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Thursday 18 July 2024

CASE 773: PCC MIMICKING RENAL CYSTIC TUMOR, Dr PHAN THANH HẢI, Dr NGUYỄN MINH THIỀN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 61 year-old diabetic man in  annual check-up with a #15-17mm left renal cyst known by non CE MSCT for years.

MSCT of full body detected a #21x16mm left adenal tumor, a thyroid cyst, some renal cysts and a #17mm renal  tùm or  which moderately captured CE that cannot rule out a renal tumor.


He has got a thyroid tumor#19mm and a colon polyp.



Coronary arteries were slightly stenosis.

Lab data were not interested except an endocrinal adrenal tumor.



Endoscopic surgery removed the left papillary cell carcinoma PCC and a hafl of the left kidney.


and the left adrenal tumor.







Histopathological results were the PCC of the left kidney and the left endocrine cortical adrenal tumor.









Thursday 11 July 2024

CASE 772: THYROID CANCER METASTATIC to ESOPHAGUS ?, Dr PHAN THANH HẢI, Dr NGUYỄN TUẤN CƯỜNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A  47 year-old diabetic man, hoarsening, with thyroid tumor on the left lobe.

Ultrasound represented a # 49x34 mm solid mass, blurred contour, strong posterior shadowing, close to cervical esophagus with thickening wall.


He had got the lefl vocal paralysis.


MSCT and endoscopy detected  an esophageal tumor at 1/3 middle part, invading the left lobe of thyroid.



Histopathogical results were an esophageal cancer, poor differentiazed squamous cell carcinoma.



Patient died some weeks later in chemotherapy management.