tag:blogger.com,1999:blog-27471519921126956452024-03-14T09:17:14.754+07:00VIETNAMESE MEDIC ULTRASOUNDVIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.comBlogger611125tag:blogger.com,1999:blog-2747151992112695645.post-85026067878525809212024-03-08T14:59:00.005+07:002024-03-08T15:07:44.236+07:00 CASE 753: INCIDENTAL RCC, Dr PHAN THANH HẢI, Dr NGUYỄN THỊ THẢO HIỀN, Dr PHẠM LÊ DIỄM CHI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p></p><div class="separator" style="clear: both; text-align: center;"><br /></div><br />A 51 year-old man without any symptom in an annual check-up.<p></p><p>Ultrasound revealed a right kidney tumor 37x40 mm, at the middle of anterior face, solid, hyperechoic pattern without rim sign that not ruling out a RCC, and a 13 mm small cyst of right lobe of the liver.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilPKz7D0uCEPJHo_ndzQ6I7klF2rZTLb4IdhEHs53Ap2ejCmVrlqfHwNVYTFJIPdO4AYXo9R10hnbxk2ko3plhJcDDIMe-ZGoeLCyFiAeV-k459naZFHhfEr92e0zrIL7FZJIAYY4N2814j7hrspez_t7QowKimojq13Bpte8Emp5DDXisYPG-w_ADwFo/s1284/IMG_0843.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="964" data-original-width="1284" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilPKz7D0uCEPJHo_ndzQ6I7klF2rZTLb4IdhEHs53Ap2ejCmVrlqfHwNVYTFJIPdO4AYXo9R10hnbxk2ko3plhJcDDIMe-ZGoeLCyFiAeV-k459naZFHhfEr92e0zrIL7FZJIAYY4N2814j7hrspez_t7QowKimojq13Bpte8Emp5DDXisYPG-w_ADwFo/s320/IMG_0843.jpeg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuL_ro_yqz5ECPQMtZOR6cyDpLl1iMy-VJWPgBWVzegoh8XMQ1JnCCOXO8sdHXoIjZIqpBu2uNO8q-QRiby9yHbPNRcKDqinUfWgHxwvVPTrr1Q7oZCgUGD-I07H9uxicm_CCllKC52WbRbZToRy6OoweKYG0j3mozGna69V3meBjyYN3iey2uzvpS97Q/s1284/IMG_0845.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="929" data-original-width="1284" height="232" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuL_ro_yqz5ECPQMtZOR6cyDpLl1iMy-VJWPgBWVzegoh8XMQ1JnCCOXO8sdHXoIjZIqpBu2uNO8q-QRiby9yHbPNRcKDqinUfWgHxwvVPTrr1Q7oZCgUGD-I07H9uxicm_CCllKC52WbRbZToRy6OoweKYG0j3mozGna69V3meBjyYN3iey2uzvpS97Q/s320/IMG_0845.jpeg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaDynR0WwDLr_wZ-gXl5BGOJ_kffTBqYOWdiSNKSnLMu1ibcPM2XSSDTdDBX-jh1L-642TI4xZXoUMXwjfzKnEspzCEmfv4FUlEFlIbxNb9J-2zHmKsxKVMB8Q5LctGzfYizL-gLulWyKbxJzB1e-2CC8GcD771hZRHd6yCvmBx2WFVQVonoWF6QOTQyY/s1284/IMG_0844.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="967" data-original-width="1284" height="241" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaDynR0WwDLr_wZ-gXl5BGOJ_kffTBqYOWdiSNKSnLMu1ibcPM2XSSDTdDBX-jh1L-642TI4xZXoUMXwjfzKnEspzCEmfv4FUlEFlIbxNb9J-2zHmKsxKVMB8Q5LctGzfYizL-gLulWyKbxJzB1e-2CC8GcD771hZRHd6yCvmBx2WFVQVonoWF6QOTQyY/s320/IMG_0844.jpeg" width="320" /></a></div><br /><p>Lab data normal.</p><p><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9z70XwsQPN4HTpMlFz2WnrNavkkRU1LewiKkg8095knu314Ku-Z5BTTYSsQGluVsj4KeLgzGYz8t7GPoEFAQMCWI8b3L1nSYP-c3hhgjll07npxDPz_jPdrksjX9fORLX11yaEKFTZzCGNWZ_WQkuRZjVUA-WLXzTG_Ua93Sw095ZO_trxdSjUoEtyso/s1203/IMG_0849.jpeg" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="412" data-original-width="1203" height="110" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9z70XwsQPN4HTpMlFz2WnrNavkkRU1LewiKkg8095knu314Ku-Z5BTTYSsQGluVsj4KeLgzGYz8t7GPoEFAQMCWI8b3L1nSYP-c3hhgjll07npxDPz_jPdrksjX9fORLX11yaEKFTZzCGNWZ_WQkuRZjVUA-WLXzTG_Ua93Sw095ZO_trxdSjUoEtyso/s320/IMG_0849.jpeg" width="320" /></a></p><p>MSCT represented a 17x20mm right renal tumor maybe a RCC.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR6Flj2Q4IiOLhPO3A5gpHQhTHC6WZCJqUCFKO40W1EbSAv4V5lDY_78BEL5J_Gwd-eeMBE17StCkm_B4FcPvtWj2Uq7L4ImRhtXrJuFYktCw37MX5DoNygy29CDWiI0SnlNYuxUsX96mLRwukpUfs-gp58-PMfbkpvel7sQPb6QCbm5U8FYKmY7kcuJI/s1379/IMG_0848.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1379" data-original-width="1145" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR6Flj2Q4IiOLhPO3A5gpHQhTHC6WZCJqUCFKO40W1EbSAv4V5lDY_78BEL5J_Gwd-eeMBE17StCkm_B4FcPvtWj2Uq7L4ImRhtXrJuFYktCw37MX5DoNygy29CDWiI0SnlNYuxUsX96mLRwukpUfs-gp58-PMfbkpvel7sQPb6QCbm5U8FYKmY7kcuJI/s320/IMG_0848.jpeg" width="266" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPdx7adGooLqBvjef89nTLT9DM10jscGi2A_qz9Uvuf_Jo3PiuGIYNO79NipJVIR3naMqmTquX3L4WQ4k42wd6cU-eMEYlyXPRtyGyyT9MnoeCqmI1Q2_UpR1IkDoCConR9OR6VvSwLmGkYXVpgiRCdYhrcqoJ2ep1Xpa_CLu4ogTWMP21DQHRV39A8L8/s1213/IMG_0847.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="798" data-original-width="1213" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPdx7adGooLqBvjef89nTLT9DM10jscGi2A_qz9Uvuf_Jo3PiuGIYNO79NipJVIR3naMqmTquX3L4WQ4k42wd6cU-eMEYlyXPRtyGyyT9MnoeCqmI1Q2_UpR1IkDoCConR9OR6VvSwLmGkYXVpgiRCdYhrcqoJ2ep1Xpa_CLu4ogTWMP21DQHRV39A8L8/s320/IMG_0847.jpeg" width="320" /></a></div><br /><p><br /></p><p>Robot surgery removed successfully a right kidney tumor. Histopathological result was a renal clear cell carcinoma of kidney.</p><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjT1M9uVoksPqITm2FzbIpRlvh5eDO3Orsyt2Q7p8bDGITw7vcEqF2Oj17a68O3nLUJmoT1_0vnRABwd20CIYyKTpHB_MTw_uWot5uN6Sx_-3is5ne5JribYP1QzYD9jm65YgWo8nRSdPrqVT4Sv1CgDGe8xFIP98uUZVwGIjDHtlU_gsxLQUPBNxW72m8/s1065/1HOEGIMFV_3VT0K1.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1065" data-original-width="591" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjT1M9uVoksPqITm2FzbIpRlvh5eDO3Orsyt2Q7p8bDGITw7vcEqF2Oj17a68O3nLUJmoT1_0vnRABwd20CIYyKTpHB_MTw_uWot5uN6Sx_-3is5ne5JribYP1QzYD9jm65YgWo8nRSdPrqVT4Sv1CgDGe8xFIP98uUZVwGIjDHtlU_gsxLQUPBNxW72m8/s320/1HOEGIMFV_3VT0K1.jpeg" width="178" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg79OHMOqafUKXdSzmkOTcPUQx7XvBGZYwXMKIICxdlvPeuk8MgQrGz9L9EMXKl6T3BSqj9sU91OkCu9uGdEZZd_qFq_sAFSaHZ8_da34scMfWJx23F1nSyF7kw0UbqP-JcC1qV7Au9rggACy18buKS4zR4yOhiGsFLcfWk7UtLML-TvrnZGk5RQfXn-No/s619/20240308_141242.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="402" data-original-width="619" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg79OHMOqafUKXdSzmkOTcPUQx7XvBGZYwXMKIICxdlvPeuk8MgQrGz9L9EMXKl6T3BSqj9sU91OkCu9uGdEZZd_qFq_sAFSaHZ8_da34scMfWJx23F1nSyF7kw0UbqP-JcC1qV7Au9rggACy18buKS4zR4yOhiGsFLcfWk7UtLML-TvrnZGk5RQfXn-No/s320/20240308_141242.jpeg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><p><br /></p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-3267277695254821262024-02-24T13:01:00.011+07:002024-02-24T19:35:09.858+07:00CASE 752: COLON CANCER in Young Woman, Dr PHAN THANH HẢI, Dr TRƯƠNG CÔNG THÀNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p> A 31 year-old woman with loose stool for 2 months and epigastric pain that was in gastritis treatment but not the loose stool not resolving. She lose her weight of one kilogram and cramping feeling in her right flank.</p><p>Ultrasound detected right colon wall thickening maybe due to tumor.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizfkGsqwjsLZvs8ponyNCp2qmLf4zy0rhWzOLEip94K1r9VYW1Lx8Rx2wxrYBVb3dx9-pzkUoORlxe40ykTZgNgIIi72vRH9ieFBv1RQMzS3YCtwa8RR357mkT7CW8O2Ok5ktPAcGlIaZpIGEyBlwIzuSQ7TVoQPNwdGIbwix3QnfaVsFy3a2SrMTeo9U/s248/Screenshot_20240224-123012_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="195" data-original-width="248" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizfkGsqwjsLZvs8ponyNCp2qmLf4zy0rhWzOLEip94K1r9VYW1Lx8Rx2wxrYBVb3dx9-pzkUoORlxe40ykTZgNgIIi72vRH9ieFBv1RQMzS3YCtwa8RR357mkT7CW8O2Ok5ktPAcGlIaZpIGEyBlwIzuSQ7TVoQPNwdGIbwix3QnfaVsFy3a2SrMTeo9U/s1600/Screenshot_20240224-123012_All%20PDF%20Reader.jpg" width="248" /></a></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">Colonoscopy showed the right colon tumor with ulcer and vegetations.</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2npn6iE5jco44dMVaBAYcJvlrKLVY0o2KllQaCpVWuEPU4ubyS6cp3DaTKSnwGjQjpM_vJ0iMgzhHOfVP0GrVuQUsSKn1VNEyo0hiDGXYoclcKgKpb6ojRylbipxQQt9ax0y7qPlYYdlj2g3ja-nu3VaW3V9eX0zT5z2JKbUL0klfmlefto_R1_BgmoA/s497/Screenshot_20240224-123043_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="187" data-original-width="497" height="120" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2npn6iE5jco44dMVaBAYcJvlrKLVY0o2KllQaCpVWuEPU4ubyS6cp3DaTKSnwGjQjpM_vJ0iMgzhHOfVP0GrVuQUsSKn1VNEyo0hiDGXYoclcKgKpb6ojRylbipxQQt9ax0y7qPlYYdlj2g3ja-nu3VaW3V9eX0zT5z2JKbUL0klfmlefto_R1_BgmoA/s320/Screenshot_20240224-123043_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">MSCT confirmed the right colon tumor and liver metastase in the right lobe.</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE15ozN0tfh13g-tzO0YDeHxPXvkzP_ykVtC7dxRom7PoWTtQJDoQNaDZJ3o2A3ddnu_slig3fG5bbgwUwC7eyC00BVzrDQhyTquwdB_xg7MUIFL-iwJX0vWqCBH8hQOOKeZTWVXYrYnKBAoi66T4hFgvPYqDiVmZpQZ8cYYHgsT1WqKBTOtoZALjo7Bg/s802/Screenshot_20240224-123120_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="293" data-original-width="802" height="117" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE15ozN0tfh13g-tzO0YDeHxPXvkzP_ykVtC7dxRom7PoWTtQJDoQNaDZJ3o2A3ddnu_slig3fG5bbgwUwC7eyC00BVzrDQhyTquwdB_xg7MUIFL-iwJX0vWqCBH8hQOOKeZTWVXYrYnKBAoi66T4hFgvPYqDiVmZpQZ8cYYHgsT1WqKBTOtoZALjo7Bg/s320/Screenshot_20240224-123120_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">Lab data showed occult blood in stool [FOBT] and stool calprotectin positive.</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmDCm1MScT4mGxDwZ30duEWneLdYvxoApq9o-LXXa2V3-fCAAmKWNKgzWFVgN6ABAY4rmcXn8ra_y0FhVKNWkAtUa6kiHssUr2ZxMoEpyCnwtMDDR7b9uJiPs2VENQ7jqEPTg7Je3lDhsD7ADZ47WHG-0VpzIBc0CGLXVrvuHQcoI_BZYDCbPgkAVgtHM/s667/Screenshot_20240224-124530_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="360" data-original-width="667" height="173" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmDCm1MScT4mGxDwZ30duEWneLdYvxoApq9o-LXXa2V3-fCAAmKWNKgzWFVgN6ABAY4rmcXn8ra_y0FhVKNWkAtUa6kiHssUr2ZxMoEpyCnwtMDDR7b9uJiPs2VENQ7jqEPTg7Je3lDhsD7ADZ47WHG-0VpzIBc0CGLXVrvuHQcoI_BZYDCbPgkAVgtHM/s320/Screenshot_20240224-124530_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEikNCsf9Vpw2jU_kd9KDWD4yswWPnhVi1EE0jL0gOSyXVEK69qSAj6y3-2paKzYTmbAUz1W6-b_D_dL98mVwS0wVkQYm5hHWycHA-JIIpiZBoqU5N9HxGBjkd2-YGQUzgV28Wd_K8RHmR1s0e9S9ySPEE4PPeoxCW9kaCoKeUySFQS7rQYi1fzvsanK4gI" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="172" data-original-width="851" height="65" src="https://blogger.googleusercontent.com/img/a/AVvXsEikNCsf9Vpw2jU_kd9KDWD4yswWPnhVi1EE0jL0gOSyXVEK69qSAj6y3-2paKzYTmbAUz1W6-b_D_dL98mVwS0wVkQYm5hHWycHA-JIIpiZBoqU5N9HxGBjkd2-YGQUzgV28Wd_K8RHmR1s0e9S9ySPEE4PPeoxCW9kaCoKeUySFQS7rQYi1fzvsanK4gI" width="320" /></a></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglKLU4c9S2zgFIzXBlMlbbfKtki0Avs7-HbFKBkrrRs4bkuAmkWRq3XlzbETiFfwwdG7kU4nTSUYWCdGjz3vSItIAVY3CrncTZ9_SW8CaweLXrKPjKA59LDz_W4bIiGcfAeEu1ggD3jIZQG5RKwAw30U6fbq8MFMWMzuIxdMlFe-3eyZ7x_E1iGPT1hhE/s417/Screenshot_20240224-123200_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="183" data-original-width="417" height="140" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglKLU4c9S2zgFIzXBlMlbbfKtki0Avs7-HbFKBkrrRs4bkuAmkWRq3XlzbETiFfwwdG7kU4nTSUYWCdGjz3vSItIAVY3CrncTZ9_SW8CaweLXrKPjKA59LDz_W4bIiGcfAeEu1ggD3jIZQG5RKwAw30U6fbq8MFMWMzuIxdMlFe-3eyZ7x_E1iGPT1hhE/s320/Screenshot_20240224-123200_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>Result of histopathological specimen was well differentiazed carcinoma of colon.<div><br /><p>Cancer of colon seems to be more early in appearance in the young patients. And in late stage [liver metastase] liked the young woman in this case.</p></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC1WCgl5idM1d9lSOxMEQWkz1OUR3u_oJ5s9RDcX-yRdWgpCEVNSwmfClZRZP6_q_hEWC4IczVFVtGyKjlTa3cupwvhawXBqb4a-YDf90Wo1zz83V2CJYI4U2JCuSewo5CmS82zICK1c-g9jhcv-2-CrqIjBCoeM6pK4i0A0k4Igc62ONlFomslSNYRjE/s851/Screenshot_20240224-152820_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="172" data-original-width="851" height="65" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC1WCgl5idM1d9lSOxMEQWkz1OUR3u_oJ5s9RDcX-yRdWgpCEVNSwmfClZRZP6_q_hEWC4IczVFVtGyKjlTa3cupwvhawXBqb4a-YDf90Wo1zz83V2CJYI4U2JCuSewo5CmS82zICK1c-g9jhcv-2-CrqIjBCoeM6pK4i0A0k4Igc62ONlFomslSNYRjE/s320/Screenshot_20240224-152820_All%20PDF%20Reader.jpg" width="320" /></a></div><br />VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-47699545795793471392024-02-22T20:03:00.018+07:002024-02-24T19:27:58.857+07:00CASE 751: PERFORATED COLON CANCER, Dr PHAN THANH HẢI, Dr NGUYỄN VĂN HIỀN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p> A 45 year-old man with epigastric pain for 2 months but failed in gastritis management in a hospital and getting worse his status.</p><p><span style="font-family: times;">At Medic Center, <span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~0" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-0-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">ultrasonography </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~1" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-1-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">revealed the </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-2-0-1" style="box-sizing: inherit;"><span class="css-1eh0vfs" style="box-sizing: inherit;" sx="[object Object]">transverse </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~3" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-3-0-0" style="box-sizing: inherit;"><span class="css-1eh0vfs" style="box-sizing: inherit;" sx="[object Object]">colon </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~4" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-4-0-0" style="box-sizing: inherit;"><span class="css-1eh0vfs" style="box-sizing: inherit;" sx="[object Object]">wall </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~5" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-5-0-0" style="box-sizing: inherit;"><span class="css-1eh0vfs" style="box-sizing: inherit;" sx="[object Object]">thickening =12-17 mm </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~6" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-6-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">associated </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-6-0-1" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">with </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~7" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-7-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">malignancy, </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~8" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-8-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">which </span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~9" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-9-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">was</span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space-collapse: preserve;"><span class="output-sentence" style="box-sizing: inherit;"><span style="box-sizing: inherit; white-space: initial;"><span data-testid="output-sentence-0" style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-9-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]"> </span></span><span data-testid="output-word-9-0-1" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">linked </span></span></span></span></span><span style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~10" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-10-0-0" style="box-sizing: inherit;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]">to </span></span><span data-testid="output-word-10-0-1" style="box-sizing: inherit;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]">a </span></span></span></span></span></span></span></span></span><span style="background-color: white; box-sizing: inherit; white-space-collapse: preserve;"><span class="output-sentence" style="box-sizing: inherit;"><span style="box-sizing: inherit; white-space: initial;"><span data-testid="output-sentence-0" style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~11" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-11-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">neighbor</span></span></span></span></span></span></span></span></span></span><span style="background-color: white; box-sizing: inherit; font-family: times; white-space-collapse: preserve;"><span class="output-sentence" style="box-sizing: inherit;"><span style="box-sizing: inherit; white-space: initial;"><span data-testid="output-sentence-0" style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-11-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">ing </span></span></span></span></span></span></span></span></span><span style="background-color: white; box-sizing: inherit; font-family: times;"><span class="output-sentence" style="box-sizing: inherit;"><span style="box-sizing: inherit; text-wrap: initial;"><span data-testid="output-sentence-0" style="box-sizing: inherit;"><span style="box-sizing: inherit; white-space-collapse: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~12" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-12-0-0" style="box-sizing: inherit;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]">abscess </span></span></span></span></span><span style="box-sizing: inherit; white-space-collapse: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~13" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-13-0-0" style="box-sizing: inherit;"><span class="css-rh820s" style="box-sizing: inherit;" sx="[object Object]">measuring </span></span></span></span></span><span style="box-sizing: inherit; white-space-collapse: initial;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~14" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-14-0-0" style="box-sizing: inherit;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]">59x21 </span></span></span></span></span><span style="box-sizing: inherit;"><span style="box-sizing: inherit;"><span class="css-1m8t0fv" id="output-phrase~0~15" style="box-sizing: inherit; cursor: pointer;"><span data-testid="output-word-15-0-0" style="box-sizing: inherit;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]"><span style="white-space-collapse: initial;">mm that was sealed</span><span style="white-space-collapse: preserve;"> off. A </span></span></span></span></span></span></span></span></span></span><span data-testid="output-word-17-1-1" style="background-color: white; box-sizing: inherit; font-family: times; white-space: initial;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]">fistula between the cancer and the abscess<span style="font-size: 18px;"> </span>was seen on ultrasound<span style="font-size: 18px;">.</span></span></span></p><p><span data-testid="output-word-17-1-1" style="background-color: white; box-sizing: inherit; font-family: times; white-space: initial;"><span class="css-0" style="box-sizing: inherit;" sx="[object Object]"></span></span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWS7UtrkiRe892u3oYt1uU5lTy-JzqUrhpBo_gTC1kVLuU16HBpE7B8CUIlBoxDXiG-579oEYrZOVkC-uvSxmQzlTzk74zDvljQGQeflDtp6gFNOnfy5xJp2aFZNATDcirW_i4WqkahCJYm6BQq_4g5rOkwm6_fIKNSxds9ldR5XJuq6xuZMeTcX4i4yU/s278/Screenshot_20240222-192907_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="188" data-original-width="278" height="188" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWS7UtrkiRe892u3oYt1uU5lTy-JzqUrhpBo_gTC1kVLuU16HBpE7B8CUIlBoxDXiG-579oEYrZOVkC-uvSxmQzlTzk74zDvljQGQeflDtp6gFNOnfy5xJp2aFZNATDcirW_i4WqkahCJYm6BQq_4g5rOkwm6_fIKNSxds9ldR5XJuq6xuZMeTcX4i4yU/s1600/Screenshot_20240222-192907_All%20PDF%20Reader.jpg" width="278" /></a></div><br /><span style="font-size: 18px;"><br /></span><p></p><p>Lab data: WBC=20,51x10^9/L, CEA: 5.47ng/mL</p><p>MSCT confirmed the abscess at posterior of the transverse colon due to perforated transverse colon cancer.