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Cho Ray Hospital. Ho Chi Minh City, Vietnam December 20, 2013. One biopsy of soft tissue mass at the axillary zone: Malignant Mesothelioma (IHC: CK (+), Vimentin (+), NSE(+), Calrenitin (+), S100 (+), Desmin (-) One biopsy of the pleura: signet ring carcinoma?

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cho ray hospital

Cho Ray Hospital

Ho Chi Minh City, Vietnam

December 20, 2013

slide12

One biopsy of soft tissue mass at the axillary zone: Malignant Mesothelioma (IHC: CK (+), Vimentin(+), NSE(+), Calrenitin (+), S100 (+), Desmin (-)

  • One biopsy of the pleura:signet ring carcinoma?
  • The patient died two days after Dr Kantrow’s consultation
  • Was a final diagnosis established?
slide20

Patient of 59 years old

  • Tissue diagnosis been made with cell block of the pericardial fluid appeared soon after the consultation causing cardiac tamponade requiring pericardial centesis.
  • Symptomatic thrombosis of left femoral vein
  • Adenocarcinoma, EGFR mut (-)
  • Treatment: anticoagulant; Carbo + Pacli + Bevacizumab
slide26

Was this a slow onset disease?

  • Was there fever or weight loss?
  • Was a diagnosis established by lung biopsy?
slide29

Vietnamese American

  • Pemphygus treated with prednisone and mycophenolate
  • BAL culture revealed M.tuberculosis
  • She stayed in HCM city for PTB treatment
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