scholarly journals Giant Hepatic Cyst with Septal Structure: Diagnosis and Management

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Toshihiro Sato ◽  
Michitaka Imai ◽  
Kazunao Hayashi ◽  
Osamu Isokawa ◽  
Tatsuya Nomura ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Liver Tumors ◽  
Correct Diagnosis ◽  
Hepatic Cyst ◽  
Malignant Potential ◽  
Imaging Modalities ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Benign Liver Tumor ◽  
Benign Liver

The hepatic cyst is a common benign liver tumor, and no surgical treatment is necessary. However, it is difficult to correctly diagnose the giant hepatic cyst containing the solid septal structures inside, from the malignant cystadenocarcinomas. The various imaging modalities such as computed tomography, magnetic resonance imaging, and ultrasonography, have been developed and are useful for the diagnosis of these liver tumors. Reviewing the other reports in this paper, the combination of more than 2 modalities will help to diagnose these tumors; however, the malignant potential is unable to be excluded if the tumor is huge. Therefore, the surgical resection should be considered for the huge hepatic cysts with septal structures if the correct diagnosis is unable to be made. For example, when the hemorrhages cause the granulation in the septa which often shows neovascularization, the imaging modalities are unable to define this situation from the malignant tissue with hypervascularity. Therefore, with the careful review of other reports, we conclude that if the imaging studies show the possible malignant potential or the sizing-up is marked, the surgical treatment should be considered with the consent from the patients.

Neoplastic zebras of venous thrombosis: Diagnostic challenges in vascular medicine

2014 ◽  
Vol 30 (10) ◽  
pp. 744-748 ◽  
Author(s):  
A Cornejo ◽  
A Lekah ◽  
AK Kurklinsky
Keyword(s):  
Venous Thrombosis ◽  
Correct Diagnosis ◽  
Medical Problem ◽  
Clinical Findings ◽  
Imaging Modalities ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Vascular Medicine ◽  
Ultrasound Computed Tomography ◽  
Magnetic Resonance Imaging Imaging

Venous thrombosis is a common medical problem. Imaging differentiation of neoplasms and venous clots may prove challenging. We report three cases of “mistaken identities” of venous thrombi and neoplasms on the basis of clinical findings and different imaging modalities: ultrasound, computed tomography, and magnetic resonance imaging. Imaging studies are not always reliable and consideration of clinical features, including pretest probability, is necessary for correct diagnosis. A combination of imaging modalities and biopsies is needed for correct diagnosis in some cases.

Calcific retropharyngeal tendinitis: a frequently missed diagnosis

2007 ◽  
Vol 6 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Sara Jiménez ◽  
José M. Millán
Keyword(s):  
Neck Pain ◽  
Correct Diagnosis ◽  
Definitive Diagnosis ◽  
Plain Radiography ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Common Presentation ◽  
Missed Diagnosis ◽  
Retropharyngeal Tendinitis

✓Neck pain is a common presentation in emergency departments that requires the exclusion of serious underlying pathological entities. Acute calcific retropharyngeal tendinitis is a rare and underrecognized cause of atraumatic neck pain and stiffness. Although this entity has been reported previously, it is often poorly recognized and is often confused with other more serious lesions, such as infectious, traumatic, and neoplastic conditions. Clinically, it can be very difficult to distinguish from these three disorders, and a definitive diagnosis can only be established using imaging studies. A knowledge of the characteristic clinical spectrum and, most importantly, its imaging features is crucial for making the correct diagnosis of this uncommon cause of neck pain. The authors present their experience with one case to highlight the characteristic findings of this disorder on plain radiography, computed tomography, and magnetic resonance imaging.

scholarly journals Diagnosis and management of secondary lymphedema

2021 ◽  
Vol 3 ◽  
pp. 16-25
Author(s):  
Puravoor Jayasree
Keyword(s):  
Surgical Treatment ◽  
Resonance Imaging ◽  
Limb Volume ◽  
Imaging Studies ◽  
Secondary Lymphedema ◽  
Rehabilitation Programs ◽  
Surgical Options ◽  
Combined Decongestive Therapy ◽  
Late Stages