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhW0X5P9UK3J-7T53uWBH6qriAnB9JMlY_9EQNmc_DBw81BsRN-GppA37xJW8fd4QJz-SXPk9owD6zG7d7FcXx3V2hr3_lScC7bJVQ79M-9KJ_yQvFkXd6cvAymfLsiW4kH0X7yapPs7BiCIbGuKcAAxLCNVaSp58msYgNhMSUZEBssWtnD0tbfbn5yTvI/s978/Screenshot_20240222-193016_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="398" data-original-width="978" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhW0X5P9UK3J-7T53uWBH6qriAnB9JMlY_9EQNmc_DBw81BsRN-GppA37xJW8fd4QJz-SXPk9owD6zG7d7FcXx3V2hr3_lScC7bJVQ79M-9KJ_yQvFkXd6cvAymfLsiW4kH0X7yapPs7BiCIbGuKcAAxLCNVaSp58msYgNhMSUZEBssWtnD0tbfbn5yTvI/s320/Screenshot_20240222-193016_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilEF7tQOPaC4oP1D4tV2zDO6Nv5eI_-ZwaLhMKB70FPMrK64yr5owbZOpvhHplywr9s8X3vKShX1skuhCiK2tV5YG_DLaoebQ2-FPXbWH2cdZgA5an5snXguW1c8aBsT07Hf_jvxvtxJ6Z6lM6HEUWCUtu0ZWXTdCGELsrtRuao1Av6olN7cLH0vc6IvE/s645/Screenshot_20240222-192951_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="553" data-original-width="645" height="274" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilEF7tQOPaC4oP1D4tV2zDO6Nv5eI_-ZwaLhMKB70FPMrK64yr5owbZOpvhHplywr9s8X3vKShX1skuhCiK2tV5YG_DLaoebQ2-FPXbWH2cdZgA5an5snXguW1c8aBsT07Hf_jvxvtxJ6Z6lM6HEUWCUtu0ZWXTdCGELsrtRuao1Av6olN7cLH0vc6IvE/s320/Screenshot_20240222-192951_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Open surgery removed the # 5x5 cm transverse colon cancer which perforated at posterior face and an arteficial anus was done. But 3 days later, this artificial anus was necrotizing then the <span style="-webkit-text-size-adjust: auto; background-color: #f8f9f9; text-size-adjust: auto;"><span style="font-family: times;">proctotoreusis</span></span><span face=""Google Sans", Roboto, Arial, Helvetica, sans-serif" style="-webkit-text-size-adjust: auto; background-color: #f8f9f9; text-size-adjust: auto;"> </span>was done secondly. </p><p>The histopathological result was a high differentiazed carcinoma invasive of colon. </p><p>The patient remained well after the 2 complex operations.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4TWvpmR9jDPZSZJ30G1jPspz2Bu6USFYRcarmV6DwGueVWu2hs-bhK1CTlddB2_v2d2A7m2GcJjWbTxZrRJPj1n1ybdh4-wAvdMQ311tECuyUvwnUEvqnx5Vi5U6yDafFb8buQxYT6Wg0R2uGB8DIid3ZKWMvNziKzViffeKlzeYKLosNSBdhbYZRS3s/s417/Screenshot_20240222-193109_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="417" data-original-width="378" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4TWvpmR9jDPZSZJ30G1jPspz2Bu6USFYRcarmV6DwGueVWu2hs-bhK1CTlddB2_v2d2A7m2GcJjWbTxZrRJPj1n1ybdh4-wAvdMQ311tECuyUvwnUEvqnx5Vi5U6yDafFb8buQxYT6Wg0R2uGB8DIid3ZKWMvNziKzViffeKlzeYKLosNSBdhbYZRS3s/s320/Screenshot_20240222-193109_All%20PDF%20Reader.jpg" width="290" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-36685408410783233042024-02-17T13:05:00.011+07:002024-02-17T13:39:29.300+07:00CASE 750: PERFORATED APPENDICITIS due to FISH BONE, Dr PHAN THANH HẢI, Dr BÙI HỒNG LĨNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p>A 58 year-old infected HBV man with RLQ pain for 5 days.</p><p>Ultrasound detected edema of the last part of jejunum maybe due to inflamation. It existed edema of pelvic peritoneum beside the appendix. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh508hazD2TfPQ8ba7HpjwPzcKYJJyZNrMEXxZBiIVYFLRyTiQ8VEkN4zqcXFvzft_-NQg4OnBZD3XfpxTszefa-eUWLvKWj3MHvDS5aLbIdMY9CcJXeW8mEXgMD05UULAlIGZT0ZfvOWlQtTpAGjT5vvZlTivbWip03-KrPAJRDxsKvuUaBJ7Gzbce8G4/s395/Screenshot_20240217-123612_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="300" data-original-width="395" height="243" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh508hazD2TfPQ8ba7HpjwPzcKYJJyZNrMEXxZBiIVYFLRyTiQ8VEkN4zqcXFvzft_-NQg4OnBZD3XfpxTszefa-eUWLvKWj3MHvDS5aLbIdMY9CcJXeW8mEXgMD05UULAlIGZT0ZfvOWlQtTpAGjT5vvZlTivbWip03-KrPAJRDxsKvuUaBJ7Gzbce8G4/s320/Screenshot_20240217-123612_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>MSCT represented an inflamed appendix and foreign body as fish bone # 30mm which perforated the appendiceal wall.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnUZTRTZGK6u6V-WQDGQ26fV14wHu6Z9Bi4KOgBWbT5rr54JQPVHvSLVPoYbOCTrnmxv8MtycBpP1kdPBCwioFbkNEzeCK8UKahbW3OZSULeD2lP02HNYdOHjP8PCx6DVLt0hpycGnXlh4V8DtMLtVL_xRfbauglf1uAwRDPbjUThzSpAPvVmz2lAFlVs/s729/Screenshot_20240217-123649_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="655" data-original-width="729" height="288" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnUZTRTZGK6u6V-WQDGQ26fV14wHu6Z9Bi4KOgBWbT5rr54JQPVHvSLVPoYbOCTrnmxv8MtycBpP1kdPBCwioFbkNEzeCK8UKahbW3OZSULeD2lP02HNYdOHjP8PCx6DVLt0hpycGnXlh4V8DtMLtVL_xRfbauglf1uAwRDPbjUThzSpAPvVmz2lAFlVs/s320/Screenshot_20240217-123649_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Endoscopic surgery confirmed a fish bone and removed the inflamed appendix.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieKU3d8HYfDIPU4WAubgNwCWK3pNV-TqocwhbWjF5cWIgAblQWTZEzLL3oD6XRo8ER9MvXVk-nEjsE9Eups0j7ZV8Smd5_cMpfN7ivtZvsqOSVPXa9j9x7oR_ZqiSWfu9iwYyfEBW6mDhBcaQdBZc4QkBpKN4vZ5U4YRQ6IDjKHOjlKbbTSKfKCDhsW2c/s730/Screenshot_20240217-123929_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="553" data-original-width="730" height="242" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieKU3d8HYfDIPU4WAubgNwCWK3pNV-TqocwhbWjF5cWIgAblQWTZEzLL3oD6XRo8ER9MvXVk-nEjsE9Eups0j7ZV8Smd5_cMpfN7ivtZvsqOSVPXa9j9x7oR_ZqiSWfu9iwYyfEBW6mDhBcaQdBZc4QkBpKN4vZ5U4YRQ6IDjKHOjlKbbTSKfKCDhsW2c/s320/Screenshot_20240217-123929_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Result of histopathological specimen was an acute necrotized appendicitis.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFGHoKCwXLkri-DT20QPcpTsuhduJqbC8mfLnwrCMXTaeudmF6YuCXAI6XGzSPMKMwdPF9JGp9j28pWrZH5aC3MWLYVkN6KGXQgTpJW64iqxvgmxtrNfqVN9s17AN5rgmymRZxa-VoRNyfMP-CmFdZxRbifYOtWDkE2h9a6rkCIju2-guDKKg0kht031Q/s899/Screenshot_20240217-123802_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="310" data-original-width="899" height="110" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFGHoKCwXLkri-DT20QPcpTsuhduJqbC8mfLnwrCMXTaeudmF6YuCXAI6XGzSPMKMwdPF9JGp9j28pWrZH5aC3MWLYVkN6KGXQgTpJW64iqxvgmxtrNfqVN9s17AN5rgmymRZxa-VoRNyfMP-CmFdZxRbifYOtWDkE2h9a6rkCIju2-guDKKg0kht031Q/s320/Screenshot_20240217-123802_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-54720865647403053042024-02-01T20:32:00.006+07:002024-02-02T15:09:29.557+07:00CASES 748-749: GASTRIC WALL ABSCESS, Dr PHAN THANH HẢI,Dr PHAN THANH VIỆT BÌNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p> </p><p>2 cases of gastric wall abscesses were incidentally detected with epigastric pain for one month and were failed in the urban medical management.</p><p>Case 748:</p><p>A 32 year-old man with epigastric pain for one month. 3 years before he went through a gastritis.</p><p>Ultrasound detected thickening of antrum wall with fluid collection inside may having foreign body and fatty liver.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4GEK0p5OQizLs0rZfvEd2qqntoxYgkBjsJBrne4fvrT2k05fF20gm8DfrD86uCrC_SKPd-mqRWCuRaME-Oj53QO7PH7E8QI6xO1Eh02CVXqtr3CwQf7US359Wus0elMvk2qeojIxw9EattusaW9TSa_LUYUazmzWU0U-yxlcu9e7EyreV1g_BYys2TzI/s941/Screenshot_20240201-194643_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="322" data-original-width="941" height="110" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4GEK0p5OQizLs0rZfvEd2qqntoxYgkBjsJBrne4fvrT2k05fF20gm8DfrD86uCrC_SKPd-mqRWCuRaME-Oj53QO7PH7E8QI6xO1Eh02CVXqtr3CwQf7US359Wus0elMvk2qeojIxw9EattusaW9TSa_LUYUazmzWU0U-yxlcu9e7EyreV1g_BYys2TzI/s320/Screenshot_20240201-194643_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtz2Kj32B3K8lgpnPR8EJVmAxa8kQ4cWsnwVru7BY9ZaBqEnS-IWu9OLYZxVFTC2RbaOSTd80Kcsgq-iG1Nnmz7CNGDvG7Gx-vsnIHMcU_vviObkWEOZwnWNtW98mvHTVDWfuPToFUoHIXAxFxyKjllkvFP-PCLLRFfnlcBNgjz1bYNfNs9SoRhBVoliM/s940/Screenshot_20240201-195007_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="352" data-original-width="940" height="120" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtz2Kj32B3K8lgpnPR8EJVmAxa8kQ4cWsnwVru7BY9ZaBqEnS-IWu9OLYZxVFTC2RbaOSTd80Kcsgq-iG1Nnmz7CNGDvG7Gx-vsnIHMcU_vviObkWEOZwnWNtW98mvHTVDWfuPToFUoHIXAxFxyKjllkvFP-PCLLRFfnlcBNgjz1bYNfNs9SoRhBVoliM/s320/Screenshot_20240201-195007_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;">Endoscopy represented a gastric wall abscess. </span></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivUS_B8zDrXoJXMQFv1VJRLa3IAX2Cua2kZZQfwRAo8kqvfdof7hLga-jM4rYXCTwvCUDRWJcUkKzg0L1Yy0ypnjF4fvK7Xkmy_EyLntZCXDKSS4fGgP281QN4_n-3I1Lq-DnO0rhhSkmy1JhdksJ8G2jblfxsZz6Z47Tvha69TSBc-vF39nrSZ2ap76g/s898/Screenshot_20240201-194708_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="325" data-original-width="898" height="116" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivUS_B8zDrXoJXMQFv1VJRLa3IAX2Cua2kZZQfwRAo8kqvfdof7hLga-jM4rYXCTwvCUDRWJcUkKzg0L1Yy0ypnjF4fvK7Xkmy_EyLntZCXDKSS4fGgP281QN4_n-3I1Lq-DnO0rhhSkmy1JhdksJ8G2jblfxsZz6Z47Tvha69TSBc-vF39nrSZ2ap76g/s320/Screenshot_20240201-194708_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;">MSCT confirmed a gastric wall thickening without foreign body and ruling out a gastric tumor.</span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRIO5ulKTK8hFgNwBAMWxFiHwOYM_tYOePmHGoM4qRP32_p4MzsQ0pcgspmhja1RgZha0-SPOcFiQFT3IlhsKxjizpw-1IyBsWldH9NGw1Xk5n0HN0oI-JDTpdcuHcDUOvT4FLZ-oa8qDVuBZpSpk3tZg79MGIQsze7CQfyZGwrYDFRLdKpQSlNpeqEpQ/s389/Screenshot_20240201-194759_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="364" data-original-width="389" height="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRIO5ulKTK8hFgNwBAMWxFiHwOYM_tYOePmHGoM4qRP32_p4MzsQ0pcgspmhja1RgZha0-SPOcFiQFT3IlhsKxjizpw-1IyBsWldH9NGw1Xk5n0HN0oI-JDTpdcuHcDUOvT4FLZ-oa8qDVuBZpSpk3tZg79MGIQsze7CQfyZGwrYDFRLdKpQSlNpeqEpQ/s320/Screenshot_20240201-194759_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiywF1k-fEYRVkyFrBoOrCYoS7LkYPQgU5AN3Yb4-gvR-scmnbOXLUkXsorjvKLnEwksfUNiAbkK9OzMCvMlmI5ImWPs7APc3EWr8V10HQDzKVz7RLgIo1GqNm-rU3DmAbvi2bhXhLHQ1ZaiH0z3aUhhyphenhyphen-c7v4lWHuD3nYFv7kvJllW0TWWsvUqXDla1PE/s351/Screenshot_20240201-194825_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="246" data-original-width="351" height="224" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiywF1k-fEYRVkyFrBoOrCYoS7LkYPQgU5AN3Yb4-gvR-scmnbOXLUkXsorjvKLnEwksfUNiAbkK9OzMCvMlmI5ImWPs7APc3EWr8V10HQDzKVz7RLgIo1GqNm-rU3DmAbvi2bhXhLHQ1ZaiH0z3aUhhyphenhyphen-c7v4lWHuD3nYFv7kvJllW0TWWsvUqXDla1PE/s320/Screenshot_20240201-194825_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>By antibiotics treatment the gastric abscess disappeared after one month.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDrs6VONEbiWsN3uW-I93VGRi6Zqfj4NvLKr06qYEn3ySpQI8iHfjx9Gsqjq3ZYB4UFhpzAjC86mIGqKanSXVx8sq6kkvg_vA1IBVLoE7pS4Tg2nOGGr71fKEMleAcAGGgZ1RD5As7tufkVvVXBsHpthcUJQjxWWh-5O5EKlyuyAYIHJa3js-9UQk20Nw/s663/Screenshot_20240201-194916_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="263" data-original-width="663" height="127" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDrs6VONEbiWsN3uW-I93VGRi6Zqfj4NvLKr06qYEn3ySpQI8iHfjx9Gsqjq3ZYB4UFhpzAjC86mIGqKanSXVx8sq6kkvg_vA1IBVLoE7pS4Tg2nOGGr71fKEMleAcAGGgZ1RD5As7tufkVvVXBsHpthcUJQjxWWh-5O5EKlyuyAYIHJa3js-9UQk20Nw/s320/Screenshot_20240201-194916_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Case 749:</p><p>A 22 year- old girl with epigastric pain for a half of month. </p><p>Ultrasound detected gastric wall thickening maybe gastric polyp.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWZFjhtguDCdk2U6rtiiWCk3-SQN2n0y5Pt4RRicekmDm7gf7xfcOD_njpel3GTZQoChCe7KsOoVOhm1-lvKY9TPvhe8g-vMhUiJJNywa0VUKo4jnXUv7Ix6eF1W0QHYBoL4DcnWnmKz8kQOMj58eaf6vP33TM6kXfyhEkAM6J4FNUYTHfrj3V9RRjODM/s891/Screenshot_20240201-194947_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="345" data-original-width="891" height="124" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWZFjhtguDCdk2U6rtiiWCk3-SQN2n0y5Pt4RRicekmDm7gf7xfcOD_njpel3GTZQoChCe7KsOoVOhm1-lvKY9TPvhe8g-vMhUiJJNywa0VUKo4jnXUv7Ix6eF1W0QHYBoL4DcnWnmKz8kQOMj58eaf6vP33TM6kXfyhEkAM6J4FNUYTHfrj3V9RRjODM/s320/Screenshot_20240201-194947_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiO0jeeUh0lzz-6S6ckyO9xaEJe7JnaTVhyDnOMVbKrilBaTrM1mzO1gSrPON8xQ1bQvkH7UtmybjeBkgUZJvP4zCQUvm5OV_K4pgKQSrAOWcs9GhzK8_UXmZWScSmAMXKT4hCDH2xsSYN_nd8mCZ3T9J9xxzXHwOdFfo_3Lzi02vHgFWtaqEjWMdziAcM/s940/Screenshot_20240201-195007_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="352" data-original-width="940" height="120" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiO0jeeUh0lzz-6S6ckyO9xaEJe7JnaTVhyDnOMVbKrilBaTrM1mzO1gSrPON8xQ1bQvkH7UtmybjeBkgUZJvP4zCQUvm5OV_K4pgKQSrAOWcs9GhzK8_UXmZWScSmAMXKT4hCDH2xsSYN_nd8mCZ3T9J9xxzXHwOdFfo_3Lzi02vHgFWtaqEjWMdziAcM/s320/Screenshot_20240201-195007_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Endoscopy described a gastric wall abscess.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzhU2R0MByoKxFyN99gvug4yqHjXaXnHDdt_rsc8W8oIjy-dw4llbLg-50W39LRdh7nFkYmtdcsYTjKWmw6lZKy51iAfYUU-aYFbEkuz_0glOQGJoSSvBwv1qc_r0WW4vXVV0RnZwnAbaDK12v1c1pHUHtPMwNQ4Mps0kGbgPXQ8FBVV1HxShlrFIpCZ0/s1035/Screenshot_20240201-195029_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="384" data-original-width="1035" height="119" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzhU2R0MByoKxFyN99gvug4yqHjXaXnHDdt_rsc8W8oIjy-dw4llbLg-50W39LRdh7nFkYmtdcsYTjKWmw6lZKy51iAfYUU-aYFbEkuz_0glOQGJoSSvBwv1qc_r0WW4vXVV0RnZwnAbaDK12v1c1pHUHtPMwNQ4Mps0kGbgPXQ8FBVV1HxShlrFIpCZ0/s320/Screenshot_20240201-195029_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Biopsy results was gastric hyperplasia.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLLFQ-fHjZYLM3FVwSmubGcNW6xXBPoTSh0HClhY-G9OeM2E8VzYY5OxM6QTuqRODLC53t0hlpWBZ6L8EBetof8wktOIBzbLfXaurZ0thSOlA2Ks6bBRCDx_cg5nzwk3KmbVYEtbNBDI7mRw5_g2Q62ImxuePqUuPulBEaOq0hIkHOLEwsZANopjjeqqI/s314/Screenshot_20240201-195135_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="90" data-original-width="314" height="90" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLLFQ-fHjZYLM3FVwSmubGcNW6xXBPoTSh0HClhY-G9OeM2E8VzYY5OxM6QTuqRODLC53t0hlpWBZ6L8EBetof8wktOIBzbLfXaurZ0thSOlA2Ks6bBRCDx_cg5nzwk3KmbVYEtbNBDI7mRw5_g2Q62ImxuePqUuPulBEaOq0hIkHOLEwsZANopjjeqqI/s1600/Screenshot_20240201-195135_All%20PDF%20Reader.jpg" width="314" /></a></div><br /><p>MSCT detected no gastric tumor, but gastric wall abscess was noted.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfhUWr58pj8LcY1WLflmM8nxaIo1sgMETqhciaSmkwM5hmtnL1T1yLHoLShXVY1CfWoKw67SZGSQ-6YaFk4CKwa28uWK2SJwHHDiTeeFJ7A5TTIsQEGWFSNdJRfajQNslqx0JRGiSW-nZQOriU1m8cR9ymohF9TrJACXL8BJUBCwwg1kzBNVDPbSBL3sc/s1011/Screenshot_20240201-195156_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="371" data-original-width="1011" height="117" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfhUWr58pj8LcY1WLflmM8nxaIo1sgMETqhciaSmkwM5hmtnL1T1yLHoLShXVY1CfWoKw67SZGSQ-6YaFk4CKwa28uWK2SJwHHDiTeeFJ7A5TTIsQEGWFSNdJRfajQNslqx0JRGiSW-nZQOriU1m8cR9ymohF9TrJACXL8BJUBCwwg1kzBNVDPbSBL3sc/s320/Screenshot_20240201-195156_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>She took a medical management and remained well after one month.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2fKttOnluU4K5M8vSN5ykl4mKtAtTAcc0avPp7kmLDo9uHwaogdjOdkyrOgaNGoNDXChzOgSV05njtJpBzelepHR5xjYkG7XR-1ruCW0bCNfkzn9gMqg5F_cTa779UTC0OKJ6U371qFhOrpUklMecWzb6Z8mmk0Z5S_m65NkNPRlzCPs2RZlqa5Jo7GM/s658/Screenshot_20240201-195235_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="478" data-original-width="658" height="322" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2fKttOnluU4K5M8vSN5ykl4mKtAtTAcc0avPp7kmLDo9uHwaogdjOdkyrOgaNGoNDXChzOgSV05njtJpBzelepHR5xjYkG7XR-1ruCW0bCNfkzn9gMqg5F_cTa779UTC0OKJ6U371qFhOrpUklMecWzb6Z8mmk0Z5S_m65NkNPRlzCPs2RZlqa5Jo7GM/w444-h322/Screenshot_20240201-195235_All%20PDF%20Reader.jpg" width="444" /></a></div><br /><p>Gastric wall abscess is a rare entity and endoscopy may help detecting it.</p><p>Infected Streptococcus is the main source of infection (75%). And Staphylococcus, E.coli Hemophilus influenza, Pseudomonas. Candida [rare].</p><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiePB1z5b6siQDY6BXy9TcLsF1WXqqR-6DvjdIXlqSYQzvsxfQ1Tt8F_c8Km5bIIeFyhdaxiQ9gOmVpRg3mHZuf4Ba7S674ex5V_InCyiQ6TgZI64_-5io_2K7CLoszwbSEUqfr35xF1Aqmzgqnvfw8Lx-L_w6NjLF6ewD94xIn0RxrzrMAnLOu0BtrDRM/s1079/Screenshot_20240202-145655_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="648" data-original-width="1079" height="192" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiePB1z5b6siQDY6BXy9TcLsF1WXqqR-6DvjdIXlqSYQzvsxfQ1Tt8F_c8Km5bIIeFyhdaxiQ9gOmVpRg3mHZuf4Ba7S674ex5V_InCyiQ6TgZI64_-5io_2K7CLoszwbSEUqfr35xF1Aqmzgqnvfw8Lx-L_w6NjLF6ewD94xIn0RxrzrMAnLOu0BtrDRM/s320/Screenshot_20240202-145655_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>REFERENCES:</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJOl23oKWlgbjGMWx8PywvpAW0lRLKNgWciv4N0lyHo7hLKJZUF2vQ6RFAc9rz59tou6y009wxL39YnyMNOi85N-51HxsEnrRRWUKXoZ_GcT68dnnq6FGjunf3gmq9nL3JUwpo7t-2NIdsktNZnd5pLf8pRIN9AZYWree0in7vEnOpQuayWj9geOihkyc/s1080/Screenshot_20240202-145809_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="412" data-original-width="1080" height="122" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJOl23oKWlgbjGMWx8PywvpAW0lRLKNgWciv4N0lyHo7hLKJZUF2vQ6RFAc9rz59tou6y009wxL39YnyMNOi85N-51HxsEnrRRWUKXoZ_GcT68dnnq6FGjunf3gmq9nL3JUwpo7t-2NIdsktNZnd5pLf8pRIN9AZYWree0in7vEnOpQuayWj9geOihkyc/s320/Screenshot_20240202-145809_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-36865065678700545902024-01-25T23:08:00.008+07:002024-01-27T21:07:23.398+07:00CASE 747: HCC and infected HBV, Dr PHAN THANH HẢI, Dr PHẠM CÔNG CHÁNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p><br /></p><p>A woman 51 year-old infected HBV for one year only using herself functional foods.</p><p>Ultrasound revealed a # 18 mm hypoechoic mass in right lobe of liver and splenomegaly and cirrhosis.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsEM7s5eHjsnAuo1jmIkd5xqGBSWrb0PtpGIYckagws3bDHCv4qN7j5J5WRPvTmghyphenhyphenfdpIaYEFAjxhEveWk7ShRDF76zedQQIKUGNG3Wi3LGUF2FbfH84wNiO1l8du4giKyQO7cTwpRP0wBBVmJhjdhTaOYvp8EiAVR_zDJxe339E-WaeiuTG2R1oPHeU/s536/Screenshot_20240125-193811_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="433" data-original-width="536" height="259" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsEM7s5eHjsnAuo1jmIkd5xqGBSWrb0PtpGIYckagws3bDHCv4qN7j5J5WRPvTmghyphenhyphenfdpIaYEFAjxhEveWk7ShRDF76zedQQIKUGNG3Wi3LGUF2FbfH84wNiO1l8du4giKyQO7cTwpRP0wBBVmJhjdhTaOYvp8EiAVR_zDJxe339E-WaeiuTG2R1oPHeU/s320/Screenshot_20240125-193811_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p>Lab data noted platelets # 50,000, liver enzymes raised and AFP negative, but HCC risk WAKO test elevated: PIVKA II (DCP): 84.2 mAU/mL</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBe9LxxiA8J9uLZi1acdQt_ZzKtGiior7f1R-G3pYKz6Ccq9erJXHBh25yp4HfE3FTx6zxoCyIKYCjZp_zBvFrBrDPNeX5jbvVBP-2eD-Ox80KaPJzo6V7UesH3XaN0TYm6LISQR-iLrarRF6TPfDH7dCnzgjJlqiDGMNbttY2znNuohrvEJiHUTzz20s/s1226/Screenshot_20240125-224052_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1226" data-original-width="1079" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBe9LxxiA8J9uLZi1acdQt_ZzKtGiior7f1R-G3pYKz6Ccq9erJXHBh25yp4HfE3FTx6zxoCyIKYCjZp_zBvFrBrDPNeX5jbvVBP-2eD-Ox80KaPJzo6V7UesH3XaN0TYm6LISQR-iLrarRF6TPfDH7dCnzgjJlqiDGMNbttY2znNuohrvEJiHUTzz20s/s320/Screenshot_20240125-224052_All%20PDF%20Reader.jpg" width="282" /></a></div><br /><p>Liver MRI with Primovist confirmed a right hepatic node that maybe was a nodular regenerative hyperplasia (NRH, FNH) or small HCC.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBOGz6Hl4Si3wF0dTbOxxaAZhIoLx67Jy2ZeP0_8WFH4tR2KeVukZWPmIuwI_e1dfyjqmkb-rvPAQIz0u-Fk3cR_UN3beuPrCaWfVrl2E1XBgtVLcJDcT-1LYKVdK6-TbB_B3j9zTWNFcYT3pQsq75znjvGRL6lxkmOFldCM-CwV9efQ738Wnt9AGpPXo/s454/Screenshot_20240125-193918_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="454" data-original-width="369" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBOGz6Hl4Si3wF0dTbOxxaAZhIoLx67Jy2ZeP0_8WFH4tR2KeVukZWPmIuwI_e1dfyjqmkb-rvPAQIz0u-Fk3cR_UN3beuPrCaWfVrl2E1XBgtVLcJDcT-1LYKVdK6-TbB_B3j9zTWNFcYT3pQsq75znjvGRL6lxkmOFldCM-CwV9efQ738Wnt9AGpPXo/s320/Screenshot_20240125-193918_All%20PDF%20Reader.jpg" width="260" /></a></div><br /><p>Liver tumor was removed by RFA after liver biopsy and DCP downed to 72mAU/mL.