 30 x 20 cms. It appeared as if he had two heads mounted on top of each other. The scalp vessels were tortuous and dilated. The patient was blind. The patient was investigated with CT and MR scans of the brain. Specialised CT angiography was performed to study blood supply of the tumor. The tumor was noted to have invaded into the brain on both sides of the midline through skull bone. The patient and his relatives were explained the High Risk of surgery, He underwent a successful seven hour long operation to surgically excise the brain tumor by a team led by Dr Trimurti D Nadkarni, Professor and Head of Neurosurgery at Nair Hospital.The patient required transfusion of 11 units of blood. He was on ventilatory support for 3 days. The tumor was totally excised along with involved skull bone and that which had invaded into the brain. The tumor weighed 1.873 kgs which is the largest weight of a brain tumor to be excised successfully in the world.

The tumor weighed 1.873 kilograms which is the equivalent of 4.12 pounds.

 ( © SWNS.com)

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He also told the International Business Times that his team checked all the available medical texts and did not find any tumor as big as this. 

“In fact, the tumor was much bigger than his own head,” he noted.

The surgeon said that he had removed a tumor that weighed 1.4 kg (3.08 pounds) from a patient in 2002.

Nadkarni was pleased with the outcome of the new case.

“The patient has made good recovery and is now ambulatory and on full diet,” he said. “He feels relieved of a large burden on his head.”



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