When Chandeshwar Prasad, 55, a police inspector in Hazaribagh in Jharkhand, developed a big paunch, he thought it was just excess fat. But what was actually making him look pregnant was not fat but a 20-kilogram tumour inside his stomach.
Dr RK Mishra, director and chief surgeon at Laparoscopy Hospital in Kirti Nagar, removed the 20-kg tumour through a 10-inch cut in the chest in a 2.5-hour long surgery on April 26.
“The tumour was occupying the abdominal cavity and had pushed everything aside to make space. As it grew, the tumour kept pressing the heart, lungs and kidney, causing breathing problem.”
“The tumour’s size and the patient’s age were the only complications. Tumours this large are almost always benign but if not removed, it can kill by stopping blood circulation or increasing pressure on sensitive parts,” he said.
The tumour was removed after separating the kidney, spleen, large intestine and the heart. “We also repaired the bowel and other surrounding structure,” said Dr Mishra.
Prasad came to Delhi for treatment after doctors in Patna, his hometown, could not diagnose the ailment.
“Despite two biopsies, doctors at All India Institute of Medical Sciences could not ascertain the malignancy of the tumour,” said Prasad. Then the family approached Dr Mishra for second opinion. Sensing the urgency, the doctor asked him to come for surgery.
“Such tumours are generally seen in people living in remote areas, where there is little access to proper healthcare,” said Dr MC Misra, professor of surgery and chief at AIIMS trauma centre.
Two years ago Dr Misra had removed a 22-kg malignant tumour from the abdominal cavity.