CASE 235: PERIAORTIC MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC VIETNAM

Man 63 yo,  medium arterial hypertension with umbilical battement with the heart beat.

Ultrasound of abdomen detected  kidney on 2 sides  in hydronephrosis due to ureteral compression by the mass covering arround the abdominal aorta. Of which structure was echo-poor looked like a cyst. The aorta was pull up near the umbilicus (see 5 ultrasound pictures ).

MSCT with CE (4 CT pictures); CT 1..kidney hydronephrosis, CT 2, CT 3, CT 4 .. intratumor abdominal aorta.

Blood tests were normal WBC, PSA, CEA, with beta MICROGLOBULIN was 2298ng/ml (N <2164

Urologist  suggestion was retroaortic lymphoma and he put 2 jj stent intra ureter and operation for biopsy this mass.

Open operation detected this mass being fixed and covering aorta and compressing completely causing collaped  IVC.( see foto per op.1 and 2..right ureter with jj stent inside).

Pathology report was big B cell lymphoma.

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