Secondary lymphedema, more common than its primary variant is essentially a clinical diagnosis. Evaluation should include measurement of limb circumference and volume and appropriate staging protocols to determine the severity of the condition. Imaging studies such as magnetic resonance imaging and lymphoscintigraphy are invaluable in ruling out other causes of extremity swelling and for planning surgical treatment. Conservative measures such as combined decongestive therapy are of prime importance in reducing the limb volume and should be continued to maintain the results of surgical treatment. Pharmacotherapy does not have much role in lymphedema. Surgical options which were initially restricted to debulking procedures in chronic late stages are now gaining more relevance with the advent of physiological techniques to prevent further progression of the condition. Detailed counseling regarding the chronic nature of the disease and the need for regular follow-up along with rehabilitation programs will further improve the management of lymphedema.

scholarly journals On benign liver tumors

1923 ◽  
Vol 19 (6) ◽  
pp. 10-18
Author(s):  
M. I. Goldstein
Keyword(s):  
Abdominal Wall ◽  
Liver Tumor ◽  
Liver Tumors ◽  
Benign Liver Tumors ◽  
Benign Liver Tumor ◽  
Impossible Task ◽  
Benign Liver

The recognition of a benign liver tumor in an intact abdominal wall is often a very difficult and sometimes even impossible task for the therapists. This rarity of the disease gives us grounds to dwell on a case of benign liver tumor, which we observed in the Therapeutic Department of Kaz. Clinical Institute.

Detecting Asymptomatic Recurrence in Early-Stage Endometrial Cancer: The Value of Vaginal Cytology, Imaging Studies, and CA-125

2016 ◽  
Vol 26 (8) ◽  
pp. 1434-1439 ◽  
Author(s):  
Jung-Yun Lee ◽  
Ji Hee Kim ◽  
Jung Won Seo ◽  
Hee Seung Kim ◽  
Jae-Weon Kim ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Early Stage ◽  
Imaging Modalities ◽  
Ct Scans ◽  
Ca 125 ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Positron Emission ◽  
Vaginal Cytology ◽  
Early Stage Endometrial Cancer

ObjectiveThe aim of this study was to evaluate the value of vaginal cytology, imaging modalities, and serum CA-125 in detecting asymptomatic recurrence during posttreatment surveillance for early-stage endometrial cancer.MethodsA retrospective analysis was conducted on patients with stage I to II endometrial cancer who received primary surgical treatment at Seoul National University Hospital between 2000 and 2011. Clinicopathologic characteristics and surveillance test data were obtained from medical records. The total numbers of vaginal cytologies, imaging studies, and serum CA-125 levels performed during surveillance or until recurrence were evaluated, and the number of tests needed to detect each asymptomatic recurrence was calculated.ResultsA total of 389 patients were identified, together with a total of 3323 vaginal cytologies, 1025 chest x-rays, 1177 abdominal computed tomography (CT) scans, 98 magnetic resonance imaging scans, 163 positron emission tomography/CT scans, 298 ultrasonographies, and 3335 serum CA-125 results obtained during the surveillance period. Recurrence was detected in 14 patients (3.6%). Ten of these cases were asymptomatic, of which six were identified through CT scans and four were identified through elevated serum CA-125 levels. Most of the patients (7/10) with asymptomatic recurrences had localized recurrence patterns, five of whom underwent curative-intent resection and survived. The number of CA-125 tests needed to identify 1 asymptomatic recurrence was 839, whereas the number of CT scans needed to achieve the same result was 196. Other imaging modalities and vaginal cytology did not detect asymptomatic recurrence.ConclusionsFor posttreatment surveillance in early-stage endometrial cancer, vaginal cytology and imaging modalities such as chest x-ray, magnetic resonance imaging, positron emission tomography/CT, and ultrasonography have low utility. Routine CT scans and serum CA-125 testing may be useful for detecting asymptomatic recurrence.

scholarly journals Three Trocars Laparoscopic Resection of Angiomyolipoma of the Liver

