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CASE 511: LUNG CANCER,Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Woman 60 yo with pain at left  lung after trauma. Chest x-rays detected rupture of 2 rib 
and mass at left lung ( see chest x-rays).


CT of  chest with CE


CT 1=   frontal view    


CT 2=  crossed section  


CT 3 = sagittal view


CT 4 with CE= very high CE enhancement.

Ultrasound at left lung  detected a tumor in invasion of the chest wall  (US1)   



US  2 = Color Doppler  shows  vascular supply to tumor   


Blood tests rised:  Cyfra 21-1 6.02 ( N=  3.3);   CEA=  7.13  ( N= 5).

Biopsy with CT guided is  carcinoma of the lung  adenocarcinoma 



Staging of this case  with  MSCT total body detected metastasis of the brain.



Conclusion:    Lung cancer detected accidentally by trauma,stage 4

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