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3QdzKEGMdcX0g48S5qjWa87GUHz6Mhtz1OXSPRpE-ayQEx99cigErF4wWfo_5RmPnB4RqtSriInLlE4SG5XkSaB6Vf6K-oRcdUD6iXyM6vtSyo7PV5VYeGHHKdUrkUhQ5tbEtIVm1lWmYu2KQxURhpUg1nXkD7mepvQ8K9xUuDrnN0ANP-ZaTlBH1aJI/s909/Screenshot_20240125-194032_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="240" data-original-width="909" height="84" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3QdzKEGMdcX0g48S5qjWa87GUHz6Mhtz1OXSPRpE-ayQEx99cigErF4wWfo_5RmPnB4RqtSriInLlE4SG5XkSaB6Vf6K-oRcdUD6iXyM6vtSyo7PV5VYeGHHKdUrkUhQ5tbEtIVm1lWmYu2KQxURhpUg1nXkD7mepvQ8K9xUuDrnN0ANP-ZaTlBH1aJI/s320/Screenshot_20240125-194032_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjMNFtxqbrMwwGEWINPCdivX6dETzHd_rp3bcBKdYryzLSuPWJlFz-hqnDnqjI34Qct-GB4_IQ5JuTjn1jHfEMsSdarS7uYWm2jCtMzvJYv6Wz7xWr3zuQ1oh5XbTZUchXz36h5rMUihcm_HLZ2rkUe2JVGi032DQM58OzAwDjyx9V5hyphenhyphenqqrSTZoJApa0/s1079/Screenshot_20240125-224132_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="709" data-original-width="1079" height="210" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjMNFtxqbrMwwGEWINPCdivX6dETzHd_rp3bcBKdYryzLSuPWJlFz-hqnDnqjI34Qct-GB4_IQ5JuTjn1jHfEMsSdarS7uYWm2jCtMzvJYv6Wz7xWr3zuQ1oh5XbTZUchXz36h5rMUihcm_HLZ2rkUe2JVGi032DQM58OzAwDjyx9V5hyphenhyphenqqrSTZoJApa0/s320/Screenshot_20240125-224132_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKUw5a_AOI9WLbOKJ5j04TPPRObsi82m7Gj2bhMNs31NefMCfotavvH1mT4PFuCmtmcZ4In4e1b_DzYCf-hsToi-_1MFr8RW-HYEzciqZsbNwNRkWu4RLN3TWWTztmEfbqpW7xy4s23bgMotXOud0Oy-UrKzQUg8LAzdCOk0fh2vV2XUWxl_2dNnIHxpU/s1018/Screenshot_20240125-224239_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1018" data-original-width="926" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKUw5a_AOI9WLbOKJ5j04TPPRObsi82m7Gj2bhMNs31NefMCfotavvH1mT4PFuCmtmcZ4In4e1b_DzYCf-hsToi-_1MFr8RW-HYEzciqZsbNwNRkWu4RLN3TWWTztmEfbqpW7xy4s23bgMotXOud0Oy-UrKzQUg8LAzdCOk0fh2vV2XUWxl_2dNnIHxpU/s320/Screenshot_20240125-224239_All%20PDF%20Reader.jpg" width="291" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-70559321528707418692024-01-25T20:01:00.009+07:002024-01-31T22:36:46.058+07:00CASES 745-746: PTC in CHILDREN, Dr PHAN THANH HẢI. Dr NGUYỄN TUẤN CƯỜNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p>CASE 745: </p><p>A male child 11 year-old presented a calcified node in left lobe of thyroid by ultrasound.</p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAEUz5dEVD1k_d47l5C-POJ7ferYuEwt9tazjWzF1Uj9hoMeVty13AcpQW3xRX-3fZUnPQE9bJW_uZvyuh0trnfhE8HMz8LbYnjtBjYdUGm0bI2MsSMwxrmfhBeZ-li2kPiUgrh7AzGIZ3h8-_ixHJm2_rZKZwWRcPHZZ7DLBuJRKm6sNFp2Blx01njCU/s1056/Screenshot_20240125-194603_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="1056" height="182" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAEUz5dEVD1k_d47l5C-POJ7ferYuEwt9tazjWzF1Uj9hoMeVty13AcpQW3xRX-3fZUnPQE9bJW_uZvyuh0trnfhE8HMz8LbYnjtBjYdUGm0bI2MsSMwxrmfhBeZ-li2kPiUgrh7AzGIZ3h8-_ixHJm2_rZKZwWRcPHZZ7DLBuJRKm6sNFp2Blx01njCU/s320/Screenshot_20240125-194603_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjECWLHLZVHhZWsmAkIFbCq20UIk0s_cNm1RYcGpHXhd_AoM7agqE0KjZapcQWQBiDrkt2fh66Yoq5vtIPmMRhGQ3xgBJpsDe7zvxHO_dI7xG9SfbmTeDjdQtYJZQmQ89LsP8k0dcKy2luvZxXnyUly1fsFc-pyANIjBX-zGktsR3FhzIvHN824q_h14hU/s623/Screenshot_20240125-194638_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="236" data-original-width="623" height="121" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjECWLHLZVHhZWsmAkIFbCq20UIk0s_cNm1RYcGpHXhd_AoM7agqE0KjZapcQWQBiDrkt2fh66Yoq5vtIPmMRhGQ3xgBJpsDe7zvxHO_dI7xG9SfbmTeDjdQtYJZQmQ89LsP8k0dcKy2luvZxXnyUly1fsFc-pyANIjBX-zGktsR3FhzIvHN824q_h14hU/s320/Screenshot_20240125-194638_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;">Microscopic specimen was papilary thyroid carcinoma, group V Bethesda classification. </div><br /> CASE 746:<p></p><p>A girl 14 year-old with a left thyroid tumor and cervical lymph nodes.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwU0xLRj5gRYLJt_v4sZIk51JcQ3GRz8woDdLSxb1Ucr7nejMleJuci3fLMFXt2ryHeh36ck9tds9VoI3ib08WpXmertZHgmeTuHMln2UIZnsB12ngj8_NBcmhJ_4MNq0vJH1fJuCcYA7BsGQDi1X9saKxiCRfNCupVtddeot0mEXb4pXX4-SKglEW6NY/s1079/Screenshot_20240125-200009_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="575" data-original-width="1079" height="171" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwU0xLRj5gRYLJt_v4sZIk51JcQ3GRz8woDdLSxb1Ucr7nejMleJuci3fLMFXt2ryHeh36ck9tds9VoI3ib08WpXmertZHgmeTuHMln2UIZnsB12ngj8_NBcmhJ_4MNq0vJH1fJuCcYA7BsGQDi1X9saKxiCRfNCupVtddeot0mEXb4pXX4-SKglEW6NY/s320/Screenshot_20240125-200009_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgQ0rfzMngtqew6bgSoGEL8Q13lYVOnZsasUiZrJz9kpVyZP99pTgCMiofa1WE2T0MeYPLqK7LrRTPpo-TFpNm4hwBt2jCkXSxiIcl2Ghyphenhyphen3YzpRDMd8GuURZmj04kf2BLXyyhAWxHNqYOZlFIB4H2FydvoZsZ9PBiFJ-LUPffnxZkwPqEGnjILdLH4GxU/s1080/Screenshot_20240125-200026_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="407" data-original-width="1080" height="121" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgQ0rfzMngtqew6bgSoGEL8Q13lYVOnZsasUiZrJz9kpVyZP99pTgCMiofa1WE2T0MeYPLqK7LrRTPpo-TFpNm4hwBt2jCkXSxiIcl2Ghyphenhyphen3YzpRDMd8GuURZmj04kf2BLXyyhAWxHNqYOZlFIB4H2FydvoZsZ9PBiFJ-LUPffnxZkwPqEGnjILdLH4GxU/s320/Screenshot_20240125-200026_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Microscopic result was papilary thyroid carcinoma, group VI Bethesda classification. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvFw7kfmvNi6GRDIyRVBxj6AjT1lDfxKzJ8kcp9LW7-cIru-fYRyFCIrA2cSKM51dT25JZ4ATTSRuXe_G64WwcMa3D0Ea8CXE9jzAoOJtHAgiBrV9N1Dsi0GGYVAfDknNDxWcaMSrUppFdLOzmSCFg60-OquBriCAC8cnHboRd-QUxy0cO7iEsNCg0iRU/s1068/Screenshot_20240125-200501_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="496" data-original-width="1068" height="149" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvFw7kfmvNi6GRDIyRVBxj6AjT1lDfxKzJ8kcp9LW7-cIru-fYRyFCIrA2cSKM51dT25JZ4ATTSRuXe_G64WwcMa3D0Ea8CXE9jzAoOJtHAgiBrV9N1Dsi0GGYVAfDknNDxWcaMSrUppFdLOzmSCFg60-OquBriCAC8cnHboRd-QUxy0cO7iEsNCg0iRU/s320/Screenshot_20240125-200501_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-62468229316643069482024-01-20T14:19:00.016+07:002024-01-21T18:10:15.242+07:00CASE 744: MUCINOUS BREAST CARCINOMA, Dr PHAN THANH HẢI, Dr PHAN THỊ CẨM VÂN. MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p>A young woman 28 year-old with a left breast lump.</p><p>Mammography noted a left breast mass at 7 0' clock on a breast type D. BI-RADS 4.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPoOwhH4JFuRmBTUqWp_caegKY900jQTfPlaF3fxYiajQumA9cga8TIwrCx2nI-2a4vARFaAGLKLz1hTMsuVWJdRTcALRJA2j8xXb80QZfOY5TqQRxhZ50fraH1vtPcqGu1Ni3pFKiJvuTNeXEJRryJVB84clO-tUzTN-SzmvBMUSuMopOlqXSxKzyr-s/s432/Screenshot_20240120-135005_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="432" data-original-width="413" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPoOwhH4JFuRmBTUqWp_caegKY900jQTfPlaF3fxYiajQumA9cga8TIwrCx2nI-2a4vARFaAGLKLz1hTMsuVWJdRTcALRJA2j8xXb80QZfOY5TqQRxhZ50fraH1vtPcqGu1Ni3pFKiJvuTNeXEJRryJVB84clO-tUzTN-SzmvBMUSuMopOlqXSxKzyr-s/s320/Screenshot_20240120-135005_All%20PDF%20Reader.jpg" width="306" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlIcy4hBZJ2UkAfc77TRVmZqC9R8WmU1D5hHuYYGOMsaUE_vMJwReKLbiIt-AEpi-dChlwA2TzYmFyqU3jr3cgLX7tL_VJVmHwr5CvIFbyO_kZOWQerXWph_ZPFScSdr6b21-P-0mA059ee94DWCj4OY3sEWLcJ4laOPlbDIv39CfSH_kFGfi_yoghEK0/s571/Screenshot_20240120-135036_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="571" data-original-width="525" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlIcy4hBZJ2UkAfc77TRVmZqC9R8WmU1D5hHuYYGOMsaUE_vMJwReKLbiIt-AEpi-dChlwA2TzYmFyqU3jr3cgLX7tL_VJVmHwr5CvIFbyO_kZOWQerXWph_ZPFScSdr6b21-P-0mA059ee94DWCj4OY3sEWLcJ4laOPlbDIv39CfSH_kFGfi_yoghEK0/s320/Screenshot_20240120-135036_All%20PDF%20Reader.jpg" width="294" /></a></div><p>Ultrasound detected a #20×14 mm left breast speculated tumor, far from nipple 3 cm. BI-RADS 4a.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgf7DzZHdZ7ifMMeiA4licZ8myx4z6qLrUalFAQSTJjk2j24O3N5iPh2KOsnCKVbmCK5-le1hn-jRaFlkJBP942YPyToJ37RO25CcWkDr19CKTW7xoWzeKxDYsYK0ritAmMxFNKYKjvyOOGKz-dYSJWR_ScAX2NNMx71CfYpkwfd9ZwvFuGXcdIPdNjmtk/s689/Screenshot_20240120-135112_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="495" data-original-width="689" height="230" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgf7DzZHdZ7ifMMeiA4licZ8myx4z6qLrUalFAQSTJjk2j24O3N5iPh2KOsnCKVbmCK5-le1hn-jRaFlkJBP942YPyToJ37RO25CcWkDr19CKTW7xoWzeKxDYsYK0ritAmMxFNKYKjvyOOGKz-dYSJWR_ScAX2NNMx71CfYpkwfd9ZwvFuGXcdIPdNjmtk/s320/Screenshot_20240120-135112_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>Mammothermography<div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis9BMpw3mHngPCvIm8jUjqqH9B9Rkn6O8gl22NudbpjCa2v8b1uETf_TttlrOagZhrIpi4QjJdEHsb5XiH1fTTFq4wQklWZFOJgdnqcs8WDj-tw1klxLoCnJwoPVzPkqkaMw-tG_sMm5922xBfoOyhUktZFVaWUX9fb3Ci2MICgkFAy4acw2emYQWh3XA/s209/Screenshot_20240120-135228_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="209" data-original-width="158" height="209" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis9BMpw3mHngPCvIm8jUjqqH9B9Rkn6O8gl22NudbpjCa2v8b1uETf_TttlrOagZhrIpi4QjJdEHsb5XiH1fTTFq4wQklWZFOJgdnqcs8WDj-tw1klxLoCnJwoPVzPkqkaMw-tG_sMm5922xBfoOyhUktZFVaWUX9fb3Ci2MICgkFAy4acw2emYQWh3XA/s1600/Screenshot_20240120-135228_All%20PDF%20Reader.jpg" width="158" /></a></div><br /><p>MRI confirmed a 23×20 mm left breast tumor captured strongly CE. BI-RADS 5. Axillary nodes inflammatory form.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLz_oRHZHYpDN64JlpNgPSY4H3_VMDLKa6UZ-spVbRPPxXmiYqfw9W4VhvtnWpaxPiN0igJjAatasjKCQrBlCxEmhIGV0SgXM1x_UwZKxfHJy7kl_5Cz2hSDDRwBlXJ2TavR1pf273jOHEVScmJM-cxFK3KmD4DwyVsL5RNlrmNlMJN71i4cgywiLSCwk/s891/Screenshot_20240120-135336_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="545" data-original-width="891" height="196" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLz_oRHZHYpDN64JlpNgPSY4H3_VMDLKa6UZ-spVbRPPxXmiYqfw9W4VhvtnWpaxPiN0igJjAatasjKCQrBlCxEmhIGV0SgXM1x_UwZKxfHJy7kl_5Cz2hSDDRwBlXJ2TavR1pf273jOHEVScmJM-cxFK3KmD4DwyVsL5RNlrmNlMJN71i4cgywiLSCwk/s320/Screenshot_20240120-135336_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQka4ipQ-monxaupiNgzIAw7x9b4Mx8FmKnzYv-gBLQ8dpmh9Op3d-gSuWxE1pm99QutHnCs-6YDTBOj3XEVLdQ7deyou7BKy7p7PA3sBQegDaXgsBHq-MlHpSDW1HsfEVp7uIrLxuRWAsAWjz6NUz-D-YeuqKL36PayhOHxSlcPrDg7WzZAj_vr5UP2I/s937/Screenshot_20240120-135428_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="540" data-original-width="937" height="184" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQka4ipQ-monxaupiNgzIAw7x9b4Mx8FmKnzYv-gBLQ8dpmh9Op3d-gSuWxE1pm99QutHnCs-6YDTBOj3XEVLdQ7deyou7BKy7p7PA3sBQegDaXgsBHq-MlHpSDW1HsfEVp7uIrLxuRWAsAWjz6NUz-D-YeuqKL36PayhOHxSlcPrDg7WzZAj_vr5UP2I/s320/Screenshot_20240120-135428_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><span style="text-align: center;">Biopsy results was mucinous breast carcinoma invasive.</span></div><div><span style="text-align: center;"><br /></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgny3rQ_IIMJ4hYJVMQ8WReaptYlnrgjZLNg0dS7tNbGlTYWBwzoYmc8jZBfgKB0qBdQGHohiZy9Cb4ZcH2hVrnM5Rw2Eezd1df9flf9XfNZU9-p1ZTGRW6dgoXc8jlYFVdGoGRVUPGa7feJFNV6I3mVSZ8XccE_cerxcNcvrdF5zlK4KcuJ8kpC-SXnyY/s696/Screenshot_20240120-135300_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="439" data-original-width="696" height="202" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgny3rQ_IIMJ4hYJVMQ8WReaptYlnrgjZLNg0dS7tNbGlTYWBwzoYmc8jZBfgKB0qBdQGHohiZy9Cb4ZcH2hVrnM5Rw2Eezd1df9flf9XfNZU9-p1ZTGRW6dgoXc8jlYFVdGoGRVUPGa7feJFNV6I3mVSZ8XccE_cerxcNcvrdF5zlK4KcuJ8kpC-SXnyY/s320/Screenshot_20240120-135300_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><span style="text-align: center;">Microscopic specimen post-op was </span><span style="text-align: center;">mucinous breast carcinoma invasive.</span></div><div><span style="text-align: center;"><br /></span></div><div><div style="text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmXOn_xfQrSRiwIjUSs-gG5J83TTff4eivzCjxX_vObUs9ySJktlscdjH7gROOxWFediFKsl72qhhYL7RC-hEARUuxVAz0tCjqnUWNBqpLbG8MIakTRY4oZSs8tMQ1BRfY0cwWDx8m_bTcq7uTpxgNRMMoCUvnihl1uLqeiLN3Css4RDud18iTf079SUU/s1056/Screenshot_20240120-135453_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="525" data-original-width="1056" height="159" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmXOn_xfQrSRiwIjUSs-gG5J83TTff4eivzCjxX_vObUs9ySJktlscdjH7gROOxWFediFKsl72qhhYL7RC-hEARUuxVAz0tCjqnUWNBqpLbG8MIakTRY4oZSs8tMQ1BRfY0cwWDx8m_bTcq7uTpxgNRMMoCUvnihl1uLqeiLN3Css4RDud18iTf079SUU/s320/Screenshot_20240120-135453_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div style="text-align: center;">Young woman with a rare breast tumor.</div><p><br /></p><p>REFERENCE:</p><div class="top" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px;"><div id="universal_header"><div aria-label="access keys" role="navigation"><a accesskey="0" class="usa-sr-only" href="https://www.ncbi.nlm.nih.gov/guide/browsers/#ncbi_accesskeys" id="nws_header_accesskey_0" style="left: -999em; position: absolute;" tabindex="-1">Access keys</a><a accesskey="1" class="usa-sr-only" href="https://www.ncbi.nlm.nih.gov/" id="nws_header_accesskey_1" style="left: -999em; 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color: #985735; font-family: arial, helvetica, clean, sans-serif; font-size: 1.125em; line-height: 1.1111em; margin: 1.125em 0px 0.5625em;">Continuing Education Activity</h2><p style="margin: 0.6923em 0px;">Mucinous carcinoma of the breast is a relatively rare subtype of breast cancer accounting for about 2% of all breast carcinomas. According to the latest WHO classification of tumors of the breast, mucinous carcinoma is classified as a special type of breast cancer. This activity describes the pathophysiology, etiology, and presentation of mucinous breast cancer and highlights the role of the interprofessional team in its management.</p><p style="margin: 0.6923em 0px;"><b>Objectives:</b></p><ul><li class="half_rhythm" style="margin: 0.6923em 0px;">Outline the pathophysiology of mucinous breast cancer.</li><li class="half_rhythm" style="margin: 0.6923em 0px;">Describe the evaluation of a patient with mucinous breast cancer.</li><li class="half_rhythm" style="margin: 0.6923em 0px;">Summarize the treatment options for mucinous breast cancer.</li><li class="half_rhythm" style="margin: 0.6923em 0px;">Review the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by mucinous breast cancer. </li></ul></div><div id="article-25313.s2"><h2 class="ui-helper-clearfix" id="_article-25313_s2_" style="border-bottom-color: rgb(151, 176, 200); border-bottom-style: solid; border-bottom-width: 1px; border-bottom: 1px solid rgb(151, 176, 200); color: #985735; font-family: arial, helvetica, clean, sans-serif; font-size: 1.125em; line-height: 1.1111em; margin: 1.125em 0px 0.5625em;"><br /></h2></div></div></div></div></div></div></div></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-60102976270786318932024-01-18T20:28:00.011+07:002024-02-01T05:55:55.356+07:00CASES 742-743: 2 CASES of BREAST TUMOR with NEGATIVE MAMMOGRAPHY, Dr PHAN THANH HẢI, Dr HỒ CHÍ TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p>2 CASES of BREAST TUMOR with UNCLEAR MAMMOGRAPHY</p><p>Case 742:</p><p>A woman 64 year-old in check-up.</p><p>Mammography findings noted breast in B group, nearly a doubtful breast mass on right side.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjczEQIYv9NIT9kKwatwNVo3-s9ryY9wctqiyqU0gtz6VVUUfrSXwDwP6QLOZzaDX1hj4givbnTRrQ09eaJWXW3uO-dllVmx9cHz0yi_iRVnYwJIStmYxF7A1Awu-VeAVD2tq_6KX9uWb29Bo0m3T3kiG7qOR4zfHWw3QrtdmiOj0M5NKO9wxVFc4qRhLE/s480/ca%2072.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="360" data-original-width="480" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjczEQIYv9NIT9kKwatwNVo3-s9ryY9wctqiyqU0gtz6VVUUfrSXwDwP6QLOZzaDX1hj4givbnTRrQ09eaJWXW3uO-dllVmx9cHz0yi_iRVnYwJIStmYxF7A1Awu-VeAVD2tq_6KX9uWb29Bo0m3T3kiG7qOR4zfHWw3QrtdmiOj0M5NKO9wxVFc4qRhLE/s320/ca%2072.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHvuUmB3lz_noVfTJbS5ecZurrgcZirUg2wChJ86xrSmiayQTR767AlMrBlH_boqgtZGAGECNaz7nNV7kknRTa6Qshk6ose4ioSKZn_P5f6Yap4fPzwUheO0g7WstGGC3hyphenhyphen47NdK6blnxxRHw9nzpeEe2gtvCD5FKk4FJ4a8qd9HqkCfHxlUC8VzqCf2I/s480/ca%20742%20b.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="360" data-original-width="480" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHvuUmB3lz_noVfTJbS5ecZurrgcZirUg2wChJ86xrSmiayQTR767AlMrBlH_boqgtZGAGECNaz7nNV7kknRTa6Qshk6ose4ioSKZn_P5f6Yap4fPzwUheO0g7WstGGC3hyphenhyphen47NdK6blnxxRHw9nzpeEe2gtvCD5FKk4FJ4a8qd9HqkCfHxlUC8VzqCf2I/s320/ca%20742%20b.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><p><br /></p><p>Ultrasound revealed a small # 7 mm spidicular mass in right breast. Elastography was a hard tumor. BI-RADS 5. Axillary nodes were metastases </p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjz3oo_6KZfwLEuFuuiZQVwPNLOlHDONVF0MYDZC9OETm14oAYMunLm6buXsur9lZu19Z6QwAttzUsQk5eUOe4C72Swbv17oemKYcV3o7SIc-t8PjYPg4KgroAVPTQLvlMiWuW_choIyJsORxlwRysVROvYt2swfX9qmYB02XVDY_wzYujPctmbZT9J348/s1079/Screenshot_20240118-193647_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="608" data-original-width="1079" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjz3oo_6KZfwLEuFuuiZQVwPNLOlHDONVF0MYDZC9OETm14oAYMunLm6buXsur9lZu19Z6QwAttzUsQk5eUOe4C72Swbv17oemKYcV3o7SIc-t8PjYPg4KgroAVPTQLvlMiWuW_choIyJsORxlwRysVROvYt2swfX9qmYB02XVDY_wzYujPctmbZT9J348/s320/Screenshot_20240118-193647_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: justify;"><span style="text-align: left;">Core biopsy and chemoimmunologic staining resulted a small invasive carcinoma of the breast. A mastectomy was done and microscopic result was carcinoma.</span></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYylYXT-nHpsRjcmp1Dx7FxIhHLPZHmMy-ldbpJh7COM3C7kmE302j3DBCBMn-G8fD-51j5378wEs5L1_an5tAOuVljazvrGlsu9s-QCLw9uiczhtgU-ame9tpmbWI2qyjbrLtueQ74tXatoswI3CvSyHXmqy938PHYOI_Sk5hX0dIS4JW0uiKRK8OPyQ/s1252/Screenshot_20240118-193748_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1252" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYylYXT-nHpsRjcmp1Dx7FxIhHLPZHmMy-ldbpJh7COM3C7kmE302j3DBCBMn-G8fD-51j5378wEs5L1_an5tAOuVljazvrGlsu9s-QCLw9uiczhtgU-ame9tpmbWI2qyjbrLtueQ74tXatoswI3CvSyHXmqy938PHYOI_Sk5hX0dIS4JW0uiKRK8OPyQ/s320/Screenshot_20240118-193748_All%20PDF%20Reader.jpg" width="276" /></a></div><br /><div style="text-align: left;">Case 743:</div><div style="text-align: left;"> </div><div style="text-align: left;">A woman 34 year-old with right lung cancer, positive EGFR and right pleural effusion has bee managed for 4 months. She herself found her right breast harder.</div><div style="text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiaSXyOCxUDWy7Ig42floIm3Shx4GzqGepaUWmQymjblJEfkJJkYaFP_wZjfejnKjj2cLtbuMy9ff1-wkMOEAelhQYSKtmWete3Uo2Yig8_0PRo9Kg3RdF0Xzqus3rlQvajec5hFqAQXsqNJYsDwUh53uRJPulod26M_T-4KzxSS5dM61tUKIXrZnjgpzg/s1079/Screenshot_20240118-193854_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="709" data-original-width="1079" height="210" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiaSXyOCxUDWy7Ig42floIm3Shx4GzqGepaUWmQymjblJEfkJJkYaFP_wZjfejnKjj2cLtbuMy9ff1-wkMOEAelhQYSKtmWete3Uo2Yig8_0PRo9Kg3RdF0Xzqus3rlQvajec5hFqAQXsqNJYsDwUh53uRJPulod26M_T-4KzxSS5dM61tUKIXrZnjgpzg/s320/Screenshot_20240118-193854_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgR-2ktc-dVLEZYzB-1Mz_inNR0cYSJ7CyBuLDzg3HY_yjO_tn_qDxkoVPExTOS3gY65FTG4JLUT1JKkfUiZFpHVJqY0rvs1OjZTt-uqIUmSLif72-IhbbCMojoWd20WcxumCmKjqTLnna4fegd2Y-eupunYoIfF2tqvRt7HHc5EE4NjO9rY890cmUp-RE/s741/Screenshot_20240118-194353_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="581" data-original-width="741" height="251" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgR-2ktc-dVLEZYzB-1Mz_inNR0cYSJ7CyBuLDzg3HY_yjO_tn_qDxkoVPExTOS3gY65FTG4JLUT1JKkfUiZFpHVJqY0rvs1OjZTt-uqIUmSLif72-IhbbCMojoWd20WcxumCmKjqTLnna4fegd2Y-eupunYoIfF2tqvRt7HHc5EE4NjO9rY890cmUp-RE/s320/Screenshot_20240118-194353_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div style="text-align: left;"><br /></div><div style="text-align: left;">On mammography her right breast belonged type D (dense) which could not detect the tumor.</div><div style="text-align: left;"><br /></div></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-b_xCSCoMrhmAjsh1_c9lhbdWVtk5pVPEQNvb-LF-VSLDLhyhGM2SvkguSyRXf8hl5plFo2dLHtxP_h6VjlbaB5riScjHjgUyUKypF7FbqiE0C1UuTGd9_b2fYvj0_seYK2xWuaqBqlJhzeQst0rIFGcB7eaO2MsnZ1s1Zc6nmr5B1sZjbYWh5TBcNKQ/s1567/Screenshot_20240118-193813_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1567" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-b_xCSCoMrhmAjsh1_c9lhbdWVtk5pVPEQNvb-LF-VSLDLhyhGM2SvkguSyRXf8hl5plFo2dLHtxP_h6VjlbaB5riScjHjgUyUKypF7FbqiE0C1UuTGd9_b2fYvj0_seYK2xWuaqBqlJhzeQst0rIFGcB7eaO2MsnZ1s1Zc6nmr5B1sZjbYWh5TBcNKQ/s320/Screenshot_20240118-193813_All%20PDF%20Reader.jpg" width="221" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div>But ultrasound detected easily a big 37×19 mm tumor in BI-RADS 5 with cervical metastasized nodes.