Résumé
Uterine tumors resembling ovarian sex cord tumors are rarely reported with limited imaging findings.The current study reported two case of uterine tumors resembling ovarian sex cord tumors and described the detailed MRI findings,which would provide valuable imaging evidence for the diagnosis of such tumors.
Sujets)
Femelle , Humains , Tumeurs de l'utérus/imagerie diagnostique , Tumeurs de l'ovaire/anatomopathologie , Tumeurs des cordons sexuels et du stroma gonadique/anatomopathologie , Imagerie par résonance magnétiqueRésumé
To determine the effects of decompressive surgery on neurological outcome following incomplete cord injury of the mid and lower cervical spines, 44 patients(decompression and stabilization group: stabilization or conservative treatment group=21:23) who underwent operations between 1993 and 1995 were retrospectively reviewed. We compared neurological outcome by Frankel's grade, Prolo economic and functional rating scale, and final ambulatory status between two groups. Also, we analysed MRI findings related to neurologic outcome in these cervical cord injured patients. With regard to upgrading scale by Frankel's grade, decompressive surgery group was more improved(98% vs 78%). With regard to Prolo's scale, decompressive surgery group were excellent in 24%, good in 52%, and fair in 24%. Stabilization only or conservative treatment group were as follows: excellent(22%), good(39%), fair(30%), and poor (9%). In the viewpoint of walking status, the result of decompressive surgery group was better(90% vs 74%). Initial MRI findings and neurological assesment correlated with neurological recovery. In conclusion, decompressive surgery may be more effective in patients with incomplete cord injury on mid or lower cervical spines when there are cord compressive lesions such as traumatic disc herniation, spondylotic spur, bony impingement in the spinal canal, and irreducible spinal malalignment unless major intramedullary hemorrhage is present.
Sujets)
Humains , Equidae , Hémorragie , Imagerie par résonance magnétique , Études rétrospectives , Canal vertébral , Rachis , Marche à piedRésumé
The authors describe two cases of unusual intracranial metastatic adenoid cystic carcinomas. A 42-year-old woman had a right parietal epidural metastatic mass, presumed hematogenous, spread from a primary tumor in the parotid gland. In second case, a 32-year-old man had a intracranial metastatic adenoid cystic carcinoma mimicking calcified psammomatous meningioma on CT scans. We present the unusual cases with a review of relevant literature and a discussion of possible pathogenesis.
Sujets)
Adulte , Femelle , Humains , Tonsilles pharyngiennes , Carcinome adénoïde kystique , Méningiome , Glande parotide , Rabéprazole , TomodensitométrieRésumé
The authors describe two cases of unusual intracranial metastatic adenoid cystic carcinomas. A 42-year-old woman had a right parietal epidural metastatic mass, presumed hematogenous, spread from a primary tumor in the parotid gland. In second case, a 32-year-old man had a intracranial metastatic adenoid cystic carcinoma mimicking calcified psammomatous meningioma on CT scans. We present the unusual cases with a review of relevant literature and a discussion of possible pathogenesis.