Postnatal management and outcome for fetal-diagnosed intra-cerebral cystic masses and tumours

2009 ◽  
Vol 29 (4) ◽  
pp. 396-401 ◽  
Author(s):  
Richard Hayward
Keyword(s):  
Postnatal Management ◽  
Cystic Masses

scholarly journals Postnatal management of children with antenatal hydronephrosis

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Mohammed S. ElSheemy
Keyword(s):  
Renal Function ◽  
Urinary Tract Obstruction ◽  
Cost Effective ◽  
Voiding Cystourethrography ◽  
Main Body ◽  
Antenatal Hydronephrosis ◽  
Postnatal Management ◽  
Effective Manner ◽  
Lower Urinary Tract Obstruction

Abstract Background Postnatal management of infants with antenatal hydronephrosis (ANH) is still one of the most controversial issues. The majority of infants with ANH are asymptomatic with only few children who develop renal insufficiency. Thus, the biggest challenge for pediatric urologists is to distinguish children who will require further investigations and possible intervention prior to the development of symptoms, complications or renal damage in a cost effective manner without exposing them to the hazards of unnecessary investigations. Main body In this review article, literature on ANH were reviewed to present the current suggestions, recommendations, guidelines and their rational for postnatal management of ANH. It is agreed that a large portion of infants with ANH will improve; thus, the protocol of management is based mainly on observation and follow-up by ultrasound to detect either resolution, stabilization or worsening of hydronephrosis. The first 2 years of life are critical for this follow-up as the final picture is mostly reached during that period. Advanced imaging using voiding cystourethrography or renal scintigraphy are required for children at risk. Then, surgical intervention is selected only for a subgroup of these infants who showed worsening of hydronephrosis or renal function. Conclusions The protocol of management is based mainly on observation and follow-up by US to detect either resolution, stabilization or worsening of hydronephrosis. Postnatal evaluation should be performed for any neonate with a history ANH at any stage during pregnancy even if it was resolved during third trimester. Exclusion of UTI should be performed by urinalysis for all cases followed by urine culture if indicated. Serum creatinine should be performed especially in patients with bilateral ANH. US is the initial standard diagnostic imaging technique. Other imaging modalities like VCUG and nuclear renal scans may be required according to the results of the US evaluation. The most important items in decision making are the presence of bilateral or unilateral hydronephrosis, presence or absence of hydroureter, presence of lower urinary tract obstruction and degree of hydronephrosis on the initial postnatal US. Then an intervention is selected only for a subgroup of these patients who showed deterioration in renal function or degree of hydronephrosis or were complicated by UTIs. All these recommendations are based on the available literature. However, management of ANH is still a controversial issue due to lack of high evidence-based recommendations. Randomised controlled studies are still needed to provide a high level evidence for different aspects of management.

scholarly journals Endometritis and Cystic Endometrial Hyperplasia in a Goat

2005 ◽  
Vol 17 (4) ◽  
pp. 393-395 ◽  
Author(s):  
Zaher A. Radi
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Endometrial Hyperplasia ◽  
Plasma Cells ◽  
Histopathologic Examination ◽  
Boer Goat ◽  
First Case ◽  
Cellular Debris ◽  
Superficial Epithelium ◽  
Cystic Masses

Histologic examination was performed on uterine biopsy samples of irregular cystic masses noted during caesarean section of a 2-year-old female Boer goat. Histopathologic examination revealed multifocal erosions of the superficial epithelium and multifocal infiltration of the endometrium by widely scattered viable and degenerate neutrophils, lymphocytes, and plasma cells admixed with mild amounts of cellular debris and hemorrhage. The endometrium was markedly expanded by many irregular cystic and hyperplastic glands. This is the first case report of endometritis and cystic endometrial hyperplasia in a goat in North America.

P05.05: Idiopathic dilatation of the right atrium (IDRA): antenatal appearance and postnatal management of a rare finding

2011 ◽  
Vol 38 (S1) ◽  
pp. 182-182
Author(s):  
R. Lachmann ◽  
A. Heilmann ◽  
G. Kamin ◽  
K. Nitzsche ◽  
H. J. Haeusler ◽  
...  
Keyword(s):  
Right Atrium ◽  
Rare Finding ◽  
Postnatal Management ◽  
The Right

Postnatal management and breastfeeding

2009 ◽  
Vol 19 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Diane M. Fraser ◽  
Lindsay Cullen
Keyword(s):  
Postnatal Management

scholarly journals Clinical and imaging characteristics of primary hepatic sarcomatoid carcinoma and sarcoma: a comparative study

