Friday, 6 June 2014

CASE 259: PLEURAL EFFUSION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman  23 yo  for one  month cough  and  dyspnea, no  fever.
Ultrasound of the thorax detected left  pleural  effusion with collapsed lung and  one mass covered  anterior mediastinum to external pericardium (see 3 ultrasound pictures of the left lung).

 



MSCT  with CE of   the  chest confirmed a  big  mediastinal  tumor   with  pleural effusion  which displaced  the heart to the right side (see 3 CT pictures).




Blood test and all  cancer markers  were normal. 


Transthoracic biopsy of this tumor with  ultrasound guided for immuno-histochemitry staining . Pathology report is  B CELL  LYMPHOMA.


This  patient is  going to treat with chemotherapy.

REFERENCE:   Mediastinal Tumor


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