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
J. M. Ramia ◽  
R. De la Plaza ◽  
J. Quiñones ◽  
M. D. Sanchez-Tembleque ◽  
A. Caminoa ◽  
...  
Keyword(s):  
Conservative Management ◽  
Management Strategy ◽  
Laparoscopic Resection ◽  
Liver Tumors ◽  
Correct Diagnosis ◽  
Invasive Technique ◽  
Optimal Management ◽  
Benign Liver Tumors ◽  
Less Invasive ◽  
Benign Liver

Angiomyolipoma of the liver (AML) is an infrequent neoplasm composed of three tissues (adipose, muscle and vessels). In spite of advances in radiology, preoperative correct diagnosis is difficult. Clasically, a conservative management strategy was adopted in patients with asymptomatic tumors less than 5 cm with undoubtful diagnosis. But after publishing some few cases of malignant angiomyolipoma a more radical has been advocated. Laparoscopic resection of liver tumors is becoming a excellent approach for operating on benign liver tumors. Usually is performed using five trocars but in some cases a less invasive technique with three trocars could be used. We present a laparoscopic resection of liver angiomyolipoma in a 65 year-old male using only three trocars and also discuss the optimal management of AML and technical tips of three-trocar technique.

Radial styloidectomy for scaphoid nonunion advanced collapse – relevance of nonunion location

2017 ◽  
Vol 43 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Emil S. Vutescu ◽  
Rishabh Jethanandani ◽  
Darryl B. Sneag ◽  
Scott W. Wolfe ◽  
Steve K. Lee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Reconstructive Surgery ◽  
Scaphoid Bone ◽  
Scaphoid Nonunion ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Level Of Evidence ◽  
Stage 1

Radial styloidectomy along with scaphoid nonunion reconstructive surgery is considered an acceptable surgical treatment for stage 1 scaphoid nonunion advanced collapse. The extent of radioscaphoid joint wear that defines scaphoid nonunion advanced collapse stage 1 is unclear. An appropriate radial styloidectomy is limited to 6 mm styloid removal to prevent carpal instability. The aim of this study was to determine whether nonunion fracture location can be a guiding factor in determining whether the scaphoid bone can be retained with scaphoid nonunion reconstructive surgery and radial styloidectomy. We reviewed wrist radiographs and magnetic resonance imaging studies of 21 patients with a diagnosis of scaphoid nonunion advanced collapse stage 1, and quantified chondral wear as the length of a line (in mm) along the radioscaphoid joint traced from the tip of the radial styloid to the most ulnar position along the radioscaphoid joint. We concluded that scaphoid nonunion reconstructive surgery with radial styloidectomy is only appropriate for nonunions in the distal or middle third of the scaphoid. Level of evidence: III

scholarly journals Recent Advances in Pancreatic MR Imaging: A Guide on How, When, and Why to Perform

2020 ◽  
Vol 3 (01) ◽  
pp. 002-013
Author(s):  
Sivasubramanian Srinivasan ◽  
Argha Chatterjee
Keyword(s):  
Magnetic Resonance ◽  
Diffusion Weighted Imaging ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Imaging Modalities ◽  
Composition Analysis ◽  
Tissue Composition ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Molecular Information ◽  
Magnetic Resonance Imaging Mri

AbstractImaging of the pancreas is often challenging because of its retroperitoneal location and unique set of pathologies. Conventional imaging modalities, such as transabdominal and endoscopic ultrasonography (EUS), computed tomography (CT), and magnetic resonance imaging (MRI), are well described in the literature. However, with modern demand for functional and molecular information from imaging studies, newer imaging modalities and modifications of existing modalities are developed. MRI is widely used as a problem-solving tool in pancreatic pathologies. Magnetic resonance cholangiopancreatography (MRCP) is an excellent technique for the depiction of the pancreatic ductal or biliary ductal pathologies. Newer modification of MRI including secretin MRCP, advanced diffusion-weighted imaging (DWI), perfusion imaging, and tissue composition analysis (fat and fibrosis quantification) add to the arsenal of MRI of the pancreas. In this review, we discuss the evolution of MRI of the pancreas and clinical application of advanced MR sequences.

Sign in / Sign up

Export Citation Format

Share Document