CASE 521: MULTIPLE CANCERS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN DOB 1945,  DIABETES WITH HISTORY  FROM  2008   BLOOD TEST  PSA= 5.6ng/mL  9%  TRUS

 DETECTED FOCAL IN PROSTATE AND  BIOPSY MAKE DIAGNOSTIC  PROSTATE CANCER GLEASON 7 

 OPERATION PROSTATECTOMY WAS DONE( SEE TRUS BIOPSY).

IN 2016  WITH RECTORRHAGIA,  CT AND ENDOSCOPY   AND BIOPSY  MAKE DIAGNOSTIC  SIGMA

COLON CANCER.   COLECTOMY  WAS DONE   STAGING  STAGE 1. NO CHEMOTHERAPY POST OP.

( SEE  ENDOSCOPY  )

IN OCT 2018  FOR ROUTINE CHECK -UP,  ULTRASOUND DETECTED  ONE MASS IN HILUS OF LIVER  3 CM 

( US 2) AND  WAKO TEST  MAKE  DIAGNOSTIC  HCC.

MRI OF LIVER  WITH GADO  AND PET-CT  ALSO  DIAGNOSED   HCC.

TREATMENT OF TOCE WAS DONE.

Ultrasound image of the tumor 
after one week TOCE.

SUMMARY = DURING 10 YEARS  3 PRIMARY CANCERS  WERE DETECTED AND MANAGEMENTS..

WHY  ?