SARCOMA of ILEUM, Dr PHẠM THỊ THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 For 4 months, a 50 yo female patient who was in 2 month menopause from Ninh thuan province suffered from a right lower quadrant pain. Her pain was getting worse.

 In relation to the cecum ultrasound disclosed a hypoechoic and hypervascular mass, with fluid in the central part of  the mass. That may belonged to a bowel tumor with the central part in necrosis.  Meanwhile both 2 ovaries were identified well in the transvaginal sonography (TVS ) examination.

 In her right lower fossa MSCT 64 detected a thickening  of the ileum wall which made a great mass in 62x81mm. The infiltrated mass catched inhomogenously the contrast media and wiped off the fatty tisue of mesentery. There were some lymph nodes and dilatation of bowels in the right lower fossa.

Surgery removed a 20cm in length of the ileum with tumor far from the cecum a distance of 40cm. The tumoral surface was not smooth. The microscopic result was an ileum sarcoma in poor differentiation.

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