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CASE 358: LESSER OMENTUM TUMOR, Dr PHAN THANH HAI , Dr VAN UYEN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Women 30yo, general check- up .
Ultrasound detected a tumor on border of liver near gallblader which deplaces left gastric curvatureand is from retroperitonealspace. Its structure are solid and cysticparts,  size arround 10cm ( see ultrasound  us1.. cystic part tumor  in border  liver; us 2..near gallblader;  us 3..long scan  left lobe liver and tumor.).Sonologist cannot  diagnosethis tumor  from lesser omentum.






MSCT with CE of this tumor  is mixed structure, cystic, fatty,and calcification [ CT1..section, CT 2  frontal section , CT3  sagital ). Suggession fromradiologist  is teratomatumor or  lipoma necrosis.




MRI  with gado( MRI 1..struture is more fat tissue., MRI 2..with  fat suppression ,  MRI  3 frontal view).  Radiologist says teratomaof retroperitoneum, in lesser omentum area.







Blood test  of all  cancer markersarenormal.
Laparo-operation= 





picture 1( retrogastric tumor well bordered)
picture   2macro
picture  macro 3, opened specimen,   solid and cystic tumorand  fluid inside  like milk)

Microscopic report of this tumor is teratoma maturation.



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