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Friday, 8 April 2016

CASE 372: PORT-SITE METASTASIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM





W
oman 50yo,  6 months before  had been laparohysterectomy by endometrium carcinoma.  One  week  ago  she detected  pain  at  RLQ area at the  site of puncture for operation before (photo). 


Ultrasound scan  with  curve  probe for  this mass is hypoechoic structure in the wall of abdomen (US 1).



US 2  CDI   vascular supply from  the muscle arround


and
US 3  scanning with  linear probe = this mass is  in abdominal wall.


MSCT  with CE of this mass is enhanced with contrast  and  located in abdominal wall (CT 1, CT2).




Core biopsy of  this mass with microscopic report is adenocarcinoma






in metastasis on the site which was  laparoscopic tap of endoscopic operation.

DISCUSSION...IT IS METASTASIS AT  ABDOMINAL WALL  AFTER  LAPARO-PORT -SITE. AFTER  6 MONTHS THIS TUMOR  IS GETTING GROWTH VERY FAST.

REF PDF.

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