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Monday, 26 March 2018

CASE 484: SPLEEN TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN PHÚ HỮU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.




Man 59yo with history of  trauma  at the right lung 10 years ago; today  getting pain at right costal area. Chest X-rays detected an old fracture of one rib with changing  costo-diaphragmatic sinus (chest film).


Ultrasound of abdomen detected a liver hemangioma and a big tumor of spleen ( US 1:  liver with hemangioma),  US 2:   round tumor in the pleen, size 9.26cm. US 3:   vascular supply of this tumor.




MRI  with gado  = MRI 1: liver tumor  as a hemangioma and  spleen tumor; MRI 2, MRI 3.  




Blood tests and cancer markers are negative.

Operation  removed the big spleen;   see  macro  looks like hemangioma.



MICROSCOPIC REPORT IS  CAVERNEOUS HEMANGIOMA.



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