Imaging DepartmentOct 23rd, 20 1 2Reported by Dr. Giang
 Name: Pham Hong Ngoc Sex: Female Age: 8 months old. Dept: A16
Clinical High fever: 40*C ( during 3 week, 3 times/ day) Cough & wheeze No dyspnea No seizureQuang Ninh Hospital ‘s d...
Chest x-ray Opacification of left hemithorax ( upper lobe) Rightward shift of the trachea & mediastinum Left pleural ef...
Pleural pulmonary US Left Pleural fluid : 10 mm. Solid heterogeneous mass in Left upper lobe
CT findings(Pre C+) Large soft tissue mass filling the Left upper lobe. (8x7cm) Pleural-based Heterogenous density . No...
CT findings(Pre C+) Left pleural effusion ( 10mm) Pericardium effusion ( 8mm) Consolidation at both lung hilum
CT findings(Post C+) Mild heterogenous enhancement Some low density areas with wall enhance ( cysts)
CT findings(Post C+) Vessel traverse the mass
CT findings(Post C+) Left superior lobar bronchus: compressed& narrow  upper lobe : atelectasis
CT findings(Lung parenchyma Post C+) Consolidation in both hilum
CT findings(Bone window Post C+) No chest bone invasion
Lab test WBC: 23,9 x 10^9. CRP: 48 mg/L RBC: 3,87 x10^12 HGB: 89 g/L HCT: 0,281 L/L
DiagnosisPleuro-pulmonary Blastomasurinfection (type II)
Top Diffential Diagnosis1. Rhabdomyosarcoma: Solid mass, invade chest wall.2. Ewing sarcoma: Invade Rib , extra pleural, n...
Background of PPB1. Definition:Rare aggressive malignant primary neoplasm of the pleuropulmonarymesenchyme occurring in ea...
Background of PPB6. Pathology: Primitive lung tumor similar to Wilms tumor,Neuroblastoma & Hepatoblastoma7. Classification...
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  • Mc u nguyen bao foi mang foi

    1. 1. Imaging DepartmentOct 23rd, 20 1 2Reported by Dr. Giang
    2. 2.  Name: Pham Hong Ngoc Sex: Female Age: 8 months old. Dept: A16
    3. 3. Clinical High fever: 40*C ( during 3 week, 3 times/ day) Cough & wheeze No dyspnea No seizureQuang Ninh Hospital ‘s diagnosis: Left LungPneumonia  Has been treated for 3 days butnothing improved NHP
    4. 4. Chest x-ray Opacification of left hemithorax ( upper lobe) Rightward shift of the trachea & mediastinum Left pleural effusion
    5. 5. Pleural pulmonary US Left Pleural fluid : 10 mm. Solid heterogeneous mass in Left upper lobe
    6. 6. CT findings(Pre C+) Large soft tissue mass filling the Left upper lobe. (8x7cm) Pleural-based Heterogenous density . No calcification or Fat. Pushing heart, trachea & mediastinum to the right ; chestwall to the anterior
    7. 7. CT findings(Pre C+) Left pleural effusion ( 10mm) Pericardium effusion ( 8mm) Consolidation at both lung hilum
    8. 8. CT findings(Post C+) Mild heterogenous enhancement Some low density areas with wall enhance ( cysts)
    9. 9. CT findings(Post C+) Vessel traverse the mass
    10. 10. CT findings(Post C+) Left superior lobar bronchus: compressed& narrow  upper lobe : atelectasis
    11. 11. CT findings(Lung parenchyma Post C+) Consolidation in both hilum
    12. 12. CT findings(Bone window Post C+) No chest bone invasion
    13. 13. Lab test WBC: 23,9 x 10^9. CRP: 48 mg/L RBC: 3,87 x10^12 HGB: 89 g/L HCT: 0,281 L/L
    14. 14. DiagnosisPleuro-pulmonary Blastomasurinfection (type II)
    15. 15. Top Diffential Diagnosis1. Rhabdomyosarcoma: Solid mass, invade chest wall.2. Ewing sarcoma: Invade Rib , extra pleural, notassociated with pleural effusion3. PNET: invade chest wall with similar appearance4. Pulmonary inflammatory pseudotumor: oftencontains calcification , smaller then PPB5. CCAM
    16. 16. Background of PPB1. Definition:Rare aggressive malignant primary neoplasm of the pleuropulmonarymesenchyme occurring in earlychildhood associated with poorprognosis2. Location: intra thoracic (100%) ; Pleural-based of intra-parechymal.3. Size: Large4. Age: < 5 years old5. Epidemiology: Very uncommon tumor
    17. 17. Background of PPB6. Pathology: Primitive lung tumor similar to Wilms tumor,Neuroblastoma & Hepatoblastoma7. Classification: Type I: Purely cystic ( Good prognosis)Type II: Cystic and SolidType III: Solid ( Worse prognosis)8. Treatment: : Surgical resection + Chemotherapy
    18. 18. Thank you for attention!

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