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Sunday, 26 May 2019

CASE 552: ULTRASOUND OF A CYSTIC NECK MASS, DR PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


WOMAN 46 YO  HAD BEEN DIAGNOSED A RIGHT NECK MASS, CYSTIC APPEARANCE WITH PUNCTURE ASPIRATION REMOVED YELLOW FLUID MANY TIMES FOR 3 YEARS.  

NOW SHE  RECOGNIZED THIS MASS REFORMING AND GETTING BIGGER ( SEE FOTO).




ULTRASOUND OF THE NECK SHOWS THYROID IS NORMAL, and   CYSTIC MASS LOCATED AT LATERAL OF RIGHT NECK   ALONG OF SCM MUSCLE.

US1= (CROSSED SECTION)

US2 = LONGITUDINAL SCANNING  WITH SUPERB MICROVASCULAR IMAGING [SMI] TECHNIC  SHOWS THAT MICROVASCULAR PATTERN OF TUMOR 
US3=  LONGITUDINAL SCANNING WITH CDI TECHNIC.




US4=  VIDEO  WITH  SMI TECHNIC  SHOWS VERY HIGH VASCULAR SUPPLY  FOR THE MASS.


MSCT WITH  CE  OF THE NECK=

CT1:  THE MASS IS LATERAL OF  COMMUN CAROTID ARTERY [CCA].

CT2:  THIS MASS APPEARES  MIXED CYST AND SOLID STRUCTURE.

CT3:  LONGITUDINAL SCANNING OF THIS MASS WITH CALCIFICATION OF THE WALL.




CT AND ULTRASOUND CANNOT  MAKE SURE DIAGNOSTIC for THIS CYSTIC MASS.

FNAC   REPORTS CANCER CELLS IN CYSTIC MASS   BUT CANNOT SHOW THE ORIGINAL OF THESE CELLS.


FNA OF THE FLUID AFTER  FNAC AND QUANTIFIED THYROGLOBULIN IN FLUID IS VERY HIGH THAT HELPS MAKE DIAGNOSTIC OF THYROID CYSTIC CANCER IN ECTOPIC SITE.



REFERENCE


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