It’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.
Under a light microscope, I found some interesting clues lead to malignancy. At last I asked a second opinion to the CNS-pathologists at hospital Cipto Mangunkusumo (Central National Hospital in Jakarta).
Let’s see what they say…
One week later, I received the answer from Cipto Mangunkusumo Hospital in Jakarta. They made Differential Diagnoses as : 1. Intramedullary Hemangiopericytoma and 2. Meningioma mixed type : angiomatous and clear cell-secretoric. Is it ? I am not 100 % satisfied with the answer. The microscopic features as we can see in the two pictures attaching to this article. Hope the patient is doing well until now..
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sumiyati: ass bu dokter,, bapa saya umur 50, di atas pusar’y ada benjolan sebesar telor keras tp kata’y...
devy putri: dok mama saya penderita penyakit maag, setiap hari sendawanya ga berenti2 asam lambung nya juga sering...
alisa cihui.aiz: saya alisa umur 18thn saya sdh mnikah dan puny ank.sy tdk dtng bulan slm satu thn dan pda bln...
sahuri: malam bu dokter saya sahuri usia saya 41 thn mau minta tlng mengenai sakit yg selama ini saya derita selama...
Sita Nur: dok, mau tanya.. apakah penyakit Marfan’s syndrom terebut dapat diwariskan/akan menurun ke...
gita: Dok tdinya saya kan tadinya amandelnya bengkak terus mulaii flu terus menjalar ke batuk dan tapi saat setiap...
Robert H. Ginting: Dokter, saya ada benjolah di tengah tengah bahagian bawah diantara rusuk kiri dan kanan. Benjolan...
Dr. Sukma: Halo Ayu, siingkat saja ya.. Kesimpulan hasil pemeriksaan PA adalah tumor jinak yg disebut Mammary...
ayu: Ass dok, maaf dok saya ayu mau menanyakan dok hasil PA dari FN Ab tumor payudara saya yg ada di mamae kanan di...
rahmi: Dokter, anak saya ketika lahir ada benjolan di bahu kanan. Benjolannya sebesar telur ayam. Perawat bilang itu...
watiex: Dear Dr.Sukma dua hari ini ketika saya meraba bagian dalam vagina kok ada benjolan kecil di mulut rahim...
dputri: hallo dr.sukma saya mau tanya. ayah saya memiliki benjolan keras di dalam perut di bawah tulang rusuk apa...
Mita: Shallom Dok 
saya Mita. saya positif marfan. umur saya 22 tahun..pencegahan apa yg mampu sy lakukan ya dok?...
lisda: dok papa saya terkena tumor nasopharynx sebelah kiri ,sedangkan kanan nya baik . dan bengkak di leher sebelah...
Adinda: Dear dr Sukma Saya wanita usia 37 th. Belakangan ini saya sering merasa pegal/nyeri di pinggul dan bokong,...
ajeng: dok saya ajeng umur saya 15 tahun haid saya tidak lancar sering telat berbulan bulan jika haid pun lama bisa...
vhita: Ass.dokter saya mau tanya.saya memang pny wasir luar ada 2 benjolan.kmrn2 saya sudah ksih salep ultraproct...
Dr. Sukma Merati is founder and owner of Riau Pathology Center in Pekanbaru, Riau. Dr. Merati has had various international experience and training, including as a fellow doctor at The Mount Sinai Hospital in New York City, NY, USA (2000-2002).
February 23rd, 2008 at 5:34 pm
Dr. Devi, it’s great to see your comment on my blog. Thanks. You really are a dynamic and always eager to see more progresses in our field of medicine. I will write more about everything in my mind, until nothing left in there…
February 21st, 2008 at 10:58 am
dr.Sukma, SpPA..congratulation for your new website !! I hope this website..can give information not only about anatomical pathology..ok can’t wait to read your next blog?? or next article??