ABSTRACT
We present the case of a 36-year-old woman who underwent ¹⁸F-FDG PET/CT with suspicion of a primary breast malignancy. However, PET/CT detected an occult renal cell carcinoma with metastases to the thyroid, breast, lungs and lymph nodes. Thyroid and breast metastases are atypical metastatic sites of renal cell carcinoma. Breast metastases from extra mammary tissue are extremely rare, more so from renal cell carcinoma. Histopathologic confirmation of the breast lesions is imperative to avoid unnecessary mastectomy and imaging can help in raising the suspicion of metastatic involvement versus primary breast malignancy.
Subject(s)
Adult , Female , Humans , Breast , Carcinoma, Renal Cell , Lung , Lymph Nodes , Mastectomy , Neoplasm Metastasis , Positron Emission Tomography Computed Tomography , Thyroid GlandABSTRACT
We present the case of a 36-year-old woman who underwent ¹â¸F-FDG PET/CT with suspicion of a primary breast malignancy. However, PET/CT detected an occult renal cell carcinoma with metastases to the thyroid, breast, lungs and lymph nodes. Thyroid and breast metastases are atypical metastatic sites of renal cell carcinoma. Breast metastases from extra mammary tissue are extremely rare, more so from renal cell carcinoma. Histopathologic confirmation of the breast lesions is imperative to avoid unnecessary mastectomy and imaging can help in raising the suspicion of metastatic involvement versus primary breast malignancy.
ABSTRACT
To present our experience of laparoscopic gastric banding [LAGB] for morbid obesity in the Eastern Province of Saudi Arabia Retrospective reviews of patients undergoing surgery for morbid obesity. King Fahad Hospital, Hofuf, Saudi Arabia One-hundred and eighty two [182] patients from January 2000 to December 2006 were included in the study. Laproscopic gastric banding Preoperative age, sex, body mass index [BMI], co-morbidities, operative variables and postoperative hospital stay and complications were recorded. The postoperative weight loss was recorded at three monthly intervals. The mean age was 30.3 years [range 18 - 51 years] and the mean BMI was 52.6 kg per square meter [range 41 - 61.5 kg per square meter]. There were two conversions to open procedure because of dense adhesions from previous surgeries. The mean operative time was 2.7 hours [range 1.25 - 3.5 hours]. The mean postoperative hospital stay was 3.7 days [range 2 - 12 days]. There was no mortality. Three patients had band removal after one year postoperatively. The mean follow up period was 11 months [range 3 - 40 months]. The mean BMI decreased to 50.2, 45.4, 41.2 and 37.7 kg per square meter at 3, 6, 9 and 12 months postoperatively, with an average excess weight loss reduction of 43.5% after one year. Conclusions: Laproscopic gastric banding is an effective and safe procedure for the treatment of morbid obesity in Saudi patients