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Monday, 4 December 2017

CASE 464: ANTERIOR MEDIASTINAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.




Female patient 62 yo, cardiologist send to CT scan for coronary artery  but in same time CT scanning detected one 3 cm mass  at the superior anterior madiastinal area.., well bordered.

CT1:  crossed section  non CE this mass has HU  = 54.


CT 2 :  after CE late phase HU  = 73.


CT 3 :  sagittal section, this mass is  ovoid  form at the  anterior mediastinal area.


CT 4 :  frontal view,  this mass is near aortic ascending.


CT 5 :  CE  arterial  phase,  this mass is late enhanced  and cystic formation.


Blood test is normal, and negative all cancer markers.


Radiologist suggested  thymom
Endoscopy operation of thoracotomy  removed this tumor  and  microscopic report is normal thymus tissue.
Conclusion:  it is  thymus resting.


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