CASE 679: ECTOPIC TESTICULAR TUMOR, Dr PHAN THANH HẢI, Dr BÙI HỒNG LĨNH , MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 53 year-old male patient  having HBV infected with hypogastric pain and without his left testis.

Ultrasound detects a # 76x50 mm hypogastric mass, with Doppler signals, and hard code of elastography ultrasound, 23.8 kPA.

MSCT confirms a 75x60x85 mm left ectopic testicular tumor maybe a seminoma in the pelvic region.

Surgery removes the ectopic testicular tumor from left hypogastric region.

The  microscopic result of the ectopic testicular tumor is a seminoma invading its capsule. 

CASE 678: COMPLICATED DIVERTICULITIS, Dr PHAN THANH HẢI, Dr LÊ THỊ THANH THẢO, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 55 year-old female diabetic patient suffers from epigatric pain crisii for 4 days and diarrhea.

Ultrasound detects an amount of abdominal free fluid,  two RLQ abscesses, and edema of peritoneum.

MSCT confirms the peritonitis due to 2 abscesses at the right flank of the abdomen.

A right colectomy is performed as perforation of colonic diverticulitis # 2x2 cm of transverse colon and the other one of cecum.

Subhepatic drainage is made to withdraw fluid out and an artificial anus is done.

 And the female patient remains well.

CASE 677: LUNG TUMOR, Dr PHAN THANH HẢI, Dr VÕ NGUYỄN THỤC QUYÊN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 53 year-old female patient with left thoracic pain for some months. She went through 2  lung tumor (hemangioma) surgeries respectively for 15 years  in K hospital and 4 years (Binh Dan hospital) before.

Pulmonary function report is normal.

Ultrasound notes a round mass  #50x39 mm at the bottom of left lung. It is a cystic lesion, well-limited capsule, and  belongs to the soft code on elastography ultrasound.

MSCT confirms a left pulmonary septated cyst  # 45x29 mm with sludge.

Surgery in the third time (on Tuesday 12, April, 2023) performs for removing the left lung cystic lesion. 

Gross specimen of the left lung tumor.

Microscopic result is malignant hemangiopericytoma.

CASE 676: LUNG TUMOR or TB LUNG, Dr PHAN THANH HẢI, Dr LÊ HỮU LINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 57 year-old female patient with a left lung (lingula) mass on chest X-Ray film on January 2023 without any symptom.

But its size changes for months on the chest X-ray film (Mars 2023).

Lung ultrasound notes a consolidation region #44x31mm of left lower lobe of lung, with air bronchogramme, and soft code of elastography ultrasound (ARFI technique).

Chest MSCT later confirms the 50 mm left lung mass and biopsy.

Result of biopsy is a TB lung mass with TB cyst, caseous necrosis,  lymph cells  and Langhans cells.

The female patient then starts a TB regimen.