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Tuesday 19 December 2017

CASE 467: SUBMANDIBULAR MASS, Dr PHẠM THỊ THANH XUÂN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC VIETNAM


Man 41 yo,   5 years ago  detected one mass at submandibular region, slow growth. Clinical palpation no pain,  soft, and without  trouble of  eating.



Ultrasound:
US 1=  longitudinal  scan with  curve probe 3.5 MHz :   ovoid mass clear border, hypoechoic with  no vascular signals inside.


US 2 = scanning with linear probe 12MHz=   inhomogeneous structure with many  black spots,    size # 0.5 cm.


US 3 =  elastoscanning of   this mass disclosed a cyst  with  many spots  hardening;  like pomegranate fruit.


CT scan with CE=   it is a cyst,  well bordered, .CT1, 2 , 3 with 3 sections of  this mass,    radiologist said  teratoma.




Operation for  remove this cyst with  content like  yellow milk   typical of  sebaceous cyst  (epidermoid cyst).




 MICROSCOPIC REPORT  IS EPIDERMOID CYST,   BENIGN TUMOR.



REFERENCE: IT IS RICE BODIES.


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