A 49 year-old man with an abscess at the left flank of the abdomen for one week and WBC = 14,000.
Ultrasound detected a # 6cm foreign body in the wall of the abdomen lead to the descending colon wall.
MSCT confirmed a toothpick penetrating the abdominal wall from the left colon, and stone of pancreatic duct.
Operation removed the # 6cm toothpick and drained out the chocolate pus from the abdominal wall abscess.
A 69 year-old male with high PSA value wants to examine his prostate.
MRI prostate noted an enlarged prostate PI-RADS 3.
But TRUS, transrectal ultrasound, revealed a malignant small lesion #9×5 mm in left peripheral zone of the prostate, and performing 12 point-biopsy.
Histoanatopathologic result was a prostatic adenocarcinoma, Gleason score 6 (3+3) and ISUP Gleason group 1.
A 69 year-old man with IBS syndrome and dysuria. But he concerned more his colon for 3 months which went through a polypectomy in the past. And the dysuria maybe due to an enlarged prostate of the elderly as in his thought.
Ultrasound revealed a papilloma in the full of urine of the bladder which was not rule out a malignant tumor. And it existed nothing about enlarged prostate also the colon tumor.
Bladder endoscopy was done and confirmed a bladder tumor with its stalk at the bladder neck.
A cauterised endoscopy was performed to remove the 2x3 cm bladder tumor.
Histoanapathological result was an uroepithelial papilloma.
A 66 year-old man post cerebral ischemic disorder with constipation for 2 months. Sometimes he notes a bloody stool. His doctor would like a diagnosis for his client before the day of September 2nd, so sending him to Medic Center on August 31. Because all of the hospitals will be in the day off from September 1 to 3 to celebrate the day of the National Independence of Vietnam.
Abdominal ultrasound detected nothing but a virtual CT colonoscopy revealed rapidly a sigmoid colon tumor and some colonic polyps.
Computed tomographic (CT) colonography, also called CTC, virtual colonoscopy (VC) or CT pneumocolon, is a powerful minimally invasive technique for colorectal cancer screening [from Radiopaedia.org].
Since September 2023, AFP value was 6,015 ng/mL, and April 2024, ultrasound and MSCT detected an exophytic cardia gastric wall tumor # 69x90x30mm and metastatic lymph nodes.
But gastric endoscopy was negative.
While AFP value elevated highly 3,667 ng/mL ultrasound and MSCT detected no liver tumor.
Later in May 2024, the cardia gastric wal tumor # 82x83mm, and lymph nodes were getting bigger on ultrasound and MSCT .
A higher AFP value =5,685 ng/mL noted again. And at that time, it appeared some liver nodules in the right and left lobe =73-61-46-20-14mm on ultrasound. The echogenic structure of these nodules were complex, one hyperechoic, another mixed echoic that might come from the gastric tumor instead a multiple HCC.
A 33 year-old woman in annual check-up.
Breast Ultrasound, AVBS detected 2 phyllodes tumors, mixed echogenic, hypervascular without axilarry node.
Mammography revealed 2 blurred masses # 5 cm, BI-RADS 4.
Breast MSCT confirmed right breast mass 7x5 cm and left one 4x3 cm.
2 breasts were getting bigger and painful in 3 weeks later and the breasts becoming more reddish skin appearance.
Core biopsy and histoimmunostaining result was Lymphoma B high malignancy.
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