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CECT abdomen revealed a large left pre-anesthesia check up for a hernia.The chest X Ray revealed a large suprarenal mass suggestive of left adrenal gland tumor. On biochemical rounded opacity in the lower zone of left pleural cavity. On enquiring he work up, 24 hours urine Epinephrine, Dopamine, Metanephrine, gave a history of long standing dyspnea on walking Contrast enhanced Normetanephrine, Norepinephrine, levels were very high. However, 24 CT scan of the chest revealed 14.6 x 13.0 x 13.0 cm, well-defined mass hours urine cortisol & serum cortisol levels were normal. A DOTANOC PET in lower zone left lung. Further, USG chest was suggestive of Hydatid scan was done, which revealed a large lobulated lesion in left suprarenal cyst of the left lung Patient was taken up for surgery after the necessary area showing abnormal GA68 DOTANOC uptake with multiple skeletal & preoperative investigations. Left Antero lateral thoracotomy was done. pulmonary lesions. The mass was adherent to the lung pericardium & the diaphragm and was completely resected. Histopathological examination of the mass Patient was jointly managed by a team of surgical oncologists & was suggestive of parasitic / helminthic cyst. Patient recovered wall after endocrinologists preoperatively & appropriate medicines were given to surgery & in largely asymptomatic. optimize the high blood pressure, tachycardia & blood sugar levels. Hydatid cyst of the lung commonly affects the Patient underwent the surgery with complete removal of the left right lung. However, this case had been peculiar suprarenal mass. The histopathological examination confirmed the with incidental findings in 8th decade of life & diagnosis of Pheochromocytoma ⬠ which was 15 cm in size. Patient has affecting the left side lung. been discharged with adequately controlled hypertension & is currently receiving MIBG Dr. Mohit Bhatnagar therapy for metastatic lesions. The biochemical markers have returned to near normal levels MBBS, DNB(Surgery), MNAMS, FAIS, FMAS, UICC after the surgery. This case was unique in its Fellow (Surgical Oncology) MSKCC, USA presentation and the fact that it was already Consultant disseminated which is rare. Surgical Oncology Dr. Dinesh Chandra Katiyar MS, MCh (Surgical Oncology) Sr. Consultant Surgical Oncology H& E STAINED SECTION OF THE TUMOUR AT LOW AND Large hydatid cyst in Radiology HIGH MAGNAIFICATION the pleural cavity of the lesion Quiz Price won by : Dr Shashi Dhawan, Sr consultant, Sir Ganga Ram Hospital, New Delhi. Answer to the Last quiz : Epidural Lipomatosis OPD TIMINGS: (Mon-Sat) OPD SUNDAY OPD 8:00 am-8:00 pm 10:00 am-1:00 pm 24x7 Free Medical emergencies always come uninformed. We are prepared so that help reaches you on time. AMBULANCE SERVICE Call us and an ambulance will be there at the earliest! in Dwarka ME2R4GxE7NCEY 48-555-666 Sector 18A, Dwarka, New Delhi-110075 info@venkateshwarhospitals.com 24x7 www.venkateshwarhospitals.com Printed and Published by Mr. Kamal Solanki on Behalf of All India Society for Health Aid Education & Research (A.S.H.A) Editor: Dr. Renu Madan Date of Printing- September 27, 2017 and Printed at Bagri Printers, Published from Venkateshwar Hospital, Sector 18A, Dwarka, New Delhi⬠ 110075. Date of Publishing- September 30 ,2017</code></pre> </div> </div> <div id="content-bottom"> <div id="content-bottom2"> <table width="110" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="22%" height="44"><a href="page3.html"><img src="images/previous.png" width="26" height="19" id="Image2" onmouseover="MM_swapImage('Image2','','images/previous2.png',1)" onmouseout="MM_swapImgRestore()" /></a></td> <td width="43%"> &nbsp;&nbsp;&nbsp;<a href="page1.html">1</a>&nbsp;&nbsp;&nbsp;<a href="page2.html">2</a>&nbsp;&nbsp;&nbsp;<a href="page3.html">3</a>&nbsp;&nbsp;&nbsp;<a href="page4.html">4</a> </td> <td width="35%"><a href=""><img src="images/next.png" width="26" height="19" id="Image1" onmouseover="MM_swapImage('Image1','','images/next2.png',1)" onmouseout="MM_swapImgRestore()" /></a></td> </tr> </table> </div> </div> </div> </div> <div id="right-button"> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p><a href=""><img src="images/next_big.png" width="90" height="80" /></a></p> </div> </div> </body> </html>