Primary breast sarcoma: prevalence, clinical signs, and radiological features

2011 ◽  
Vol 52 (6) ◽  
pp. 597-601 ◽  
Author(s):  
Alexey Surov ◽  
Hans-Jürgen Holzhausen ◽  
Kathrin Ruschke ◽  
Rolf Peter Spielmann
Keyword(s):  
Clinical Signs ◽  
Breast Sarcoma ◽  
Radiological Features

scholarly journals Reexpansion pulmonary edema in children

2013 ◽  
Vol 31 (3) ◽  
pp. 411-415 ◽  
Author(s):  
Antonio Lucas L. Rodrigues ◽  
Carlos Eduardo Lopes ◽  
Mariana Tresoldi das N. Romaneli ◽  
Andrea de Melo A. Fraga ◽  
Ricardo Mendes Pereira ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Pulmonary Edema ◽  
Case Reports ◽  
Pediatric Population ◽  
Clinical Signs ◽  
Fatal Disease ◽  
Radiological Features ◽  
Acute Respiratory Insufficiency ◽  
Disease Case ◽  
Reexpansion Pulmonary Edema

OBJECTIVE To present a case of a patient with clinical and radiological features of reexpansion pulmonary edema, a rare and potentially fatal disease. CASE DESCRIPTION An 11-year-old boy presenting fever, clinical signs and radiological features of large pleural effusion initially treated as a parapneumonic process. Due to clinical deterioration he underwent tube thoracostomy, with evacuation of 3,000 mL of fluid; he shortly presented acute respiratory insufficiency and needed mechanical ventilation. He had an atypical evolution (extubated twice with no satisfactory response). Computerized tomography findings matched those of reexpansion edema. He recovered satisfactorily after intensive care, and pleural tuberculosis was diagnosed afterwards. COMMENTS Despite its rareness in the pediatric population (only five case reports gathered), the knowledge of this pathology and its prevention is very important, due to high mortality rates. It is recommended, among other measures, slow evacuation of the pleural effusion, not removing more than 1,500 mL of fluid at once.

A case of high-grade primary breast sarcoma (NOS type) presenting with clinical and radiological features of benign mass

2013 ◽  
Vol 6 (1) ◽  
pp. 89
Author(s):  
OmarFarouq Arsalan ◽  
Abdul-AzimAbdul-Wahab Hussein ◽  
Rafif Al-Saady
Keyword(s):  
High Grade ◽  
Breast Sarcoma ◽  
Radiological Features ◽  
Benign Mass

scholarly journals Gastric Outlet Obstruction and Sigmoid Volvulus in a Patient with Pneumatosis intestinalis: An Etiology or a Complication

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Osama Shaheen ◽  
Wassim Ahmad ◽  
Najm Aldin Mhammad
Keyword(s):  
Gastric Outlet Obstruction ◽  
Incidental Finding ◽  
Clinical Signs ◽  
Radiographic Finding ◽  
Outlet Obstruction ◽  
Pneumatosis Intestinalis ◽  
Signs And Symptoms ◽  
Sigmoid Volvulus ◽  
Radiological Features ◽  
Clinical Signs And Symptoms

Pneumatosis intestinalis (PI) is a radiographic finding which refers to the presence of gas within the wall of any part of the gastrointestinal tract. While in some cases it is an incidental finding which usually represent its benign nonischemic etiology, it may indicate a catastrophic intra-abdominal condition and distinctly characteristic of ischemic enterocolitis. Herein, we discuss the clinical signs and symptoms, the radiological features, the surgical management and outcome of an extremely rare concurrent triad of PI, gastric outlet obstruction, and the sigmoid volvulus based on a case of a patient who underwent surgery in our hospital, which, we think, can emphasize the mysterious concept of PI’s mechanical etiology.

Breast plasmacytoma

2010 ◽  
Vol 51 (5) ◽  
pp. 498-504 ◽  
Author(s):  
Alexey Surov ◽  
Hans-Jürgen Holzhausen ◽  
Katrin Ruschke ◽  
Dirk Arnold ◽  
Rolf-Peter Spielmann
Keyword(s):  
Case Reports ◽  
Clinical Signs ◽  
Statistical Information ◽  
Published Data ◽  
Primary Breast Carcinoma ◽  
Diffuse Infiltration ◽  
Radiological Features ◽  
Median Size ◽  
Benign Process ◽  
Breast Lumps

