A 51 year-old woman with a huge # 12 cm breast tumor BI-RAD 4B, and fibroadenoma on two sides were confirmed on breast ultrasound and mammography.
Results of 2 times of biopsy were fibroadenoma, benign tumor.
A lumpectomy performed and result was phyllodes tumor.
A woman in her 58 s with osteoarthritis pain for years but failed in management. Blood calcium raising ( 3.14mmol/l), elevated PTH, and critical osteoporosis.
Ultrasound detected a # 34x11 mm hypoechoic mass at posterior face of left lobe of thyroid maybe a parathyroid tumor.
And many stones in both two kidneys.
MSCT confirmed the left parathyroid tumor.
Operation performed to remove the parathyroid tumor.
Histopathological result was a parathyroid tumor with intact capsule.
PTH came back of 15.89 pg/mL after removing the parathyroid tumor.
A 66 year-old woman with loss of weight and constipation for months.
Ultrasound detected a # 86x106 mm right pelvic cystic tumor which was in front of the sacrum-coccyx and elevated the rectum from behind. It may a GIST but could not ruled out of an ovarian tumor.
Both two kidneys were in hydronephrosis without stone, may due to be pressed in pelvic region.
Lab data were not interested.
MSCT represented an 9x10 cm ovarian tumor and vegetations in the pelvis which caused the hydronephrosis .
Remaining well post-op, the patient was going through a chemotherapy planning.
Ultrasound revealed a right kidney tumor 37x40 mm, at the middle of anterior face, solid, hyperechoic pattern without rim sign that not ruling out a RCC, and a 13 mm small cyst of right lobe of the liver.
Lab data normal.
MSCT represented a 17x20mm right renal tumor maybe a RCC.
Robot surgery removed successfully a right kidney tumor. Histopathological result was a renal clear cell carcinoma of kidney.
A 31 year-old woman with loose stool for 2 months and epigastric pain that was in gastritis treatment but not the loose stool not resolving. She lose her weight of one kilogram and cramping feeling in her right flank.
Ultrasound detected right colon wall thickening maybe due to tumor.
Cancer of colon seems to be more early in appearance in the young patients. And in late stage [liver metastase] liked the young woman in this case.
A 45 year-old man with epigastric pain for 2 months but failed in gastritis management in a hospital and getting worse his status.
At Medic Center, ultrasonography revealed the transverse colon wall thickening =12-17 mm associated with malignancy, which was linked to a neighboring abscess measuring 59x21 mm that was sealed off. A fistula between the cancer and the abscess was seen on ultrasound.
Lab data: WBC=20,51x10^9/L, CEA: 5.47ng/mL
MSCT confirmed the abscess at posterior of the transverse colon due to perforated transverse colon cancer.
Open surgery removed the # 5x5 cm transverse colon cancer which perforated at posterior face and an arteficial anus was done. But 3 days later, this artificial anus was necrotizing then the proctotoreusis was done secondly.
The histopathological result was a high differentiazed carcinoma invasive of colon.
The patient remained well after the 2 complex operations.
A 58 year-old infected HBV man with RLQ pain for 5 days.
Ultrasound detected edema of the last part of jejunum maybe due to inflamation. It existed edema of pelvic peritoneum beside the appendix.
MSCT represented an inflamed appendix and foreign body as fish bone # 30mm which perforated the appendiceal wall.
Endoscopic surgery confirmed a fish bone and removed the inflamed appendix.
Result of histopathological specimen was an acute necrotized appendicitis.
