Tuesday, 5 March 2013

CASE 170: A BREAST TUMOR, Dr PHAN THANH HẢI, MEDIC, MEDICAL CENTER, HCMC, VIETNAM

Woman 77 yo, by herself detected one lump at her left breast.
Ultrasound  examination: this mass was at  section  of 10 hr  of left breast, size  arround 2 cm ( B mode US picture). 

It was  hypoechoic and  irregular  border, with very strong shadowing (image 2 and 3), and on CDI, hypervascular and  very high PI.


 
On PDI again, this tumor was hypervascular; axillary scan no detected nodes.



Ultrasound first  suggests breast cancer, next step is mammography or  MRI.
 
THIS PATIENT  REFUSED  TO DO MAMMOGRAPHY AND MRI BECAUSE  THE FIRST TECHNIQUE  WAS PAINFUL  AND THE SECOND ONE MADE  CLAUSTROPHOBIA FOR  HER LONG TIME AGO.
MSCT  IS CHOSEN FOR STAGING  THIS CASE. (SEE  3 CT SLICES )
 


MSCT non CE  showed that tumor  was small size of  1.8 cm, spiculate hypercalcification and detected no  lymphatic nodes of axillary or retrosternum, it was staging I.
Biopsy was done and report was breast cancer type NOS.
 
 
 
 

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