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Wednesday, 26 February 2014

CASE 237: HORSESHOE TUMOR, Dr PHAN THANH HẢI - Dr NGUYỄN TUẤN VINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Man 57 yo, diabetes and  gallbladder stone. He's got Murphy's pain.
Abdominal CT with CE detected the  horseshoe kidney with tumor of 3cm.( Fig.CT 1).

I

Ultrasound  for  evaluation of this tumor  was hypoechoic, at the  left part of  horseshoe kidney and hypovascular( Fig. US 1, US 2).



MSCT 640 slices performed with CE again for staging  of this tumor (see 4 CT pictures).







One urologist  said no biopsy.
Operation  for  removing left part of  horseshoe kidney.

Macroscopic appearance of  tumor  is well-bordered into parenchyma of kidney.  Microscopic report is clear cell carcinoma.

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