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Thursday, 15 October 2015

CASE 340 : UMBILICAL TUMOR, Dr PHAN THANH HẢI, Dr LÊ THÔNG LƯU, Dr NGUYỄN THị KIM UYÊN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Woman 45 yo, PARA 2002, normal spontaneous vaginal deliveries,no cesarean operation  nor history of hormonal contraception. 

2 years ago  she  detected  her umbilicus swelling some days before her menses and continuous pain  during  the entire of her period in some times bleeding.
In clinical  examination  the umbilicus  deformed  by one mass which were bluish-black, hard and not  hot (see 2 photos).





Ultrasound findings of this mass=
US1: this mass was well bordered, localized in cavity of  navel. Structure of mass was solid, size of  2.68 cm.


US 2:  in CDI, vascular supplying from peripheral part of mass.


US 3:  in elastography:  hard mass in comparison to muscle.


US 4 : uterus and pelvis were not intact.

Preoperative diagnosis is primary endometriosis. Removed this tumor. See macroscopic specimen.


Microscopic report: ENDOMETRIOSIS.


CONCLUSION: This  is  a case of   PRIMARY  ENDOMETRIOSIS in umbilicus.

REFERENCE:


1 comment :

Dr.Hai Phuong said...

I prefer this case could be a liposarcoma. The lesion in US1 seem to perfectly located the fat layer under skin. Its blurring border and stiffness in elastography indicated high possibility of malignant. As in colour Doppler, the velocity scale 10cm/s could missing the vascular signal inside the tumor. The patient history have some twisting infor, however malignancy is an option must not be rule out in this case.