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.
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 WITH IMMUNO-HISTOCHEMISTRY IS METASTASIS MAY BE FROM BREAST CANCER BEINGTREATED 18 YEARS AGO.
Reference TNM AND M DELAYED.
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