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Sunday, 4 September 2016

CASE 393: SPLEEN TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 26 yo with no clinical symptom. Ultrasound screening detected a spleen mass
US 1= longitudinal scan of this mass size of 6.0cm at lower pole of spleen, hypoechoic, well bordered.

US 2=cross-sectional view of mass.


US 3=CDI of this mass with vascular bending sign and, ( US 4) structure inside hypervascular.


Blood tests are normal.
CT with CE:CT 1 non CE , CT2 CE, delay phase with central mass lower perfusion.



MRI with gado: this tumor is well bordered, peripheral enhanced and central hypoperfusion at the late phase.



LAPAROSCOPY  FOR  SPLENECTOMY  . SURGEON REPORTED  THIS TUMOR IS INTRA SPLEEN AND ITS COLOR  LOOKS LIKE SPLEEN TISSUE ( SEE  SPECIMEN).HE SAID IT MAY BE  HEMANGIOMA.

MICROSCOPIC REPORT  IS CAVERNEOUS HEMANGIOMA.

1 comment :

VIETNAMESE MEDIC ULTRASOUND DIAGNOSIS said...


Dr Toan Nguyen phuoc


I think this is a case of splenic hamartoma based on following findings: 1. Well bordered, heterogeneous, hypervascular mass on US. 2. Isodensity relative to normal plenic parenchyma on NECT, hypodense central area at delay phase on CE. 3. Spoke wheel pattern on MRI with gado. 4. No symptom.