ABSTRACT
Congenital pulmonary lymphangiectasia (CPL) is a rare lymphatic pulmonary abnormality. CPL with respiratory distress has a poor prognosis, and is frequently fatal in neonates. We report a case of pneumonectomy for CPL in a newborn. An infant girl, born at 39 weeks' after an uncomplicated pregnancy, exhibited respiratory distress 1 hr after birth, which necessitated intubation and aggressive ventilator care. Right pneumonectomy was performed after her symptoms worsened. Histologic examination indicated CPL. She is currently 12 months old and developing normally. Pneumonectomy can be considered for treating respiratory symptoms for improving chances of survival in cases with unilateral CPL.
Subject(s)
Lung Diseases/congenital , Lymphangiectasis/congenital , Female , Gestational Age , Humans , Infant, Newborn , Lung/pathology , Lung Diseases/diagnosis , Lung Diseases/diagnostic imaging , Lung Diseases/pathology , Lymphangiectasis/diagnosis , Lymphangiectasis/diagnostic imaging , Lymphangiectasis/pathology , Lymphatic Vessels/pathology , Tomography, X-Ray ComputedABSTRACT
OBJECTIVE: Sparganosis is caused by the tapeworm larva of the geneus Spirometra. Because sparganosis usually manifests as a migrating subcutaneous mass, sonography can play an important role in its diagnosis. METHODS: In this series, we investigated 4 cases of subcutaneous sparganosis and focused on the sonographic findings. Three of the cases involved the breast, and the other involved the scrotum, as confirmed by surgery. RESULTS: The characteristics of subcutaneous sparganosis included a poorly defined hyperechoic lesion with internal serpiginous tubular structures, anechoic serpiginous tubular structures with a surrounding hyperechoic lesion, and an elongated hyperechoic mass with a hypoechoic nodular lesion in the central portion. CONCLUSIONS: We suggest that a mass combined with a hypoechoic tubular structure should raise the suspicion of subcutaneous sparganosis.
Subject(s)
Breast/parasitology , Scrotum/parasitology , Sparganosis/diagnostic imaging , Adult , Animals , Diagnosis, Differential , Enzyme-Linked Immunosorbent Assay , Female , Humans , Male , Middle Aged , Sparganosis/pathology , UltrasonographyABSTRACT
OBJECTIVE: The purpose of this presentation is to show the radiologic findings of normal variants and benign and malignant diseases that affect the nipple-areolar complex. METHODS: We evaluated the imaging findings of nipple-areolar complex lesions, using multiple breast imaging modalities including mammography, sonography, galactography, contrast-enhanced magnetic resonance imaging (MRI), and positron emission tomography/computed tomography. RESULTS: Radiologic features of nipple-areolar complex lesions, including Montgomery tubercles, nipple inversion, benign calcifications, inflammation, duct dilatations, intraductal papillomas, fibroadenomas, neurofibromatosis, dermatosis of the nipple, and breast malignancy, have been illustrated. CONCLUSIONS: A clinical examination is essential and an appropriate imaging evaluation with multiple modalities is often necessary to accurately diagnose an underlying abnormality of the nipple-areolar complex. Given the limitations of conventional mammography, supplemental mammographic views often are needed, and sonography may be performed to further characterize a mammographic or clinical finding. Also, contrast-enhanced MRI may be useful for additional evaluation.
Subject(s)
Breast Diseases/diagnostic imaging , Nipples/diagnostic imaging , Ultrasonography, Mammary/methods , Breast Diseases/pathology , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Contrast Media , Female , Humans , Magnetic Resonance Imaging , Mammography , Nipples/pathology , Positron-Emission Tomography , Tomography, X-Ray ComputedABSTRACT
The diagnostic role of (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography (PET)/computed tomography (CT) for gallbladder small cell carcinoma has not been reported. A knowledge of the imaging characteristic features of this malignancy can be useful. Here we report a rare case of a patient who had various diagnostic imaging modalities, including (18)F-FDG PET/CT.
ABSTRACT
Dermatofibrosarcoma protuberans (DFSP) is a rare cutaneous malignant tumor that usually occurs in the trunk, extremities, head, and neck but very rarely in the breast. Fibrosarcomatous transformation of DFSP is even rarer, with a higher risk of distant metastasis and poorer prognosis than DFSP. We report a case of such transformation in a DFSP in the breast.
Subject(s)
Breast Neoplasms/diagnosis , Breast/pathology , Cell Transformation, Neoplastic/pathology , Dermatofibrosarcoma/diagnosis , Skin Neoplasms/diagnosis , Aged , Breast/blood supply , Breast Neoplasms/pathology , Dermatofibrosarcoma/pathology , Diagnosis, Differential , Female , Humans , Mammography , Neoplasm Recurrence, Local , Skin Neoplasms/pathology , Tomography, X-Ray Computed , Ultrasonography, Doppler, Color , Ultrasonography, MammaryABSTRACT
PURPOSE: To describe the magnetic resonance (MR) imaging features of six cases of pathologically proven fibrosing inflammatory pseudotumor involving the nasopharynx, and to compare the MR signal intensities of the lesions with histopathologic findings. METHODS: We reviewed the MR finding of six patients with pathologically proved fibrosing inflammatory pseudotumor at the nasopharyngeal wall with respect to the following points: extent, margins, signal intensity and enhancement degree of the lesion; cervical lymphadenopathy and response to steroid therapy. MR findings were correlated with histopathologic findings. RESULTS: All lesions showed ill-defined margins and looked less-likely contour bulging features. The signal intensity of the lesions was hypointense or slightly heterogeneous relative to brain cortex on both T1- and T2-weighted images, and enhancement was weakly homogeneous in all cases. There was no demonstrable cervical lymphadenopathy in all cases. After steroid therapy, the lesions showed decreased extent and weaker enhancement in three patients. Histopathologic findings showed high degree of polymorphous inflammatory cellular infiltration with underlying significant reactive fibrosis. CONCLUSION: Fibrotic inflammatory pseudotumors involving nasopharynx are very rare, and can mimic malignancy. MR imaging showed ill-defined margins, hypointensity or slightly heterogenous signal intensity on T2-weighted image and weak enhancement. There was no significant cervical lymphadenopathy.
Subject(s)
Granuloma, Plasma Cell/pathology , Magnetic Resonance Imaging/methods , Nasopharyngeal Diseases/pathology , Adult , Female , Fibrosis , Humans , Male , Middle Aged , Statistics as TopicABSTRACT
Gastric metastasis of lung carcinoma is a rare entity which is detected mostly at autopsy. Patients diagnosed as having those on lifetime are extremely rare. In addition to our case, 54 cases of lung carcinoma metastasis to the gastro-intestinal tract have been reported in the literature since 1961. We report a case of gastric metastasis originated from small cell lung carcinoma. The patient was a 87-year-old man. He refused lung biopsy and further treatment and died 2 months after the diagnosis. This is the case of gastric metastasis originated from lung carcinoma, which was confirmed by immunohistochemical staining.
