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Monday, 30 December 2019

CASE 578: CYSTIC TERATOMA OF THE LUNG, Dr PHAN THANH HAI, Dr NGUYEN TUAN VU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


WOMAN 29YO  WITH RIGHT LUNG  PAIN.    
CARDIAC ULTRASOUND DETECTS NORMAL HEART  AND A BIG MASS  COVERED RIGHT LUNG  ( US1).   





US 2 : THE MASS IS ROUND WITH SIZE 30CM.





US 3 : CDI  NO VASCULAR IN TUMOR .



US 4 : ELASTO  IS SOFT   LIKE A CYST  NO SEPTATION NO HARD TISSUE.




CHEST X-RAYS= THIS MASS COVERED THE RIGHT LUNG  NO PLEURAL  FLUID.


CT OF THE LUNG    
CT1 : SAGITTAL VIEW, THIS MASS IS INSIDE RIGHT LUNG
CT2  : CROSSED SECTION,   THIS CYSTIC  CONTENT IS VISCEOUS FLUID.


Operation  removed this cyst with chocolate fluid.



Reference


  
SUMMARY  =  CYSTIC TERATOMA OF THE LUNG.

Monday, 16 December 2019

CASE 577: TOS (THORACIC OUTLET SYNDROME), Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 52 YO WITH  PAIN AND COLD FEELING OF RIGHT HAND.


ULTRASOUND   DETECTED NO PULSE AT RADIAL ARTERY  AND THROMBOSIS OF HUMERAL ARTERY JUST TO SUBCLAVICULAR ARTERY WITH DILATATION  AND ZIN-ZANG FLOW.



MSCT ANGIO  SHOWED STENOSIS AT RIGHT  SUBCLAVICULAR ARTERY DUE TO RIGHT CERVICAL RIB  C7 COMPRESSION.





CONCLUSION=  THORACIC OUTLET  SYNDROME  WITH COMPLICATION OF THROMBOSIS ARTERY.


OPERATION FOR  RESECTION OF THE RIB  AND REMOVING OF THROMBUS.

REFERENCE :


Thursday, 5 December 2019

CASE 576:ECTOPIC LIVER TISSUE or ADRENAL TUMOR, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC,VIETNAM.

Man 46yo in general check- up by  CT total body was detected a tumor # 3 cm at right adrenal area.
CT 1  crossed section  the tumor near the liver border  
CT 2  tumor near pancreas head  
CT 3  frontal view  the tumor  3 cm far from upper pole R renal  near IVC.





Ultrasound  detected  this mass well bordered, solid structure, d #  3 cm  (US 1, US 2,  US 3).




CT and ultrasound  diagnostics are adrenal tumor  
Blood test  is normal hormone from adrenal gland
Laparoscopic surgery in retroperitoneum removed this tumor ( pictures ope, and macro 1, macro 2).


.

Microscopic report is liver tissue.


Summary : It is an ectopic liver tissue in adrenal area.

REFERENCE CASE STUDY