CASE 665: INTESTINAL GIST, Dr PHAN THANH HẢI, Dr TRƯƠNG THỊ NGỌC TIẾN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 55 year-old female patient suffers from a painful epigastric mass for one week. As gastritis management failed, ultrasound reexamines her abdomen.

A 117x67 milimeter mass is detected between liver and right kidney. Its structure is poor with some cystic lesions and central part more rich echogeneicity that is thought to be an intestinal GIST. 

Her uterus gets having some fibroma lesions also which have the same echogeneicity.

MSCT later confirmes the intestinal GIST and uterine fibroma.

Surgery removes the intestinal GIST [left specimen] and an uterine fibroma with stalk (right specimen).

The histopathologic and chemohistoimmuno- staining results are intestinal GIST, and uterine leiomyoma.

CASE 664: 03 CASES of PROSTATE DISORDERS with LOW VALUES of PSA, Dr PHAN THANH HAI, Dr NGUYEN MINH THIEN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 3 cases of prostate disorders wit low values of PSA= two cases of TB and one case of carcinoma that concludes prostate cancer may happen with any value of PSA [but not only PSA>4 ng/mL]; although value of PSA being considered a guiding lab data for prostate cancer.

Should base on free PSA, DRE, MRI, elasto ultrasound together for screening prostate cancer, but these lab data and diagnostic imaging not stand for a diagnostic of prostate cancer.

CASE 1

CASE 2

CASE 3:

Chief complaint: only left swollen scrotum.