Can I survive pregnancy and advanced rectal cancer?

  In the past few days, an online post about a cancer mother who insisted on giving birth to her baby in exchange for her life has attracted the attention of many Xuzhou netizens. Two years ago, Li Xinqi, who lives in Huabei, Anhui Province, was suddenly diagnosed with advanced rectal cancer when she was six months pregnant. When she went to Xuzhou for inpatient treatment, her only request to the doctor was to keep her child, even if it meant trading her life for her own.  For the sake of her child, Li Xinqi interrupted her cancer treatment several times, but the miracle that happened to Li Xinqi and her child also stunned the doctors – after many radiotherapy and major surgeries, all her cancer indicators have returned to normal. The two-year-old child is also in good health. The information provided by the hospital shows that there are only two cases like this where the mother and child are safe, as far as they know on the medical records.  The normal treatment plan intestinal obstruction surgery → abort the child → undergo chemotherapy Cancer mother choose intestinal obstruction surgery → caesarean section to give birth to the child → undergo chemotherapy Cancer mother to keep the child “even if life for life” Yesterday, Xuzhou cleared up, the previous two days of sudden rain failed to dissipate the summer heat. On bed 22 on the 10th floor of the new ward building of Xuzhou Medical College, Li Xinqi, who was wearing a hospital gown, was still covered with a quilt.  Shortly after, Li Xinqi turned on her side, turned her back to her mother, lifted her clothes, and a 30-centimeter-long incision was exposed. She carefully organized the abdominal gauze, and then take the new gauze to replace. The gauze that was replaced was soaked with blood and body fluids.  Changing gauze like this, Li Xinqi goes through more than 20 times a day, and she insists on doing it herself, not letting her mother help. “I move a little bit lighter, the pain is a little bit smaller, I can bear it.”  Just like when she first arrived at the hospital in 2013, Li Xinqi’s ability to endure surprised everyone.  Li Xinqi, a native of Dali Village in Suixi County, Huaibei City, Anhui Province, was two months pregnant in February 2013 when she developed vomiting and bowel disorders, which she thought were normal pregnancy reactions at first. In late May of that year, Li Xinqi did not have a bowel movement for more than 10 days in a row and her abdomen was bulging. The local hospital did not dare to accept her, so her family had to send her to the Xu Medical Hospital for treatment.  ”The doctor said after the anal finger examination that the condition was not optimistic.” Li Xinqi’s mother Zhu Yun said. The doctor’s initial diagnosis was rectal cancer, and Li Xinqi was immediately taken to the operating room.  Before the surgery, the doctor told her in person: to save the adults, it is best to abort the child. Li Xinqi immediately refused, she cried and made a request to the doctor: keep the child, even if it is life for life. After being admitted to the operating room, the family tearfully agreed to the doctor’s suggestion and signed the papers.  The operation took 7 hours. Zhu Xiaocheng, director of the Gastric Surgery Disease Treatment Center of Xu Medical College, introduced the patient to severe intestinal obstruction due to cancer in the colon, and more than 10 pounds of feces were cleaned out during the operation. Because the child was pressing on the rectum, the patient was bleeding profusely, so the rectum could not be removed. During the surgery, it was also discovered that the patient had acute appendicitis, and the operation was prolonged again.  She refused chemotherapy and must have the baby first After the first surgery was done, the patient would be treated with a course of chemotherapy according to normal procedures. Once again, Li Xinqi insisted that she must give birth to her child. Her family persuaded her repeatedly, but she was indifferent. The hospital had no choice but to carry out treatment to stabilize her condition. On August 12 of that year, she was pushed into the hospital maternity ward for a caesarean section.  The operation was predictably risky and took more than 10 hours to complete. “The patient’s pelvic congestion was obvious, bleeding was intense, the enlarged uterus was compressing the rectum and the tumor could not be exposed, so the resection was abandoned.” Zhu Xiaocheng, director of the Gastric Surgery Disease Treatment Center of Xu Medical Hospital, said that at that time he thought of cutting out the rectum together, but the patient was at the end of her pregnancy and the maternal blood supply to the fetus was quite rich, which also led to the expansion of blood vessels near the tumor as thick as earthworms, which he did not dare to touch at all.  After the operation, Li Xinqi had been lying in the hospital bed for more than a month. Fortunately, after the birth of the child, all the physical indicators were good.  After the birth of the child, Li Xinqi began a course of chemotherapy, to November 18 of that year, after three courses of chemotherapy, Li Xinqi finally began the rectal excision surgery. This operation was carried out again for more than 10 hours, and after the operation, 6 courses of chemotherapy and 25 days of radiotherapy were carried out.  In February this year, Li Xinqi returned to Xu Medical Hospital again because of intestinal adhesions. According to Director Zhu Xiaocheng, the patient’s out-of-hospital radiotherapy in 2014 led to small intestine adhesions, also known as radiation enteritis, causing severe intestinal obstruction. After opening the abdominal cavity, the small intestine was extensively adhered, “so hard that it was like a layer of armor.” After seven hours of peeling, Li Xinqi was forced to remove most of the small intestine, which was about 4 meters, but only 1 meter was left after the operation.  