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CASE 222: LIVER MULTIPLE SPOTS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 31 yo  onset fever one month ago but not control by antibiotic. Pain in liver region.
Ultrasound  detected  some round spots  like  liver abscesses.(US  B mode, CDI, Elasto).








MRI  with  gado CE detected  also  many  round  spots,   same size of  2 cm, with central necrosis looked like metastasis.





Blood tests=   WBC rising of20k with 85% neutro, negative sero amibe, normal CEA.


Colonoscopy for detection of primary cancer disclosed, at splenic angle of colon, infiltrated indurationlesion which was suspected colon tumor .



 And biopsy with microscopic report was colon cancer.



Summary; this case is colon cancer metastases to liver.   


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