Diagnosis and treatment analysis of renal pelvic hemangioma / 中华泌尿外科杂志

Renal pelvic hemangioma is a rare benign tumor, presenting with intermittent, total, painless, gross hematuria, accompanied by low back pain, abdominal pain or other symptoms in some cases. Four cases of pyelonephric hemangioma were treated, which were misdiagnosed as malignancy before surgery. For middle-aged patients with intermittent hematuria, if the imaging data cannot rule out renal pelvic hemangioma, it is recommended to perform renoscopy, renal artery angiography or renal puncture biopsy. For patients diagnosed with renal pelvic hemangioma, either partial nephrectomy, ureteroscopic cauterization, or selective renal artery embolization can achieve good results.

A case report of spermatic neuroblastoma / 中华泌尿外科杂志

The purpose of this study is to study the clinical characteristics of spermatic cord tumor.The clinical data of a case of varicocele in our hospital were analyzed retrospectively.In this case,the patients with varicocele had a good recovery after operation.Varicocele is a rare case.The best mode of treatment is surgical resection and follow-up after operation.

Evaluation of Palpable Breast Masses by Ultrasound and its Correlation with Tissue Diagnosis in a Tertiary Care Centre in Northern Kerala

Background: According to numerous studies the positive predictive value for biopsy can be improved by proper complete diagnostic work up in which sonography is also included. Developments in imaging technique with high resolution ultrasonography has helped us to distinguish between benign and malignant masses. This study has been carried out for the ultrasonological characterization of palpable breast masses and to categorize them as benign and malignant and to correlate these benign and malignant breast masses with tissue diagnosis. Methods: Our study was a prospective analysis. The study included 150 patients with age range between 22–75 years (mean age, 40 years) and with a history of palpable breast masses. Data for our study was collected from the patients referred to Department of Radio diagnosis at Academy of medical sciences, Pariyaram, Kannur for the period of two years. A structured, pre-prepared case proforma (CP) was used to enter the clinical history, physical examination findings, investigations-sonography and histopathology findings. Initially sonography was performed with GE Voluson 730 expert scanner with 7.5-10 MHz linear array transducer and data was obtained of only solid masses. Then tissue diagnosis was obtained in all 150 cases. Later the tissue diagnosis results were correlated with sonological findings by statistical analysis. Results: The US features most predictive of a benign tissue diagnosis were oval or round shape, circumscribed margins, and width-to–AP dimension ratio greater than 1.4. The features most predictive of a malignant tissue diagnosis were spiculated or microlobulated margins, irregular shape, ill-defined margins, and width-to–AP dimension ratio of 1.4 or less. Some features like the effects of masses on posterior echo intensity were not reliable in differentiating between benign and malignant lesions. Some features like echogenicity showed excellent correlation with a benign or malignant tissue diagnosis were too infrequent to be generally applicable. Conclusions: In our study we performed the prospective analysis of the sonomammography findings in correlation with tissue diagnosis. The US features in our study most predictive of a benign tissue diagnosis were oval or round shape, circumscribed margins, presence of edge refraction, and width-to–AP dimension ratio greater than 1.4. The features most predictive of a malignant tissue diagnosis were spiculated or microlobulated margins, irregular shape, ill-defined margins, and width-to–AP dimension ratio of 1.4 or less. The results of our study were encouraging in that we were able to identify the most applicable US features for differentiating benign from malignant solid masses. These features have the potential to help decrease the number of biopsies performed for benign solid masses

Development of Thyroid-Associated Ophthalmopathy in Patients Who Underwent Total Thyroidectomy

PURPOSE: To report clinical characteristics of thyroid-associated ophthalmopathy (TAO) in patients who previously underwent total thyroidectomy for thyroid cancer or a benign mass of the thyroid. MATERIALS AND METHODS: Of the patients who were diagnosed with TAO from March 2008 to March 2012, we performed a retrospective chart review on those who had undergone total thyroidectomy for thyroid cancer or a benign mass of the thyroid before the occurrence of ophthalmopathy. RESULTS: Of the 206 patients diagnosed with TAO, seven (3.4%) met the inclusion criteria. The mean age of the subjects was 47.4 years, and all were female. Six patients were diagnosed with papillary thyroid cancer, and one was diagnosed with a benign mass. The duration between total thyroidectomy and onset of TAO ranged from 3-120 months (median 48 months). Ophthalmic manifestations varied among cases. Except for the patient who was diagnosed with a benign mass, all patients showed hyperthyroid status and were under Synthroid hormone treatment at the time of TAO development. Five of these six patients had positive levels of thyroid-stimulating hormone (TSH) receptor autoantibodies. CONCLUSION: TAO rarely develops after total thyroidectomy, and the mechanism of TAO occurrence is unclear. However, most patients showed abnormalities in thyroid function and TSH receptor autoantibodies.

Endoscopic Management of Benign Tumors of the Nose and Paranasal Sinuses / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: In this presentation, we tried to discuss in detail the reasons why the endoscopic technique is useful when applied to diagnosis, treatment and follow up of benign masses in these areas. MATERIALS AND METHODS: We reviewed retrospectively the records of 24 patients with benign nasal tumors treated with endoscopic resection between January 1995 and July 1997 at Samsung Medical Center. RESULTS: The clinical symptoms were nasal obstruction, rhinorrhea, epistaxis, hyposmia, postnasal drip, and cough in the descending order. Among the benign tumors, inverting papilloma was most common, followed by granuloma pyogenicum, hemangioma, fibrous dysplasia, osteoma, papilloma, and oncocytic schneiderian papilloma. No recurrence was found at mean follow-up of 23 months except one case of fibrous dysplasia. CONCLUSION: This technique can be used to remove benign tumors with excellent result, thereby avoiding the disadvantages of external approaches.