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AIIMS Delhi Removes 21.8-Kg Tumour From Cancer Patient

AIIMS Delhi team excises 21.8-kg uterine sarcoma tumour in five-hour high-risk operation.

Surgeons at the All India Institute of Medical Sciences (AIIMS) Delhi have successfully removed a massive 21.8‑kilogram uterine sarcoma tumour from a 46‑year‑old woman in a complex, high‑risk operation, hospital officials said Friday. The five‑hour procedure at the Dr B R Ambedkar Institute Rotary Cancer Hospital (Dr BRA‑IRCH) marked one of the largest uterine tumours excised in recent medical history.

The Delhi resident, who was also managing diabetes and hypertension, had been experiencing progressive abdominal swelling, pain, and difficulty walking for several months before seeking treatment. Initial clinical evaluations revealed an enormous mass — approximately 45 cm in diameter — occupying nearly the entire abdominal and pelvic cavity, compressing vital organs including the kidneys and ureters. Doctors warned the tumour could have led to renal failure and respiratory distress within weeks if left untreated.

On March 23, a multidisciplinary team led by surgical oncology specialists performed an exploratory laparotomy, confirming the tumour’s origin in the uterus. Surgeons removed the uterus, ovaries, fallopian tubes, and the gigantic tumour in a meticulously planned five‑hour operation, carefully managing blood loss and navigating the risks of major vessel rupture and massive haemorrhage — common dangers in such extensive surgeries. Despite the complexity, the procedure was completed with controlled blood loss and no immediate complications reported.

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Hospital officials said the tumour’s sheer size had caused lower back pain, impaired mobility, and significant abdominal discomfort for the patient, though she did not report issues with bowel or bladder function. The surgical team emphasized that early detection and surgical intervention were crucial in preventing further deterioration of her condition, especially given the tumour’s impact on adjacent organs.

Uterine sarcoma is a rare and aggressive form of cancer that develops in the muscle or other tissues of the uterus, accounting for only a small fraction of all uterine malignancies. Patients with large or advanced tumours often face significant treatment challenges due to the risk of spread and involvement of surrounding structures. Surgical removal remains a cornerstone of management, typically followed by additional oncologic therapies based on pathology results.

Following the operation, the woman is reported to be recovering well under close postoperative care and is expected to undergo further evaluation for additional cancer treatment as advised by her care team. Doctors at AIIMS highlighted that such complex surgical successes underscore the importance of specialised oncologic care and early screening to improve outcomes in patients with large and advanced tumours.

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