CASE 316: RETROPERITONEAL CALCIFACATED TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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case-316-retropertoneal-calcifacated-tumor

WOMAN 45 YO, PAIN  AT  RIGHT  SUBCOSTAL REGION. PLAIN XRAY FILM  KUB DETECTED  CALCIFICATION  PUNCTIFORM   AT LIVER BORDER AND  RIGHT KIDNEY ( SEE XRAY PLAIN FILM).

ULTRASOUND  OF ABDOMEN  FIND OUT  THIS MASS  IN RETROPERITONEUM,  SIZE  OF 7X5 CM , WHICH PULL THE RIGHT KIDNEY DOWN. ITS STRUCTURE  IS  CYSTIC,  MULTILOCULATED WITH  FINE WALL  AND  CALCIFICATED. THE CONTENT OF THIS CYST IS  MIXED ECHOGENIC STRUCTURE ( SEE  4 US IMAGES ).

MSCT OF ABDOMEN  WITH CE=  THIS TUMOR IS  MULTICYSTIC  WITH  CALCIFICATION OF  THE WALL ( SEE 3  CT IMAGES).

BLOOD TESTS  AND  MARKERS = AFP,  BETA HCG ARE NORMAL

Preoperative  diagnosis  in  BD HOSPITAL IS retroperitoneal teratoma.

Operation  removed  this mass   hard  and clear bordered, specimen  is  white  structure  like  fibroma.

Microscopic result is fibroma in retroperitoneum.

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