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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.

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