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Sunday 13 March 2016

CASE 367 : INTRAORAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC VIETNAM




Boy  04 yo, difficulty  swallowing for 3 months.  No fever, no pain. Clinical  ENT  doctor’s  examination  is suggestion of tonsil  tumor at right side  (photo).


X-Rays of  the neck AP and lateral view: this mass  is  calcified,   irregular border,   precervical spinal bone, size of  4 cm ( film 1, 2)



US examination of this mass:
US 1: Longitudinal scan  the mass with  strong shadowing cannot  inside this mass.

  
US 2: Cross-section view.



US 3: Relation of this mass with carotid and  cervical spinal bone.


CT scan= CT 1:sagittal view , CT 2:  cross- section  with PA view,  CT3: cross-section with AP view.






Based on clinical, X-Rays , ultrasound and CT, what is your diagnosis?
Based on  X-Rays and CT  some doctors  suggested  teratoma of oropharynx, or enchondroma.
MRI ( 2 pictures sagittal and  section) radiologist  diagnosis is  chondroma.





Operation today  removed one  hard mass   looked like  stone.
Microscopic  report of this mass is fibrous dysplasia ossificans progressiva which is  same as  myositis ossificans



REFERENCE :  case  report.


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