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Friday, 22 May 2020

CASE 585: MRI VENOGRAPHY of GALIEN VEIN ANEURYSM, Dr PHAN THANH HẢI, Dr NGUYỄN THÀNH ĐĂNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Female child  4yo, having a vascular cystic lesion had been revealed  by T C D ultrasound into her brain without symptom.


Per transcranial sonography (TCD) it exists   a cystic lesion #6x8 mm with venous spectral pattern and aliasing that appeares nearby the cerebral troncus. The cystic lesion seems to be no changing of its size for 4 years.



MRI venography of brain performed to confirm the results of TCD ultrasound,  and detect clearly an aneursym of  Galien vein in upper space  of  tentorium cerebelli  in the female child brain.




MRI venography has a important role to confirm an aneurysm of Galien vein for the female child. 

Thursday, 14 May 2020

CASE 584: INFANTILE MESENCHYMAL HAMARTOMA IN LIVER, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Prof NGUYỄN SÀO TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Male child 3 months old, well feeding and weight .
Dr Truong Dinh Khai [Children Hospital N2] detected liver lesions with high level of AFP, suspected hepatoblastoma. But Wako tests= AFP 6,388.4; AFP L3 and DCP in normal values.

At Medic, ultrasound thought about infectious lesions in right lobe #56x53mm, solid, septation with cystic appearance. 




MRI (Gado)= Right lobe of liver lesions may belong to mesenchymal sarcoma, AFP  got down <2,000.



Operation for removing liver tumor.
Macro and microscopic specimens with results are Mesenchymal Hamartoma in liver.
Hepatic Mesenchymal Hamartoma:is a rarely benign tumor in children. Tumor appeares in big cyst septated  or solid matter with small cysts.  Hepatic mesenchymal sarcoma is a different diagnostic item with asthenia, invasion to vessels, biliary obstruction.