<div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyBpuUTg6YGAESeWpkzfRv1Q4paNZxNSV1eoC5uZkmRZHgk4xTrJqWxNXajdGE0CmfQuld9Hc-s4fy4PxF50vLx4Jk4ftGIuL_hcTcKqaLytUaghojO-Sn-RV3wjCO4iTuwgOImzle1mSpVb7vXxN1foItE-5VsmJXM8rv2rJitbb8UXPkb1FH5Q5lhcw/s1536/Screenshot_20240118-193833_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="1079" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyBpuUTg6YGAESeWpkzfRv1Q4paNZxNSV1eoC5uZkmRZHgk4xTrJqWxNXajdGE0CmfQuld9Hc-s4fy4PxF50vLx4Jk4ftGIuL_hcTcKqaLytUaghojO-Sn-RV3wjCO4iTuwgOImzle1mSpVb7vXxN1foItE-5VsmJXM8rv2rJitbb8UXPkb1FH5Q5lhcw/s320/Screenshot_20240118-193833_All%20PDF%20Reader.jpg" width="225" /></a></div><br /><div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvGk3_ZPyVjcJhB9pfO3J0WsF2TB5nz8-cTFbUTJ9k5p9GwZCO2M10IGTYr4Zd7fZqJKTZxqXHqeMU-QU_YBkZiY7Yvh9s2fw89jTVbA1y9fQ6fwJjvy2534b9s-pNDErUOZJuCkgDUbC5CK4z4KDnwcR0KyJOZWgjtFRvfsPDXvCifjJY3DU1u8GLB7c/s869/Screenshot_20240118-193933_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="586" data-original-width="869" height="216" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvGk3_ZPyVjcJhB9pfO3J0WsF2TB5nz8-cTFbUTJ9k5p9GwZCO2M10IGTYr4Zd7fZqJKTZxqXHqeMU-QU_YBkZiY7Yvh9s2fw89jTVbA1y9fQ6fwJjvy2534b9s-pNDErUOZJuCkgDUbC5CK4z4KDnwcR0KyJOZWgjtFRvfsPDXvCifjJY3DU1u8GLB7c/s320/Screenshot_20240118-193933_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0JMyaXZH3maKclZ3sGL_MgJw1Xk0mzPAyWurGVJst_OqIwCX5Mp500I4s_2pNasDiBClD7lg_asmbH5aU9_bRV17Zaz8955bJxquzLR475LBSt-bmL6Kfn-YU3tAADlAH-od0iBTEHedrH1lEAHDCgDreGVp0LbmQfegrtfJtmfeKgUITr-MooebSGjU/s868/Screenshot_20240118-194021_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="620" data-original-width="868" height="229" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0JMyaXZH3maKclZ3sGL_MgJw1Xk0mzPAyWurGVJst_OqIwCX5Mp500I4s_2pNasDiBClD7lg_asmbH5aU9_bRV17Zaz8955bJxquzLR475LBSt-bmL6Kfn-YU3tAADlAH-od0iBTEHedrH1lEAHDCgDreGVp0LbmQfegrtfJtmfeKgUITr-MooebSGjU/w322-h229/Screenshot_20240118-194021_All%20PDF%20Reader.jpg" width="322" /></a></div><br /><div class="separator" style="clear: both; text-align: left;">The poor young woman with 2 kinds of cancer at the same time. </div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">Core biopsy resulted invasive breast carcinoma metastasized cervical nodes. And rib bones</div><div class="separator" style="clear: both; text-align: left;">and left pelvic bone on scintigraphy.</div><br /><p><br /></p><p><br /></p><p><br /><br /></p></div></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-20982346605745214432024-01-13T13:41:00.014+07:002024-01-13T18:58:05.117+07:00CASE 741: HEMORRHAGIC MESENTERIC HEMANGIOMA, Dr PHAN THANH HẢI, Dr NGUYỄN NGHIỆP VĂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p>A woman 49 year-old with a critical left flank pain for 1 day which was progressed continously. It made the woman in rigidity of her body to against her abdominal pain and to defecate many times.</p><p>Ultrasound detected a #58 mm well-limited mass containing sludgy fluid full-filled at left side of abdomen nearby her left kidney, and abdominal wall. And a renal cystic and a kidney stone also existed.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj868NGNWsLrtWG5M8yafxUquvgrTFl6sAV3GcBOo0Mok8IFiA2yGCuZHk9GbBgm3-agEBvH5OatM5QymWMbyxfeCrcTdsnERvqJ7p53ScEm09JcIMrAI6pIriLoA81DIAnaoLu0wqViGzJTlMCZmfDgG3xDNAXX6SSaOdbu2JV2CDBxKiyXLzYO7CWnbY/s816/Screenshot_20240113-130347_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="816" data-original-width="542" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj868NGNWsLrtWG5M8yafxUquvgrTFl6sAV3GcBOo0Mok8IFiA2yGCuZHk9GbBgm3-agEBvH5OatM5QymWMbyxfeCrcTdsnERvqJ7p53ScEm09JcIMrAI6pIriLoA81DIAnaoLu0wqViGzJTlMCZmfDgG3xDNAXX6SSaOdbu2JV2CDBxKiyXLzYO7CWnbY/s320/Screenshot_20240113-130347_All%20PDF%20Reader.jpg" width="213" /></a></div><br /><p>MSCT confirmed a # 50x60 mm mesenteric cystic tumor as it was non captured CE, HU 51.0 maybe a mesenteric cyst including hemangioma that adhered to left colon, left kidney and abdominal wall.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUTjunxuPd9omBKppHmS-vzky5OnkvkkzpthjbiAjQ0y_bT2FsZWeKfZntd8jzy-_8LonENiQD6I5HEMyj7ayPcBBy0I7tHbACSW3vNpvDdJFUizZ5xkF0k084pT1S8em3UGeSmvqe7c67BmqS9xCHZUAEleXZnZw0aFs3zTpBFdvR2PqgUcK2Blm-F6U/s757/Screenshot_20240113-130232_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="757" data-original-width="541" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUTjunxuPd9omBKppHmS-vzky5OnkvkkzpthjbiAjQ0y_bT2FsZWeKfZntd8jzy-_8LonENiQD6I5HEMyj7ayPcBBy0I7tHbACSW3vNpvDdJFUizZ5xkF0k084pT1S8em3UGeSmvqe7c67BmqS9xCHZUAEleXZnZw0aFs3zTpBFdvR2PqgUcK2Blm-F6U/s320/Screenshot_20240113-130232_All%20PDF%20Reader.jpg" width="229" /></a></div><br /><p>Endoscopic surgery revealed the mass adhered the mesentery and the left colon, and the abdominal wall, then an open surgery was done. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0lnLLwZArqF3PzwJg1nuqNrGeBPS27yCWL-OFHgUmu14AD6qiVmUxZddo_WD1CTP6wFE1v1IkTp4SRelHy8lRQTBFyc4b15LCKbVlOlXjncfN9U6-EAjgnKqiN3JznWHc_XYLx_jh9EWSGF8Gka319EdOj2IV8Urxg-IyUCqkHlmGZJXoe_Q2UTQt-vg/s555/Screenshot_20240113-130431_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="326" data-original-width="555" height="188" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0lnLLwZArqF3PzwJg1nuqNrGeBPS27yCWL-OFHgUmu14AD6qiVmUxZddo_WD1CTP6wFE1v1IkTp4SRelHy8lRQTBFyc4b15LCKbVlOlXjncfN9U6-EAjgnKqiN3JznWHc_XYLx_jh9EWSGF8Gka319EdOj2IV8Urxg-IyUCqkHlmGZJXoe_Q2UTQt-vg/s320/Screenshot_20240113-130431_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p>Microscopic result was a hemorrhagic hemangioma of the mesentery. </p><p>Hemangioma in hemorrhagia of the mesentery is a rare entity. The scenario is too complex for exactly diagnosing pre-op.</p><p><br /></p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-7349228073329975142024-01-10T20:28:00.004+07:002024-01-11T13:01:51.741+07:00CASE 740: DIFFUSE SCLEROSING VARIANT of PTC, Dr PHAN THANH HẢI, Dr NGUYỄN KIM HIẾU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p> </p><p>A woman 42 year-old with swollen neck on right side and hoarseness.</p><p>Neck ultrasound detected a hypoechoic thyroid, hypovascularized and diffuse microcalcification. It exists lymph nodes both 2 sides of her neck.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcCoMSVs0XgiCGedSr8hwwBatM5gE1PKlnTCa0HALltOnlpUufRUEy55O_xslRM9GMhgSz-CqZTr5hV9prti23EMsLnr0Ji8tYtpOQty5BWBY2BFeiFMPkx878B_EiRvA-EhQ2U96SPOGy8RZRvHUAago5adiTzKCwOnzwqHnV9HSDhH3IgPop3mmDDSk/s811/Screenshot_20240110-200614_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="536" data-original-width="811" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcCoMSVs0XgiCGedSr8hwwBatM5gE1PKlnTCa0HALltOnlpUufRUEy55O_xslRM9GMhgSz-CqZTr5hV9prti23EMsLnr0Ji8tYtpOQty5BWBY2BFeiFMPkx878B_EiRvA-EhQ2U96SPOGy8RZRvHUAago5adiTzKCwOnzwqHnV9HSDhH3IgPop3mmDDSk/s320/Screenshot_20240110-200614_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><p>FNAC result was a papilary thyroid carcinoma [PTC] with lymph nodes metastases, Bethesda classification group VI.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8NqmKkbQ2eUXt986BOjNujMfj6445_UmT5bmaejZaLbbfbevbvJE2pExeFmZguWu5O1rk4-nhIqkih_iOoY9HH3OuBFZ8pXIgLih9cJKKfpJsv113xlHYYHeKso2E4O1j-6R5y3HUux2uj6Sx8zIGsOG6GTnogUUcKLaAyLmQClF9r1SDyYj4nkvCsiY/s682/Screenshot_20240110-200743_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="268" data-original-width="682" height="126" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8NqmKkbQ2eUXt986BOjNujMfj6445_UmT5bmaejZaLbbfbevbvJE2pExeFmZguWu5O1rk4-nhIqkih_iOoY9HH3OuBFZ8pXIgLih9cJKKfpJsv113xlHYYHeKso2E4O1j-6R5y3HUux2uj6Sx8zIGsOG6GTnogUUcKLaAyLmQClF9r1SDyYj4nkvCsiY/s320/Screenshot_20240110-200743_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>A thyroid total and metastasized lymph nodes removed and radiotherapy was done later.</p><p>Reference:</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8rgHgxS63yjFB1jheIAJmC2J5CXsmQaodpcK71IeyBV8_88Le1A4Wu_3xqo-KIMEkpT1o-eSKJlhjaAoZmv3YEujNZAR_AK4C6FkJC6Q3FmHVgV1xx8Y1FLg079Dt2_x8_L8O_XZT435wF3h9n-NmJN_T99AZih22tUjmJQQTwAx_VdEfPW6TDhL4gew/s952/Screenshot_20240110-200948_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="539" data-original-width="952" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8rgHgxS63yjFB1jheIAJmC2J5CXsmQaodpcK71IeyBV8_88Le1A4Wu_3xqo-KIMEkpT1o-eSKJlhjaAoZmv3YEujNZAR_AK4C6FkJC6Q3FmHVgV1xx8Y1FLg079Dt2_x8_L8O_XZT435wF3h9n-NmJN_T99AZih22tUjmJQQTwAx_VdEfPW6TDhL4gew/s320/Screenshot_20240110-200948_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-64593016301121674832024-01-06T13:08:00.033+07:002024-01-09T22:25:13.467+07:00CASE 738-739: OCCULT B INFECTION (OBI) and CIRRHOSIS and HCC, Dr PHAN THANH HẢI, Dr LÊ ĐÌNH VĨNH PHÚC, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBNQlwUoSbF59xfaiPRrfWoYn_3xyCiol2gLQmUbuizmz9YNhFzhSE7i9vS8ky7PoFnkeArr9k6xO0LVYcISUwbsi2HTSvDAHx6TtcCqWb6PZPZYMViY8PbPPvRbjWSXZZJx66zKnNmurjnM83XorviygbmoWZ1cHkiRwQjdYlEv48nDL9b-OcESHF8Go/s1125/IMG_0703.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="822" data-original-width="1125" height="234" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBNQlwUoSbF59xfaiPRrfWoYn_3xyCiol2gLQmUbuizmz9YNhFzhSE7i9vS8ky7PoFnkeArr9k6xO0LVYcISUwbsi2HTSvDAHx6TtcCqWb6PZPZYMViY8PbPPvRbjWSXZZJx66zKnNmurjnM83XorviygbmoWZ1cHkiRwQjdYlEv48nDL9b-OcESHF8Go/s320/IMG_0703.jpeg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div>Case 738:<p></p><p>A man 54 year-old with fever for 4 days and epigastric pain.</p><p>Abdominal ultrasound detected a right lobe hepatic tumor # 12cm, but with negative infected HBV except value of AFP of 51.40 ng/mL. MSCT confirmed liver tumor.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVFmVJA5rybX1MCOuBwYRoFvauEB9h4P_HGS7EMJ6bCXixncs_l85slQ70ST8ohqkBgt05tFXBmCMlCmzOdxVi3nEylRYxAFX5lhkTLKWebiAApR9hatjYt4zSlHkt697WA9JSpd7y6IkMG78-ugJmyaD0umVLVPZfPnxQF6WQ8XuxDKyBCuSy6pYT0lo/s1046/Screenshot_20240106-124922_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1046" data-original-width="676" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVFmVJA5rybX1MCOuBwYRoFvauEB9h4P_HGS7EMJ6bCXixncs_l85slQ70ST8ohqkBgt05tFXBmCMlCmzOdxVi3nEylRYxAFX5lhkTLKWebiAApR9hatjYt4zSlHkt697WA9JSpd7y6IkMG78-ugJmyaD0umVLVPZfPnxQF6WQ8XuxDKyBCuSy6pYT0lo/s320/Screenshot_20240106-124922_All%20PDF%20Reader.jpg" width="207" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; 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margin-right: 1em;"><img border="0" data-original-height="1340" data-original-width="1080" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCyxIjYeuszObYGt5FfUM3RE448fEgbiF4pIV2ViUQ_vIvXUpjwSDsxSmYkEUSikrLofTOHIjSjM8vThrcXkBuD8pfow92l1sMpLkO_0_Ot8np4GECYhMOVvtxxtjzTiAkqZ0GRpIQCeJBU3ebaw4xf0O9goxfcDXRKFS42i_yB4VAjnH2C6-MgEGYa6o/w323-h400/Screenshot_20240109-220810_Chrome.jpg" width="323" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div>Case 739:</div><div><br /></div><div>A female nurse 56 year-old with unknown cause of rising liver enzymes and HBsAg negative for 3 years. But HBV DNA positive and AntiHBc total positive at this time. Liver FibroScan F 3. Obstruction of branch of portal vein on MRI Primovist. Only cirrhosis and no sign of liver cancer. </div><div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicxtEeETWoybh7TtLCDNTIXj4BwKOOWi6HPTnDK6tbQe2iEJ4rPosH39LTFripcfuDz-I7_yrLaxCsD2txoVIps2WU9yXmG-_3oQDPArKUBC-3_W-bjlIlO4jSq5EhSj9jHLk7LK73s2scptgk2mc_hyphenhyphenKUmIDfdgSOTZuikokD5dhGYB4o5XZd0SuNSK8/s893/Screenshot_20240106-132833_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="893" data-original-width="829" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicxtEeETWoybh7TtLCDNTIXj4BwKOOWi6HPTnDK6tbQe2iEJ4rPosH39LTFripcfuDz-I7_yrLaxCsD2txoVIps2WU9yXmG-_3oQDPArKUBC-3_W-bjlIlO4jSq5EhSj9jHLk7LK73s2scptgk2mc_hyphenhyphenKUmIDfdgSOTZuikokD5dhGYB4o5XZd0SuNSK8/s320/Screenshot_20240106-132833_All%20PDF%20Reader.jpg" width="297" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJG2t2fSNLg9AuVKfHvC83OTdmw01Rac58sUTifIqb5AelBfg2SO4x05iGthI6pG4cNVfFihksg01E_UP44hN7XbrREXgVc7AgePNM6PvxMWbkbAVdiOHT_xOceBVcOTvdm9a8gm4p3iaDrdL22xwIoXukYx5g6tiCWCRO0MkUbT9Y0taEFB0c9k-78Zs/s974/Screenshot_20240106-132909_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="974" data-original-width="626" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJG2t2fSNLg9AuVKfHvC83OTdmw01Rac58sUTifIqb5AelBfg2SO4x05iGthI6pG4cNVfFihksg01E_UP44hN7XbrREXgVc7AgePNM6PvxMWbkbAVdiOHT_xOceBVcOTvdm9a8gm4p3iaDrdL22xwIoXukYx5g6tiCWCRO0MkUbT9Y0taEFB0c9k-78Zs/s320/Screenshot_20240106-132909_All%20PDF%20Reader.jpg" width="206" /></a></div><br /><p>REFERENCE</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCCvjELUvY5YbZguVrUmyRHwIDaCIbn2nW1LLEIVntUvJ1187lblkVbrdCjBfpgzQDhoEOSH7KtPKJMhRB_jNmJBW3MgfmcUNDbTf72691x4SZO2wDgiT1PG7zD7OF9O6XThUS20z7A6AQL6uXRuF43sB3RwN3LBnZxJgiaRFhyphenhyphen750D_ruTi-yX4AV2_o/s1294/IMG_0704.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1294" data-original-width="1219" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCCvjELUvY5YbZguVrUmyRHwIDaCIbn2nW1LLEIVntUvJ1187lblkVbrdCjBfpgzQDhoEOSH7KtPKJMhRB_jNmJBW3MgfmcUNDbTf72691x4SZO2wDgiT1PG7zD7OF9O6XThUS20z7A6AQL6uXRuF43sB3RwN3LBnZxJgiaRFhyphenhyphen750D_ruTi-yX4AV2_o/s320/IMG_0704.jpeg" width="301" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKS30jBfDZYOzng4UvXGwdBRA__ZC2C4WZGKVffz2A6bWGnxNyIFAKogu7qs3gXrd5JKjgeajAv-v1JKQe0NnD4NQj0nSxlZ90z7qVQLbzWvnTIMZYcsd3dPKOMVNf76KZQxmCwVxGqpaSzcdgilpqCl_dmg0JCU58QfDt3h_OySz354M1eLXf3jaGsTA/s1187/IMG_0705.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1079" data-original-width="1187" height="291" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKS30jBfDZYOzng4UvXGwdBRA__ZC2C4WZGKVffz2A6bWGnxNyIFAKogu7qs3gXrd5JKjgeajAv-v1JKQe0NnD4NQj0nSxlZ90z7qVQLbzWvnTIMZYcsd3dPKOMVNf76KZQxmCwVxGqpaSzcdgilpqCl_dmg0JCU58QfDt3h_OySz354M1eLXf3jaGsTA/s320/IMG_0705.jpeg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjT2IFTzOoWp4l5MfdKToEX1csEQI6Cmh6ZvvGJUAhbRUM7Byf7lxcKwnuVdasSip1HzU-1ZT1d840QGGTJorc-CPrdW0TTIPMXp9uzo52fvjZuQdfpW1fKVfksIsnexiZQAV-J2LtzISJdp8oaQWozvL_syphA8aszaegyEE5LNQyDVy7SKY6m_Whf0Y/s1803/IMG_0706.jpeg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1803" data-original-width="1256" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjT2IFTzOoWp4l5MfdKToEX1csEQI6Cmh6ZvvGJUAhbRUM7Byf7lxcKwnuVdasSip1HzU-1ZT1d840QGGTJorc-CPrdW0TTIPMXp9uzo52fvjZuQdfpW1fKVfksIsnexiZQAV-J2LtzISJdp8oaQWozvL_syphA8aszaegyEE5LNQyDVy7SKY6m_Whf0Y/s320/IMG_0706.jpeg" width="223" /></a></div><br /><p><br /></p></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-16208351566012504492024-01-04T21:31:00.007+07:002024-01-06T05:38:18.052+07:00CASES 735-736-737: ENHANCED MYOMETRIAL VASCULARITY [EMV], Dr PHAN THANH HẢI, Dr DƯƠNG ĐĂNG NGỌC PHƯƠNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p>3 cases of EMV post partum were discovered by Doppler ultrasound and were managed successfully in ceasing the menorrhagia by curettage.</p><p>Case 01:</p><p>After 3 months delivery without menorrhagia and beta HCG negative but EMV on transvaginal sonography (TVS). Doubtful placental retention.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjy5UfZBUP3JXUvtGnIRq98kuiZ6546bDdXDu01vrAFyNtBRDemTZJVoTb0ETC_F6YVQ4llJ5ey97lM0Y14SJL7Hfs3uRnOOvZZL6kWqHkJjz_DvK9lCO_xzULccknYQNgWLIoj3zyDYQBBPIisTeHDDjTHAKoV955GGcQk-_ljaGv4JF26qCLbtcJt8H8/s1122/Screenshot_20240104-201322_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1122" data-original-width="927" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjy5UfZBUP3JXUvtGnIRq98kuiZ6546bDdXDu01vrAFyNtBRDemTZJVoTb0ETC_F6YVQ4llJ5ey97lM0Y14SJL7Hfs3uRnOOvZZL6kWqHkJjz_DvK9lCO_xzULccknYQNgWLIoj3zyDYQBBPIisTeHDDjTHAKoV955GGcQk-_ljaGv4JF26qCLbtcJt8H8/s320/Screenshot_20240104-201322_All%20PDF%20Reader.jpg" width="264" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZbAfiobuUa7f-3Cyznx798mw4mmwg7i9hCvZeWSXPOHJVWtk_mI66nOYJnEzoQ71R-3BhJm_IDERPFmSjDA6LYMabxeQ0mdqzhqg1lGk7gipVOH9mnBxbyau3zhcGPzvf_VFU5DLQ4xhzSOaib0iMmuz8q1WUqCQEo9k3NeO6uKRgAM0aYJUHjN5uFBM/s1031/Screenshot_20240104-201400_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="759" data-original-width="1031" height="236" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZbAfiobuUa7f-3Cyznx798mw4mmwg7i9hCvZeWSXPOHJVWtk_mI66nOYJnEzoQ71R-3BhJm_IDERPFmSjDA6LYMabxeQ0mdqzhqg1lGk7gipVOH9mnBxbyau3zhcGPzvf_VFU5DLQ4xhzSOaib0iMmuz8q1WUqCQEo9k3NeO6uKRgAM0aYJUHjN5uFBM/s320/Screenshot_20240104-201400_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP_9K6tNU3ZCWJnjPyI-obRNeYQNlE4cCh2Ry5C6LnN0ZLvMjcFDnzbUtYi2MxMJleVLKv0NLgQHcfQ-PEwN4_hUJ0bCBc809I05Y4z5fN6kYTHo6MmJlf6mUTROZtMYhvN6XlDnWkMyE3VD4x5AfhB_oLQTT7sQHWZY09AEb1Maugzw50SJpmusSkLIA/s846/Screenshot_20240104-201441_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="532" data-original-width="846" height="201" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP_9K6tNU3ZCWJnjPyI-obRNeYQNlE4cCh2Ry5C6LnN0ZLvMjcFDnzbUtYi2MxMJleVLKv0NLgQHcfQ-PEwN4_hUJ0bCBc809I05Y4z5fN6kYTHo6MmJlf6mUTROZtMYhvN6XlDnWkMyE3VD4x5AfhB_oLQTT7sQHWZY09AEb1Maugzw50SJpmusSkLIA/s320/Screenshot_20240104-201441_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Case 02:</p><p>Menorrhagia for 20 days after miscarriage, blood beta HCG = 19.25mUI/mL, TVS detected EMV.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY3UYiGS2cpGTJ1lY1uO5_hJWycK6IHKOBtckA-vzoZsUztotfu5PckjL-PIJdXokiKX2iqyUKdghpRq3GzyPStWhOfvNc9Py114VGsaKs9YLQpj5QaW332yMt8bdz7TV41mWYUgc0sRnCb-zH52-re59mpJdzltNed97Xc-LYtLGBXgLfxYrYNKQF-6I/s918/Screenshot_20240104-201528_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="918" data-original-width="839" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY3UYiGS2cpGTJ1lY1uO5_hJWycK6IHKOBtckA-vzoZsUztotfu5PckjL-PIJdXokiKX2iqyUKdghpRq3GzyPStWhOfvNc9Py114VGsaKs9YLQpj5QaW332yMt8bdz7TV41mWYUgc0sRnCb-zH52-re59mpJdzltNed97Xc-LYtLGBXgLfxYrYNKQF-6I/s320/Screenshot_20240104-201528_All%20PDF%20Reader.jpg" width="292" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEIbrr01EH2N21w9xW_PsN56w3__ZvdV3bi4sCdHtRs_0-512yZxbQTfw5K1nSjLSIpC5udpSYJBCYREaPt7OOeO6jDWOhMmYTySxQEmEXP4d28SpfGCURk9jdUiFsPO_RNCJjCDRxzKKeys1o0CF5tv7eb9Svga9CzYnuqwN94-icvbILvzC8eCGEZLA/s918/Screenshot_20240104-201528_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="918" data-original-width="839" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEIbrr01EH2N21w9xW_PsN56w3__ZvdV3bi4sCdHtRs_0-512yZxbQTfw5K1nSjLSIpC5udpSYJBCYREaPt7OOeO6jDWOhMmYTySxQEmEXP4d28SpfGCURk9jdUiFsPO_RNCJjCDRxzKKeys1o0CF5tv7eb9Svga9CzYnuqwN94-icvbILvzC8eCGEZLA/s320/Screenshot_20240104-201528_All%20PDF%20Reader.jpg" width="292" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiag6i8UciwdGb9zKqtjoxoRvq3LTNFlhxhHdrKQIMXUAlE0hTT_1XXXJdFveqibCMjxViYXD889_UyJOjTtJ4pdhWA89vNdHuaa7ZbI_eurprC3WMTOzofBud_2U8UTDTYmSqTMHNXGKdb99A71mSlFqheTZGIA8sNYbwjiDFjVnGh18HmCYFr6TnfKVE/s1216/Screenshot_20240104-201555_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1216" data-original-width="822" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiag6i8UciwdGb9zKqtjoxoRvq3LTNFlhxhHdrKQIMXUAlE0hTT_1XXXJdFveqibCMjxViYXD889_UyJOjTtJ4pdhWA89vNdHuaa7ZbI_eurprC3WMTOzofBud_2U8UTDTYmSqTMHNXGKdb99A71mSlFqheTZGIA8sNYbwjiDFjVnGh18HmCYFr6TnfKVE/s320/Screenshot_20240104-201555_All%20PDF%20Reader.jpg" width="216" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8IBEQ8i1OCz_KVZuP1LtmRe171dOK0RAAjZnlnVllv57R7h_LmV_l97DvX3h56LMyQwEGTaWKrFz5TcCoLouwVm1xBKv0lP3PO2LuP8wcRjHvIeG3bvYiebB4tG9KYB88YKvZ1Ex7l_9B_uSyeOdMPmNiF4Ea2BFT7t9RYD-sZ2TtvVmxeWVW1iWqPbk/s938/Screenshot_20240104-201629_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="816" data-original-width="938" height="278" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8IBEQ8i1OCz_KVZuP1LtmRe171dOK0RAAjZnlnVllv57R7h_LmV_l97DvX3h56LMyQwEGTaWKrFz5TcCoLouwVm1xBKv0lP3PO2LuP8wcRjHvIeG3bvYiebB4tG9KYB88YKvZ1Ex7l_9B_uSyeOdMPmNiF4Ea2BFT7t9RYD-sZ2TtvVmxeWVW1iWqPbk/s320/Screenshot_20240104-201629_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Case 03: </p><p>Menorrhagia in small amount for each batch every 2-3 days with beta HCG highly rising = 66.975 mUI/mL, TVS detected uterine bloody retention, noted placental retention and EMV.