今天晚的读片会由来自来自哈尔滨医科大学第一临床医学院的吕哲昊老师主持读片,读片内容如下:
吕哲昊(哈尔滨医科大学第一临床医学院):Shall we start a case discussion?
周兆波(无棣县人民医院胸外科):Yeah。
吕哲昊:
吕哲昊:So tell me about the imaging signs of the lesions,how many lesions can we find on CT slices?
潘新元(白求恩国际和平医院):2 nodules, 1 in each lung
吕哲昊:Great!
吕哲昊:Can you tell us more details about the 2 nodules? like the border?
潘新元:The two nodules are homogenous with regular margin,soft tissue density,no calcification and fat tissue,no obvious enhancement。
夏爽(天津):No uptake in pet
吕哲昊:yeah!
夏爽:I think they are benigh lesions not mets
吕哲昊:However, the lesions grew larger over time
潘新元:I'm not familiar with pet
吕哲昊:So how do we make our diagnosis?
李玉博:But the volume increases
吕哲昊:A benign or a malignant tendency?
潘新元:Possibly benign, according to their growth pattern
李玉博:I agree
吕哲昊:The patient had history of hysterectomy 9 years ago for uterine myoma.
杨敏洁(深圳市人民医院):Sclerosing hemangioma
吕哲昊:Reasons?
潘新元:Endometriosis?
吕哲昊:@潘新元 quite near the truth
潘新元:uterus fibroid
吕哲昊:At the first time,I took the sclerosing hemangioma as my first consideration, slowly growing nodules,oval shaped with well-defined margins
杨敏洁:Met
程期光(武汉协和医院?):Pulmonary benign metastatic leimyoma
杨敏洁:This must be right
吕哲昊:But has anyone met multiple sclerosing hemangioma?
吕哲昊:@程期光 【鼓掌】
吕哲昊:So let us get to the answer,Pulmonary benign metastasizing leiomyoma
夏爽:@程期光 【赞】
杨敏洁:You must withhold the history
吕哲昊:
吕哲昊:This is a rather rare disease
吕哲昊:分享了PDF文档《Benign pulmonary metastasizing leiomyoma of the uterus A case report》、《Pulmonary benign metastasizing leiomyoma a case report》、《Pulmonary Benign Metastasizing Leiomyoma from the Uterine Leiomyoma A Case Report》
吕哲昊:Thanks for all participating!
潘新元:?Thanks
夏爽:One of my students got this kinds of disease ,But now she is well
程期光:Thank u for.the case
余水莲(管理员广西省医):【赞】
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