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Oncosurgical Unit
Meeting
Minya university
Cases for discussion
By Res/ Mahmoud Ali
Res/ John Thabet
Case 1
Name ‫عبدالباسط‬ ‫محمد‬
Age male pt 26 ys ,
Medical Hx. - ve
Surgical Hx. -ve
Presentation presented to our outpatient clinic by bleeding per
rectum and anemia
On
Examination
PR revealed anal mass Pt received blood and
prepared for
Case 2
Name ‫سعداوي‬ ‫سحر‬
Age 38
Medical Hx. HTN –diagnostic cardiac catheter
Surgical Hx. Open Appendicectomy- PUH
Presentation Breast mass
Family
history
-ve
U/S :hypo echoic Soft Tissue mass at
Upper outer quadrant of Rt breast
opposite 10 o'clock 9×6 mm
With irregular margins, surrounding
tissues are echogenic
BIRAD |V
enlarged multiple rt axillary LNs with
periserved hilum
Mamogram :
Hyper- echoic mass with Central
breakdown
para-areolar opposite 10 o'clock in
location 2.5 ×1 cm
→ Beigen locking S.C Lesion Likely
Lipoma BIRADS |||
Interventional Radiological consultation
for tru-cut biobsy  cystic lesion and
no need
Case 3
Name ‫حنان‬
‫جابر‬
‫محمد‬
Age 53
Medical Hx. -ve
Surgical Hx. Obstructed ventral hernia – herniorraphy 30/6
Presentation Recurrent hernia
CT abdomen Retro-peritoneal mass encasing the abdominal aorta
and its branches without invasion
At panc and peripaceriatic levels : 7×5.5 cm
Infilterative LNs maybe lymphoma
Labs:
Hb 12.5
Tlc 5
Plt 204
PC 100%
INR 1
Ur 38
Cr 0.8
Na 137
K 4.5
Ca 1.16
Labs:
ALT 14
ASt 17
TB 0.5
DB 0.1
Alb 4.4
Case 4
Name ‫عبير‬
‫احمد‬
Age 28 ys
Medical Hx. -ve
Surgical Hx. -ve
Presentation Recurrent attack of rt illiac pain and anemia
CT abdomen Thickening at cecum and proximal part of ascending
colon 9 cm with noarrowing of lumen
illeo-cecal junc and distal illeum are thickening
Multiple enlarged locoregional LNs
case presentation د.محمود.pptx
case presentation د.محمود.pptx
case presentation د.محمود.pptx
case presentation د.محمود.pptx
case presentation د.محمود.pptx

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case presentation د.محمود.pptx

  • 2. Cases for discussion By Res/ Mahmoud Ali Res/ John Thabet
  • 3. Case 1 Name ‫عبدالباسط‬ ‫محمد‬ Age male pt 26 ys , Medical Hx. - ve Surgical Hx. -ve Presentation presented to our outpatient clinic by bleeding per rectum and anemia On Examination PR revealed anal mass Pt received blood and prepared for
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  • 15. Case 2 Name ‫سعداوي‬ ‫سحر‬ Age 38 Medical Hx. HTN –diagnostic cardiac catheter Surgical Hx. Open Appendicectomy- PUH Presentation Breast mass Family history -ve
  • 16. U/S :hypo echoic Soft Tissue mass at Upper outer quadrant of Rt breast opposite 10 o'clock 9×6 mm With irregular margins, surrounding tissues are echogenic BIRAD |V enlarged multiple rt axillary LNs with periserved hilum
  • 17. Mamogram : Hyper- echoic mass with Central breakdown para-areolar opposite 10 o'clock in location 2.5 ×1 cm → Beigen locking S.C Lesion Likely Lipoma BIRADS ||| Interventional Radiological consultation for tru-cut biobsy  cystic lesion and no need
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  • 21. Case 3 Name ‫حنان‬ ‫جابر‬ ‫محمد‬ Age 53 Medical Hx. -ve Surgical Hx. Obstructed ventral hernia – herniorraphy 30/6 Presentation Recurrent hernia CT abdomen Retro-peritoneal mass encasing the abdominal aorta and its branches without invasion At panc and peripaceriatic levels : 7×5.5 cm Infilterative LNs maybe lymphoma
  • 22. Labs: Hb 12.5 Tlc 5 Plt 204 PC 100% INR 1 Ur 38 Cr 0.8 Na 137 K 4.5 Ca 1.16
  • 23. Labs: ALT 14 ASt 17 TB 0.5 DB 0.1 Alb 4.4
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  • 31. Case 4 Name ‫عبير‬ ‫احمد‬ Age 28 ys Medical Hx. -ve Surgical Hx. -ve Presentation Recurrent attack of rt illiac pain and anemia CT abdomen Thickening at cecum and proximal part of ascending colon 9 cm with noarrowing of lumen illeo-cecal junc and distal illeum are thickening Multiple enlarged locoregional LNs