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpnIoa9gPSL48oknDogeD2KExfGZKeByIygPG1E0nqhUvKYtwdQGwd5Wnu4cW-V7CNaJ6NvcDlgP5C61cdvdPVuJiUmA2jwqKvjJIdgQSBtYw9HSJ4rgbyw4IDXQIct9egdcdzvPdfaehIP1Nx6AC6HYdfsZtydhyxbQk9Sx40sZp-yXbb7Hmln9MstJY/s612/Screenshot_20240104-201709_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="536" data-original-width="612" height="280" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpnIoa9gPSL48oknDogeD2KExfGZKeByIygPG1E0nqhUvKYtwdQGwd5Wnu4cW-V7CNaJ6NvcDlgP5C61cdvdPVuJiUmA2jwqKvjJIdgQSBtYw9HSJ4rgbyw4IDXQIct9egdcdzvPdfaehIP1Nx6AC6HYdfsZtydhyxbQk9Sx40sZp-yXbb7Hmln9MstJY/s320/Screenshot_20240104-201709_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhsb735fZkt_tg5aJJQobxNlCWmvuGVAaXuGCcjda2Y9DRtmNXsj6L580ubeawTpxu3k_QbvkpGqfVVBf2M3L8w1I0yZvd3s1uhxxyBkEJvW9OARgZ2KlK5LgSinqbD953AhE5PA4LsyP5fmjeFDhlc0kK4iCkbirL-eNEKOTN-VEPYpPk5kcaOkxhyheI/s523/Screenshot_20240104-201749_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="166" data-original-width="523" height="102" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhsb735fZkt_tg5aJJQobxNlCWmvuGVAaXuGCcjda2Y9DRtmNXsj6L580ubeawTpxu3k_QbvkpGqfVVBf2M3L8w1I0yZvd3s1uhxxyBkEJvW9OARgZ2KlK5LgSinqbD953AhE5PA4LsyP5fmjeFDhlc0kK4iCkbirL-eNEKOTN-VEPYpPk5kcaOkxhyheI/s320/Screenshot_20240104-201749_All%20PDF%20Reader.jpg" width="320" /></a></div><p><br /></p><p>Microscopic specimen was placental villous structure.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirEL8QG7lR53aXrZTvLZ1owExcOGmzzFIuDpjcvUOOzUaVjLhg8gl-jHoFdfDSNX_1OlR31G0aC10ocxPyihxm09iKqCtEJCklXdb1xLII252Xp4stFNMTg-sQj-CFB-cx4CGmNEztjBTxH6U4BDGeXme5bJZFpi9dGQORMjiZfCL3d421FUSBdVCh1rU/s485/Screenshot_20240104-211537_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="254" data-original-width="485" height="168" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirEL8QG7lR53aXrZTvLZ1owExcOGmzzFIuDpjcvUOOzUaVjLhg8gl-jHoFdfDSNX_1OlR31G0aC10ocxPyihxm09iKqCtEJCklXdb1xLII252Xp4stFNMTg-sQj-CFB-cx4CGmNEztjBTxH6U4BDGeXme5bJZFpi9dGQORMjiZfCL3d421FUSBdVCh1rU/s320/Screenshot_20240104-211537_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p>BetaHCG = 2.1mUI/mL after curettage procedure.</p><div class="separator" style="clear: both; text-align: left;">REFERENCE</div><div class="separator" style="clear: both; text-align: left;">EMV Ultrasound findings ( from Radiopaeda)</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><p style="background-color: white; box-sizing: border-box; color: #3d3d3d; font-family: "Open Sans", sans-serif; font-size: 16px; margin-left: 0px; margin-right: 0px; margin-top: 0px; margin: 0px 0px calc(1.16667em); scroll-margin-top: 53px; text-align: start;">It is impossible to distinguish enhanced myometrial vascularity from a true arteriovenous malformation on ultrasound <span style="box-sizing: border-box; font-size: 12px; line-height: 0; position: relative; scroll-margin-top: 53px; top: -0.5em; vertical-align: baseline;">5</span>. </p><p style="background-color: white; box-sizing: border-box; color: #3d3d3d; font-family: "Open Sans", sans-serif; font-size: 16px; margin-left: 0px; margin-right: 0px; margin-top: 0px; margin: 0px 0px calc(1.16667em); scroll-margin-top: 53px; text-align: start;">On greyscale ultrasound, there are anechoic, tortuous, tubular structures within the myometrium that may involve the endometrium. Echogenic intrauterine material in keeping with concurrent <a class="internal" href="https://radiopaedia.org/articles/retained-products-of-conception?lang=us" style="background-color: transparent; box-sizing: border-box; color: #41699b; scroll-margin-top: 53px; text-decoration-line: none;">retained products of conception</a> is commonly seen.</p><p style="background-color: white; box-sizing: border-box; color: #3d3d3d; font-family: "Open Sans", sans-serif; font-size: 16px; margin-left: 0px; margin-right: 0px; margin-top: 0px; margin: 0px 0px calc(1.16667em); scroll-margin-top: 53px; text-align: start;">On color Doppler ultrasound, there is a mosaic turbulent pattern with multiple flow reversals. This demonstrates low impedance flow with a high <a class="internal" href="https://radiopaedia.org/articles/peak-systolic-velocity-doppler-ultrasound?lang=us" style="background-color: transparent; box-sizing: border-box; color: #41699b; scroll-margin-top: 53px; text-decoration-line: none;">peak systolic velocity (PSV)</a> ≥20 cm/s and low arterial waveform pulsatility. It should be noted that while some authors consider a PSV >60 cm/s to be high risk <span style="box-sizing: border-box; font-size: 12px; line-height: 0; position: relative; scroll-margin-top: 53px; top: -0.5em; vertical-align: baseline;">4,9,10</span>, studies have shown that higher PSV values do not necessarily confer a greater hemorrhagic risk <span style="box-sizing: border-box; font-size: 12px; line-height: 0; position: relative; scroll-margin-top: 53px; top: -0.5em; vertical-align: baseline;">1</span>. </p></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-53371430087845203022023-12-21T20:50:00.009+07:002023-12-22T05:25:10.242+07:00 CASES 732-733-734: SUBCLAVIAN ARTERY ANEURYSM, Dr PHAN THANH HẢI, Dr ĐINH MINH TUẤN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.<p>03 cases of SUBCLAVIAN ARTERY ANEURYSM [ 2 right, 1 left side] from 3 males 34-32-44 year-old revealed by chest X-Ray, vascular ultrasoud and MSCT. Patients complaint weakness upper limb, numbness and right chess pain or just only for a check-up without symptoms.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFkPZvmS12tyf02VUxdy__-3tew4V8TZ1ocpTLOx8nJ7wUr1DJ3Rqz2eYLpILgmooxpAEvWWcShZWCX3aYlKTIjRuWWrFvSPZg0zwnrqxjMZalokiOJL84oVbWrAxyzzX2YLBYP-C7mqpS_zAFCjtN4AkmwBHgExxXAAAk7dC0twVfrMpcXvyrysWz2jw/s375/Screenshot_20231221-203339_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="241" data-original-width="375" height="206" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFkPZvmS12tyf02VUxdy__-3tew4V8TZ1ocpTLOx8nJ7wUr1DJ3Rqz2eYLpILgmooxpAEvWWcShZWCX3aYlKTIjRuWWrFvSPZg0zwnrqxjMZalokiOJL84oVbWrAxyzzX2YLBYP-C7mqpS_zAFCjtN4AkmwBHgExxXAAAk7dC0twVfrMpcXvyrysWz2jw/s320/Screenshot_20231221-203339_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p>Chest X-Rays noted a blurred node close by the clavicle which could not differentiate from anterior mediastinal tumor or lung tumor. Vascular ultrasound could detect a yin-yang sign of a round mass with thrombus of the wall and MSCT could determine exactly the size, location, and reconstruct in 3D view.</p><p>CASE 01</p><p>Male patient 34 year-old for check-up. A 69 round mass was on the left clavicle. Yin-yang sign positive and thickening wall due to thrombus on ultrasound. The left brachial artery was intact.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0TPykdiI70AqaknxPBfmqvqHxoUdIj8sF9tJ3EBtrlm2ZY3DLW7qAFB3HVltLFSImo4ZmbkDM59Lt-f94OQSFE9J7bKVoJNKmhDCiryoSwvmRZE9Uj9Awm2I_znzfbnodikRR6sF5c7856K27DUQup-L_7JlGpxJ1vPWglSKCOos0AKQiOhGAj1wSxns/s1452/Screenshot_20231221-202832_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1452" data-original-width="1002" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0TPykdiI70AqaknxPBfmqvqHxoUdIj8sF9tJ3EBtrlm2ZY3DLW7qAFB3HVltLFSImo4ZmbkDM59Lt-f94OQSFE9J7bKVoJNKmhDCiryoSwvmRZE9Uj9Awm2I_znzfbnodikRR6sF5c7856K27DUQup-L_7JlGpxJ1vPWglSKCOos0AKQiOhGAj1wSxns/s320/Screenshot_20231221-202832_All%20PDF%20Reader.jpg" width="221" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTndTIltfdBh2W3nAnCu1m2FoSH3vMW0KfqpHvi4KCVR5LD-vpnyLvpDhOzu74oH6oGvULITnZuxqZkVgUxUIMpxNSaV4dOIEbkXdGbxSNftFdtNfBIBY29F6euXtoJAmujAYVIIHdkf3rj3vcKP5AHoreLvBgGeQBY0anaochPXLoZx9H3UIqVt-PWF0/s616/Screenshot_20231221-202914_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="616" data-original-width="459" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTndTIltfdBh2W3nAnCu1m2FoSH3vMW0KfqpHvi4KCVR5LD-vpnyLvpDhOzu74oH6oGvULITnZuxqZkVgUxUIMpxNSaV4dOIEbkXdGbxSNftFdtNfBIBY29F6euXtoJAmujAYVIIHdkf3rj3vcKP5AHoreLvBgGeQBY0anaochPXLoZx9H3UIqVt-PWF0/s320/Screenshot_20231221-202914_All%20PDF%20Reader.jpg" width="238" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBCCOX0CdlCrHVcZDL570-ZoMKDFjiQzrjzi_UZ2gnyWIjnji3pchsvauwV-7gSsxYRifDlVNBQvBE6mAtL3ZR7GZ_mnnlqhGVpTbTyO6Oo7BUQo5AkW2WCAoYUPPDIkqwQV0z-r4UKehncwYKSYe6UXduhvc0di1tgbMka9egWu2ju2oiWU5APiGSJoE/s1412/Screenshot_20231221-202934_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1412" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBCCOX0CdlCrHVcZDL570-ZoMKDFjiQzrjzi_UZ2gnyWIjnji3pchsvauwV-7gSsxYRifDlVNBQvBE6mAtL3ZR7GZ_mnnlqhGVpTbTyO6Oo7BUQo5AkW2WCAoYUPPDIkqwQV0z-r4UKehncwYKSYe6UXduhvc0di1tgbMka9egWu2ju2oiWU5APiGSJoE/s320/Screenshot_20231221-202934_All%20PDF%20Reader.jpg" width="245" /></a></div><br /><p>CASE 2</p><p>Male patient 34 year-old with cough and chest pain. The subclavian aneurysm size was # 49x52 mm with calcified its wall on chest X-ray. Thrombus of the aneurysmal wall on ultrasound and MSCT. Turbulent flow on Doppler vascular ultrasound. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixT8SgSQVL9odDLXcwvUcAAXXR67bOxTRMiITMjU-h2pNbja3BCglOljC1ZFJFAZQFmX3Kej2NvtDGckyLoaGZQVCgtIEyzKHlwT6tuxz_G2-pppnfdZ-eorJxIoH5Tc66RhoM1lbd6Q4eVbGk2GGTF0buy67YU-wcg9nO6qVD3pTE01Myn5Jmh3wpKyg/s1443/Screenshot_20231221-203010_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1443" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixT8SgSQVL9odDLXcwvUcAAXXR67bOxTRMiITMjU-h2pNbja3BCglOljC1ZFJFAZQFmX3Kej2NvtDGckyLoaGZQVCgtIEyzKHlwT6tuxz_G2-pppnfdZ-eorJxIoH5Tc66RhoM1lbd6Q4eVbGk2GGTF0buy67YU-wcg9nO6qVD3pTE01Myn5Jmh3wpKyg/s320/Screenshot_20231221-203010_All%20PDF%20Reader.jpg" width="240" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNDEC0TJS1ZGDkraBJwDTPl9LRTI0SOgs9vkx64NYmZ-0WjGfkxCFmtg_QWIcknZ9EV-Ac9V7fMX3KPAzKU7RIInkns7tJ0NMETa8v-_9Jy9p0zBZ1mHUrxUS3jxQ-sOPJthM-0RkpxaYViPrnesECrbTc6NCdPt8Ff82E2sOZVfzLGBkZX7IcbniJdA4/s1266/Screenshot_20231221-203031_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1266" data-original-width="1028" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNDEC0TJS1ZGDkraBJwDTPl9LRTI0SOgs9vkx64NYmZ-0WjGfkxCFmtg_QWIcknZ9EV-Ac9V7fMX3KPAzKU7RIInkns7tJ0NMETa8v-_9Jy9p0zBZ1mHUrxUS3jxQ-sOPJthM-0RkpxaYViPrnesECrbTc6NCdPt8Ff82E2sOZVfzLGBkZX7IcbniJdA4/s320/Screenshot_20231221-203031_All%20PDF%20Reader.jpg" width="260" /></a></div><br /><p>CASE 3</p><p>Male patient 44 year-old weakness right upper limb, hoarseness and chest pain. The subclavian aneurysm was # 10×8 mm with turbulent flow, and thrombus filled up nearly the lumen. 3D view of MSCT reconstruction was not seen the aneurysmal lumen.</p><p><br /></p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmYbSt3L4oitSfZRzmZpd9BqBbAJGumYXbf_88qgNf86KF781LbyWawN7dTfXDthDn90b6sgSitKPRkYWYoy4rRSqX5YLUur9OVFWKxE0eTbYLIsYa9ZB1nveBoy7Q2N6hRH52EZNmQth1kJsfSFiUgBwbVjsWXsWJOLgyja2L4g9aVPG3iGPkEH473PU/s1078/Screenshot_20231221-203104_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="1078" height="178" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmYbSt3L4oitSfZRzmZpd9BqBbAJGumYXbf_88qgNf86KF781LbyWawN7dTfXDthDn90b6sgSitKPRkYWYoy4rRSqX5YLUur9OVFWKxE0eTbYLIsYa9ZB1nveBoy7Q2N6hRH52EZNmQth1kJsfSFiUgBwbVjsWXsWJOLgyja2L4g9aVPG3iGPkEH473PU/s320/Screenshot_20231221-203104_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv61ZdiMLe8oty5ZRze718ZuxFI6P7f4zVgRgwKesm5fCv19j8sVSQwO40Dzwj0-AnqYIICnrU1pqcFMYAPovlKTlc-1mK2njsH-xbOSuvsGE4PuK-soVHpiJlhrVzO2nz1B4Pqllvxkfk5PClMILJaITFF_h3QmBwgzmp4RJjm36ynjs0AvR4WlkL460/s594/Screenshot_20231221-203138_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="594" data-original-width="496" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv61ZdiMLe8oty5ZRze718ZuxFI6P7f4zVgRgwKesm5fCv19j8sVSQwO40Dzwj0-AnqYIICnrU1pqcFMYAPovlKTlc-1mK2njsH-xbOSuvsGE4PuK-soVHpiJlhrVzO2nz1B4Pqllvxkfk5PClMILJaITFF_h3QmBwgzmp4RJjm36ynjs0AvR4WlkL460/s320/Screenshot_20231221-203138_All%20PDF%20Reader.jpg" width="267" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz8495jAHyYxmNZTcrHR0kSSZmcFOfjDcK2e1f81v3eWJczx2HqlXN8X7GMtGq181r44CKtmjuqCSK5iiRaz-om9Z_O72yzNVlG2ZPgIUoJmZYv3GmqTX1fEQBBskyqTMYKRbyLL-KYPwAh2Cs7ciQrh568tVqvlWJLtoHJtiJDOYORi0Gx5NWD2xFOnw/s1080/Screenshot_20231221-203205_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="610" data-original-width="1080" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz8495jAHyYxmNZTcrHR0kSSZmcFOfjDcK2e1f81v3eWJczx2HqlXN8X7GMtGq181r44CKtmjuqCSK5iiRaz-om9Z_O72yzNVlG2ZPgIUoJmZYv3GmqTX1fEQBBskyqTMYKRbyLL-KYPwAh2Cs7ciQrh568tVqvlWJLtoHJtiJDOYORi0Gx5NWD2xFOnw/s320/Screenshot_20231221-203205_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg12aPxCTo66SZHglqnlos8WZXrgseE75H_9JRePqcdVhzAqWsJS0PHNhUbfH1Q4-OTGs59lo5xkRMAFFlCtscMV5Rw1HD5EAY-QwRMkKdcELYeTtEvy40NWco-5THhUTkF8Eu_dZRRAOXvXHDJNMXSESATQQIc0nSQtTySuXIaWcH1Ls2anyMnVKN7baE/s622/Screenshot_20231221-203234_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="622" data-original-width="596" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg12aPxCTo66SZHglqnlos8WZXrgseE75H_9JRePqcdVhzAqWsJS0PHNhUbfH1Q4-OTGs59lo5xkRMAFFlCtscMV5Rw1HD5EAY-QwRMkKdcELYeTtEvy40NWco-5THhUTkF8Eu_dZRRAOXvXHDJNMXSESATQQIc0nSQtTySuXIaWcH1Ls2anyMnVKN7baE/s320/Screenshot_20231221-203234_All%20PDF%20Reader.jpg" width="307" /></a></div><br /><p>Surgery repaired the subclavian aneurysm with Y unigraft and the patient remains well. The aneurysm with its calcified contour was seen on the post-op chest X-ray.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRfMf8mU13rgEWpx3ZUd73FTcKHL-RyM3vevHqqW7bGqF1MQBfE4xSNqsEg7sjMqhb2by1RTgfo5PUQ_2NiTGsmtyVfaP89Oy-xwix9MVDYRxJ1LPJximn1pCeH_N3thAqortcCkA9e8qXbau_CeW6ZQPuCg8YfojjmrEjL0QYrP_nPlDorGdLq8bxRBk/s1079/Screenshot_20231221-203255_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="616" data-original-width="1079" height="183" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRfMf8mU13rgEWpx3ZUd73FTcKHL-RyM3vevHqqW7bGqF1MQBfE4xSNqsEg7sjMqhb2by1RTgfo5PUQ_2NiTGsmtyVfaP89Oy-xwix9MVDYRxJ1LPJximn1pCeH_N3thAqortcCkA9e8qXbau_CeW6ZQPuCg8YfojjmrEjL0QYrP_nPlDorGdLq8bxRBk/s320/Screenshot_20231221-203255_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-62073006537594593822023-12-16T14:08:00.025+07:002023-12-17T17:46:24.770+07:00CASES 730-731: SECONDARY APPENDICITIS in ELDERLY PATIENTS, Dr PHAN THANH HẢI, Dr PHẠM THỊ THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p>There are two instances of secondary inflamed appendices in senior patients that might make for intriguing clinical notes.</p><p>Case 01.</p><p>A 78 year-old man with RLQ colicky pain for one month and loose stool. Ultrasound detected an appendiceal lump with a big appendix which was #69x17mm containing mixed fluid. The cecum was uncertainty a tumoral mass #72×48mm with air inside. Sonologist noted a rupture of appendiceal mucocele which made an appendiceal lump unveiled the cecum. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEip7mWsHX-swWAEmTmM6r9geqO8PYwd-8ppqiTqOgvvkdR43EjSEUjMKh6uGEDjyioaOOLrl2rVnX4pKYhG7oQmt2GbO52LERwYBW8inKj6toxX6iE2XDsI6K2l2hnF8vrMxcLIK0fEgCS53WOMrZ_uhcrSjHdE1XdAvH-u-rU6YNfRqdZfsRO10UMeYAk/s1079/Screenshot_20231216-131047_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="797" data-original-width="1079" height="236" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEip7mWsHX-swWAEmTmM6r9geqO8PYwd-8ppqiTqOgvvkdR43EjSEUjMKh6uGEDjyioaOOLrl2rVnX4pKYhG7oQmt2GbO52LERwYBW8inKj6toxX6iE2XDsI6K2l2hnF8vrMxcLIK0fEgCS53WOMrZ_uhcrSjHdE1XdAvH-u-rU6YNfRqdZfsRO10UMeYAk/s320/Screenshot_20231216-131047_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>But MSCT noted an inflamed cecum as edema of the cecum wall and a fluid-filled appendix as appendiceal mucocele.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivPlapIZqJLpvAVwyEBKzDiSrXTdKkUNZcPz0kdNM14FBEPEuzpv2S1WMkYukD5X2n_nFMIdfhTpy994-wvjSeiBIOrOkSrkHbTkQrHd5DHwHH1HAN_Aq3H_5J05SkuAUEFkvJy2bdOzYPvdZgDeVh_8OEwE-FkIoIMgV4oC83M7Uu9KIbpDoCg2KUVqs/s640/Screenshot_20231216-131241_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="510" data-original-width="640" height="255" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivPlapIZqJLpvAVwyEBKzDiSrXTdKkUNZcPz0kdNM14FBEPEuzpv2S1WMkYukD5X2n_nFMIdfhTpy994-wvjSeiBIOrOkSrkHbTkQrHd5DHwHH1HAN_Aq3H_5J05SkuAUEFkvJy2bdOzYPvdZgDeVh_8OEwE-FkIoIMgV4oC83M7Uu9KIbpDoCg2KUVqs/s320/Screenshot_20231216-131241_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p>Report of surgery was cecum cancer and a dilated acute appendicitis.</p><p>Case 02:</p><p>A 78 year-old man with acute RLQ pain.</p><p>Ultrasound detected a #38mm cecum cancer which caused dilated appendicitis. Later MSCT confirmed the cecum cancer and the appendicitis which was compressed by the colon tumor.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiClM6IO7yRtgiRSPCQmj09Hk5Vn2-SoHM4AavKupQt86yBHJT1Lhq8yzkGsjWTnna9XxwdYU28Dw1mQE3yItvrgRD8LKlvYALydYe_doJrLiRZg7WEQyeGALAppu2e239wZprUG3C0wc0hSsZ4A5KoEPg1X20c-a8vQGZYyiAOSZ-7xPPep4_bZrm4L6U/s981/Screenshot_20231216-131414_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="981" data-original-width="880" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiClM6IO7yRtgiRSPCQmj09Hk5Vn2-SoHM4AavKupQt86yBHJT1Lhq8yzkGsjWTnna9XxwdYU28Dw1mQE3yItvrgRD8LKlvYALydYe_doJrLiRZg7WEQyeGALAppu2e239wZprUG3C0wc0hSsZ4A5KoEPg1X20c-a8vQGZYyiAOSZ-7xPPep4_bZrm4L6U/s320/Screenshot_20231216-131414_All%20PDF%20Reader.jpg" width="287" /></a></div><br /><p>The right colon tumor and the nearby appendix filled with fluid were discovered during surgery.</p><p>DISCUSSION </p><p>Appendicitis seldom develops in senior patients above the age of 70. This might be because the appendix's tip and the colon's lymph tissue were underdeveloped.</p><p>The issue of appendix blockage brought on by colon tumor compression may be explained by the two appendicitis instances with colon cancer mentioned above.</p><p>Given that the etiology of appendicitis remains uncertain, it is important to reveal the presence of colon cancer in older patients.</p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-80893036390522169642023-12-14T20:46:00.034+07:002023-12-16T20:01:45.745+07:00CASES 727-728-729: SUBCLINICAL ABDOMINAL AORTIC ANEURYSM, Dr PHAN THANH HẢI, Dr TRẦN MỘC HIỆP, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p> 3 cases (1 female, 2 males ) with subclinical abdominal aortic aneurysm [AAA] were incidentally detected firstly by abdominal ultrasound, and confirmed later by MSCT. </p><p>Surgery repaired abdominal aorta with Y tube silver graft and all of patients were well post-op.</p><p>Case one: </p><p>A 61 year-old man with hematemesis, normal BP: 120/80 mmHg, but gets hypogastric pain. AAA # 60x90 mm from renal artery level to iliac artery.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRge_1FyBhOo3xatqJ1XyM2rFFComBI8v-wSWglpEc2CmmIJdvBSK7o4xB9Bp-iLRfTfuH_3YW-8HRaejqcqHF0hNBmszUJSlwckpZIP1FS94XOsY7J35pL-2UZnzTDZ_vcF6E2jSJzY3MVY76djXmwgnCG6X_OgztdTIROOysYVUgf8vf99b6_0ycpQ8/s582/Screenshot_20231214-200935_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="582" data-original-width="516" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRge_1FyBhOo3xatqJ1XyM2rFFComBI8v-wSWglpEc2CmmIJdvBSK7o4xB9Bp-iLRfTfuH_3YW-8HRaejqcqHF0hNBmszUJSlwckpZIP1FS94XOsY7J35pL-2UZnzTDZ_vcF6E2jSJzY3MVY76djXmwgnCG6X_OgztdTIROOysYVUgf8vf99b6_0ycpQ8/s320/Screenshot_20231214-200935_All%20PDF%20Reader.jpg" width="284" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBp6auSdUE0USitK9ErLe3-1SMJK6T592F1uhkOrkYZCe2cGJp6VtcCTlb3zmFidnMikyPk-VvHBi0hRXqLgqXFwS8MK6KUJ18nDYJSGNaEgUBRj956OkgTnhHVXnGGktwKHwrlRqlu3nhJyyeTYzqgrWcUeMn_HBOSOssnW5FuWURP5te5iBzphQQdEw/s1079/Screenshot_20231214-200953_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="618" data-original-width="1079" height="183" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBp6auSdUE0USitK9ErLe3-1SMJK6T592F1uhkOrkYZCe2cGJp6VtcCTlb3zmFidnMikyPk-VvHBi0hRXqLgqXFwS8MK6KUJ18nDYJSGNaEgUBRj956OkgTnhHVXnGGktwKHwrlRqlu3nhJyyeTYzqgrWcUeMn_HBOSOssnW5FuWURP5te5iBzphQQdEw/s320/Screenshot_20231214-200953_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieGJQnHswMSCk_RvMJnZftixkn8RsXaUKNgjxk_3C8QjHbATdLVedHkErdJgEpltbMsSu4b4FU2LBpQmPt-Rzb9YOaFDOhEnD-snpPMrUYigKmtARgJsxzEzMPHKzFPraACiS2bnRLJfmt0JKLIhCTSmcU5BOLct-tkclh5dbj_TxEeNrD_rFIpAbBk84/s520/Screenshot_20231214-201036_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="447" data-original-width="520" height="275" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieGJQnHswMSCk_RvMJnZftixkn8RsXaUKNgjxk_3C8QjHbATdLVedHkErdJgEpltbMsSu4b4FU2LBpQmPt-Rzb9YOaFDOhEnD-snpPMrUYigKmtARgJsxzEzMPHKzFPraACiS2bnRLJfmt0JKLIhCTSmcU5BOLct-tkclh5dbj_TxEeNrD_rFIpAbBk84/s320/Screenshot_20231214-201036_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQN66WmeTFLrpssBFnrKv8HAeldcUcTjceP0YMN0AUuH28NiwHN0KTNgetlvrctJ00ufSUp3ekEjW3kwBFCcI3xxdCDnwOph2Bdx5GxUOwkYeZFbvN5v-sTNOEHOZ1EKVPrBnH4xQ2iCGrDbJQuufeg7UuN6FhqnR_-0N7qK3Dn-FpfH8RRFbztYHZn4E/s928/Screenshot_20231214-201111_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="928" data-original-width="513" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQN66WmeTFLrpssBFnrKv8HAeldcUcTjceP0YMN0AUuH28NiwHN0KTNgetlvrctJ00ufSUp3ekEjW3kwBFCcI3xxdCDnwOph2Bdx5GxUOwkYeZFbvN5v-sTNOEHOZ1EKVPrBnH4xQ2iCGrDbJQuufeg7UuN6FhqnR_-0N7qK3Dn-FpfH8RRFbztYHZn4E/w221-h400/Screenshot_20231214-201111_All%20PDF%20Reader.jpg" width="221" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: left;">Case 02:</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">A 71 year- old woman with lordosis for a check-up, BP :125/80 mmHg. AAA # 60X103 mm from renal artery level in risk of rupture, and iliac artery aneurysms.