2020 ◽  
Author(s):  
Dongli Shi ◽  
Jun Sun ◽  
Liang Ma ◽  
Jing Chang ◽  
Hongjun Li
Keyword(s):  
Comparative Study ◽  
Sarcomatoid Carcinoma ◽  
Arterial Phase ◽  
Imaging Features ◽  
Distinctive Features ◽  
Large Size ◽  
Imaging Characteristics ◽  
Cystic Masses ◽  
Mass Lesions ◽  
Univariate Analyses

Abstract Background：Primary hepatic sarcomatous carcinoma (PHSC) and primary hepatic sarcoma (PHS) are rare malignancies with frequent overlap in both the clinic and radiology. No comparative study of these tumors for the restricted cases has previously been undertaken. The purpose of our study was to analyze the clinical and imaging features of PHSCs and PHSs, with an emphasis on particularities and similarities through a comparison of the two tumors.Methods: We retrospectively analyzed the clinical and imaging features of 39 patients with pathologically proven PHSCs (n=23) and PHSs (n=16) from four university centers over a 9-year period from 2010-2019. Univariate analyses were performed to determine the consistent and distinctive features. Results：The background of chronic hepatitis or cirrhosis was observed with a high frequency in both of PHSCs (73.7%) and PHSs (62.5%). Tumors with a diameter greater than 10cm were significantly more common in PHSs than PHSCs (p=0.043) and cystic masses were more detected in PHSs (P=0.041). Both PHSCs and PHSs mainly presented hypovascularity (78.3% vs 81.3%). The ring hyper enhancement on the arterial phase (AP) and wash out were more frequently seen in PHSCs and the iso-hypo enhancement on the AP followed persistent or progressive enhancement was more commonly detected in PHSs (all, p<0.05). Conclusion：PHSC and PHS generally present as mass lesions with hypovascularity. The ring hyper enhancement on the AP and wash out favor the diagnosis of PHSC. The large size greater than 10cm, cystic lesion, iso-hypo persistent or progressive enhancement pattern might suggest the possibility of PHSs.

scholarly journals The Role of Cone-Beam Computed Tomography in Diagnostics of Cystic Masses of the Jaw

2017 ◽  
pp. 14-19
Author(s):  
M. A. Batova
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Panoramic Radiography ◽  
Cone Beam ◽  
Incisive Canal ◽  
Computed Tomographic ◽  
Cystic Masses ◽  
Cbct Analysis ◽  
Tomography Analysis

Research objective. The study aimed to evaluate cone-beam computed tomography (CBCT) capabilities in diagnostics of cystic masses of the jaw.Methods. Over a period of 2015–2016 32 patients age 6 to 67 underwent both panoramic tomography and CBCT (using panoramic tomographic scanner STRATO 2000 and cone-beam computed tomographic scanner i-Cat respectively). 47% (n = 15) of the participants were women, 53% (n = 17) – men. Radiation exposure for a single procedure amounts to 0,05 mSv for panoramic tomography, 0,07 mSv for CBCT (FOV =13 cm), 0,06 mSv for CBCT (FOV =8 cm).Results. Comparative analysis of obtained results demonstrates that CBCT showed 54% (n = 27) more cystic masses of the jaws than panoramic radiography could. CBCT additionally showed the following pathologies: granulomas smaller than4 mm diameter – 85% (n = 23), 83% (n = 23) of said granulomas were found on maxilla, radicular cysts of maxilla – 11% (n = 3), incisive canal cyst – 4% (n = 1). Additionally panoramic tomography analysis misdiagnosed 5 granulomas (80% (n = 4) on mandibular premolar and molar areas) that were not found during CBCT analysis.Conclusion. The low effective dose and high informativity of CBCT enables the method to be used instead of intraoral radiography, panoramic tomography and MSCT as a screening procedure in diagnostics of dento-facial system pathologies, including cystic masses of the jaw. 

scholarly journals Congenital Lung Lesions (CLL): Postnatal Management: Operative Intervention or Serial Observation: A Review of 2 Cases

2016 ◽  
Vol 3 (2) ◽  
pp. 232-236
Author(s):  
Niraj Kumar Dipak ◽  
◽  
Deepa shetty ◽  
Sudha Rao ◽  
Praful Ramdas Shanbhag ◽  
...  
Keyword(s):  
Operative Intervention ◽  
Lung Lesions ◽  
Postnatal Management ◽  
Serial Observation
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