A MESENTERIC TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

OF A 35YO MALE PATIENT, ROUTINE ABDOMINAL ULTRASOUND DETECTED ONE HYPOECHOIC MASS WITH  SIZE OF 7,5 CM, LOOK LIKE AN AVOCADOS AT THE LEFT SITE OF UMBILICAL AREA.

IN DOPPLER CDI  THIS MASS HAD A VASCULAR PEDICULE FROM SMA, BUT IT IS HYPOVASCULAR AND NOT RELATED WITH GI TRACT.

IT IS A MESENTERIC TUMOR. POWER DOPPLER (PDI) ALSO SHOWED THAT HYPO VASCULAR INHOMOGENOUS MASS, NOT LOOK LIKE THE LYMPH NODE.

NOTHING ABNORMAL DETECTED  IN THE REMAIN OF EXAMINATION.

MSCT WITH CE : THIS MASS IS WELL LIMITED BORDER WITH  A PEDICULATED VASCULAR SUPPLY FROM SMA.

THE BLOOD TESTS WERE NEGATIVE OF ALL CANCER MARKERS.

THIS CASE HAD BEEN OPERATED. THE SURGEON REMOVED THE ROUND TUMOR WHICH BELONGS INTRAMESENTERIC PART OF TREITZ AREA, NO RELATED TO GI TRACT. THE CUTTING SURFACE OF SPECIMEN LOOK LIKE A MANGO FRUIT.

WAIT FOR THE  PATHOLOGY REPORT TODAY (17/MAY).

THE MICROSCOPIC REPORT IS MALIGNANT  SARCOMA,  BUT RESULT OF IMMUNO-HISTO STAINING  IS A GIST (GASTROINTESTINAL STROMAL TUMOR).