A 52 year-old patient with a mass at her right frontal region, no pain, no changed skin color.
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Thursday 29 September 2022
CASE 650: SOFT TISSUE TUMOR, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM
A 52 year-old patient with a mass at her right frontal region, no pain, no changed skin color.
Tuesday 27 September 2022
CASE 649: CHOLANGIOCARCINOMA, Dr PHAN THANH HẢI, Dr VÕ THỊ THANH THẢO, Dr TRẦN CHÍ ĐỦ, Dr NGUYỄN THÀNH ĐĂNG, MEDIC MEDICAL CENTER, HCMC, VIET NAM.
A 68 year-old male patient with jaundice in ruling out of head of pancreas tumor from Tra vinh province went to Medic Center for an exact diagnosis before a surgical treatment.
Ultrasound ruled out pancreatic tumor and noted intrahepatic bile duct dilatation and 2 sides pleuresia. Gallbladder was not big with some sludge. Wall of bile duct thickening # 6-7mm, hyperechoic, CBD diameter 1.24mm existed 0.66--1.2 mm bile sludge at the beginning of CBD. Sign of bile duct tumor was unclear.
Surgery was done that detected bile duct tumor #1x2 cm. Removed bile duct tumor, GB, and connecting hepatic duct to jejunum by Roux-en-Y. Anapath was CholangioCarcinoma grade 2 invasive.
Tuesday 6 September 2022
CASE 648 : SKIN ULTRASOUND, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, MEDIC MEDICAL CENTER, HCMC , VIETNAM
A 90 year-old male patient with a painless node at right angle of his mouth. His past history was a left kidney cancer that had been cured for 5 years.
Skin utrasound by VINNO M86 system with linear probe 16MHz and 23MHz.
Focal cystic lesion # 9x4mm, represented mixed structure in subcutaneous layer, with fluid, non vascular, well limitted capsule. Elastography was green code that means a medium hardness. A benign mucous cyst was noted.
Thursday 11 August 2022
CASE 647: PILOMATRIXOMA of MALHERBE, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Dr LÊ THÔNG LƯU, Prof. NGUYỄN SÀO TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM
A 11 year-old female patient with a small cyst on left side of her neck for 5 months. A TB regimen started for a while.
Ultrasound detected a cyst of subcutaneous layer on left side of the neck, well-limited, round, with a dark line adhered the skin. Echostructure is mixed: cystic and some trabecular thicker semisolid structures inside which are like septation. It exists some septa with colored signal arterial type.
Discussion:
Common cystic lesion in subcutaneous layer adhering the skin usually named sebaceous cyst, epidermoid cyst. But in this case, a very small dark incontinuous in upper border of the cyst helps thinking to a skin hair. That is the key of a pilomatrixoma which is still a rare entity of habit in clinic.
The cyst was entirely removed.
Monday 8 August 2022
CASE 646: WARTHIN'S TUMOR, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Dr NGUYỄN TUẤN CƯỜNG, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM
A 69 year-old male doctor patient with sputum cough for one week went over to Medic for a check-up.
ABSTRACT
A male doctor 69 year-old patient with sputum cough for one week. He got a submandibular mass in suspecting lymphoma or parotid tumor. But on the neck, ultrasound revealed parotid tumor that was concluded a Warthin 's tumor with pathological result of core biopsy.
Morever the doctor patient suffers from a benign tumor of sigmoid colon, gastritis with ulcer and hepatosplenomegaly, and fortunatly gets over the lymphoma haunting.
References
1. Warthin Tumor: Papillary Cystadenoma Lymphomatosum "occurs in the tail of the parotid in aged men". [DeGowin's Diagnostic Examination, 2004].