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Monday, 18 August 2014

CASE 270: MASS nearby STOMACH, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman  44 yo,  epigastric pain for one  month. Ultrasound first  of abdomen detected one round hypechoic mass,  size of 2-3 cm at the border of antrum ( see 2 pictures of ultrasound) .and  sonologist suggested it a  GIST of stomach.





Gastroscopy  detected nothing.
MSCT with CE of this mass:  Mass was not far from the wall of antrum, enhancement with
contrast,  but  in 
position of  rotation,  so CT cannot  make sure that  from the wall of antrum (see CT pictures with CE) or not.





Radiologist suggested that a lymph node, size of  2,4 cm  near antrum.
Blood  test  nothing abnormal.

CLINICAL AND  RADIOLOGY CANNOT  MAKE SURE DIAGNOSIS FOR THE MASS.
IN LAPAROSCOPY FOR BIOPSY THIS MASS,  IT  IS NOT  FROM THE WALL OF ANTRUM.  (SEE OPERATION FOTO 1,2,3)  







REMOVING COMPLETLY THIS ROUND SOFT  MASS. 
SEE  MACRO  PHOTO. 

Pathologic microscopic report with IHC is  neurilemnoma.


REFERENCE case report.


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