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Suspected Lung Adenoma, Vincent Siew Successfully Removes Tumor
pine Webmaster of Pineapple
2009/05/27 16:00
508 topics published
Update Date: 2009/05/21 02:59
By Zhang Cuifen and Chen Luowei, Taipei

As the Ma administration marked its first anniversary in office, Vice President Vincent Siew, known as the "Smiling Old Siew," was hospitalized for lung tumor surgery yesterday due to overexertion, shocking the public. Taipei Veterans General Hospital performed the surgery on Vice President Siew’s lung tumor on the 20th. Based on cytological examination, there is a high suspicion of "lung adenocarcinoma." The medical team conducted a complete resection of the lower left lung lobe, a wedge resection of a ground-glass opacity lesion in the upper left lung, and clearance of the mediastinal and hilar lymph nodes. The procedure was successful. Currently, Siew is in stable condition and fully conscious, with an expected hospital stay of two weeks.

At 5:30 p.m. yesterday, Taipei Veterans General Hospital held an impromptu press conference, where Deputy Superintendent Li Jianxian and Wang Zhengyi, head of the vice president’s medical team, jointly explained Siew’s condition. The hospital stated that during an MRI health check at the Veterans Medical Imaging Center on April 16 this year, an abnormal lung mass was detected in the vice president. Subsequent CT scans and related tests revealed a tumor approximately 3 cm in size in the lower left lung lobe.

Following cytological aspiration tests, there was a strong suspicion of malignant lung tumor. After evaluation, the medical team deemed surgical removal necessary and scheduled hospitalization for May 19. Yesterday morning, Xu Wenhu, director of thoracic surgery at Taipei Veterans General Hospital, performed minimally invasive endoscopic surgery to remove the tumor.

The surgery began at 8:30 a.m. and concluded at 12:30 p.m. No blood transfusion was required, though a significant amount of tissue was excised, leaving a 12 cm incision on the left chest. Siew is currently on a ventilator under observation in the recovery room’s intensive care unit.

Wang Zhengyi, Siew’s long-time personal physician, noted that the vice president has generally been in good health, with health checkups conducted in 2002, 2004, and 2006. Before assuming office in late April last year, he underwent a general health examination at National Taiwan University Hospital, including gastrointestinal endoscopy, cardiac ultrasound, blood tests, and X-rays, which only showed mild acid reflux without other abnormalities.

Li Jianxian explained that after detecting the lung tumor, Taipei Veterans General Hospital arranged a series of tests, including high-resolution CT scans, cytological aspiration, PET scans, pulmonary function tests, and cardiac ultrasounds. Due to the tumor’s proximity to the pulmonary artery and suspected malignant changes, surgical removal was recommended.

Li Yuqin, director of thoracic surgery at Veterans General Hospital, stated that based on cytological analysis, Siew’s tumor is most likely "lung adenocarcinoma." However, a detailed pathological report, including special staining and genetic analysis, will take about three to four days to finalize, after which further treatment plans will be determined. The medical team has a standard operating procedure (SOP) for treatment, including potential targeted therapy.

Surgeon Xu Wenhu noted that the vice president has excellent cardiopulmonary function. Despite the removal of the lower left lung lobe and a triangular nodule in the upper left lung, his physical condition should suffice for future engagements, though pulmonary rehabilitation may be required for some time.

Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 090521/ 4/ 1juy3. html
More Serious Than Expected... Vincent Siew Diagnosed with Cancer, Requires Chemotherapy
pine Webmaster of Pineapple
2009/05/27 16:01
508 topics published
Update Date: 2009/05/27 04:09 [Reporter/Taipei Report]

The pathological biopsy results for Vice President Vincent Siew have been released. The medical team held a meeting yesterday to discuss the findings. According to reports, Vice President Siew underwent a complete lobectomy of the lower left lung, and the pathological biopsy confirmed the presence of malignant lung adenocarcinoma at stage 3B. Additionally, a wedge-shaped ground-glass lesion in the upper left lung was also identified as malignant, a subtype of lung adenocarcinoma at stage 1B. Based on comprehensive evaluation by physicians, the biopsy results indicate signs of tumor metastasis, which is worse than initially expected. Post-surgery, the Vice President will require chemotherapy.

