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Thursday, 28 November 2013

CASE 222: LIVER MULTIPLE SPOTS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Man 31 yo  onset fever one month ago but not control by antibiotic. Pain in liver region.
Ultrasound  detected  some round spots  like  liver abscesses.(US  B mode, CDI, Elasto).








MRI  with  gado CE detected  also  many  round  spots,   same size of  2 cm, with central necrosis looked like metastasis.





Blood tests=   WBC rising of20k with 85% neutro, negative sero amibe, normal CEA.


Colonoscopy for detection of primary cancer disclosed, at splenic angle of colon, infiltrated induration lesion which was suspected colon tumor .



 And biopsy with microscopic report was colon cancer.



Summary; this case is colon cancer metastases to liver.   

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