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Tuesday, 12 March 2019

CASE 541: RIB TUMOR, Dr PHAN THANH HAI, Dr HO CHI TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Woman 45 yo  with pain at left thorax.   
Chest X-rays detected one mass at left  lower lung.




Ultrasound detected this mass from thorax wall.  US 1 :  solid mass  hypovascular.



US 2:  crossed section of this mass is round border freely with pleural space.



US 3 : longitudinal scan of this tumor is  hypovascular.



MSCT with CE of thorax,  this tumos is from 9th  rib, size 9cmx5 cm   ( CT 1  cross section,  C T 2   sagittal  section,   CT 3  3 D  view).




Biopsy of this mass is cavernous hemangioma.  
Operation for resection this tumor is done.
See tumor specimen.



Microscopic report is metastasis from thyroid cancer.


Notes: This case is one of 18 thyroid cancer cases  and one of 4 cases bone metastasis published on VUD.

Wednesday, 6 March 2019

CASE 540: URINARY BLADDER TUMOR, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


MAN 32 YO  with HEMATURIA.  

ULTRASOUND of ABDOMEN.  
US 1 : LONGITUDINAL SCAN AT HYPOGASTRIC  REGION DETECTED  ONE CYSTIC MASS INTRA URINARY BLADDER WALL.  


US 2  : THIS MASS IS  FIXED TO ABDOMEN WALL .


US 3 : CROSSED-SECTION OF  CYSTIC MASS  IN URACHUS AREA.


CYSTO-ENDOSCOPY  DETECTED  ROUND TUMOR  MUCOSA OF UB INTACT.


MRI OF   URINARY BLADDER .
MRI 1, MRI 2  =  TUMOR 3 CM  INTRA UB WALL  CYSTIC 


MRI 3  DWI,   MRI 4 =  TUMOR IS  LOCATED AT URACHUS REMNANT.



OPERATION  FOR PARTIAL CYSTECTOMY.
OPE 1= AFTER  INCISION  THE TUMOR IS CYSTIC FILLED WITH MUCUS.
OPE 2 = FLUID CLEAR AND MUCUS GOES OUT.



MICROSCOPIC REPORT  is urachus cyst .