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Friday, 30 May 2014

CASE 258: Multiple Intraabdomen Nodules, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 54 yo,  2 years after operation.for  acute obstruction of small  bowel by  tumor of  intestine, unknown microscopic  report.
Now he had  pain in the pelvis. (photo of  the skin scar operation).


Ultrasound  report   were  multiple  nodules  in  pelvis  looked like  grappe fruit
adherence  over  urinary bladder wall (2 ultrasound pictures).



MSCT CE of abdomen  detected   multiple  intramesenteric round tumors looked like  lymph nodes.




All blood test  and cancer markers were  normal.

Open laparotomy removed the mass which were  multiple  round tumors  adherent  to  great omentum and pedunculated (see  macro1, 2).



Microscopic report this tumor is  malignant  GIST recurrence.



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