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In the same surgery, he also underwent a vascularized transplant of an anterolateral thigh flap. The intervention was carried out in November and the patient was discharged after a week in hospital.
Surgeons at the HM Delfos Hospital in Barcelona have managed to successfully remove a "very aggressive" brain tumor from a 70-year-old patient that they considered "inoperable" and that invaded the skull and eye socket, and they have implanted muscle, skin and thigh fat, in a highly complex intervention.
In addition, as reported by the hospital, the patient suffers from other pathologies, such as skin cancer metastasis, is diabetic, has heart disease and has cured pancreatic cancer.
The tumor, a squamous cell carcinoma, has been removed by the Plastic, Reconstructive and Aesthetic Surgery team led by Jesús González, who recalled that the case was described as "inoperable" by other doctors.
"It was a complex case because in addition to the considerable size of the tumor and how quickly it grew, the patient, who had already received radiotherapy, suffered from previous pathologies such as diabetes, heart disease and pancreatic cancer that had already been cured," González highlighted.
"At first, we thought that perhaps it was the metastasis of said pancreatic tumor, although its behavior quickly indicated to us that it was unlikely, which we confirmed with the biopsy," he detailed.
After analyzing the patient together, all the specialists involved decided not to dismiss him and intervene surgically "because, after the radiotherapy treatment to which he was previously subjected, surgical rescue was the only option left."
"We informed him of the options and together with him we decided to assume the risks of the intervention," the surgeon admitted.
In the operating room, where the neurosurgery team was also present in case the frontal lobe of the brain had to be operated on, they removed the tumor and the orbital contents of the eye, avoiding resection of the frontal lobe of the brain.
In the same surgery, they also performed a vascularized transplant of an anterolateral thigh flap, that is, tissue composed of muscle, skin and fat that was connected by microsurgery to close the skin defect, the cranial contents and the air fistula that It came out of the ethmoid and frontal sinuses.
The intervention was carried out last November, the patient was discharged after a week of hospitalization, and today he is tumor-free, González reported.
Last summer, the Plastic, Reconstructive and Aesthetic Surgery Service of HM Delfos already successfully resolved a similar case of an 80-year-old patient who had metastasis of a tumor at the base of the skull.
On that occasion they also used an anterolateral thigh flap to perform the autotransplant.
The territorial medical director of HM Hospitals in Catalonia, Francesc Fatjó, has assessed that "this type of surgery will be the one that will mark the future in many areas of medicine and we are committed to it."