During a routine health check at Taipei Veterans General Hospital on April 16, Vice President Siew was found to have a shadow approximately three centimeters in size in his lower left lung. In early May, further examinations—including a CT scan, fine-needle aspiration, and whole-body PET scan—strongly suggested the possibility of a malignant tumor. Consequently, he underwent surgery at the hospital on the morning of May 20.

The surgery proceeded smoothly, and Vice President Siew has been recovering well. He was transferred to a general ward the following day, began eating, and is expected to be discharged this week.

The pathological biopsy report, released recently, confirmed that the completely resected lower left lung lobe contained stage 3B lung adenocarcinoma, indicating a risk of metastasis. Meanwhile, the wedge-shaped ground-glass lesion in the upper left lung was identified as a subtype of lung adenocarcinoma at stage 1B, meaning it either involved the visceral pleura or was larger than three centimeters. Preliminary analysis suggests the two lesions are independent, with no evidence of metastasis from the lower left lung tumor to the upper left. Overall, the biopsy results were less optimistic than anticipated.

According to sources, based on these findings, Vice President Siew will inevitably require chemotherapy after discharge. Targeted chemotherapy drugs are one option, but if deemed unsuitable, conventional chemotherapy may be administered. Each treatment cycle involves a single hospital visit every three weeks, allowing the Vice President to return home the same day without hospitalization. This schedule would not require extended leave, with a total of four to six cycles expected.

It has yet to be decided whether Vice President Siew’s follow-up chemotherapy will be conducted at Taipei Veterans General Hospital or National Taiwan University Hospital, pending a decision by the Presidential Office and his medical team.

Source: http:/ / tw. news. yahoo. com/ art……url/ d/ a/ 090527/ 78/ 1k79f. html
VGH: Vice President Stable Post-Surgery, No Chemotherapy Needed
pine Webmaster of Pineapple
2009/05/27 16:01
508 topics published
Update Date: 2009/05/27 19:03 (Central News Agency Reporter Chen Qingfang, Taipei, 27th)

Vice President Vincent Siew underwent surgery on the 20th at Taipei Veterans General Hospital to remove lung adenocarcinoma. The hospital stated this afternoon that although the pathological grading of Vice President Siew’s condition was stage 3A, the tumors were extremely small and had been completely removed. His five-year survival rate is expected to exceed 90%, and currently, there is no need for chemotherapy or targeted therapy.

Taipei Veterans General Hospital held a briefing in the afternoon, with Vice President Li Jianxian, thoracic surgeons Xu Wenhu and Li Yuqin, and radiologist Zhang Zhengyan providing details on the condition. Li Jianxian emphasized that all of Vice President Siew’s lung tumors had been completely excised, and the 19 lymph nodes removed during the surgery tested negative. He is expected to be discharged in two to three days, with no plans for chemotherapy or targeted therapy.

Xu Wenhu noted that the two tumors in Vice President Siew’s left upper and lower lobes were different primary adenocarcinomas. Additionally, two tiny cancerous tissues, each half the size of a sesame seed, were found outside the left lung on the pleura. Pathologically, this was classified as stage 3A, but since all were completely removed, his postoperative condition is excellent, with a five-year survival rate exceeding 90%.

Vice President Siew underwent surgery on the morning of the 20th, which was successfully completed. His body temperature and blood pressure have remained normal. The tracheal tube was removed the day after the surgery, and he was transferred back to the ward and began eating. Yesterday, the intravenous drip and urinary catheter were removed, and the chest tubes are expected to be fully removed in the coming days. Overall, his recovery over the past week has been better than anticipated.

The hospital advised Vice President Siew not to rush his discharge. During the Dragon Boat Festival, the hospital will provide health-conscious zongzi (sticky rice dumplings) and hopes he can rest assured and celebrate the holiday in the hospital. 980527

Source: http://tw. news. yahoo. com/ article/ url/ d/ a/ 090527/ 5/ 1k8yq. html
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