</div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixkYbDH-kFAyGQQ1x6gb_hp6cj4fuj5WJoKNaTx8zQcsyKcivy8Mdw_fMLUbpWw70BqJ7GiYDUjmSPlhMvhASTvEVJ0E1duXheltaYXimYDRKX0zbfPKFrz7TOqIwR79RDch7gDLYHABe_XiIJKj67ymwelyVgJhmty3Vng6GblbOUcoum_kytosxovok/s547/Screenshot_20231214-201208_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="316" data-original-width="547" height="185" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixkYbDH-kFAyGQQ1x6gb_hp6cj4fuj5WJoKNaTx8zQcsyKcivy8Mdw_fMLUbpWw70BqJ7GiYDUjmSPlhMvhASTvEVJ0E1duXheltaYXimYDRKX0zbfPKFrz7TOqIwR79RDch7gDLYHABe_XiIJKj67ymwelyVgJhmty3Vng6GblbOUcoum_kytosxovok/s320/Screenshot_20231214-201208_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwSQv8Kl2vxSqrhTL6lNkTrZ8l1VS10nh95vCn81m9q7waPujaRoqiEZo9jfuyQ40ifpTnbN_Yud6gU4KnrQDKOt5yIVLu6HsqWcsxRZ4fX2rgDpgUDRH66izgzbFS-gNpwOCGYpiE5zsN1hIDyL2o4JgXnnb5cVBEgLB1-49dsX8bPviiE2vV_qQ2nuo/s1080/Screenshot_20231214-201226_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="618" data-original-width="1080" height="183" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwSQv8Kl2vxSqrhTL6lNkTrZ8l1VS10nh95vCn81m9q7waPujaRoqiEZo9jfuyQ40ifpTnbN_Yud6gU4KnrQDKOt5yIVLu6HsqWcsxRZ4fX2rgDpgUDRH66izgzbFS-gNpwOCGYpiE5zsN1hIDyL2o4JgXnnb5cVBEgLB1-49dsX8bPviiE2vV_qQ2nuo/s320/Screenshot_20231214-201226_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0sRWynMOIaaKuBBmHUcF2HwncJFf273LWKOL_MWFvPhFWNupVoJcWX1kICaJXkyzhBUzo-0_emGOKxdgapXyE308SF3h6A_S50hyphenhyphenpkyB7HiSKsAhW8Cseg6W_yi9kz2JqFa-Il2lWdk-aUDn60UU8hVV9N7hBSNJiOmVkoQBIyQeAWZDw6qE453fNwhk/s497/Screenshot_20231214-201255_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="418" data-original-width="497" height="269" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0sRWynMOIaaKuBBmHUcF2HwncJFf273LWKOL_MWFvPhFWNupVoJcWX1kICaJXkyzhBUzo-0_emGOKxdgapXyE308SF3h6A_S50hyphenhyphenpkyB7HiSKsAhW8Cseg6W_yi9kz2JqFa-Il2lWdk-aUDn60UU8hVV9N7hBSNJiOmVkoQBIyQeAWZDw6qE453fNwhk/s320/Screenshot_20231214-201255_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi_qUosuBBycIfw-lzO0YLAZm9HAjUWUUGSqXsYNp4mJWmnDzMWTpNGesbqZt3ZVZTeY4h6W7wKoVkXKiULYfHnpTfSwqf38J41D7Bhvz22LSJxuKiAAJMk0KXS1lY1BsLdi-lJqTQly9hSWFUE3lTGbfLp0qqcf3khE9VypLLOn8sF3v1AfsTs7fPdRI/s610/Screenshot_20231215-051545_Samsung%20capture.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="443" data-original-width="610" height="232" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi_qUosuBBycIfw-lzO0YLAZm9HAjUWUUGSqXsYNp4mJWmnDzMWTpNGesbqZt3ZVZTeY4h6W7wKoVkXKiULYfHnpTfSwqf38J41D7Bhvz22LSJxuKiAAJMk0KXS1lY1BsLdi-lJqTQly9hSWFUE3lTGbfLp0qqcf3khE9VypLLOn8sF3v1AfsTs7fPdRI/s320/Screenshot_20231215-051545_Samsung%20capture.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">Case 03:</div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: left;">A 78 year-old man with sleep trouble, BP :124/79 mmHg. AAA# 40x70 mm and iliac artery aneurysm.</div><div class="separator" style="clear: both; text-align: left;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjopQvO2jIL7AdHQYdEdObdJpYyySs4EzoPPrcLGbcjnqpIGgCDTDQHjjRpBM3512krE28pdXqkUB_vs3D_qlqu5y0C5IO5HSvfut_EUF-U_ysqocTjbfx4601wzyDH9IOXwpX8dpNfqs7jRIuFVJk7poppqAkxzhI0-5D4xlHssqK1FrZETgRWC3ss9Us/s510/Screenshot_20231214-201322_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="314" data-original-width="510" height="197" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjopQvO2jIL7AdHQYdEdObdJpYyySs4EzoPPrcLGbcjnqpIGgCDTDQHjjRpBM3512krE28pdXqkUB_vs3D_qlqu5y0C5IO5HSvfut_EUF-U_ysqocTjbfx4601wzyDH9IOXwpX8dpNfqs7jRIuFVJk7poppqAkxzhI0-5D4xlHssqK1FrZETgRWC3ss9Us/s320/Screenshot_20231214-201322_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP5OE2vgrDGyVX-b7bkM4bY7QC3DhjjFjUHJngMIqvG5usRJtl4IpvdKAle9rL-WNc42f5Wo0EUo6Z1K37CiSmFzCR57fe1OePeha88I06CC4_9DKLM7mi_h9K6rZDO5aiqUdJmEvZ-e7QS_QgKu5GRGZYNijE55yDdGx1m0e1gW74T1ppcbd8xmbJ-pk/s1232/Screenshot_20231214-201352_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1232" data-original-width="1079" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP5OE2vgrDGyVX-b7bkM4bY7QC3DhjjFjUHJngMIqvG5usRJtl4IpvdKAle9rL-WNc42f5Wo0EUo6Z1K37CiSmFzCR57fe1OePeha88I06CC4_9DKLM7mi_h9K6rZDO5aiqUdJmEvZ-e7QS_QgKu5GRGZYNijE55yDdGx1m0e1gW74T1ppcbd8xmbJ-pk/s320/Screenshot_20231214-201352_All%20PDF%20Reader.jpg" width="280" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgURXKObvoJPZdVpSQgmmjMJWis688lAOCwsNYQ6MXAQK1q5sEbnyW4jQ3bwC0X7WATGiPD9CxB0m60h-xZO4BIza1vN8e91ZfjRJtu205DKDJ6pNzU5BGWKFcoCQR6r46Ss9dlQSkRuRZ5NY-1UrFwdi5sBlYtColxkhKaZ3l8Js6FBGjguJRDlwWE6pc/s533/Screenshot_20231214-201421_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="533" data-original-width="475" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgURXKObvoJPZdVpSQgmmjMJWis688lAOCwsNYQ6MXAQK1q5sEbnyW4jQ3bwC0X7WATGiPD9CxB0m60h-xZO4BIza1vN8e91ZfjRJtu205DKDJ6pNzU5BGWKFcoCQR6r46Ss9dlQSkRuRZ5NY-1UrFwdi5sBlYtColxkhKaZ3l8Js6FBGjguJRDlwWE6pc/s320/Screenshot_20231214-201421_All%20PDF%20Reader.jpg" width="285" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDm7c2Q9x82P5FNOStMwAggMDVTzSByH-PHL7R2Jhf2CS8c7gJIW4Wlxhc2cvzUJxEiJrofBENSeFzR264DqeDt9HMG4T6a2dxECX1WYH5RYP99RuagzRk654BK3FSYrZy_z8-F82BJPFKLnp-6T89ZrlqJpCCjfQC-Jd6mlngGNTP26JGcLDetCdbMh4/s1079/Screenshot_20231214-204113_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="868" data-original-width="1079" height="257" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDm7c2Q9x82P5FNOStMwAggMDVTzSByH-PHL7R2Jhf2CS8c7gJIW4Wlxhc2cvzUJxEiJrofBENSeFzR264DqeDt9HMG4T6a2dxECX1WYH5RYP99RuagzRk654BK3FSYrZy_z8-F82BJPFKLnp-6T89ZrlqJpCCjfQC-Jd6mlngGNTP26JGcLDetCdbMh4/s320/Screenshot_20231214-204113_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim7F0VQ9d84xROLYvSRaIsf3p5BUIPVirSoN_xP3QAgaZ2LiO5S7ooW-rc44Gthi5hkbO2aG5GVSj0rga5yIZ2oGa0py7wiIF7WCbBeezWmso7R9APSnrCfDDuZjSnaYwG36B5hO8dQk7IsNMVtPER9IoatSqfibBjjmwUk_yYaobADAMbpjCKtg8wBjM/s509/Screenshot_20231214-201455_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="314" data-original-width="509" height="197" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim7F0VQ9d84xROLYvSRaIsf3p5BUIPVirSoN_xP3QAgaZ2LiO5S7ooW-rc44Gthi5hkbO2aG5GVSj0rga5yIZ2oGa0py7wiIF7WCbBeezWmso7R9APSnrCfDDuZjSnaYwG36B5hO8dQk7IsNMVtPER9IoatSqfibBjjmwUk_yYaobADAMbpjCKtg8wBjM/s320/Screenshot_20231214-201455_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>DISCUSSIONS:</p><p>Elderly patients complaining of lumbago, lower limb weakness, erectile problems in males, or occasionally feeling of "a heart in the abdomen" may have a silent abdominal aortic aneurysm. </p><p>In our facility, the annual incidence of subclinical abdominal aortic aneurysm is around 10%. Additionally, the AAA dissection may occur in 10% of those AAA.</p><p>In Vietnam, applying ultrasound first, POCUS in particular, may be useful in identifying the AAA (and then MSCT to confirm) that helps preventing the elderly patient's death. Sonologists should make it a practice to check for abdominal aortic aneurysms before concluding the ultrasound examination.</p><div>REFERENCE:</div><div><span face="Roboto, "Helvetica Neue", Helvetica, "Segoe UI", Arial, sans-serif" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); -webkit-text-size-adjust: 100%; background-color: white; caret-color: rgb(85, 85, 85); color: #555555; font-size: 15px;">Nguyễn Thiện Hùng, Phan Thanh Hải et al (1998): Ultrasound for diagnosing abdominal aortic aneurysm and prognosis in 10 years, Journal of Medicine Practice of Medicine and Pharmacy Society in HCM City:3:pp 3-7.</span></div><div><br /></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-29676245350340823522023-12-14T19:41:00.011+07:002023-12-16T19:31:12.177+07:00CASE 726: BOWEL TUMOR, Dr PHAN THANH HẢI, Dr PHAM THỊ THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, <p> A 55 year-old woman with anemia and dark stool complained epigastric and subcostal pain for one year.</p><p>Ultrasound detected a bowel tumor # 20-40mm above aorta, hypoechoic without vascular signals maybe bowel GIST. </p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZJbse0kZBByNtrHfLeeI_YIaKMo514WGzkroMSDwTWdc7rI2obNuyhngldq6VBFIaC_qfBNtJdRNiOtGT9Bn0gy-TlCtmVQ8y0qzovi7LX4RHYHuh4UmYvH4Gd1KaDcd1RMc91DRwKw1dv-W4v8VM9Nz7hBKtSkmdMmd2OubDD3VQPhZrOQYTmokriZA/s892/Screenshot_20231214-045249_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="892" data-original-width="646" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZJbse0kZBByNtrHfLeeI_YIaKMo514WGzkroMSDwTWdc7rI2obNuyhngldq6VBFIaC_qfBNtJdRNiOtGT9Bn0gy-TlCtmVQ8y0qzovi7LX4RHYHuh4UmYvH4Gd1KaDcd1RMc91DRwKw1dv-W4v8VM9Nz7hBKtSkmdMmd2OubDD3VQPhZrOQYTmokriZA/s320/Screenshot_20231214-045249_All%20PDF%20Reader.jpg" width="232" /></a></div><br /><p><br /></p><p>MSCT confirmed a #20×43 mm bowel GIST.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuOfsipkP9O8iFpjgoXDxQMsjcfHV-zw_O66ik8QgnChvBPsqUgHp4ts9cP8svgj4SynGAe4uP3gDVQw90FXmwSVnk5rpXPUTD55RntVFjc0DnpVJBg84uiti7hE81ghuxsXaJmsHugQXCqHI8eZEYuDdx4jykIZMNsYuKR1_WN9dHiICaiPd7jwjReII/s645/Screenshot_20231214-045314_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="486" data-original-width="645" height="241" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuOfsipkP9O8iFpjgoXDxQMsjcfHV-zw_O66ik8QgnChvBPsqUgHp4ts9cP8svgj4SynGAe4uP3gDVQw90FXmwSVnk5rpXPUTD55RntVFjc0DnpVJBg84uiti7hE81ghuxsXaJmsHugQXCqHI8eZEYuDdx4jykIZMNsYuKR1_WN9dHiICaiPd7jwjReII/s320/Screenshot_20231214-045314_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Surgery removed the tumor. Histopathological result is GIST (spindle cell tumor).</p><p>DISCUSSIONS </p><p>GIST of the GI tract can be found by ultrasound, particularly from the bowel wall. Three cases from the bowel—one from the rectum, one from the stomach—are being revealed at Medic Center.</p><p>However, using chemohistopathological staining and histopathological results, MSCT plays a crucial role in the diagnosis of GIST of gastrointestinal tract.</p><div><br /></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-68971536876390080662023-12-09T16:32:00.011+07:002023-12-10T10:38:56.957+07:00CASE 725: INFECTED HBV and HCC, Dr PHAN THANH HẢI, Dr HỒ TẤN ĐẠT, MEDIC MEDICAL CENTER, HCMC , VIETNAM<p>A 53-year-old man who had been infected with HBV since 2011 arrived at Medic Center because of rumors that he had liver cirrhosis, but he refuses any knowledge of illness. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDWG00kqHz1EVpOXPTDNZP8FsaNsz39O_GnJYWpidzttuWllrS4BjEqczLeTOaI2CWAiOZP5WGlgKfaa_jNzsjwfL9l3RhhXR8J1-QNXQH4btkjihH0bYloEjVxeZQ6uWrmn3vimq6hgI-bJC6aZELWd8_OqOjFyFMkWgmOlmOFYkyWemlJcwHf69ildk/s1280/Slide2.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDWG00kqHz1EVpOXPTDNZP8FsaNsz39O_GnJYWpidzttuWllrS4BjEqczLeTOaI2CWAiOZP5WGlgKfaa_jNzsjwfL9l3RhhXR8J1-QNXQH4btkjihH0bYloEjVxeZQ6uWrmn3vimq6hgI-bJC6aZELWd8_OqOjFyFMkWgmOlmOFYkyWemlJcwHf69ildk/s320/Slide2.JPG" width="320" /></a></div><br /><p>Ultrasound detected a # 30 mm liver tumor in the left lobe and in caudate lobe of the liver and F4 on Fibroscan while his clinical status is almost nothing abnormal detected.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCut18RH9IAD7NuSD1vgoVCCyjV7cWDa0EaZAL9eSo69977b6CiZikhkXykbtOy51-b-uCfBhKqtXZCqIJw_9MT9B4ZAoxBF_yTCQcSKkd2vozurfEPN0OwtTpvvjSm7dYHQdVYOGkjg5uLE7Yux7j_pz7-LCsrK3USShFuKS-i1CiLfm-TsSr0aui4qQ/s1280/Slide4.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCut18RH9IAD7NuSD1vgoVCCyjV7cWDa0EaZAL9eSo69977b6CiZikhkXykbtOy51-b-uCfBhKqtXZCqIJw_9MT9B4ZAoxBF_yTCQcSKkd2vozurfEPN0OwtTpvvjSm7dYHQdVYOGkjg5uLE7Yux7j_pz7-LCsrK3USShFuKS-i1CiLfm-TsSr0aui4qQ/s320/Slide4.JPG" width="320" /> </a></div><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6kXWc3GhKy1vFfMN2Ag1ZybkKqrDxg5NaF5pIae3E5ftnOCBVboInRkQnPJbFBsVE18IL5IYwKOeq_Tgo3qqiLqnZTc1wn5s12P_Qg5lmwyL-2L2BeV988_zQWG3e9N-j-auvFD0MV6sXjBVIRiHffrKlcgRULqOipQiU4GBIhHZiFkJVyQFCvPuCjEs/s1280/Slide5.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6kXWc3GhKy1vFfMN2Ag1ZybkKqrDxg5NaF5pIae3E5ftnOCBVboInRkQnPJbFBsVE18IL5IYwKOeq_Tgo3qqiLqnZTc1wn5s12P_Qg5lmwyL-2L2BeV988_zQWG3e9N-j-auvFD0MV6sXjBVIRiHffrKlcgRULqOipQiU4GBIhHZiFkJVyQFCvPuCjEs/s320/Slide5.JPG" width="320" /></a></div><br /> </div><br /><p>Lab data noted a HCC high risk (WAKO test).</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSjoV3aClDOVyquYBCUaWbq5htwHPsken4M-MywSWmkk9khzIraT9NX2ZJBizLzVnkBODqLCFa5qeJU3EPTcueAlLZtbvoxRB_zYJ2isovGG4asvRcPLu9_8FrYHi3bQpG7vwYNe-yPiZwKJQG33iZ4oxE0RNbvyeTQ6Jmfu03PyZFbJ5ttRIz95m6Hy0/s1280/Slide3.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSjoV3aClDOVyquYBCUaWbq5htwHPsken4M-MywSWmkk9khzIraT9NX2ZJBizLzVnkBODqLCFa5qeJU3EPTcueAlLZtbvoxRB_zYJ2isovGG4asvRcPLu9_8FrYHi3bQpG7vwYNe-yPiZwKJQG33iZ4oxE0RNbvyeTQ6Jmfu03PyZFbJ5ttRIz95m6Hy0/s320/Slide3.JPG" width="320" /></a></div><p>MSCT confirmed liver tumors and chronic hepatitis<br /></p><p><br /></p><p style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiebX9tSJgEhOtBUi4Kr8mGE4uAlqEdF8J2Qn3ce3Y6wvyq_k3V5_R7fviXkIi9hmnIZI0e7Nh3gbzQN0hw71rtmBo4H2TM7vYJ8vZkdzB8NPm6ui2FI-CnlQGXbk5kXviq6bem6n4xlAkXMDCHJYU8iZjlQRvVFT89_y5ufvoMGY3KpQDsjkIFBIU4q28/s1280/Slide6.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1280" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiebX9tSJgEhOtBUi4Kr8mGE4uAlqEdF8J2Qn3ce3Y6wvyq_k3V5_R7fviXkIi9hmnIZI0e7Nh3gbzQN0hw71rtmBo4H2TM7vYJ8vZkdzB8NPm6ui2FI-CnlQGXbk5kXviq6bem6n4xlAkXMDCHJYU8iZjlQRvVFT89_y5ufvoMGY3KpQDsjkIFBIU4q28/s320/Slide6.JPG" width="320" /> </a></p><p style="text-align: center;">The man died in hospital 6 months later. </p><p style="text-align: left;">DISCUSSIONS:</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWSAhJdoSmoTjV1ccxPodEjG0GTViWXeWtTGT3nhKRJMNgbdbDIkcZNsc7ZSxjdfoO17buOufT1N0rsiH0q4zTj-ojUq6_beampMbo0rAar8LFAaL6wHImcZF41Tih7ZF7T0yk2YSTGrSjDlGq0TVPaGiu0dXAIeRHOuEBY6gtIPwZe1iiS3BQJwZFR50/s1920/Slide7.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWSAhJdoSmoTjV1ccxPodEjG0GTViWXeWtTGT3nhKRJMNgbdbDIkcZNsc7ZSxjdfoO17buOufT1N0rsiH0q4zTj-ojUq6_beampMbo0rAar8LFAaL6wHImcZF41Tih7ZF7T0yk2YSTGrSjDlGq0TVPaGiu0dXAIeRHOuEBY6gtIPwZe1iiS3BQJwZFR50/s320/Slide7.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjA2P30fiS3qs85wDWhexW4NXrW9X15cfnYzV34b0DGjbJ0OKs86H53m_hYUmGH1gQPeN1bNYowJ1oxKujhhmpfhNcJ7MqfJmzIPw07LwGgK8KeuAUZsQJFngRHUOeMsQrTWX_MSynnepdvwpJTR8qTscWdyvB0UsylgIT5M4AtPtxnDjmFqsYoiuN-OIA/s1920/Slide8.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjA2P30fiS3qs85wDWhexW4NXrW9X15cfnYzV34b0DGjbJ0OKs86H53m_hYUmGH1gQPeN1bNYowJ1oxKujhhmpfhNcJ7MqfJmzIPw07LwGgK8KeuAUZsQJFngRHUOeMsQrTWX_MSynnepdvwpJTR8qTscWdyvB0UsylgIT5M4AtPtxnDjmFqsYoiuN-OIA/s320/Slide8.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1L8DMmp_XllyZ6yg0xLfCjlij0mbaYIxDxdEfxa3vIrdv03gnZHxk6Pv55DWDXR_ZX77Le1VE1WpNddCjIbPY8me6hv3s2k4Fw4NMnUCP9-DiuR4r7y87VQwRy7362bcfaXiCnh70g_WWk62qZVvE8mKuZGK_qhNVsGD0FZMQYyR4XojetugJt7Jat9s/s1920/Slide9.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1L8DMmp_XllyZ6yg0xLfCjlij0mbaYIxDxdEfxa3vIrdv03gnZHxk6Pv55DWDXR_ZX77Le1VE1WpNddCjIbPY8me6hv3s2k4Fw4NMnUCP9-DiuR4r7y87VQwRy7362bcfaXiCnh70g_WWk62qZVvE8mKuZGK_qhNVsGD0FZMQYyR4XojetugJt7Jat9s/s320/Slide9.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5rnpeIK9i9Uu7uqFUTkNlaJhpJ589mcKtBmaT7x2PehaBI5wBrz25gGw6HeMGI5tKGYr4TttzsAylgHn-6-w9RJG9F4uotCfy-NPH7_pwZl6OEbTQ-5NGHR6CGmOS8Yp9Op35mEAs6EqlQu4WncnzhedmXwYszI4YN7KVwT41ZSIqf0yhKojIHgKaVrU/s1920/Slide10.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5rnpeIK9i9Uu7uqFUTkNlaJhpJ589mcKtBmaT7x2PehaBI5wBrz25gGw6HeMGI5tKGYr4TttzsAylgHn-6-w9RJG9F4uotCfy-NPH7_pwZl6OEbTQ-5NGHR6CGmOS8Yp9Op35mEAs6EqlQu4WncnzhedmXwYszI4YN7KVwT41ZSIqf0yhKojIHgKaVrU/s320/Slide10.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY0N62zQrRz5qBo79zYW551eAP7BW2bzKZJLb0aAyq7vrEZTjKkqZfL5YFFbl77Xzq3GO2oXPcyBmBt5GJSZrUPCcBX_waYx6vWlovC2eWp8uWwkPAgyauB67Jc156sxuTd1sxyw0Dc4qn92hzGgy_gThHx-d2P_dHaCbSaBPxmI8g8iIkpaTD3Xpryzw/s1920/Slide11.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1920" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhY0N62zQrRz5qBo79zYW551eAP7BW2bzKZJLb0aAyq7vrEZTjKkqZfL5YFFbl77Xzq3GO2oXPcyBmBt5GJSZrUPCcBX_waYx6vWlovC2eWp8uWwkPAgyauB67Jc156sxuTd1sxyw0Dc4qn92hzGgy_gThHx-d2P_dHaCbSaBPxmI8g8iIkpaTD3Xpryzw/s320/Slide11.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"> </div><br /><p style="text-align: left;">HBV infection causes liver cancers which are highly prevalence in Vietnam.</p><p style="text-align: left;">In HCM city the seroprevalence of HBV is still high, ranging from 8 to 13 percent. On the other hand, 70% HBV patients have no symptoms which may develop the liver cancer at a later stage.</p><p style="text-align: left;">It must be identified the infected HBV cases in the community as soon as feasible and the family members must get care and vaccination. Patients with HBV infection require monitoring every three to six months for detection liver cancer in order to treat them quickly and save them from dying.</p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-71349134764213218542023-11-23T20:54:00.029+07:002023-11-26T18:18:39.522+07:00CASE 722-723-724: PULMONARY EMBOLISM Induced by LIMB THROMBOSIS, Dr PHAN THANH HẢI, Dr NGUYỄN TUYẾT VÂN, MEDIC MEDICAL CENTER, HCMC. VIETNAM. <p> 3 cases [1 man, 2 women] with dyspnea and lower limb edema and tachycardia represented pulmonary embolism. Both of them had lower limb venous thrombosis while the two women have been using oral contraceptive drugs for over 5 months. The male patient took unknown drugs for painful lower limbs and calf cramps.</p><p><br /></p><p>Case 01: Man 39 year-old with calf cramps. Past history of left leg trauma. Dyspnea for 3 days. Tachycardia and venous thrombosis of lower limb on ultrasound. Troponin slightly rising.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigXaIGRiLXeanv0glfDI8Hzul2XHNXMKZYueTrupXP9XXGAKJsOejpvD54hYk-Jn4I6RkVp1aaPPSrVUk6jca-4-n0qFjb2Qy-fpJ6h6Dzf7NYbE-TCzLtLCikyMxkSBLlDXu-CPgs309QQt1fhIlU3uACVuhwHCgTlRkYWu3NvUbEDU8YPTKw-uQfSdU/s796/Screenshot_20231123-200637_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="796" data-original-width="709" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigXaIGRiLXeanv0glfDI8Hzul2XHNXMKZYueTrupXP9XXGAKJsOejpvD54hYk-Jn4I6RkVp1aaPPSrVUk6jca-4-n0qFjb2Qy-fpJ6h6Dzf7NYbE-TCzLtLCikyMxkSBLlDXu-CPgs309QQt1fhIlU3uACVuhwHCgTlRkYWu3NvUbEDU8YPTKw-uQfSdU/s320/Screenshot_20231123-200637_All%20PDF%20Reader.jpg" width="285" /></a></div><div class="separator" style="clear: both; text-align: center;">Unremarkable chest X-ray. </div><div><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgexPrLOZKqnC6FxOofOYXb0p0_3Zs872UnhJ8RZRVlsXtNB2PS1mv8LMYOGaYoRkdj-SB2HCZXhueX8Q73zj9aeFpjGVuYgnSddD2ZWwwJsbEzAdTbaSQhQ4NSmAzuXgBH88vd7D2q6ixt5_3M7Tz5FXxthCs0PX_pKMA03iLofYTvVB8WUwbfbA0wM8c/s1079/Screenshot_20231123-203232_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="636" data-original-width="1079" height="189" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgexPrLOZKqnC6FxOofOYXb0p0_3Zs872UnhJ8RZRVlsXtNB2PS1mv8LMYOGaYoRkdj-SB2HCZXhueX8Q73zj9aeFpjGVuYgnSddD2ZWwwJsbEzAdTbaSQhQ4NSmAzuXgBH88vd7D2q6ixt5_3M7Tz5FXxthCs0PX_pKMA03iLofYTvVB8WUwbfbA0wM8c/s320/Screenshot_20231123-203232_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhx_z2UkaI7XDoWlP7wpaxUXQ9HyJPlDR3EmSkljJykvT1d4VSuv20G7DarInXNrXPqOv9hqE-VZ2eE6IYi0vDRvRntkCDrSNc9aU9Tq1iXORxY7xEKk_NW3-A4Mjjbbxz1lahUBOhlf9MxDkmQTTxbRs8jFtafPbdTHGAZy7M9HPDpuhjFqSPO3ABO7fA/s945/Screenshot_20231123-200721_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="532" data-original-width="945" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhx_z2UkaI7XDoWlP7wpaxUXQ9HyJPlDR3EmSkljJykvT1d4VSuv20G7DarInXNrXPqOv9hqE-VZ2eE6IYi0vDRvRntkCDrSNc9aU9Tq1iXORxY7xEKk_NW3-A4Mjjbbxz1lahUBOhlf9MxDkmQTTxbRs8jFtafPbdTHGAZy7M9HPDpuhjFqSPO3ABO7fA/s320/Screenshot_20231123-200721_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiS3KayO0DGAcIdOc9urkUZAxfd9l5tEqb9PCuiTl7QOgR1zRUlW_26ka2tpxI37_j7WyKNM8CKRwjkY7ov-UxWZzlHITv68WMr0dik5WcYQv1G73wSiPWaskqlViZkyPIGdJP_uJ8xPQJBo6n5tvt9EqM-Rbuo49gQAN64PWtb2EDnafnm-cHboRE0H50/s1525/Screenshot_20231123-200825_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1525" data-original-width="994" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiS3KayO0DGAcIdOc9urkUZAxfd9l5tEqb9PCuiTl7QOgR1zRUlW_26ka2tpxI37_j7WyKNM8CKRwjkY7ov-UxWZzlHITv68WMr0dik5WcYQv1G73wSiPWaskqlViZkyPIGdJP_uJ8xPQJBo6n5tvt9EqM-Rbuo49gQAN64PWtb2EDnafnm-cHboRE0H50/s320/Screenshot_20231123-200825_All%20PDF%20Reader.jpg" width="209" /></a></div><br /><p>MSCT confirmed PE.