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Saturday, 7 July 2018

CASE 503: SUBUNGUAL GLOMUS TUMOR, Dr LÝ HỮU ĐỨC, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.





WOMAN  46 YO  WITH  HISTORY  OF  5 YEARS AGO  PAIN AT  FIRST FINGER OF LEFT HAND, SWELLING AND BLEEDDING.
ULTRASOUND  OF THIS FINGER   WITH CDI    US 1   LONGITUDINAL SCANNING   DETECTED  ONE  MASS HYPOECHOIC BUT HYPERVASCULAR.



US 2: CROSSED-SECTION OF THIS MASS UNDER UNGUAL  
 HYPERVASCULAR  OF DISTAL FINGER.



MRI 2  =THIS MASS IS UNDER  UNGUAL   NO  INVASION OF THE BONE.


MRI 3 = CROSSED- SECTION OF THIS TUMOR IS  SUB UNGUAL WITHOUT EROSION OF THE BONE.


OPERATION  REMOVED THIS TUMOR.


 MICROSCOPIC RESULT IS  GLOMUS TUMOR.

Monday, 2 July 2018

CASE 502: DIFFUSE SKIN XANTHOMA, Dr DƯƠNG NGỌC THÀNH, Dr LÝ HỮU ĐỨC, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.



MAN 32 YO 2 YEARS AGO   BEGINNING AT THE HAND   AND FOOT  RISING SMALL NODULES AND HARD, SIZE 1-2 CM, COULORED  REED TO YELLOW   AND FULL BODY  APPEARED BUT NOT IN THE FACE. SEE PHOTOS ( PHOTO 1  THE BACK ,  PHOTO 2  THE FOOT,  PHOTO 3   THE HAND,  PHOTO 4  IN FOCUS NODULES,  PHPOTO 5  THE SKIN OVER ACHILLUS TENDON.






ULTRASOUND:   US 1=  THE NODULE 1,5 CM  UNDER SKIN   AND FATTY LAYER,   US 2 =  CDI  NO BLOOD TO THIS NODULE,  US 3  ACHILLE TENDON IS  NORMAL .




BLOOD TESTS MADE DIAGNOSING ARE DIABETES AND HYPERCHOLESTEROLEMIA AND RISING TRIGLYCERIDS.

BIOPSY  ( SEE MACRO).  


WHILE WAITING FOR  PATHOLOGY REPORT,
ONE DERMATOLOGIST SAYS IT IS ERUPTIVE  XANTHOMATOSIS.


MICROSCOPIC RESULT IS XANTHOMA.