Cho Ray Hospital Ho Chi Minh City, Vietnam December 20, 2013

One biopsy of soft tissue mass at the axillary zone: Malignant Mesothelioma (IHC: CK (+), Vimentin(+), NSE(+), Calrenitin (+), S100 (+), Desmin (-) One biopsy of the pleura: signet ring carcinoma? The patient died two days after Dr Kantrow’s consultation Was a final diagnosis established?

Was the patient smoking or inhaling something that could have aspergillus in it?

Patient of 59 years old Tissue diagnosis been made with cell block of the pericardial fluid appeared soon after the consultation causing cardiac tamponade requiring pericardial centesis. Symptomatic thrombosis of left femoral vein Adenocarcinoma, EGFR mut (-) Treatment: anticoagulant; Carbo + Pacli + Bevacizumab

Was this a slow onset disease? Was there fever or weight loss? Was a diagnosis established by lung biopsy? 4 months onset Weight loss 10kg, no other symptoms Lung biopsy: Pulmonary Tuberculosis

Vietnamese American Pemphygus treated with prednisone and mycophenolate BAL culture revealed M.tuberculosis She stayed in HCM city for PTB treatment

Patient died 2 days after admission

Mycobacterial and fungal cultures still negative?

Cant remember the story…Khue?