CASE 674: BREAST SARCOMA, Dr PHAN THANH HẢI, Dr LÊ THÔNG LƯU, Dr JASMINE THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A female patient 61 year-old with right breast tumor and axillary nodes.

Breast ultrasound detects a  # 28x10 mm mass of the right breast BI-RADS 4 B and second tumor of this one, #19×10mm. And elastography ultrasound notes a hard code of it.

Breast MRI represents 2 right breast tumors, BI-RADS 5.

Biopsy of right axillary node is inflammed node, but result of core biopsy of the right breast tumor is poor differentiated breast sarcoma (C 49).

Total right mastectomy is performed,  and the final results are the right breast sarcoma and the chronic inflammed axillary node.

CASE 673: RENAL INFARCTION, Dr PHAN THANH HẢI, Dr NGUYỄN NGHIỆP VĂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A HTA female patient 50 year-old with left flank pain, headache and red blood cells in urine for 3 days.

Ultrasound detects a 93x43 milimeter hypoechoic left kidney  without Doppler signal via SMI technique while the right one  110x47 mm is normal.

Elastography of left kidney SWE is in hard code.

MSCT Angio represents left kidney atresia as thrombosis of the left renal artery which leads it to be total obstruction.

It’s a left renal infarction case which is in late inspection.

CASE 672: HYDATID CYST in MYOCARDIUM, Dr PHAN THANH HẢI, Dr TRẦN THỊ MINH PHƯỢNG, MEDICAL MEDICAL CENTER, VIETNAM.

A female patient 75 year-old with asthenia and dyspnea for one year. The eosinophil  proportion of white blood cell is of 0.14 and Echinococcus (hydated) IgM Elisa negative is 0.16 index.

Cardiac ultrasound detects a 30 mm simple cyst (Gharbi type I  hydatid cyst) in myocardium at cardiac apex.

MSCT and MRI confirm the cardiac cyst.

Surgery removes successfully the hydatid cyst with larva from heart. 

Microbioparasitology result is A hydatid cyst with larva of Echinococcus sp.

Hydated cyst in myocardium a very rare site coming over that usually appears in liver, spleen, lung ... instead.

CASE 671: BetaHCG SECRETION by a PULMONARY CARCINOMA, Dr PHAN THANH HẢI, Dr NEANG SI PHATS, Dr HUỲNH TRÁC LUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A  42 year-old female patient,  TPAL 1001 with critical menorrhegia for one month  and weight loss and anemia. HTA:100/70 mmHg, PA:110 bpm. W = 40 kg H: 155mm, BMI: 16.6.

TVS ultrasound detects only uterine fibroma, but beta HCG highly rising= 69,474 mlU/mL.

Total body MRI detects a 98 mm right lung tumor and a 25 mm uterine fibroma.

Chest X-Ray film represents tumor of the right lung which is thought a beta HCG secretion tumor.

Lung biopsy result is a non small cell adenocarcinoma, stage IIIc, invasive at lung.

As the poor status of the patient, the current clinical management is blood transfusion to improve her life in waiting for a reexamination in a cancer hospital.

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