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Monday, 30 November 2015

CASE 349: TESTIS TUMOR, Dr PHAN THANH HAI- Dr LE THONG NHAT, MEDIC MEDICAL CENTER, HCMC, VIETNAM


MAN 42 YO, ONE MONTH AGO, PAIN IN ORAL SINUS, DIFFICULT EATING AND 2 DAYS  PAIN AT LEFT TESTIS [FOTO IN ORAL TUMOR AT PALATINE].


ULTRASOUND OF LEFT TESTIS PRESENTED   BIG  AND  HOT  (US 1, B MODE B&W,  CROSS SECTION OF  LEFT TESTIS HYPOECHOIC  INFILTRATION; US2, COLOR DOPPLER  IS  HYPERVASCULAR OF ONE PORTION OF TESTIS; US3, LONGITUDINAL  SECTION OF LEFT TESTIS; 





US4 ELASTOSCAN   THIS  HYPOECHOIC IS 10,5 kPA).

FNAC OF THIS MASS OF  LEFT TESTIS  HAVING   ABNORMAL CELLS.

  
BIOPSY  OF THIS TUMOR IN ORAL IS  B CELL LYMPHOMA.


MY DIAGNOSIS IS B CELL LYMPHOMA  STAGE 4.



Wednesday, 25 November 2015

CASE 348:STRUMA OVARII, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.



Woman  57yo, in general check-up  ultrasound detected  right  ovarian  tumor [image US 1( B mode), size of  5 cm,  round border and  central necrosis with  vascular  covered  around ( US 2).   US 3  elastoscan of this tumor  is  hard= 53 kPa and inhomogeneous.






MSCT  non CE:  Right ovarian tumor  was  round  border, central necrosis, no  ascites   and uterus is in normal structure (CT 1, CT 2, CT3).




Blood test =  ROMA test  is normal.
OPERATION  FOR REMOVING THIS TUMOR.

IT IS RIGHT OVARIAN TUMOR, WELL BORDERED, HARD, NO  INVASION TO AROUND PELVIS ( PHOTO MACRO).





MICROSCOPIC  REPORT  IS  STRUMA OVARII.

REFERENCE:


Friday, 20 November 2015

CASE 347: APPENDICOLITH, Dr PHAN THANH HAI, Dr LY VAN PHAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 60 yo,  pain  at  RLAQ for one month and was treated with medicine but not  resolving her problem.
Ultrasound  scanning of  abdomen  detected  at  RLAQ  one mass with thickening of the wall  and  hypervascular ( see US images 1, 2,3,4)





WBC  is normal, CRP is raised of  16.55ng/mL.
MSCT with CE  detected one  mass  near  coecum area with   stone  ( CT images 1, 2).q



Operation for  removing of this mass.

It is  a retrocoecal  appendicitis with abssess  and stone in appendiceal lumen [ appendicolith].



REFERENCE


Sunday, 8 November 2015

CASE 345: LEFT RENAL VENOUS ANEURYSM, Dr NGUYỄN NGHIỆP VĂN-Dr VÕ NGUYỄN THÀNH NHÂN,MEDIC MEDICAL CENTER, HCMC, VIETNAM

FOR PICTURES PLS  CONNECT TO 3G/DOWNLOAD THE LINK
Female 27yo from Baclieu province, suffered from left side lumbago, which was getting worse in effort
No history of trauma. Entered 121 hospital,  Cantho hospital but status not changing then went to Medic
Center






Sonologist said left kidney AVM which caused left renal vein dilatation of 48mm in diameter.
MSCT with CE was done that IVC appeared early with taken CE of aorta and presented a huge renal vein on left side.



DISCUSSIONS

      Left renal vein aneurysm presented commonly on left side, and true renal vein aneurysm ( absence of media tunica) which was rare, from now on about 10 cases in literature.
      Etiology of aneurysm of left renal vein : hypertrophy of the tunica media with fibrotic thickening) : AVM ( post trauma, RCC ), intrarenal AVM, AVM of aorta and renal vein (in case of renal vein behind AAA).
For prevention of lung venous embolism, rupture of aneuysm... patient was repaired in Cho Ray left renal AVM by coiling and getting well .


\
Left venous aneurysm disappeared totally post op.

Sunday, 1 November 2015

CASE 344 :LEFT GROIN TUMOR, Dr PHAN THANH HẢI, Dr LÊ TỰ PHÚC, MEDIC MEDICAL CENTER, HCMC, VIETNAM

FOR PICTURES PLS CONNECT TO 3G/DOWNLOAD THE LINK




Man 33 yo, detected  left groin  having  a mass  slow growth for 1 year, no pain ( see foto).


Ultrasound  scanning of this mass=





US1: more  calcification  and  very strong shadowing, but  femur bone was intact.
US 2:  tumor had  cystic part  and hypovascular
US 3  elasto scanning=  inhomogeneous  structure tumor
MSCT  without CE=




CT 1 structure  of tumor from  ischium bone extension to  muscle.
CT 2 ischium bone was destroyed  by tumor.
CT 3..3D view of this tumor.


Core biopsy  of this tumor  with report is  osteo-enchondroma.