CASE 329: MEDIASTINAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

FOR PICTURES PLS CONNECT TO 3G /DOWNLOAD THE LINK

case-329-mediastinal-tumor-

Man 28yo, one week ago getting of chest pain, fever and cough. Chest X-Rays (image 1)  showed a  mass  at  left  lung which was thought to be a left anterior mediastinal tumor.

Transthoracic  ultrasound reported  a solid mass, size of  6.7 cm, hypovascular, covered  left anterior mediastinum with  pericardial effusion (ultrasound images 1, 2, 3, 4).

MSCT with CE made diagnosis with a left anterior mediastinal tumor like thymoma.

Blood test made attention to  AFP very high value (lab report).

Clinical status  and  XRays film , US,  CT and  lab reports suggested a  teratocarcinoma (seminoma).

Core biopsy of  this tumor report was an  undifferentiated adenocarcinoma.

The  patient is  waiting for  operation.