CASES 875-876: FIBROCYSTIC CHANGE of BREAST with CLASSIFIED BI-RADS 5, Dr PHAN THANH HẢI, Dr NẠI THỊ HƯƠNG THOANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Two cases of breast tumor classified BI-RADS 5 with disconcordance between ultrasound features and core biopsy and  immunohistochemical staining results.

 

CASE 01:  

A 22 year-old girl with right breast mass: solid and microcalcifications. Ultrasound findings were malignant characteristic but FNAC and IHC resulted a fibrocystic changeof the breast.

CASE 02:

A 44 year-old woman with malignant breast tumor: solid, spiculated border, tissue contraction that were on left breast ultrasound examination.

FNAC, and 2 times of core biopsy were fibrocystic change results. Lumpectomy for biopsy result was non-malignant mass with immunohistochemical (IHC) staining.

CASE 874 : GASTRIC OUTLET OBSTRUCTION due to PANCREATIC CANCER, Dr PHAN THANH HẢI, Dr TRẦN MỘC HIỆP, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 55 year-old woman with epigastric pain, flatulence for 2 months that failed in gastric management. Two days before she vomited out the old gastric contents.

Ultrasound detected a dilated stomach and obstruction of extra and intrahepatic biliary ducts which may due to pancreatic head tumor #30x35 mm. CBD dilated # 15-17mm in diameter.

Lab data showed increased CA 19.9.

MSCT confirmed head of pancreas tumor which made obstruction of biliary ducts and  the stomach in dilatation.

Open surgery was done for removing the pancreatic tumor and performing the gastroenterology anastomosis and common bile duct- ileum anastomosis.

Result of pathology was adenocarcinoma metastasized duodenum, transverse colon and lymph node.

Reference: