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CASE 367 : INTRAORAL TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC VIETNAM

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Boy  04 yo, difficulty  swallowing for 3 months.  No fever, no pain. Clinical  ENT  doctor’s examination  is suggestion of tonsil  tumor at right side  (photo).


X-Rays of  the neck AP and lateral view: this mass  is  calcified,   irregular border,   precervical spinal bone, size of  4 cm( film 1, 2)



US examination of this mass:
US 1: Longitudinal scan  the mass with  strong shadowing cannot  inside this mass.

  
US 2: Cross-section view.



US 3: Relation of this mass with carotid and  cervical spinal bone.


CT scan= CT 1:sagittal view , CT 2:  cross- section  with PA view,  CT3: cross-section with AP view.






Based on clinical, X-Rays , ultrasound and CT, what is your diagnosis?
Based on  X-Rays and CT  some doctors  suggested  teratoma of oropharynx, or enchondroma.
MRI ( 2 pictures sagittal and  section) radiologist  diagnosis is  chondroma.





Operation today  removed one  hard mass   looked like  stone.

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