Background: Breast plasmacytoma (BP) is extremely rare. The published data on this manifestation include predominantly case reports and do not provide any statistical information. Purpose: To identify clinical signs and radiological features of BP. Material and Methods: Five patients with BP were retrospectively identified in the pathological and radiological databases of the years 1997–2009 at our institution. Additionally, 48 patients were collected from the literature in the period from 1988 to date. Therefore, our study involves 53 patients. Results: The prevalence of BP in our institution was 1.5% of all identified cases with plasmacytoma and 0.2% of the cases with breast cancer. In 8 of 53 patients (15%), primary BP was diagnosed, and in 45 patients (85%) involvement of the breast was a secondary event of the multiple myeloma (MM). Clinically, 83% of the patients presented with breast lumps. BP was diagnosed incidentally in 9%. In 8% of the cases clinical signs were not reported. On mammography, intramammary round or oval masses were most commonly found (89%). They were solitary in 66% of the cases and multiple in 34%. Median size was 21 mm, ranging from 8 to 90 mm. In 9% of the identified cases BP manifested as diffuse infiltration of the breast. In 2% no abnormalities were identified on mammography. On ultrasound, identified lesions were homogeneously echo-poor or hypoechoic, less frequently mixed hypo- to hyperechoic. Treatment of BP is the same as for other localizations of plasmacytoma and is based on chemotherapy and/or radiotherapy. Primary BP had a better prognosis than breast involvement as a secondary event in MM. Conclusion: In conclusion, BP does not have specific radiological or clinical features and can be misdiagnosed as primary breast carcinoma or even as a benign process. However, BP should be considered in the differential diagnosis of breast disorders, especially in patients with MM.

scholarly journals Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features

2012 ◽  
Vol 85 (1014) ◽  
pp. e195-e205 ◽  
Author(s):  
A Surov ◽  
H-J Holzhausen ◽  
A Wienke ◽  
J Schmidt ◽  
C Thomssen ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Radiological Features ◽  
Breast Lymphoma

scholarly journals Clinical and radiological characteristics of brain abscess caused by Streptococcus species: a cross-sectional study

2020 ◽  
Author(s):  
Jiachun Su ◽  
Bin Hu ◽  
Yixin Zhang ◽  
Ying Li
Keyword(s):  
Brain Abscess ◽  
Clinical Signs ◽  
Cross Sectional Study ◽  
Antimicrobial Treatment ◽  
Thick Wall ◽  
Limb Weakness ◽  
Cross Sectional ◽  
Streptococcus Species ◽  
Radiological Features ◽  
The Mean

Abstract Background: Streptococcus species are mostly reported the predominant organisms causing brain abscess (BA), however, there is no article focusing on the characteristics of patients with BA caused by Streptococcus species to date. This study aimed to describe the clinical and radiological features of patients with BA caused by Streptococcus species. Methods: All patients who were hospitalized due to BA with intracranial pus culture result of Streptococcus species alone after neurosurgical intervention from May 2015 to August 2018 in Huashan Hospital in Shanghai were included in this study. The data of patient demographics, clinical and radiological presenting features, microbiological results, surgical and antimicrobial treatment, and outcomes were collected. Results: Thirteen patients (10 male, 3 female) of primary brain abscesses were involved. The most frequent clinical presentations included headache (76.9%), fever (38.5%) and limb weakness (38.5%).The radiological features of abscesses in these patients included singularity, big size, thick wall and obvious oedema. The average abscess diameter before surgery was 51.62±11.00mm. The mean thickness of abscesses wall was 5.23±1.78mm. The mean range of oedema and distance between abscess margin were 93.62±16.31mm, 26.38±8.03mm, respectively. The strains isolated in this study all belonged to the viridans group and showed high susceptibility to cefotaxime and levofloxacin. All patients had good outcomes at discharge. Conclusion: Patients with BAs caused by Streptococcus species had unspecific clinical signs, but specific radiological features, which might be helpful for early diagnosis.

scholarly journals Clinical and Radiological Characteristics of Non-Benign Pineal Cyst Lesions in Children

2021 ◽  
Vol 12 ◽  
Author(s):  
Ula Arkar ◽  
Rok Kučan ◽  
Mirjana Perković Benedik ◽  
Tadeja Hostnik ◽  
Tina Vipotnik Vesnaver ◽  
...  
Keyword(s):  
Brain Imaging ◽  
Pediatric Population ◽  
Clinical Signs ◽  
Malignant Neoplasm ◽  
Signs And Symptoms ◽  
Pineal Region ◽  
Common Finding ◽  
Pineal Cyst ◽  
Radiological Features ◽  
Increased Icp

Background: With the increasing availability and advances in brain imaging, pineal cyst lesions (PCL) are becoming a common finding in the pediatric population. In the absence of evidence-based guidelines, optimal diagnostic and therapeutic approaches have not been established, and there is a risk of under- or overtreatment of these patients.Objectives: The aim of our study was to evaluate the clinical presentation and radiological features of PCL in a cohort of pediatric patients and to identify clinical parameters more commonly associated with neoplasms in the pineal region. In addition, the prevalence of PCL in the pediatric population of Slovenia was estimated.Methods: In this observational, cohort study, children treated at University Children's Hospital, Ljubljana, Slovenia in the period 1997–2016 were included if PCL was found on brain imaging. We analyzed indications for referral to a neurologist, clinical signs and symptoms, radiological features, treatment and outcome.Results: The cohort consisted of 143 children with PCL. Pineocytoma was suspected in 31 children (21.7%). Six children underwent surgery – pineocytoma was confirmed in two cases and germinoma in one (2/3 of these children had signs of increased intracranial pressure (ICP), while PCL was benign in the remaining 4 cases. Only 2 PCL enlarged during the study period, both <2mm, none of these children developed neoplasm. Two children had PCL >20mm in diameter; both showed signs of increased ICP, one patient was found to have a germinoma of the pineal region, while the other had no neoplasm.Conclusions: Most PCL do not change their features during radiological follow-up and even atypical PCL are very rarely associated with a malignant neoplasm of the pineal region. A PCL larger than 20 mm and signs of increased ICP were identified as potential markers for selecting patients at risk.

