CASE 807: GB TUMOR, Dr PHAN THANH HẢI, Dr LÝ TRƯỜNG XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 32 year-old woman with epigastric painful cramping crisis for 4 months that was failed in gastritis management. Last night the cramping pain was getting worse and nauseous feeling which made her going to Medic Center.

Ultrasound detected  two echoic masses #35x17mm and 25x13 mm into her gallbladder and GB wall thickening #13 mm. There were some lymph nodes at the liver hilus and the pancreatic head.

MSCT confirmed the GB tumor and the gastric dilatation.

Surgery removed the GB tumor and the histopathological result of the specimen were a differentiazied adenocarcinoma of the gallbladder and lymph node inflammation.

CASE 806: RCC in Young Patient, Dr PHAN THANH HẢI, Dr NGUYỄN PHƯỚC TOÀN , MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 20 year-old man in general check-up without hematuria nor abnormal symptoms.

Ultrasound detected a #37 milimeter in diameter cystic mass at posterior face of the right kidney bulging the renal capsule. Lab data were in normal range.

MSCT confirmed the # 3X4 cm cystic tumor of the right kidney, BOSNIAK IV which bulged the renal capsule.

Endoscopic surgery removed the tumor with one half of the right kidney.

Result of the microscopic specimen was a clear cell RCC.

The patient still remains well in four years later follow- up.

CASE 805: BOWEL INTUSSUSCEPTION in Elderly Patient due to POLYP, Dr PHAN THANH HẢI, Dr TRẦN THÙY TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 63 year-old woman with some painful cramp crisis for one month but which was  increasing more and more in one week before going to Medic Center.

Her past history noted right colectomy as infarcted colitis, managed thyroid cancer and radical hysterectomy.

Ultrasound detected the  #64x35 milimeter mass of the bowel intussusception at RLQ with vasculature of the mass that synchronously existed the GB stones and the #27 mm right adrenal tumor.

MSCT confirmed the bowel intussusception, right adrenal tumor and GB stones.

Surgery removed the bowel part with the polyp inside.

Microscopic result of the polyp was a mixed hemangioma.

Intussusception in elderly patient is usually due to a tumor and in our case that was a single polyp originated a mixed hemagioma.

REFERENCE:

CASE 804: SYNCHRONOUS GASTRIC and COLON CANCER, Dr PHAN THANH HAI, Dr PHAM CHI TOAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 50 year-old man with loss of weight, altered bowel habit, fatigue and abdominal pain.

Ultrasound detected gastric cancer and gastroendoscopy and MSCT confirmed later.

Gastric endoscopy and biopsy result.

MSCT

But there was a tumor of transverse colon which was proved by colonoscopy and histoanatopathological result.

Synchronous gastric and colon cancer is still rare, # 2.5% in male patient within 6 months.