Category Archives: Оncology
A female friend of mine ( aged 25 ) from Dubai was diagnoses as having gastric cancer 2 months ago. She has had part of her stomach removed in a hospital in Shiraz ( Iran ). She has been told by the doctor who did the operation, to go immediately to Germany for the continuation of her treatment. Please kindly advise as to exactly where in Germany is best for her to go for the continuation of her treatment.
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CT scan of the ABDOMINAL
Scan Mode: spiral. Slice thickness: 1.0 mm Contrast enhancement – omnipak-350 100ml intravenously. The patient’s consent to the introduction of contrast agents received. Pathological reactions to the introduction was not recorded.
The liver is usually not changed shape, dimensions: 17.4 cm right lobe, left 5.7 cm contours of her smooth, precise. The structure of homogeneous parenchyma density natively +43 H11. Intra-and extrahepatic bile ducts are not dilated.
The gallbladder is usually not increased. In the lumen of radiopaque stones were found.
Gate, splenic, inferior vena cava is not extended.
The spleen is usually normal shape, size 14,8 x4, 8 cm, the contours of her smooth, clear, homogeneous structure, the density of the parenchyma natively +45 H11. The pancreas is a typical shape and size (26 mm head., The body is 24 mm, tail 22 mm. Its normal, the structure of the parenchyma moderately diffuse inhomogeneous density natively +30 BUT, clear outlines. Pancreatic duct with no signs of obstruction, not expanded. Parapancreatic Fiber is not changed. Determined conglomerates lymph nodes: in the gate spleen size up to 58×42 mm. (with gipodensivnymi sites in the structure), para-aortic to 37×30 mm.
Free fluid in the abdominal cavity were not detected. Bone-destructive changes were found.
Conclusion: CT signs of lymphoproliferative disease with enlarged lymph nodes and spleen at the gate paraaorgalnoy group (lymphoma). Hepatosplenomegaly.
Diffuse changes in the liver, pancreas
We will be happy to help organize a diagnosis, consultation and treatment in Germany, your sister with our professors oncologists.
MR imaging and MR angiography of the skull native
MRI and MRA of the skull after i.v. – contrast agent (gadolinium)
Justifying end Indications:
Layers and layer sequences:
No abnormal signal in the white matter alterations.
Examination was accomplished in standard projections: straight and oblique. The mammary glands are symmetrical.
The mammary glands are symmetrical. The skin is not changed.
Impression: No signs of malignizalion are detected. ACR1 is for the right and ACR2 is for the left breast. The density of both breasts has the 2nd grade. Ultrasonic signs of diffuse changes of the breasts by the type glandular mastopathy.
General examination: The patient complaints for having a mass in the upper-internal quadrant of the left breast, which she noted in August 2012. She has felt enlargement of this mass in sizes from August till today.
Impression: Ultrasonic signs of moderate diffuse changes of both breasts by the type of glandular mastopathy. Signs of dimensional mass of the left breast (fibro adenoma?). Biopsy of the pathological mass of the left breast is recommended.
Tissue labeling, number of objects: №1 – biopsy of the tumor of the left breast.
Examination was accomplished in oblique views. The mammary glands are symmetrical and not deformed. The skin is not thickened, not condensed.
MAGNETIC RESONANCE IMAGING BREASTS
Description of the research:
Complaints: for having occasional pain in the breasts and having a tumor-like mass of the left breast.
Treatment in Germany.