ABSTRACT
Proliferating trichilemmal tumor is a rare benign tumor of skin appendage. It is usually solitary, more common in women after the fourth decade of life, and almost exclusively confined to the scalp and back of the neck. We report herein an unusual case of proliferating trchilemmal tumor which occurred on the knee.
Subject(s)
Female , Humans , Bursitis , Knee , Neck , Scalp , SkinABSTRACT
Malignant struma ovarii is a rare form of ovarian carcinoma. Sincc it is often seen as a nonspecific complex mass, its preoperative diagnosis is difficult. The MR imaging findings of benign struma ovarii have been reported, but no published account has described the malignant form. In this case, MR images depicted multiple cysts with well enhanced solid portions in the left ovary, and the typical apperarance of mature cystic teratoma in the right ovary. We describe a case of malignant struma ovarii associated with mature cystic teratoma of the contralateral ovary.
Subject(s)
Female , Diagnosis , Magnetic Resonance Imaging , Ovary , Struma Ovarii , TeratomaABSTRACT
Torsion of the accessory spleen is a rare entity that can have variable clinical presentations. We report case involving an 11-year-old boy with severe abdominal pain and a mass that was found to be due to infarction of the accessory spleen, which was twisted on its pedicle. CT revealed a low-attenuating mass with peripheral inflammatory changes in the left upper abdomen. The mass was pathologically confirmed as torsion of the ac-cessory spleen with infarction.
Subject(s)
Child , Humans , Male , Abdomen , Abdominal Pain , Infarction , SpleenABSTRACT
In the present study, we examined the p53 mRNA expression in neuronal cell injury using a hypoxia and reoxygenation model of neuronal toxicity in hippocampal CA1 and CA3 regions. Reoxygenation for 6 hours to 3 days, after an exposure to hypoxic condition for 2 hours, produced a significant increase in p53 mRNA expression both in CA1 and CA3 regions compared to those in the control. In order to determine whether these changes in p53 mRNA expression in CA1 and CA3 have an effect on hypoxia-induced apoptotic or necrotic changes, TUNEL and H & E staining were applied to the hippocampal neurons. Interestingly, the CA1 region only showed most of strong TUNEL positive reaction whereas TUNEL positive reaction was weak in the CA3 region at reoxygenation time points. In addition, one of the particular morphological changes in CA1 neurons is the shrinkage of some neurons although most of neurons showed normal. However, the prominent neuronal changes in the CA3 region was that there were extensive red neurons containing eosinophilic cytoplasm and several dark neurons showing pyknotic nuclei, expanded perineuronal spaces, and cork-screw processes which are considered to typical necrotic degeneration. These results suggest that increased p53 expression might play important roles in hippocampal cell injury and their molecular mechanisms underlying cell injury may strongly depends upon the different properties of each hippocampal regions.
Subject(s)
Hypoxia , Apoptosis , Cytoplasm , Eosinophils , In Situ Nick-End Labeling , Necrosis , Neurons , RNA, MessengerABSTRACT
PURPOSE: To evaluate the diagnostic value of source images of 3D TOF MR angiography in patients with hemifacial spasm. MATERIALS AND METHODS: Thirteen patients with surgically-confirmed hemifacial spasm and 30 who were not suffering from this condition were included in this study. T1 and T2-weighted images and 3D TOF MR angiography were performed. In 43 randomly-selected individuals, we retrospectively determined whether source images obtained during 3D TOF MR angiography could be used to evaluate symptoms. The results were correlated with surgical findings. RESULTS: Sensitivity was 92% and specificity was 86%. In all 13 patients with hemifacial spasm, neurovascular compression was detected during their operation. Offending vessels were the anterior inferior cerebellar artery (AICA) in four cases, the posterior inferior cerebellar artery (PICA) in seven, both the vertebral artery and PICA in one, and the vertebral vein, also in one. There were ten false-positive cases in the asymptomatic control group, nine of which showed neurovascular contact in the root entry zone of the facial nerve; one case showed indentation of the pons. CONCLUSION: Source images obtained during 3D TOF MR angiography are useful in the preoperative evaluation of hemifacial spasm.
Subject(s)
Humans , Angiography , Arteries , Facial Nerve , Hemifacial Spasm , Pica , Pons , Retrospective Studies , Sensitivity and Specificity , Veins , Vertebral ArteryABSTRACT
The ultrasonographic findings of 49 ovarian cystadenomas were analized. The results were as follows: 1. Themost common age group was 3rd decade and most patients(83%) belong to active reproductive period. 2. In 80% ofserous cystadenoma the size of the tumor was ranged in 6–10cm in diameter. The large tumors of 16–20 cm indiameter were mostly mucinous cystadenomas. 3. Purely cystic appearance was the most common finding(40%) of serouscystadenoma and thick linear septation with and without solid component was the most common finding (38%) ofmucious cystadenoma. 4. Thick linear septation with solid component was not found inserous cystadenoma. 5. Welldefined nodular projection was found in 3 cases of serous cystadenoma but not identified in mucinous cystadenoma.