Miscellaneous

Rare tumour extracted from the 36-year-old patient at Manipal Hospitals Bangalore

ANI | February 19, 2020 03:38 PM
Rare tumour extracted at Manipal Hospitals Bangalore

Bengaluru (Karnataka) [India] Feb 19 (ANI/PRNewswire): Manipal Hospitals Bangalore achieved yet another medical marvel by successfully removing a rare tumor of the nerve cells, 'Paraganglioma' which was secreting excess hormone and was present at the lower back, near the spine of 36-year-old patient Jagadeesh Ratha.

A multidisciplinary team with specialized doctors from different streams got together to perform this complex surgery: Dr Praveen M Ganigi, Consultant, Neurosurgery, Dr Bopanna KM, Consultant, Neurosurgery, Dr Shabber Zaveri, Consultant, Cancer Care, and Dr Karthik Prabhakar, Consultant, Diabetes & Endocrinology, Dr G S Nagaraja Prabhakar, Consultant, Anesthesiology.

Jagadeesh Ratha was on medication for hypertension for many years. He was facing recurrent lower backache for the past one year with radiating right lower limb pain for eight months. He also reported having lost weight over the past six months. Thorough investigation revealed that he was suffering from a spinal paraganglioma, with excess secretion of Catecholamine hormone leading to hypertension.

"According to a recent study, these kinds of tumors are found in two out of every million people each year and are the cause of high blood pressure in less than 0.2 per cent of people. Though in this case, it was a benign tumor, but the excess release of Catecholamine from the tumor in uncontrolled bursts could cause serious health problems like stroke, heart attacks and even death to the patient. Therefore, he required multi-disciplinary attention", said Dr Karthik Prabhakar, Consultant, Diabetes & Endocrinology, Manipal Hospitals Bangalore.

"Spinal Paraganglioma is rare, with approximately 90 cases reported in the literature and can affect people between the ages of 30 and 50. The surgery was conducted in two steps, one from the front and another one from the back of the spine, taking a total of around ten hours of complex surgery with constant monitoring of his vital signs", said Dr Praveen M Ganigi, Consultant, Neurosurgery, Manipal Hospitals Bangalore.

"Since the urinary metanephrines' value was on the higher side, we had to initiate adrenergic receptor blockers, along with appropriate antihypertensive medications for preoperative BP management. During surgery, hormones in the tumor could be released and could cause serious problems such as elevated blood pressure and pulse. We had to be alert and maintain his body stable at the time of the surgery", said Dr GS Nagaraja Prabhakar, Consultant, Anesthesiology, Manipal Hospitals Bangalore.

"For these kinds of rare cases of Paraganglioma, complete removal of tumour by surgical resection is the first choice of treatment with or without radiotherapy. However, since Paragangliomas are highly vascular lesions and in view of anticipated large volume blood loss, Jagadeesh underwent pre-operative endovascular embolization to cut off blood supply to the tumor", added Dr Shabber Zaveri, Consultant, Cancer Care, Manipal Hospitals Bangalore.

As it was a Spinal Paraganglioma, it could also change the shape of the spinal cord, which could have been disastrous. Therefore, the doctors had to reconstruct the spine as well, post removing the tumor.

"Post-surgery and upon review he was evaluated and was symptomatically better, mobilizing independently and healing well with no fresh deficits. The patient underwent regular physiotherapy and was mobilized with thoraces-lumbar brace post the surgery as per the physical rehabilitation team and was discharged in a stable condition", said Dr Bopanna KM, Consultant, Neurosurgery, Manipal Hospital Bangalore.

"I have recovered completely and now leading a happy and normal life all thanks to the team of doctors at Manipal Hospitals. This was a true example of success achieved via teamwork. All the doctors were extremely supportive throughout the procedure and gave me the confidence to recover. I appreciate the efforts and commitment of the doctors", expressed Jagadeesh Ratha.

This story is provided by PRNewswire. ANI will not be responsible in any way for the content of this article. (ANI/PRNewswire)

Have something to say? Post your comment
Must Read
COVID-19: MP Santokh Chaudhary writes to External Affairs Minister requesting him to provide assistance to Indians living abroad
Capt Amarinder condoles death of Lachman Dass Khanna, father of senior IAS officer Viswajeet Khanna
Mandi board & market committees employees to contribute one day’s salary nearly one crore to CM COVID relief fund
Mandi board & market committees employees to contribute one day’s salary nearly one crore to CM COVID relief fund
No extension of COVID-19 lockdown, Kejriwal misled migrants: Sources
No extension of COVID-19 lockdown, Kejriwal misled migrants: Sources
COVID-19 lockdown: Over 175 Malaysian citizens to fly back from Amritsar today
COVID-19 lockdown: Over 175 Malaysian citizens to fly back from Amritsar today
Punjab Government Orders to wave off process of Biometric Authentication of Beneficiaries under SSBY: Balbir Singh Sidhu
Punjab Government Orders to wave off process of Biometric Authentication of Beneficiaries under SSBY: Balbir Singh Sidhu
Punjab Govt. Ramps up COVID-19 fight, builds large stocks of life-saving equipment
Punjab Govt. Ramps up COVID-19 fight, builds large stocks of life-saving equipment
Punjab govt led by Capt. Amarinder sets up 4 committees to deal with various aspects of COVID-19 containment
Punjab govt led by Capt. Amarinder sets up 4 committees to deal with various aspects of COVID-19 containment
COVID 19: Renowned Businessman V P Singh continues his noble spirit, distributes 500 ration kits again on the third day
COVID 19: Renowned Businessman V P Singh continues his noble spirit, distributes 500 ration kits again on the third day
Commissionerate police ensures payment of Rs 6 crore to around 30,000 labourers in a single day
Commissionerate police ensures payment of Rs 6 crore to around 30,000 labourers in a single day
Capt Amarinder urges union Finance Minister to immediately release Rs 2088 cr GST compensation for Punjab to mitigate Covid-19 crisis
Capt Amarinder urges union Finance Minister to immediately release Rs 2088 cr GST compensation for Punjab to mitigate Covid-19 crisis
MP, MLAs, DC, CP and SSP exhort philanthropists to come forward for helping the needy and underprivileged sections
MP, MLAs, DC, CP and SSP exhort philanthropists to come forward for helping the needy and underprivileged sections