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    Төмсөгний карцинома (Эмнэлзүйн тохиолдол)
    (2021-11-01)
    Д.Эрдэнэсүрэн
    ;
    С.Роломжав
    ;
    Б.Эрдэнэбулган
    ;
    ;
    М.Батмөнх
    Testicular cancer is the most common solid malignancy affecting males between the ages of 15 and 35, although it accounts for only 1 percent of all cancers in men. Testicular carcinoma is the most common malignancy in young adult men (aged 15–40 years). The natural course of testicular carcinoma is metastasis that eventually results in death. Most patients with testicular germ cell tumor present with a painless scrotal mass. 41-years-old man presented with swelling left side testis and tenderness left side groin. Laboratory investigations revealed a high normal red blood cell count 5.7x1012/L, CRP-10.5 mg/L. Hemoglobin, renal and liver function tests were normal. Ultrasounds showed 10.5x7.2 cm measured inhomogeneous mass without infiltration in surrounding fatty tissue in left groin. On pelvic and abdominal CECT showed 18.0x8.5x8.0 cm sized big mass through left testis and groin region, and showed enhanced by contrast paraaortal lymph nodes metastasis and 1.5x2.2 cm sized diameter metastasis in lung. A diagnosis of testicular germ cell tumor with multiorgan metastasis (lymph node and lung) was made. The natural course of testicular carcinoma is metastasis that eventually results in death.
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    Мэдрэлийн гаралтай тархины гадна байрлах хавдар (Эмнэлзүйн тохиолдол)
    (2021-11-01) ;
    У.Энхбаяр
    ;
    ;
    Д.Эрдэнэсүрэн
    ;
    С.Роломжав
    Chief complaint: Fever, dicreased appetite, skin turned yellow, pain of low part of belly, swollen belly and hydroperitoneum Anamnes: First child of family, born 3200 gr at 16 years of mother, development of body is normal, has not disorder of inheritance, diagnosed with Neuroblastoma in 2019 Anamnes morbi: in 2019.09.19, Arrived to Dornogobi medical center cause by symptom abdominal distention. in 2019.09.19-09.23, indoor treated in Children department of DMC with diagnosis Ileus, Pneumonia of 2 side, Urinary tract infection, Anemia, Cachexia, Immunodeficiency. Then moved to National center for Maternal and Child health of Mongolia for diagnosticate because symptom didn’t disappear. In 2019.09.24, diagnosed after checked up CT, took biopsy. Then did chemotherapy 14 times after lumpectomy. In 2021.03, Oncologist recommended palliative treatment because oncosis again and has not special treatment for antineoplastic Physical examination: General condition is difÏcult, mind is normal, coated tongue, skin turned yellow and dryness, lungs with normal breathing sound of 2 side, heart sounds are normal with regular rhythm, pulse 136 a minut, Spo294%, feels 5-6sm tissue under cicatrix of surgery for palpation, non edema Diagnosis: Neuroblastoma, stage 4, diffused in abdomen Accompanying diagnosis: Anemia, Cachexia, Immunodeficiency Complication: Toxic hepatitis, Hydroperitoneum, Syndrome cholestasis Conclusion: Neuroblastoma is a type of cancer that forms in certain types of nerve tissue. Diagnostic method is CT and tissue biopsy