Wednesday, 2 January 2013

CASE 162: INTRAMUSCULAR MASS of RIGHT THIGH, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 21 yo, painful sitting for 3 months at posterior site of the right thigh which irradiated to right foot.
Ultrasound at the posterior of right thigh detected one intramuscular elliptical mass of 15cmX 4 cm, hypoechoic, well-bordered.

Image 1: longitudinal scan at posterior site of right thigh.

Image 2 : longitudinal section in CDI, this mass near deep femoral artery.

Image 3 : cross-sectional scan.

Image 4 : cross-sectional scan with linear 12 MHZ.

2 pictures of MSCT  without CE injection.


THE CORE BIOPSY REPORT OF THIS MASS IS NEUROMA OF SCIATIC NERVE.



DISCUSSION:  IT IS INTRA MUSCULAR TUMOR IN POSTERIOR SITE OF THE RIGHT THIGH,  HYPOECHOIC,  HYPOVASCULAR ,  FUSIFORM , ALONG THE SCIATIC NERVE TRAIL. THE CROSS-SECTION  OF THIS TUMOR BY HIGH FREQUENCY LINEAR PROBE IS TYPICAL  NERVE STRUCTURE.


 CROSS-SECTION  ANATOMY REFERENCE



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