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Friday, 23 March 2018

CASE 483: UTERINE GIANT MYOMA, Dr PHAN THANH HẢI, Dr DƯƠNG NGỌC THÀNH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.



Woman 47yo  still has mense with the big growth of abdomen (photo).


US scanning  detected  a solid tumor cover over abdominal cavity ( US 1, US 2  US 3  longitudinal scanning over aorta),  US 4 : elastoscanning of tumor structure is hard and  inhomogeneous.





CT scan with CE of this mass is enhanced CE slowly: CT1, CT 2  sagittal view of  the tumor and uterus, CT 3: tumor near right kidney.




MRI  with gado= MRI 1:  crossed section, necrotic cystic formation of tumor structure. MRI 2 : longitudinal scan, MRI 3:  frontal view.




Preoperative diagnosis is big uterine myoma.
Macroscopic  photo of this tumor.




Hysterectomy was done.
Microscopic report is  leiomyoma.




REFERENCE= case pdf.


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