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Saturday 29 August 2020

CASE 594: LUNG TUMOR ON PATIENT WITH CORONARY STENTS, Dr PHAN THANH HẢI, Dr DƯƠNG PHI SƠN, MEDIC MEDICAL CENTER,HCMC VIETNAM



Male patient 66yo with 6 year stenting 2 coronary branches  now left chest pain and dypsnea.
Chest CT for check-up. Coronary stents in good condition, but detected left lung tumor while expands FOV








Ultrasound of liver detected hypoechoic solid mass # 46x30mm at subsegment VII, well-bordered, basket shape vascularized that was  thought a metastasis lesion maybe from left lung tumor.


Lung biopsy and  histopathological result= adenocarcinoma poor differentialized invasive in lung [C34].



CONCLUSION=Coronary CTA helps revealing exactly coronary lesions, but detecting other lesions nearby heart if enlarging FOV.  In this case, coronary CT detected left lung tumor that confirmed later by lung biospy with histopathological result.

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