CASE 358: LESSER OMENTUM TUMOR, Dr PHAN THANH HAI , Dr VAN UYEN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Women 30yo, general check- up .

Ultrasound detected a tumor on border of liver near gallblader which deplaces left gastric curvature and is from retroperitoneal space. Its structure are solid and cystic parts,  size arround 10cm ( see ultrasound  us1.. cystic part tumor  in border  liver; us 2..near gallblader;  us 3..long scan  left lobe liver and tumor.). Sonologist cannot  diagnose this tumor  from lesser omentum.

MSCT with CE of this tumor  is mixed structure, cystic, fatty, and calcification [ CT1..section, CT 2  frontal section , CT3  sagital ). Suggession from radiologist  is teratoma tumor or  lipoma necrosis.

MRI   with gado ( MRI 1..struture is more fat tissue., MRI 2..with  fat suppression ,  MRI  3 frontal view).  Radiologist  says  teratoma of retroperitoneum, in lesser omentum area.

Blood test  of all  cancer markers are normal.

Laparo-operation= 

picture 1( retrogastric tumor well bordered)

picture   2macro

picture  macro 3, opened specimen,   solid and cystic tumorand  fluid inside  like milk)

Microscopic report of this tumor is teratoma maturation.