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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 .


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