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Archive for February, 2008

Today I feel bad, because one of the patient was dead a few hours ago. ..

Renal Cell Carcinoma, Grade-4The patient was 70 years old and he underwent right nephrectomy 3 days ago, for a kidney tumor on his right which was started just two months ago, according to his daughter. His right kidney measuring 14 cm at the biggest diameter. Hematuria was his chief complain, besides one big lump on his left cheek measuring 3 cm in diameter, also started about the same time, two months ago. Read the rest of this entry »

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Lobular CarcinomaLately the incidence of breast cancer among Indonesian women is getting higher and higher. In the last 5 years this deadly cancer is approaching the incidence of uterine cervical cancer that rank as number one cancer among women in Indonesia. Read the rest of this entry »

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As we know, Alzheimer Disease is one of the degenerative diseases affecting cerebral cortex. Its principal clinical manifestation is dementia that is, progressive loss of cognitive function independent of the state of attention. Dementia is not part of normal aging and always represents a pathologic process. The clinical symptoms are related to the changes in the cerebral cortex. Read the rest of this entry »

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ShenzenOctober last year, I visited Hong Kong and Shenzen for a vacation.

My first visit to HK was 32 years ago, in 1976.. Wow, you can imagine how crowded HK at present with more comfortable subway system, just like New York metro subway.

But still the Pedder street does like before, a busy narrow street with stepladder. And what is new is The Hong Kong Disneyland resort at Sunny Bay, close to Lan Tau island near the new international airport Lap Chap Kow (?). Read the rest of this entry »

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HEgiemsaRecently I found two young people with colon cancer i’ve diagnosed.

Firstly I don’t believe how a 25 years old male got the deadly disease. The second one was a 37 years old male with pedunculated anal canal polyp that later on I diagnosed with anal canal cancer. Read the rest of this entry »

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I don’t exactly remember, if this kind of hematologic neoplasia coud occur in such old person. What I know, is the cyto-morphology of this patient seemed to show Reed Sternberg cells on my assestment.

But I still consider this case of being an NHL, with Pleomorphic peripheral T-cell Lymphoma type, which is caused by viral infection (HTLV-I). I do have the smear slides, but forgot to take picture of this patient with enlargement of submental lymph node and a large bulky lump on his left neck. He is doing good, but.

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Other part of the tumorIt’s really squeezed my energy to think and at last to get a diagnose of a very rare tumor of central nervous system located at the frontal lobe.

Neurosurgeon said that the tumor was en-plaque, maximum spread to the duramater with no penetration to the hemisphere. On X-ray examination there were no bone destructions, only bone enhanched. And he assumed it to be a benign tumor, eg. osteoma. Read the rest of this entry »

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