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Monday, 3 December 2018

CASE 527: SPINE METASTASES, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


WOMAN 50 YO  3 YEARS AGO BEING TREATED  AT CANCER CENTER BY NPC  RADIOTHERPY AND RADICAL NECK DISSECTION. BUT NOW PAIN AT DORSAL  AREA.
ULTRASOUND OF PARAVERTEBRAL  AREA DETECTED  ONE MASS HYPOECHOIC AT THE LEFT LATERAL OF THE D10 SPINE.
 US 1, US 2  LONGITUDINAL SCAN,  US 3  CDI  NO MORE COLOR DOPPLER SIGNAL.




MRI  SPINE    DETECTED ABNORMAL D10  ( MRI1)   MRI 2  FOCUS  D10, MRI 3   CROSSED SECTION  D10,  MRI 4  TUMOR  T2   CALCIFICATION INTRATUMOR , MRI5  FRONTAL VIEW  NEAR  KIDNEY  UPPER POLE.





CORE BIOPSY  REPORT  IS  METASTASIS   BY  UNDIFFENTIATED CELL TUMOR .


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