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJyWWXTGHYwFdG7eXDmnnTILn6Oc3scAX4ENVLr6yZPpNRU73uSo9K89siWl-y3PWIQoAuRJbY39oc-d2s94MKAxKhHoUK6ZTVrbi9RXEtzBNg03i65NLas1A6bJkDeIq66qEwAJEr9KbEA6tQ7sWwxOk8MXPJYYSZkcZQlkKxYqkAnL4FWRmxi2K2TO4/s1413/Screenshot_20231123-200856_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1413" data-original-width="835" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJyWWXTGHYwFdG7eXDmnnTILn6Oc3scAX4ENVLr6yZPpNRU73uSo9K89siWl-y3PWIQoAuRJbY39oc-d2s94MKAxKhHoUK6ZTVrbi9RXEtzBNg03i65NLas1A6bJkDeIq66qEwAJEr9KbEA6tQ7sWwxOk8MXPJYYSZkcZQlkKxYqkAnL4FWRmxi2K2TO4/s320/Screenshot_20231123-200856_All%20PDF%20Reader.jpg" width="189" /></a></div><br /><p>Case 2: Woman 33 year-old with asthenia and dyspnea and edema of lower limbs. Oral contraceptive taken for 5 months. D-Dimer and troponin rising.</p><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiibBKvDuy0Of-NsfZzg33sgqvuz8eGwJIq3Z9iQKLZq18bcgMkxCw4Xe15snlsYf2QV6CMF0sagfzNWGUJJIqbifu1dHWCm01LoB0Ht4jeFP3Zg6EJHn2e4ApnEvTNAOz76WuhD3OXKL8Dt1IP9j0s5La5ACaSuHTCN3QJqWJs_X5-9OSWecw1LxXujL4/s1297/Screenshot_20231123-200955_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1297" data-original-width="772" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiibBKvDuy0Of-NsfZzg33sgqvuz8eGwJIq3Z9iQKLZq18bcgMkxCw4Xe15snlsYf2QV6CMF0sagfzNWGUJJIqbifu1dHWCm01LoB0Ht4jeFP3Zg6EJHn2e4ApnEvTNAOz76WuhD3OXKL8Dt1IP9j0s5La5ACaSuHTCN3QJqWJs_X5-9OSWecw1LxXujL4/s320/Screenshot_20231123-200955_All%20PDF%20Reader.jpg" width="190" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMO8QMsBxU1aF3w8Q_npbCbe5RkSZxlLrwlZZkaAaXQ3cGF4J0wRqQuZm_JntF_ZsiqfCpaVYV-CX7o2jbn1jsp3vfuoEvncUyNJ3p8IokwLmZPt7d6x00Z5hxUKYCOrLp8WydcEuGLLpfLfLsJuFJevVLjErnpHEkdslmH20hdPoInYzZGLszfeH2eYw/s1501/Screenshot_20231123-204337_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1501" data-original-width="905" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMO8QMsBxU1aF3w8Q_npbCbe5RkSZxlLrwlZZkaAaXQ3cGF4J0wRqQuZm_JntF_ZsiqfCpaVYV-CX7o2jbn1jsp3vfuoEvncUyNJ3p8IokwLmZPt7d6x00Z5hxUKYCOrLp8WydcEuGLLpfLfLsJuFJevVLjErnpHEkdslmH20hdPoInYzZGLszfeH2eYw/s320/Screenshot_20231123-204337_All%20PDF%20Reader.jpg" width="193" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj90i2gnA1kYb0mqvEqmoFt-DudTJzE7N8NSxhaREkyD4FHmaH1RjXSRaIclOM-TsB1McGw1jUVAACQB9IN-hQq5cABp8oWGf6Y-Sn4TwfWH86ip5C3pnpwCNoNnIwh-NIvNh9QiDvg786Qf-XVBP8vKP4vy2Q6cgAeP45MU86f5jIJln3raCMqsZD1Q1A/s993/Screenshot_20231123-201036_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="257" data-original-width="993" height="83" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj90i2gnA1kYb0mqvEqmoFt-DudTJzE7N8NSxhaREkyD4FHmaH1RjXSRaIclOM-TsB1McGw1jUVAACQB9IN-hQq5cABp8oWGf6Y-Sn4TwfWH86ip5C3pnpwCNoNnIwh-NIvNh9QiDvg786Qf-XVBP8vKP4vy2Q6cgAeP45MU86f5jIJln3raCMqsZD1Q1A/s320/Screenshot_20231123-201036_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div>Case 3: Woman 42 yo with oral contraceptive taken for 6 months. Swollen left leg with pain, but without dyspnea.<div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghX5_PkxsRbJfhoDgFiqj1IJq5yRn1UGLAp8LHcpH36sTwmhgmD8CEPoAwOzi3UN9S-AVPpwLKShOCoOVaZBuIYLo3jkCIHWjglzpnOezUXKANYlr-szp82uTX_h74On1plN3g0b3F7iRW9RKFUHvajyrD64PEhRGt7s_4ND6kXNgohqIGkiPrtJAwsJs/s1028/Screenshot_20231123-201212_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="582" data-original-width="1028" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghX5_PkxsRbJfhoDgFiqj1IJq5yRn1UGLAp8LHcpH36sTwmhgmD8CEPoAwOzi3UN9S-AVPpwLKShOCoOVaZBuIYLo3jkCIHWjglzpnOezUXKANYlr-szp82uTX_h74On1plN3g0b3F7iRW9RKFUHvajyrD64PEhRGt7s_4ND6kXNgohqIGkiPrtJAwsJs/s320/Screenshot_20231123-201212_All%20PDF%20Reader.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSMeZp-IeTw0vz4iiH2Bdas5R6l5ldetKJ7H1f8vdJ_AvaOQLlBPFn8b-uvTNso1NWENOlTiPO9BiCcgU_acfhKoRw0B5MawMLLTMRaKCfYtTdF6SBzvLcXT9ck11VSc4DJZhHFNrzx8k2hy-GmiumzDOeBMq_IcIepnGHQ6EXATml4isXuBAewb6VqYo/s949/Screenshot_20231123-205923_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="609" data-original-width="949" height="205" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSMeZp-IeTw0vz4iiH2Bdas5R6l5ldetKJ7H1f8vdJ_AvaOQLlBPFn8b-uvTNso1NWENOlTiPO9BiCcgU_acfhKoRw0B5MawMLLTMRaKCfYtTdF6SBzvLcXT9ck11VSc4DJZhHFNrzx8k2hy-GmiumzDOeBMq_IcIepnGHQ6EXATml4isXuBAewb6VqYo/s320/Screenshot_20231123-205923_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgthYpTyIBtDD5FjHbgxOD6K3aMA1SV7jfzRpwo1knZ_aJAqMk8Wk7t7sI7ziChmu3fGH7YwX6nPlq6mZWCjWJQrF7YGAOlIeXr1YeipbbfVrvBuXtZRh7wvvXnBP08ofW_yoKpt9-TUmED7n7gje-1Mn7onbj4qf5VdK0VQ7GVFIvvYjjadzDY7L4SmUs/s1562/Screenshot_20231123-205021_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1562" data-original-width="805" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgthYpTyIBtDD5FjHbgxOD6K3aMA1SV7jfzRpwo1knZ_aJAqMk8Wk7t7sI7ziChmu3fGH7YwX6nPlq6mZWCjWJQrF7YGAOlIeXr1YeipbbfVrvBuXtZRh7wvvXnBP08ofW_yoKpt9-TUmED7n7gje-1Mn7onbj4qf5VdK0VQ7GVFIvvYjjadzDY7L4SmUs/s320/Screenshot_20231123-205021_All%20PDF%20Reader.jpg" width="165" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: left;">Pulmonary embolism (PE) may occur in case of lower limb venous thrombosis and dyspnea. Ultrasound could reveal the venous thrombosis, cardiac status, and chest MSCT confirmes the PE. Troponin rises in 50% of PE cases in the early 40 hours which is a significant sign of the high mortality.</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>REFERENCE <div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigPQmuk-ylLmEf8SjVUzVvIl9SkbJzFSu2mMWh1Uk8bfyEXdN1JyGJN8VQi1q649Hcjg_lO5T1_7tOJwh2BBAnV1z3vg3_PIjJ4SZRpvhzYOP7dy_GetdLx7c01l8cfpbVdS2HO52g8H62qqb8dYjei1y1O5GpNcfZB4cu1lyxd7I4jZIH1jkUPlVFHAU/s970/Screenshot_20231124-202331_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="784" data-original-width="970" height="259" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigPQmuk-ylLmEf8SjVUzVvIl9SkbJzFSu2mMWh1Uk8bfyEXdN1JyGJN8VQi1q649Hcjg_lO5T1_7tOJwh2BBAnV1z3vg3_PIjJ4SZRpvhzYOP7dy_GetdLx7c01l8cfpbVdS2HO52g8H62qqb8dYjei1y1O5GpNcfZB4cu1lyxd7I4jZIH1jkUPlVFHAU/s320/Screenshot_20231124-202331_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /></div></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-65811681072618030092023-11-18T15:47:00.006+07:002023-11-18T19:23:32.806+07:00CASE 720_721: MEDIASTINAL LIPOMATOSIS, Dr PHAN THANH HẢI, Dr NGUYÊN TUYẾT VÂN, Dr HÔ CHÍ TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM. <p>Case 01:A 19 year-old man with fever and dyspnea for one month.</p><p>Cardiac ultrasound could not explore the anterior of the heart but no ventricular hypertrophy was noted.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrd3aQAkz_Lz7281tMWXA-ZTjoM2p-BbOG8As3xoZsZWtVDW6KsDGqn0G7EWDdGKoaZSJmtaIJ3v17BPebU7hTSdKS3OmviqKhWzbIpJ-GUxmGN2DdjV8nDLCBySwaw6BcUWAZUr82BRe6SOk82OMX53Y2lVHbhGRpngHgAKcK9TohwP9AwG4VGZaKsLc/s741/Screenshot_20231118-180831_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="546" data-original-width="741" height="236" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrd3aQAkz_Lz7281tMWXA-ZTjoM2p-BbOG8As3xoZsZWtVDW6KsDGqn0G7EWDdGKoaZSJmtaIJ3v17BPebU7hTSdKS3OmviqKhWzbIpJ-GUxmGN2DdjV8nDLCBySwaw6BcUWAZUr82BRe6SOk82OMX53Y2lVHbhGRpngHgAKcK9TohwP9AwG4VGZaKsLc/s320/Screenshot_20231118-180831_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYOeO8SouDPMLV9XPRjMNOB1g_HIXmjo0AsNAr3iQ5kJFDaNL4OS8Eu_GRrzkP71qT_Sg-l8V0o-PCpP2O-iFzU498_JbtQMUWJpxmOZyMNO571DaCKanUC9TiKYzRc_aiZOmFy__aFA4rSrVnYgos_LeDV4IzqatLsP-kxZDvR-Dp9oKvcri6StYrk_8/s903/Screenshot_20231118-180923_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="638" data-original-width="903" height="226" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYOeO8SouDPMLV9XPRjMNOB1g_HIXmjo0AsNAr3iQ5kJFDaNL4OS8Eu_GRrzkP71qT_Sg-l8V0o-PCpP2O-iFzU498_JbtQMUWJpxmOZyMNO571DaCKanUC9TiKYzRc_aiZOmFy__aFA4rSrVnYgos_LeDV4IzqatLsP-kxZDvR-Dp9oKvcri6StYrk_8/s320/Screenshot_20231118-180923_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;"><br /></span></div><div class="separator" style="clear: both; text-align: justify;"><span style="text-align: left;">Abdominal ultrasound revealed a right pleural effusion and the right lung in solid, hyperechoic pattern.</span></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1nluzh6T4LpBNbT0i7W9aN3PF9jQUxmTaogfSNQYhLc-RCTCv_y__vA_7uzQ-FkVkSPAAGjUVX2eZFDtXcHkhzRFMGOhhTrYnZ7TudIZ-viYZEIlJHNniiaXFfusa1RJOOk7xQEB6wm65fay9dl8nWTYwP0u_5pZmB-Cl5_tlfE18ktfZ039LSlq-FlU/s753/Screenshot_20231118-191529_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="424" data-original-width="753" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1nluzh6T4LpBNbT0i7W9aN3PF9jQUxmTaogfSNQYhLc-RCTCv_y__vA_7uzQ-FkVkSPAAGjUVX2eZFDtXcHkhzRFMGOhhTrYnZ7TudIZ-viYZEIlJHNniiaXFfusa1RJOOk7xQEB6wm65fay9dl8nWTYwP0u_5pZmB-Cl5_tlfE18ktfZ039LSlq-FlU/s320/Screenshot_20231118-191529_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div style="text-align: justify;"><span style="text-align: left;">Chest X-RAY noted an anterior mediastinal tumor that covered the heart, maybe a mediastinal lipoma.</span></div></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjk9qNOvOMI45U7adsrmsAfOqMGoqTYmMMdsBBu4ACixyHa2K6ol8u6BqW4rjK_mLurb6svdYM_Jm3z8mEeXnNyo-vYJLpx4jGHoqTLEYnRwQ5AzIyuJOJ7BAPxy6oldOBVlcjo4pSTfcYmGigsSVvxWCjOdlaIynkpisRvlzOOQCK9H8uXU0h-2bRvev4/s955/Screenshot_20231118-181029_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="582" data-original-width="955" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjk9qNOvOMI45U7adsrmsAfOqMGoqTYmMMdsBBu4ACixyHa2K6ol8u6BqW4rjK_mLurb6svdYM_Jm3z8mEeXnNyo-vYJLpx4jGHoqTLEYnRwQ5AzIyuJOJ7BAPxy6oldOBVlcjo4pSTfcYmGigsSVvxWCjOdlaIynkpisRvlzOOQCK9H8uXU0h-2bRvev4/s320/Screenshot_20231118-181029_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1iZRwV7JA1Zsi0qmszrsilN0T7lJVkv06hWBcQwBsoQaKcTWPuEwmxVvRjDCT6aRWB9l-L_uWQy4_nMiAbvhT369WgbP4s4F6c-DoEuVkMjkr9vUcJybYHcF6z96h1kQ4x5RUJBHfnPrdgZ4ttl15Hq3aUdW0Sm-84MpNv1iixGHD5niiAOtfQGdtPf8/s678/Screenshot_20231118-181231_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="481" data-original-width="678" height="227" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1iZRwV7JA1Zsi0qmszrsilN0T7lJVkv06hWBcQwBsoQaKcTWPuEwmxVvRjDCT6aRWB9l-L_uWQy4_nMiAbvhT369WgbP4s4F6c-DoEuVkMjkr9vUcJybYHcF6z96h1kQ4x5RUJBHfnPrdgZ4ttl15Hq3aUdW0Sm-84MpNv1iixGHD5niiAOtfQGdtPf8/s320/Screenshot_20231118-181231_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;">MSCT confirmed an anterior mediastinal tumor.</div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhVBOhrC7oJmabhu1iUXPQ8jnNIXQ5UF160o-SOivHqwa6n-_hqJHlXPDhCiLKGK-iCd4rDNX0oow0Euny7GmD5_Elkh0cyHvbO9Z4PeGRKquCk04R1lYSRncOsxnILJU6qeaGLIOeBPM0aQAlqH9yYmoh3V0WSKK85boDPcy8sE71GlcMjVLcuokJBAo/s958/Screenshot_20231118-181256_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="309" data-original-width="958" height="103" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhVBOhrC7oJmabhu1iUXPQ8jnNIXQ5UF160o-SOivHqwa6n-_hqJHlXPDhCiLKGK-iCd4rDNX0oow0Euny7GmD5_Elkh0cyHvbO9Z4PeGRKquCk04R1lYSRncOsxnILJU6qeaGLIOeBPM0aQAlqH9yYmoh3V0WSKK85boDPcy8sE71GlcMjVLcuokJBAo/s320/Screenshot_20231118-181256_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAszSu-1_LzfsIZUkEpSj-KRWwm76SWYg91PwEiCbIlTxZTsRZYv79qIzQEvmCK4wfKU2gUdRwVQbeOk160AAW6Eo5QdOD4mglrYgs8ELM6W3HYy7YtrlXZ-lCIewXefjjacEDERaApDp3802J-zqRxY14Enjq4v2el3JonPNfUctvfQohvVMDpg5Wzjw/s962/Screenshot_20231118-181321_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="437" data-original-width="962" height="145" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAszSu-1_LzfsIZUkEpSj-KRWwm76SWYg91PwEiCbIlTxZTsRZYv79qIzQEvmCK4wfKU2gUdRwVQbeOk160AAW6Eo5QdOD4mglrYgs8ELM6W3HYy7YtrlXZ-lCIewXefjjacEDERaApDp3802J-zqRxY14Enjq4v2el3JonPNfUctvfQohvVMDpg5Wzjw/s320/Screenshot_20231118-181321_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwBIvu9KHFEW7U168kx0U0Thef6r7gIekHf8fV6A-NmUQxbBnorR4ZkkH27bzeFBtCSb4pFie4g8wm-45Mu4PdvhV5O451rO9KUafR1qArmZQKCyjTyuQx3HCmmTZ0uAdMltPmQTNIdXwPn8MvbaIdGYqPLh9Ycf0aYVY6NudWVRx5ISV3Q66v_Q3paEQ/s498/Screenshot_20231118-181414_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="277" data-original-width="498" height="178" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwBIvu9KHFEW7U168kx0U0Thef6r7gIekHf8fV6A-NmUQxbBnorR4ZkkH27bzeFBtCSb4pFie4g8wm-45Mu4PdvhV5O451rO9KUafR1qArmZQKCyjTyuQx3HCmmTZ0uAdMltPmQTNIdXwPn8MvbaIdGYqPLh9Ycf0aYVY6NudWVRx5ISV3Q66v_Q3paEQ/s320/Screenshot_20231118-181414_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div>But the patient and his family denied surgery.<div><br /></div><div><br /><div><br /></div><div>Case 02: 15 years before, a 54 year-old man with a tumor which enlarged the anterior mediastinal space on the chest X-ray film.</div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmh6_hKo4PmHDVLHVGDPJnR1TLJlws8IV59guvW7ZbvS3wY-AFY2RhT7TffRBCV7PTPfwY_bsn6cHW3KYPB6QBfdbwG7GyacBck49L0a6WAq-s8KmkztAgw47rIicZANHIaoS1i9EGYEWmYAYdu3atS-kQOVGVUtLt9tlDhApFb5z2DP8p2up8IBCALqU/s679/Screenshot_20231118-181440_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="410" data-original-width="679" height="193" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmh6_hKo4PmHDVLHVGDPJnR1TLJlws8IV59guvW7ZbvS3wY-AFY2RhT7TffRBCV7PTPfwY_bsn6cHW3KYPB6QBfdbwG7GyacBck49L0a6WAq-s8KmkztAgw47rIicZANHIaoS1i9EGYEWmYAYdu3atS-kQOVGVUtLt9tlDhApFb5z2DP8p2up8IBCALqU/s320/Screenshot_20231118-181440_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div>Cardiac ultrasound detected an anterior mediastinal mass and non cardiomegaly.</div><div><br /></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijZK89wVS49Lv7gtF1dPipCLjcbGQMKBfVSoXsk0eKRCyZyVBEFdiAgeFKNxG69SjGNcWwrZa7OhZ9IDPDgLoVjA6ocsxHpuWDqM7_0w_4pHX5cE_75a4rwclWPcYJEuBmJehX4KjzNiPtvk7ACSBHpnTCheKE1Cd5d8sfnir4cYRtaRlPfOjYUyBNZjc/s862/Screenshot_20231118-181503_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="644" data-original-width="862" height="239" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijZK89wVS49Lv7gtF1dPipCLjcbGQMKBfVSoXsk0eKRCyZyVBEFdiAgeFKNxG69SjGNcWwrZa7OhZ9IDPDgLoVjA6ocsxHpuWDqM7_0w_4pHX5cE_75a4rwclWPcYJEuBmJehX4KjzNiPtvk7ACSBHpnTCheKE1Cd5d8sfnir4cYRtaRlPfOjYUyBNZjc/s320/Screenshot_20231118-181503_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div><br /><p>MSCT confirmed an anterior mediastinal mass.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_CiFg0A3edwTvrwjAn1FgWbqyqpniZY1EDoOD6-DE7Ft2wfX_sKyc4uKzbdUtjfALfM8UvIoaOVnLElDVI_jP26CYbLBYrzLGpxMMhfExqeZndibCrcH3yKvfciPYRX-KZZyj4E5g-afHgs4G_n_1aXDV_hmxSISde_UFelPdnNFE8Xdsc4Ojx9XESlY/s885/Screenshot_20231118-181527_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="383" data-original-width="885" height="138" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_CiFg0A3edwTvrwjAn1FgWbqyqpniZY1EDoOD6-DE7Ft2wfX_sKyc4uKzbdUtjfALfM8UvIoaOVnLElDVI_jP26CYbLBYrzLGpxMMhfExqeZndibCrcH3yKvfciPYRX-KZZyj4E5g-afHgs4G_n_1aXDV_hmxSISde_UFelPdnNFE8Xdsc4Ojx9XESlY/s320/Screenshot_20231118-181527_All%20PDF%20Reader.jpg" width="320" /></a></div><p>Surgery removed the anterior mediastinal lipoma.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUJOHqoztkUE6Z3Iwdk2IaYHc0mzZCmTqDHCrRk3AkRbYTu0yQ0ErEDQwEzmtaXUEApuzziN7-cltjoYxPo0ocbFauA8YSvt6NM_6DiMD_-O-dcXKOTnkuJo5DJ4sIeBqFdFobu9_X2ORUeEe88T3Qjlm24iyQRd5cDNWiXuM0mN_RUoiBA6204c6OkOk/s439/Screenshot_20231118-181630_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="280" data-original-width="439" height="204" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUJOHqoztkUE6Z3Iwdk2IaYHc0mzZCmTqDHCrRk3AkRbYTu0yQ0ErEDQwEzmtaXUEApuzziN7-cltjoYxPo0ocbFauA8YSvt6NM_6DiMD_-O-dcXKOTnkuJo5DJ4sIeBqFdFobu9_X2ORUeEe88T3Qjlm24iyQRd5cDNWiXuM0mN_RUoiBA6204c6OkOk/s320/Screenshot_20231118-181630_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Chest X-RAY film post-of came back normally with no mediastinal tumor. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSRA2moLAIqvsEsN_jlDHFLn5x76wyGSk4nz0ea1bAczFTwtXwnix5UyeI9HHm40sC1vUfzClL-zO0C66vsF3tfi6NU9QR2Dk9kfgB6hZTEZ7c63mmRe6N6rOzogRkHH7f55cPNqeDExNyn2H2novsN5NO8gL-IQHSC1gso1ncpeHMzx3Vr5UgTfrOllc/s582/Screenshot_20231118-181604_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="358" data-original-width="582" height="197" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSRA2moLAIqvsEsN_jlDHFLn5x76wyGSk4nz0ea1bAczFTwtXwnix5UyeI9HHm40sC1vUfzClL-zO0C66vsF3tfi6NU9QR2Dk9kfgB6hZTEZ7c63mmRe6N6rOzogRkHH7f55cPNqeDExNyn2H2novsN5NO8gL-IQHSC1gso1ncpeHMzx3Vr5UgTfrOllc/s320/Screenshot_20231118-181604_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Mediastinal lipoma is a rare benign entity which may detect incidentally with dyspnea, difficult speaking and swallowing.</p><p>Heart shadow is large on chest X-RAY film but EKG and ultrasound are normally appearances.</p><p>MSCT detected exactly the tumor which has fatty density of 95 HU.</p><p>And it needs any further invasive technique to diagnose and management. </p><p>Reference:</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglzsgWV3W-Upxa5Pvy1vRve4uYuDQg6PsoUbFrqD8OEJC8cU5SCraGY2D_SEfMqcGCOfAQoDBw40PvqioVgT45PscSxpa_2TZstgxwZgBAkpYUj0A1Hv7l3onOsCOICp5Xpme0lE76w3RpdLAulV32ndTYYSuWohYG0NbJ_EyCELjShe0b2CX2pq4M0_0/s1262/Screenshot_20231118-190028_All%20PDF%20Reader.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1262" data-original-width="948" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglzsgWV3W-Upxa5Pvy1vRve4uYuDQg6PsoUbFrqD8OEJC8cU5SCraGY2D_SEfMqcGCOfAQoDBw40PvqioVgT45PscSxpa_2TZstgxwZgBAkpYUj0A1Hv7l3onOsCOICp5Xpme0lE76w3RpdLAulV32ndTYYSuWohYG0NbJ_EyCELjShe0b2CX2pq4M0_0/w300-h400/Screenshot_20231118-190028_All%20PDF%20Reader.jpg" width="300" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div><br /></div>.<div><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div><br /></div><br /><div><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div><br /><div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPsvWsszAQ-aLVgKWtW5OLOM9nxe0Jo1Q1SGh5tll7DcjETVh0Yq4LIuqgcchnPVBgXLgZAEsv7UXaVYKGAh8UbUSX_jPAkct4SQtMXtY4ZUmTOV_6aLUeWEmONnXJ0-RdswEA2i5vTV9oI1HaIZuGQjdmjAk3GT_8Aeshp2mWjLMTRCNsyhdY8b-nuBo/s1744/20231118_135647.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1147" data-original-width="1744" height="210" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPsvWsszAQ-aLVgKWtW5OLOM9nxe0Jo1Q1SGh5tll7DcjETVh0Yq4LIuqgcchnPVBgXLgZAEsv7UXaVYKGAh8UbUSX_jPAkct4SQtMXtY4ZUmTOV_6aLUeWEmONnXJ0-RdswEA2i5vTV9oI1HaIZuGQjdmjAk3GT_8Aeshp2mWjLMTRCNsyhdY8b-nuBo/s320/20231118_135647.jpg" width="320" /></a></div><br /><div><br /></div></div></div></div></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-33632911595092996802023-11-18T12:52:00.028+07:002023-11-19T18:54:05.644+07:00CASE 719: BREAST ULTRASOUND versus AI on 119 BREAST TUMOR CASES, A COMPARISON of Two METHODS, Dr PHAN THANH HẢI, Dr TRƯƠNG THỊ NGỌC TIẾN, Dr VÕ THỊ PHƯƠNG TRINH, Dr JASMINE THANH XUÂN, Dr LÊ ĐÌNH VĨNH PHÚC, MEDIC MEDICAL CENTER, HCMC, VIETNAM. <p> Of 119 cases of breast tumor enrolled in a comparison report of breast ultrasound by conventional breast ultrasound and AI at Medic Center; the authors, between 2 methods, declared AI helps exactly diagnosing the classified BI-RADS 4c cases while the results of both 2 methods had statistically the same sensibility for all classified BI-RADS. It’s maybe, in our knowledge, the first report concerning AI on breast ultrasound in Vietnam and other southern Asian countries.</p><p>But conventional breast ultrasound described more characteristics of the malignancy of the breast tumor than AI that only based on the 5 classic criterii : boundary, circumscribed, axe, echogeneicity, and tumoral form. However AI could use like a screening tool of ultrasound for the malignant breast tumors. In the protocol, biopsy and, in particular conditions, breast MRI are gold standard for correct evaluation of breast tumor.