In June this year, Li Xinqi once again had a major surgery. This time, a partial bowel resection left her with only 80 centimeters of large intestine and a fistula at the colon. “The remaining 80 centimeters of intestinal tube is the patient’s only hope for recovery.” Zhu Xiaocheng told the reporter this.  In this way, in just two years, Li Xinqi has undergone seven major operations for intestinal obstruction, appendicitis, caesarean section, rectal resection, intestinal adhesion, small intestine fistula, colostomy, etc.  She lost 50 pounds on nutritional fluids, but she survived two years of seven major surgeries, nearly 100 bags of blood transfusion, repeated radiotherapy, Li Xinqi’s body function is deteriorating. She is 169 centimeters tall and originally weighed 110 pounds, but now she has lost so much weight that she is skin and bones and weighs only 60 pounds due to her battle with “short bowel syndrome”.  ”The patient now relies on extracorporeal intravenous nutritional support to give the damaged intestine a recovery process.” Zhu Xiaocheng said, then the good nutrition solution is not as good as the daily three meals, this symptom is called “short bowel syndrome”, especially will cause the patient anemia, micronutrient deficiency, the average person can not survive.  The company’s main goal is to provide the best possible service to its customers. Zhu Xiaocheng said that cases of pregnancy combined with rectal cancer are very rare. Most pregnant women are young people, and the possibility of malignant tumors is not taken seriously, which can easily lead to misdiagnosis and delayed treatment. Moreover, Li Xinqi’s pregnancy combined with rectal cancer is very serious, because blood flow and lymphatic circulation increase during pregnancy, and metabolism is vigorous, which is conducive to cancer spread. During delivery, the first dew squeezed the pelvic cavity, causing soft tissue contusions or lacerations of different degrees, which accelerated the spread of cancer and metastasis.  She was called a miracle by doctors and there are only two cases in the medical record. Zhu Xiaocheng said that the patient was able to survive one difficulty after another, which can be said to create a miracle of survival of patients with advanced rectal cancer combined with pregnancy. Currently, he knows that Li Xinqi is the second case in the world medical record.  Li Xinqi said she was mentally prepared before each surgery, “I didn’t think about anything but my child, I told myself every time, I want to survive, I want to take care of my child.”  The child that haunts Li Xinqi is now almost two years old and has been left at home to be looked after by his grandmother. 2 year old child is very healthy and is no different from young children of the same age. The child is called Huang Tianyu, the name is Li Xinqi to take, “Tianyu is the meaning of heavenly gift, to take this name, I just want to say thanks.”  The husband went on board as a seaman just to earn more medical expenses hospitalized so far, Li Xinqi has spent more than 1 million yuan in medical expenses. In addition to the 40% for medical insurance reimbursement, the family has spent more than 600,000 yuan. The Yangtze Evening News reporter learned that both Li Xinqi and her husband are from rural families, and her parents have been farming for a living for a generation. During the treatment, the two families borrowed money around, has landed more than 100,000 yuan of debt.  Li Xinqi and her husband met at a friend’s party, when she had just graduated from college and her husband was doing an internship after graduating from Dalian Maritime College. The two did not have many opportunities to meet, but after frequent phone calls, network communication, feelings quickly warmed up, after a three-year long run of love, in 2010 into the marriage hall.  After the marriage, her husband was concerned about her, not to let her work in the original electronics factory, but to do a little clothing business in Cebu, “he always told me that it does not matter if you earn money, something and easy on the line, raising a family is a man’s business.”  After Li Xinqi’s illness, her husband, who had been hesitating whether to work as a seaman, resolutely went on board. Before leaving, he left his wife’s salary card. “Every time he went out for more than six months, in order to make more money for me to cure my illness, he was choosing jobs with longer cycles and higher pay.”  Every week, her husband calls from the sea, Li Xinqi said, her husband asks the most is the condition, for their work and life, always simply say “very good”. Li Xinqi told reporters that her husband’s monthly salary has become her life-saving money.  However, the huge amount of medical expenses still makes Li Xinqi overwhelmed, in order to save the cost of changing medication, Li Xinqi always bear the pain of their own cleaning, changing gauze, changing medication, wound attack, the pain is unbearable, she often cried out in pain, at this time, look at the family members have to give her a painkiller injection. At the most, she had four diazoxide injections for pain relief a day.  Li Xinqi’s strength infected doctors and many patients, Zhu Xiaocheng director had donated 1000 yuan, the rest of the hospital gastrointestinal surgery staff donated 2000 yuan. According to the doctor, at present, Li Xinqi’s treatment costs about 1000 yuan a day, such as recovery will need six months to a year of treatment.