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Monday 11 November 2013

CASE 218: LEFT SUPRACLAVICULAR MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


MAN 55 YO, LUMBAGO FOR 3 MONTHS.  MRI  SPINAL  SHOWED SOME  DESTRUCTIVE  SPINES SUSPECTING  METASTASIS  AND  A BIG  MASS  ON  LEFT  SUPRACLAVICULAR AREA.
ON ULTRASOUND  B MODE,  IT WAS A BILOBED MASS WHICH HAS DIFFERENT  ECHOSTRUCTURE . 


COLOR DOPPLER PRESENTED THIS HYPOVASCULAR MASS  LIKED SANDWICH SIGN.


ON ELASTOSCAN  ONE  PART OF THIS MAS WAS  SOFT  AND  ANOTHER ONE  WAS  HARD MASS.


WHERE DO YOU GUIDE  FOR  FNAC (HARD MASS OR  SOFT  MASS)?
WE DID PERFORM FNAC OF THIS SOFT MASS, REMOVING EASILY THE FLUID LIKED MILK;




FLUID ANALYSIS  : GRAM STAINING= NEGATIVE BACTERIA, BK NEGATIVE, BUT CELL BLOCK WAS ADENOCARCINOMA [SEE REPORT].

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