</p><p>In condition, AI improved the malignancy for cases of classified BI-RADS 4c and over. And the authors said that naturally needs more informed reports of other studies with more tumor breast cases. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggm7i7VxbqlxSvIGGa2e3VNvhyAfiymzaeXCie_Y-nCtMb7kuBxyTN1P9T-bme0AeoYAXU4Kc_Lezg_uHEd2t-kUM3aZwNmYDeqRR0BEE7c0bev8cyM3v1tOpPi308saVsRxb-a_F-l_fc1Llq0oScnJ6xAhuVhnp15LGZCLWBoTI38A_HmM-LWxOM1nI/s1159/Screenshot_20231118-115518_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1159" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggm7i7VxbqlxSvIGGa2e3VNvhyAfiymzaeXCie_Y-nCtMb7kuBxyTN1P9T-bme0AeoYAXU4Kc_Lezg_uHEd2t-kUM3aZwNmYDeqRR0BEE7c0bev8cyM3v1tOpPi308saVsRxb-a_F-l_fc1Llq0oScnJ6xAhuVhnp15LGZCLWBoTI38A_HmM-LWxOM1nI/s320/Screenshot_20231118-115518_All%20PDF%20Reader.jpg" width="298" /></a></div><br /><div class="separator" style="clear: both; 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margin-right: 1em;"><img border="0" data-original-height="1304" data-original-width="914" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnnwc5UdPXFbNhHBia5OCFZcI3gsXPYtUeGAQ67nyDhkn3WLt8FuLYUMWvwCjJzC6PuIo64VVlt2XuMU09FcW4D4As4JTnRmea6Sv6sJAbHv0P3HouiQMRXQzhC6ivYvrWOpKwr-PrwS8FtwVA4sba8p-Fmk5XieQaEBxoeq5AO_lb1O4dstR8dlApiDs/s320/Screenshot_20231118-115721_All%20PDF%20Reader.jpg" width="224" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5-lrMLWt2qIOxI9TWjjAnAWH_ZCfilfJH_ATyZVgIavxwIWRmuuKivR8Kr-faVNhr948k5gTsyfT_rsybnQ42vdnYHRr0s2NK2aTkrL8Gwpe_86CZIKeFpS75MXjFkpaBRNN-lkwMxmJcYY9pG7vCflbJpnePWUwjoE_HQ3PKIwDUtWeN7mBfaSvG_Do/s912/Screenshot_20231118-115750_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="613" data-original-width="912" height="215" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5-lrMLWt2qIOxI9TWjjAnAWH_ZCfilfJH_ATyZVgIavxwIWRmuuKivR8Kr-faVNhr948k5gTsyfT_rsybnQ42vdnYHRr0s2NK2aTkrL8Gwpe_86CZIKeFpS75MXjFkpaBRNN-lkwMxmJcYY9pG7vCflbJpnePWUwjoE_HQ3PKIwDUtWeN7mBfaSvG_Do/s320/Screenshot_20231118-115750_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p><br /></p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-23559011788262228412023-11-18T12:24:00.006+07:002023-11-19T13:03:33.113+07:00CASE 718: BREAST CARCINOMA, DR PHAN THANH HẢI, Dr VÕ THỊ LOAN, MEDIC MEDICAL CENTER, HCMC,VIETNAM<p>A 54 year-old woman with lump feeling in her right breast came to a breast ultrasound examination.</p><p>Breast ultrasound detected right breast tumor which was BI-RADS 3 classified.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg7ZNIy3Tt3XCtFHJ-O7os191SRErluJVCuDH8imTwNfod0hf43q20KUCL5hsQ4wi8T6PmrnYr5aw6ctP9CPSMMgqsdlLBJIYjoecWQsXFX-2x9GrSS9MlP52PHmwYCglNwlYpLcOxxk9VUwPBtAJUbYmZHONKLCW73N6l-K3PX31Wk2zkFRk-RlAbdTMA/s309/Screenshot_20231118-120039_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="222" data-original-width="309" height="222" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg7ZNIy3Tt3XCtFHJ-O7os191SRErluJVCuDH8imTwNfod0hf43q20KUCL5hsQ4wi8T6PmrnYr5aw6ctP9CPSMMgqsdlLBJIYjoecWQsXFX-2x9GrSS9MlP52PHmwYCglNwlYpLcOxxk9VUwPBtAJUbYmZHONKLCW73N6l-K3PX31Wk2zkFRk-RlAbdTMA/s1600/Screenshot_20231118-120039_All%20PDF%20Reader.jpg" width="309" /></a></div><br /><p><br /></p><p>But mammography represented a right breast BI-RADS 4 with microcalcification.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEOcy0sQ554FdDrMZMamkrW4uFQ_kaOYPuL1idtRFbRmLJj4qjK_zDg6qR2AXepVe72SUThCrrrFT5pQqs_JX9cTHAdnIsdBy7JoIpfhC5s_TJgOeJRXuyq6XihuEjnYAcs5ekhxjUAjEhwUN-z-QDr7E-B3_n0g1DqZfc-dlFc_Yt53kgP2E7XLQfAKo/s1376/Screenshot_20231118-120109_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1376" data-original-width="1003" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEOcy0sQ554FdDrMZMamkrW4uFQ_kaOYPuL1idtRFbRmLJj4qjK_zDg6qR2AXepVe72SUThCrrrFT5pQqs_JX9cTHAdnIsdBy7JoIpfhC5s_TJgOeJRXuyq6XihuEjnYAcs5ekhxjUAjEhwUN-z-QDr7E-B3_n0g1DqZfc-dlFc_Yt53kgP2E7XLQfAKo/s320/Screenshot_20231118-120109_All%20PDF%20Reader.jpg" width="233" /></a></div><br /><p>MRI confirmed a right breast tumor classified BI-RADS 4.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyau1yB9468FniHqCc4OsrJNKQgbvHWIglG5irOpS3Ckkm_mSXV6opq-LAVOxPUicP-TK_yfM5dJwGfToazl1Xl6lJ530yXaaLnDfIwUBYsVMwsr9RzwQQV6KEo7wGKy9Wu9OAO9eLSflLqNUG9yU14ujaxwMLFkSWLFXAMPMfwldkvjRk6oPmWRr5tvc/s1062/Screenshot_20231118-120210_Samsung%20capture.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1062" data-original-width="715" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyau1yB9468FniHqCc4OsrJNKQgbvHWIglG5irOpS3Ckkm_mSXV6opq-LAVOxPUicP-TK_yfM5dJwGfToazl1Xl6lJ530yXaaLnDfIwUBYsVMwsr9RzwQQV6KEo7wGKy9Wu9OAO9eLSflLqNUG9yU14ujaxwMLFkSWLFXAMPMfwldkvjRk6oPmWRr5tvc/s320/Screenshot_20231118-120210_Samsung%20capture.jpg" width="215" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqrlQoc570sTBViwm9wVysfFsOutLF2ZUgrVom4KfMVQKdYHIwkNzFRJOS4uA9bmd1dV4x26WiMuoy31pR10U5pFkFcgmkutR2gW29zSc2FgxWCc0k-Wy5HadeMDF800qHwr-mj64GXZ1tPlr-ZEMAR3QJMXSJMer0dIEjQ3ewqAvtn8cQHX0KgkkySM4/s632/Screenshot_20231118-120241_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="632" data-original-width="532" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqrlQoc570sTBViwm9wVysfFsOutLF2ZUgrVom4KfMVQKdYHIwkNzFRJOS4uA9bmd1dV4x26WiMuoy31pR10U5pFkFcgmkutR2gW29zSc2FgxWCc0k-Wy5HadeMDF800qHwr-mj64GXZ1tPlr-ZEMAR3QJMXSJMer0dIEjQ3ewqAvtn8cQHX0KgkkySM4/s320/Screenshot_20231118-120241_All%20PDF%20Reader.jpg" width="269" /></a></div><br /><p>FNAC result was normal but core biopsy with chemo immunologic staining showed invasive breast carcinoma.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEga8uxO_1LsjEqpEPg-BHF2a5cPmVr2YfAbUyVmu-EMwheyOE6pNVErcJ9LLyvgzQ8NAhIqRfLGqynx9ItxY-V0SF-HvzfgxNNnCz9rxvSXNrHquQtyJB4TbntcVQYQMr1uGfKCJkuBRgiX0OgWcW4rzUEzeaYOiV-KFlE-vOTgKaruas_3Pl3m9uQ92O4/s1155/Screenshot_20231118-120332_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1155" data-original-width="814" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEga8uxO_1LsjEqpEPg-BHF2a5cPmVr2YfAbUyVmu-EMwheyOE6pNVErcJ9LLyvgzQ8NAhIqRfLGqynx9ItxY-V0SF-HvzfgxNNnCz9rxvSXNrHquQtyJB4TbntcVQYQMr1uGfKCJkuBRgiX0OgWcW4rzUEzeaYOiV-KFlE-vOTgKaruas_3Pl3m9uQ92O4/s320/Screenshot_20231118-120332_All%20PDF%20Reader.jpg" width="226" /></a></div><br /><p>A right mastectomy was done.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgX0eWzPO0ADWVbLrUd53ANuTeGr3Wm7tahW2q9OLN9N7tR6_2G2j2dLelY2vpNPfu-C2bFC7aODlfOLOo8-cRCtIcSdXu6IkOrZgUh7AUP6NtRx1fHMJj27UmIxQ6oTjpiXov_VKih3z-Q88kpYC3AOzv23Hq0M8Tp1mYpceycHHrri4Kk5hWGWXINgEg/s440/Screenshot_20231118-120410_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="440" data-original-width="336" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgX0eWzPO0ADWVbLrUd53ANuTeGr3Wm7tahW2q9OLN9N7tR6_2G2j2dLelY2vpNPfu-C2bFC7aODlfOLOo8-cRCtIcSdXu6IkOrZgUh7AUP6NtRx1fHMJj27UmIxQ6oTjpiXov_VKih3z-Q88kpYC3AOzv23Hq0M8Tp1mYpceycHHrri4Kk5hWGWXINgEg/s320/Screenshot_20231118-120410_All%20PDF%20Reader.jpg" width="244" /></a></div><br /><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-25265903263713870042023-11-09T20:45:00.009+07:002023-11-10T13:34:35.563+07:00CASE 717: MATURE OVARIAN TERATOMA, Dr PHAN THANH HẢI, Dr NGUYÊN PHƯỚC TOÀN, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p> A 23 year-old girl in annual general check-up with raised CA 19-9= 230u/mL.</p><p>Ultrasound detected a mixed tumor of the right ovary.</p><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhN8l9EV_OWKm5bLrswF0-NxNlbAV7w-fqzgyazmzMZCG3Scryxh7lh4RRDXL2i52R3BlBu19F0LRBXgDPra-RjUsYUVixgtOcPM7XsJYIZ_9tUV0f2q9Qsb0zqArqr8-NGOwGheGpw6h7uqpKfRp9BFqedWID5ANv6mQa90Cq58Up7ZF-QfGTg1f1U2uk/s2128/Screenshot_20231109-202643_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="2128" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhN8l9EV_OWKm5bLrswF0-NxNlbAV7w-fqzgyazmzMZCG3Scryxh7lh4RRDXL2i52R3BlBu19F0LRBXgDPra-RjUsYUVixgtOcPM7XsJYIZ_9tUV0f2q9Qsb0zqArqr8-NGOwGheGpw6h7uqpKfRp9BFqedWID5ANv6mQa90Cq58Up7ZF-QfGTg1f1U2uk/s320/Screenshot_20231109-202643_All%20PDF%20Reader.jpg" width="162" /></a></div><div><br /></div>MRI confirmed the right ovary teratoma, which represented #110×98 ×100mm mass, well -limited capsule, fatty tissue in majority. And normal chest X-ray. <p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3AHhkj3aquAzF_tsPXd-BbSbqn3JtWefCHYM78bY8-Gu91Wnkbw5869jVvCxoBV3pimgEC-bPOsXcmApnQCF6D6hokk6A79FA9rt2REE4uvIEAO77s5KO5ubioFgrsBGhQbViItusnOKbbgWE1WlO8C4tMPNHChmjF9ywnyVjLfgh0vv3QtW-8-qkUX4/s1351/Screenshot_20231109-202744_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1351" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3AHhkj3aquAzF_tsPXd-BbSbqn3JtWefCHYM78bY8-Gu91Wnkbw5869jVvCxoBV3pimgEC-bPOsXcmApnQCF6D6hokk6A79FA9rt2REE4uvIEAO77s5KO5ubioFgrsBGhQbViItusnOKbbgWE1WlO8C4tMPNHChmjF9ywnyVjLfgh0vv3QtW-8-qkUX4/s320/Screenshot_20231109-202744_All%20PDF%20Reader.jpg" width="256" /></a></div><br /><p>Endoscopic surgery removed the right ovary teratoma and the value of CA 19-9 came back to normal value=23.9u/mL.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdBHhccpcYA0R0-HXUe7AptudjyTwzmE5d4vQmzGk-i5BwYLtoxFhpFn5xFf2oNfWM68AX62VJR_3r1GbGMVRHKyfAdBVkFeBWmxWLZ5vc329vHpG9qEy4L7g5K96tsV-T5U8F1tsnER7TEnFe7p_9usIUhPNW7TyBrvG95RJAv4iQUmhkeKlLA0Ccfoc/s1054/Screenshot_20231109-202827_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="585" data-original-width="1054" height="178" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdBHhccpcYA0R0-HXUe7AptudjyTwzmE5d4vQmzGk-i5BwYLtoxFhpFn5xFf2oNfWM68AX62VJR_3r1GbGMVRHKyfAdBVkFeBWmxWLZ5vc329vHpG9qEy4L7g5K96tsV-T5U8F1tsnER7TEnFe7p_9usIUhPNW7TyBrvG95RJAv4iQUmhkeKlLA0Ccfoc/s320/Screenshot_20231109-202827_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Annual check-up for everyone's health is really necessary. </p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-26038846091944891732023-11-09T20:23:00.009+07:002023-11-10T08:43:15.134+07:00CASE 716: SISTER MARY JOSEPH NODULE and AXILLARY NODE METASTASIS, Dr PHAN THANH HẢI, Dr TRẦN THÙY TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM. <p> A 55 year-old woman with mass at right axilla, and her private physician wanted a lymph node biopsy.</p><p>Ultrasound and MSCT detected thickening skin of right areola and swollen right axillary lymph node.</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7x7QnJ5k2qYGb1ZMwJIauEsGsccjE9hGmX-Qmt5SwX0FodQq_t8-_PhY_-d7gDThb9A9QUQSd_LYeG21BCOSqrnozuQcQAIlaX9QMwk4GiwitfcOodhaxjjGjKDqEiVyTxEik-TsvdUqFSNKdujvrGDUqQOKaZcyfHD_FEJ7v0H9IZq5YLcGMc_9sJG0/s1802/Screenshot_20231109-192419_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1802" data-original-width="1079" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7x7QnJ5k2qYGb1ZMwJIauEsGsccjE9hGmX-Qmt5SwX0FodQq_t8-_PhY_-d7gDThb9A9QUQSd_LYeG21BCOSqrnozuQcQAIlaX9QMwk4GiwitfcOodhaxjjGjKDqEiVyTxEik-TsvdUqFSNKdujvrGDUqQOKaZcyfHD_FEJ7v0H9IZq5YLcGMc_9sJG0/s320/Screenshot_20231109-192419_All%20PDF%20Reader.jpg" width="192" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCl3YTfEgLwzXhtbQEO6QDpvBqseBVDSlAQIM7kivldfzMyuflAl84obx1aPwxhOUb_kWbKjYBHlRfeGb82k-ea5ioQMS075_xaPn9TWBQjNaWt29OmbOaf5eUrbs_qYsS0URaGrNdkhfRvLYSyga9zyp3CpEPtX5zn3g2RUC-VrGK9OOblJ-ChW2Atlo/s731/Screenshot_20231109-192454_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="570" data-original-width="731" height="250" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCl3YTfEgLwzXhtbQEO6QDpvBqseBVDSlAQIM7kivldfzMyuflAl84obx1aPwxhOUb_kWbKjYBHlRfeGb82k-ea5ioQMS075_xaPn9TWBQjNaWt29OmbOaf5eUrbs_qYsS0URaGrNdkhfRvLYSyga9zyp3CpEPtX5zn3g2RUC-VrGK9OOblJ-ChW2Atlo/s320/Screenshot_20231109-192454_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfcuB9uqJEvwXeOUA7MivqsawOkzDS4M9e4tnqVTvAkKdiIRRajW_4RUM41bBTnwXiuzw-HBn-ZUGMzUchg37zUXNIKjaOCBoo9N3ZKS7OmR0P6JqBB4rveWPnneuxpsgY89S-j3I00cW9ms47r6Rda2ls6qYCm675Z9XtVrIAGVU1yYDOcHildDfkx3A/s1121/Screenshot_20231109-192525_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1121" data-original-width="888" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfcuB9uqJEvwXeOUA7MivqsawOkzDS4M9e4tnqVTvAkKdiIRRajW_4RUM41bBTnwXiuzw-HBn-ZUGMzUchg37zUXNIKjaOCBoo9N3ZKS7OmR0P6JqBB4rveWPnneuxpsgY89S-j3I00cW9ms47r6Rda2ls6qYCm675Z9XtVrIAGVU1yYDOcHildDfkx3A/s320/Screenshot_20231109-192525_All%20PDF%20Reader.jpg" width="253" /></a></div><br /><p>Microscopic result of lymph node biopsy was metastasized adenocarcinoma.</p><p>But sonologist noted an umbilical mass, solid, hypervascularized that appeared in the same time of the right axillary nodes. Then she tried to find out an abdominal neoplasm in remembering a case of Mary Joseph nodule. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggTwQ4E9iRxge95Omle2ru68CbGgFyYeZG6weMb29dl5kgR-p5-CJT3qNacBgiAUQfav5eqk93BZe2kiG_j3N3wKb32FcrIrJdRMxWsCtloz9XKPy2LFtOi3sSHdAnvWARWSTsSfEO8B_fJMdcfW82yjrnCSTbD6utvFyxkH9apuETGnZZhKo4vDsv-IU/s1171/Screenshot_20231109-192552_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1171" data-original-width="997" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggTwQ4E9iRxge95Omle2ru68CbGgFyYeZG6weMb29dl5kgR-p5-CJT3qNacBgiAUQfav5eqk93BZe2kiG_j3N3wKb32FcrIrJdRMxWsCtloz9XKPy2LFtOi3sSHdAnvWARWSTsSfEO8B_fJMdcfW82yjrnCSTbD6utvFyxkH9apuETGnZZhKo4vDsv-IU/s320/Screenshot_20231109-192552_All%20PDF%20Reader.jpg" width="272" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv5d3Kx05iPagdcPeCgCO51zrt8xrU9JFiSmgo1COxfSVp3vLUrLs0PY7BoTdFkqL3Z3ESwkiHmAB-xXDkcjE1Xhvdd5vVlO8fLnJsOWbUKVghejqzXnx_a_vdp0Ng2iDu8sEUpML5lqxKgoxkSdss58dyPHxPsWC0LOOjKGT3XMRluPJnlaPtWFu0W-M/s1109/Screenshot_20231109-192620_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1109" data-original-width="1024" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv5d3Kx05iPagdcPeCgCO51zrt8xrU9JFiSmgo1COxfSVp3vLUrLs0PY7BoTdFkqL3Z3ESwkiHmAB-xXDkcjE1Xhvdd5vVlO8fLnJsOWbUKVghejqzXnx_a_vdp0Ng2iDu8sEUpML5lqxKgoxkSdss58dyPHxPsWC0LOOjKGT3XMRluPJnlaPtWFu0W-M/s320/Screenshot_20231109-192620_All%20PDF%20Reader.jpg" width="295" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtHgVvoYlrROuteNntp2ae7au3H1cS3CDV7Y5VUDlzeAxzdAU3Qt2z31ZExs-9fRdQ_c8k6mSHOyABz39oYpV8uFFwkUg7-h7G5IdULmeaBT37Ph2bg6L7u_SdJW0wR4kGHemCjpNGG7b4erS-UG8bKtC4XyhSx310-iCKFZQrv7MO1egVail2ptAgAq0/s596/Screenshot_20231109-192650_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="504" data-original-width="596" height="271" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtHgVvoYlrROuteNntp2ae7au3H1cS3CDV7Y5VUDlzeAxzdAU3Qt2z31ZExs-9fRdQ_c8k6mSHOyABz39oYpV8uFFwkUg7-h7G5IdULmeaBT37Ph2bg6L7u_SdJW0wR4kGHemCjpNGG7b4erS-UG8bKtC4XyhSx310-iCKFZQrv7MO1egVail2ptAgAq0/s320/Screenshot_20231109-192650_All%20PDF%20Reader.jpg" width="320" /></a></div><br /><p>Ultrasound, colonoscopy and MSCT detected a sigmoid colon wall thickening due to tumor.</p><p>Surgery removed the tumor and microscopic result was a moderately differentiated adenocarcinoma of colon.The colon tumor metastasized to umbilicus and right axillary lymph node.</p><p>So we have a case of metastasized axillary lymph node, a Sister Mary Joseph nodule with the origin of sigmoid colon cancer. </p><p><br /></p>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0tag:blogger.com,1999:blog-2747151992112695645.post-78706171262907218532023-11-09T19:53:00.012+07:002023-11-10T09:03:27.361+07:00CASE 715: INTRAHEPATIC CHOLANGIOCARCINOMA, Dr PHAN THANH HẢI, Dr VÕ THỊ PHƯƠNG TRINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM <p> A 42 year-old woman without jaundice came to check-up. Her prior history noted managed thyroid cancer for 5 years and detected intrahepatic biliary dilatation 2 years before but the cause still unknown.</p><p>Ultrasound revealed a hyperechoic mass at the hepatic hilus on normal hepatic bed.</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFO8wYIWlbDzXNorHnPxR3N8VeKUoWfipL6NS8mxxIE0W008fgDmbRyp60pkDSzDaleQss4tCqznPI8S_BX_iV2ouPIItxGuBzeIFbFpiAmJaC177Z_hwCRRvAM2PoLwmprxdro_il7Ku6osYREIarzTGY0_xkWznCgvF05HHs3JZM-L8O7camtSX3C_w/s1601/Screenshot_20231109-191952_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1601" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFO8wYIWlbDzXNorHnPxR3N8VeKUoWfipL6NS8mxxIE0W008fgDmbRyp60pkDSzDaleQss4tCqznPI8S_BX_iV2ouPIItxGuBzeIFbFpiAmJaC177Z_hwCRRvAM2PoLwmprxdro_il7Ku6osYREIarzTGY0_xkWznCgvF05HHs3JZM-L8O7camtSX3C_w/s320/Screenshot_20231109-191952_All%20PDF%20Reader.jpg" width="216" /></a></div>MSCT and MRI confirmed right intrahepatic dilatation and MRI noted cholangiocarcinoma.<br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv2bRK_WcJLZJUbeY19gE6-IV9xNEyFsLMf_w5ntPIHuSH3FyzRKfsd6YFREWRXHhDgn-D3C4o0Ku52YT4k9V5UeoCVyQLnxrLnFyROwZrO5wl1oruvTEtBqUc73zZMKwxXZ7seXSNHVwj4x4rWmZIOMQ-F36FkS6pgVoCDnfVmRVNA7hKncpBLHMV3og/s1451/Screenshot_20231109-192016_All%20PDF%20Reader.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1451" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgv2bRK_WcJLZJUbeY19gE6-IV9xNEyFsLMf_w5ntPIHuSH3FyzRKfsd6YFREWRXHhDgn-D3C4o0Ku52YT4k9V5UeoCVyQLnxrLnFyROwZrO5wl1oruvTEtBqUc73zZMKwxXZ7seXSNHVwj4x4rWmZIOMQ-F36FkS6pgVoCDnfVmRVNA7hKncpBLHMV3og/s320/Screenshot_20231109-192016_All%20PDF%20Reader.jpg" width="238" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicgKeF3te7bRUyUhvv3Cesz0lk2eGExn0vje0oH4UHWIne5FO1jQ-rN8nPZSUypR99ETGebCjYk7PszVtxDSqPJX_hcoiV1dwb5o8KmnfdyTW7EX2U8zOm60_aE0yIHqSQqLLVq8ap9eHgTX6405aBN0em3uvSBznp7t-88jlXJGQAw3Kk6QW588eN6is/s1322/Screenshot_20231109-192059_All%20PDF%20Reader.jpg" style="margin-left: 1em; 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margin-right: 1em;"><img border="0" data-original-height="779" data-original-width="640" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2Vp5kzU8zrS3t3y2fuwLX3kENCNaLdE6QZbGeEIbu9cryd9Hj2nQypT6XVIZdfux2J6os_wYcPAt2kBUGcOdINmmPjrWvQxGNXrvbV-273T4SiNRxTpQop5tBf6YabsURc9-wLxEIwk4RR4azGeqkKKA9i8gNfR-PG7kRXvH5OB8LyLsSAQZVWoOaMCc/s320/Screenshot_20231109-192239_All%20PDF%20Reader.jpg" width="263" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: left;">Open surgery was done to remove gallbladder, V-VI subsegment of liver, connecting right hepatic duct to small bowel [<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0.2); background-color: white; caret-color: rgb(32, 33, 34); color: #202122; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Inter, Helvetica, Arial, sans-serif; font-size: 16px;">Roux-en-Y </span><a href="https://en.m.wikipedia.org/wiki/Liver" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0.2); background: none; border: 0px; color: #795cb2; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Inter, Helvetica, Arial, sans-serif; font-feature-settings: inherit; font-kerning: inherit; font-optical-sizing: inherit; font-size-adjust: inherit; font-size: 16px; font-stretch: inherit; font-variant-alternates: inherit; font-variant-east-asian: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-position: inherit; font-variation-settings: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" title="Liver">hepatico</a><a href="https://en.m.wikipedia.org/wiki/Jejunum" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0.2); background: none; border: 0px; color: #795cb2; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Inter, Helvetica, Arial, sans-serif; font-feature-settings: inherit; font-kerning: inherit; font-optical-sizing: inherit; font-size-adjust: inherit; font-size: 16px; font-stretch: inherit; font-variant-alternates: inherit; font-variant-east-asian: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-position: inherit; font-variation-settings: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" title="Jejunum">jejuno</a><a href="https://en.m.wikipedia.org/wiki/Stoma" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0.2); background: none; border: 0px; color: #795cb2; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Inter, Helvetica, Arial, sans-serif; font-feature-settings: inherit; font-kerning: inherit; font-optical-sizing: inherit; font-size-adjust: inherit; font-size: 16px; font-stretch: inherit; font-variant-alternates: inherit; font-variant-east-asian: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-position: inherit; font-variation-settings: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" title="Stoma">stomy</a>].</div><div class="separator" style="clear: both; text-align: left;">Microscopic result is cholangiocarcinoma invasive and chronic cholecystitis.</div><div class="separator" style="clear: both; text-align: left;"><br /></div>VIETNAMESE MEDIC ULTRASOUND DIAGNOSIShttp://www.blogger.com/profile/16193907114922897084noreply@blogger.com0