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Cho Ray HospitalHo 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?
The patient died two days after Dr Kantrow’s consultation
Was a final diagnosis established?
Was the patient smoking or inhaling something that could have aspergillus in it?
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
Was this a slow onset disease?
Was there fever or weight loss?
Was a diagnosis established by lung biopsy?
4 months onset
Weight loss 10kg, no other symptoms
Lung biopsy: Pulmonary Tuberculosis
Vietnamese American
Pemphygus treated with prednisone and mycophenolate
BAL culture revealed M.tuberculosis
She stayed in HCM city for PTB treatment
Patient died 2 days after admission
Mycobacterial and fungal cultures still negative?
Cant remember the story…Khue?