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Wednesday 15 August 2018

CASE 507: URACHUS TUMOR, Dr PHAN THANH HẢI, Dr LÊ VĂN TÀI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.



Man 54 yo with dysuria.
Abdominal  ultrasound at hypogastric region.
US 1=  longitudinal section over  suprapubic area, reveales one mass  from  abdomen wall and connected to urinary bladder wall  at urachus site. This mass is mixed structure with cystic and solid parts.


 US 2 = crossed section of this mass.


 US 3 =Not detected any tumor in combination of 2 pictures of scanning of intraurinary bladder.


MSCT  scan of  urinary system with CE.
CT 1:  crossed-section  over urinary bladder.



CT 2:  sagittal scanning, this calcified tumor is  related to urinary bladder wall and urachus.


CT 3:  frontal view.


CT 4:  3D view of urinary system.


Radiologist report is  urachus tumor  looked like teratoma.
Operation to remove completely cystic tumor filled with mucus.


Conclusion: Ultrasound and CT make diagnostic of urachus cystic teratoma.
Pathological report is cancer of urachus tumor.


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