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Monday 10 December 2018

CASE 528: LIVER TUMOR, Dr PHAN THANH HAI, Dr JASMINE THANH XUAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Woman 69 yo with history of mastectomy due to breast cancer for 18 years. Now for a screening  she chose full body CT.
CT reported a liver mass   at segment 5 ,  size# 6cm  (CT 1 and  CT 2).


Ultrasound reviewed:

 US 1: Liver  picture scan in April 2018  is  normal

US 2 :   A hypoechoic mass near the gall bladder.


US 3: Vascular supply for this mass is central tumor.


Blood tests= Wako test normal,  CA 15-3  normal .

MRI of liver with primovist  made  diagnostic  by radiologist is metastasis to liver ( MRI 1,  2,  3, 4).





Ultrasound guided  core biopsy  report = fibrosis

Summary of this case:
 A  mass in liver # 6 cm  suspected metastasis from breast cancer had been
 treated 18 years before and waiting for operation.
Operation of robotic laparoscopy removed big tumor and gall bladder.

Microscopic report is metastasis from suspected breast cancer.


MICROSCOPIC REPORT WITH IMMUNO-HISTOCHEMISTRY IS  METASTASIS MAY BE FROM BREAST CANCER  BEINGTREATED 18 YEARS AGO.


Reference   TNM  AND M DELAYED.



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