Camurati-engelmann disease: Review of radioclinical features

2003 ◽  
Vol 44 (4) ◽  
pp. 430-434 ◽  
Author(s):  
F. M. Vanhoenacker ◽  
K. Janssens ◽  
W. Van Hul ◽  
R. Gershoni-Baruch ◽  
R. Brik ◽  
...  
Keyword(s):  
Clinical Features ◽  
Clinical Signs ◽  
Large Family ◽  
Medullary Canal ◽  
Long Bones ◽  
Imaging Studies ◽  
Patients Âgés ◽  
Radiological Features ◽  
Periosteal Apposition ◽  
Engelmann Disease

Purpose: To present a retrospective overview of the clinical and radiological features of Camurati-Engelmann disease (CED) in a large family with genetically proven CED. Material and Methods: Clinical features and imaging studies were available in 8 affected patients out of a large Jewish-Iraqi family with 21 affected members in four generations. The patients' ages ranged between 7 and 44 years. Results and Conclusions: The most frequent symptoms were pain and muscle weakness accompanied by waddling gait. Two patients were asymptomatic. Radiologically, the disease can be classified as a craniotubular hyperostosis. Typically, fusiform thickening of the diaphyseal portions of the long bones was seen in all 8 patients, but in 1 patient, metaphyseal involvement was observed as well. Radioclinical abnormalities were most often detected before the age of 30, and were usually more extensive at older age. Radiological abnormalities may precede the clinical signs. Concomitant broadening of the diaphyses of long bones and narrowing of the medullary canal suggest that both an excessive periosteal apposition of bone and a defective resorption of bone at the endosteal side of the long bones exist.

scholarly journals Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Oday Obaid ◽  
Dawood Alhalabi ◽  
Mohamed Ghonami
Keyword(s):  
Small Bowel ◽  
Surgical Management ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Bowel Ischemia ◽  
Radiological Features ◽  
Sclerosing Encapsulating Peritonitis ◽  
Abdominal Symptoms ◽  
Clinical Signs And Symptoms ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a rare disorder that is characterized by encapsulation of bowel loops by thick fibrinogenous case. Most patients present with vague abdominal symptoms. It is challenging to diagnose the condition preoperatively. Surgical management is preserved for patients with small bowel obstruction with no improvement on conservative measures or for those with signs of bowel ischemia (Li et al., 2014; Habib et al. 2011). Herein, we discuss the clinical signs and symptoms, the radiological features, the surgical management, and outcome of SEP based on a patient who underwent surgery in our hospital.

A rapid method for the direct identification of paramyxovirus in canine CSF by ultracentrifugation and negative staining as a rule out for distemper

1990 ◽  
Vol 48 (3) ◽  
pp. 594-595
Author(s):  
W.L. Steffens ◽  
M.B. Ard ◽  
C.E. Greene ◽  
A. Jaggy
Keyword(s):  
Subacute Sclerosing Panencephalitis ◽  
Clinical Signs ◽  
Viral Disease ◽  
Etiologic Agent ◽  
Mucosal Inflammation ◽  
Worldwide Distribution ◽  
Negative Stain ◽  
Viral Particles ◽  
Systemic Manifestations ◽  
Rule Out

Canine distemper is a multisystemic contagious viral disease having a worldwide distribution, a high mortality rate, and significant central neurologic system (CNS) complications. In its systemic manifestations, it is often presumptively diagnosed on the basis of clinical signs and history. Few definitive antemortem diagnostic tests exist, and most are limited to the detection of viral antigen by immunofluorescence techniques on tissues or cytologic specimens or high immunoglobulin levels in CSF (cerebrospinal fluid). Diagnosis of CNS distemper is often unreliable due to the relatively low cell count in CSF (<50 cells/μl) and the binding of blocking immunoglobulins in CSF to cell surfaces. A more reliable and definitive test might be possible utilizing direct morphologic detection of the etiologic agent. Distemper is the canine equivalent of human measles, in that both involve a closely related member of the Paramyxoviridae, both produce mucosal inflammation, and may produce CNS complications. In humans, diagnosis of measles-induced subacute sclerosing panencephalitis is through negative stain identification of whole or incomplete viral particles in patient CSF.

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