Perhaps in a first of its kind neo-natal procedure,a team of doctors at a city hospital performed a rare and complicated surgery on a 12-day-old infant and removed a huge malignant tumour, which was pre-natally detected during pregnancy. The surgery was performed by the doctors team at the Kauvery Hospitaland saved the life of the girl infant, who was operated on the 12th day of her birth. Talking to reporters today, Hospital Executive Director Dr Aravindan and Dr G Balamurali, Spine and Neurosurgeon said the child was detected with a very large tumor during the 20th week of pregnancy.'' The tumor was almost the size of the child's head and increased in size within five days after birth. The baby could not lie on her back as the tumor was located on the back of the spine. It was very aggressive-looking and vascular. After pre-operative workup with MRI, blood tests and tumor markers were done to study the case thoroughly, before she was taken up for the major surgery on April three. The team led by Dr Balamurali performed the surgery for seven hours and successfully removed the entire tumor, with very minimal blood loss.
Paediatric Surgeon Dr Sivasankar Jayakumar, who was part of the team, said ''the tumor is most likely to be a Teratoma or a Rhabdomyosarcoma which was eroding the vertebrae of the spine.'' The baby was well on the third day, following surgery without any problems and would be ready for discharge soon. ''We are very happy that the parents acted quickly and decided to keep the child though the tumor was detected early'', he said, adding, the surgerywas done under the Tamil Nadu Chief Minister's Comprehensive HealthInsurance scheme as the parents hailed from a poor family and could not afford the normal surgery cost." he added.
Dr Sathish Manivel, Plastic surgeon, said, the incidence of Rhabdomyosarcoma was about 1.5 per million newborns and rare to grow to this size at birth. This is a malignant tumour and requires further chemo radio therapy. ''Such rare tumours can be detected during routine ultrasound during pregnancy and should not be considered for termination. Careful planning of delivery by an expert team and immediate surgery can lead to good outcomes in such cases'', he added. UNI GV 1520
-- (UNI) -- C-1-1-DL0275-1223982.Xml