Subject(s)
Pneumothorax/diagnostic imaging , Adult , Female , Humans , Radiography, Thoracic , Tomography, X-Ray ComputedSubject(s)
Infant, Newborn, Diseases , Intestinal Obstruction/complications , Intestinal Obstruction/diagnosis , Intestinal Volvulus/complications , Intestinal Volvulus/diagnosis , Vomiting/etiology , Humans , Infant, Newborn , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Intestinal Volvulus/etiology , Intestinal Volvulus/surgery , Male , Treatment OutcomeABSTRACT
Meningioma rarely gives rise to metastases outside the brain and meninges. We report here a case of a patient who was treated for anaplastic brain meningioma with surgery and fractionated radiation therapy without any recurrence until 5 years after the operation, when she developed vertebral metastases.
ABSTRACT
Pineal metastases of solid tumors are rare. Primary cancer is generally absent at the diagnosis, for which a cerebral MRI is important. We report a case of pineal metastasis occurring in a 76-year-old woman treated for breast carcinoma in our department.
Subject(s)
Brain Neoplasms/secondary , Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/pathology , Carcinoma, Ductal, Breast/secondary , Pineal Gland/pathology , Aged , Antineoplastic Agents, Hormonal/therapeutic use , Brain Neoplasms/therapy , Breast Neoplasms/therapy , Carcinoma, Ductal, Breast/therapy , Contrast Media , Female , Gadolinium , Humans , Lymph Node Excision , Magnetic Resonance Imaging , Mastectomy, Segmental , Radiotherapy, Adjuvant , Tamoxifen/therapeutic useABSTRACT
Periorbital dermoid cysts are benign tumors most often seen in young children. Intraorbital location, though rare, should not be overlooked. Good quality imaging plays a major role in the etiological diagnosis, providing a precise analysis of the location of the lesion, its components, and its effects on adjacent and nearby structures, as well as in planning the surgical approach. The authors report a case of a 46-year-old male with an intraorbital dermoid cyst presenting with progressive left proptosis. Appearance on imaging (CT and MRI) was consistent with intraorbital dermoid cyst. The tumor was extirpated. Histopathologic examination confirmed the diagnosis of dermoid cyst. We also present a review of the literature.
Subject(s)
Dermoid Cyst/diagnosis , Orbital Neoplasms/diagnosis , Dermoid Cyst/complications , Dermoid Cyst/pathology , Exophthalmos/diagnosis , Exophthalmos/etiology , Exophthalmos/pathology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Orbital Neoplasms/complications , Orbital Neoplasms/pathology , Tomography, X-Ray ComputedSubject(s)
Intestinal Perforation/complications , Intestinal Perforation/diagnostic imaging , Meckel Diverticulum/complications , Meckel Diverticulum/diagnostic imaging , Vomiting/etiology , Acute Disease , Diagnosis, Differential , Female , Humans , Infant , Intestinal Perforation/etiology , Intestinal Perforation/surgery , Meckel Diverticulum/surgery , Radiography , Treatment OutcomeABSTRACT
Nasofrontal fistulas, also called nasofrontal dermal sinuses, are very rare and found for the most part in children. This congenital malformation may be revealed by local infection or neuromeningitis, making this a serious disorder. We report one case of nasofrontal dermal sinus diagnosed in an 11-month-old girl, which was complicated by left fronto-orbital infection. Through this case, the authors stress the role of imaging methods in confirming the diagnosis and looking for associated cysts (dermoid and epidermoid).
Subject(s)
Bone Diseases/complications , Bone Diseases/diagnosis , Epidermal Cyst/complications , Epidermal Cyst/diagnosis , Fistula/complications , Fistula/diagnosis , Frontal Bone , Nose Diseases/complications , Nose Diseases/diagnosis , Child , Female , HumansABSTRACT
Pituitary is the most important gland of the organism which can be affected by many diseases, especially by adenomatous processes. Classically macroadenoma, microadenoma and picoadenoma are described, according to the size of the pituitary adenoma. The diagnosis of microadenoma was long considered a highly difficult task and that of picoadenoma was impossible by computed tomography. Recently, the high resolution of multiplanar MRI has enabled the diagnosis of microadenomas measuring less than 3 mm (picoadenoma). For macroadenoma, MRI not only contributes to diagnosis but is particularly important to assess the extension and to detect possible complications. The aim of our study is to illustrate MRI features in pituitary adenoma.
Subject(s)
Adenoma/diagnosis , Pituitary Neoplasms/diagnosis , Adenoma/classification , Humans , Magnetic Resonance Imaging/methods , Pituitary Gland/anatomy & histology , Sensitivity and SpecificityABSTRACT
Elastofibroma dorsi is a rare benign and slow growing fibro-proliferative lesion of unknown pathogenesis. It has a characteristic location (periscapular region) and a specific imaging appearance (songraphy, CT, MRI) allowing accurate prospective diagnosis. The recognition of this benign lesion avoids unnecessary biopsy and/or surgery. We report three cases of elastofibroma dorsi illustrating the characteristic features on sonography, CT and MRI. Involvement was bilateral in two cases.
Subject(s)
Fibroma/diagnosis , Scapula , Soft Tissue Neoplasms/diagnosis , Adult , Aged , Female , Fibroma/diagnostic imaging , Humans , Magnetic Resonance Imaging , Middle Aged , Soft Tissue Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , UltrasonographyABSTRACT
The authors report a case of eosinophilic granuloma involving the roof and the lateral wall of the left orbit in a 5-year-old boy. The clinical presentation and especially the imaging features (computed tomography and MRI) suggested a malignant tumor and the final diagnosis was obtained by fine needle aspiration biopsy with histopathologic examination. Despite its alarming radiologic appearance, there was spontaneous healing of the eosinophilic granuloma with restitution ad-integrum of the bone.
Subject(s)
Eosinophilic Granuloma/diagnosis , Orbital Diseases/diagnosis , Child, Preschool , Humans , Magnetic Resonance Imaging , Male , Tomography, X-Ray ComputedABSTRACT
Acute pancreatitis caused by hydatic cyst of the liver was rarely reported. The authors report a new case of hydatic pancreatitis characterized by visualization of hydatid membranes in the biliary tract without any biliary stone or alcoholic consumption.
Subject(s)
Echinococcosis/complications , Pancreatitis/etiology , Acute Disease , Adult , Cholangiography , Echinococcosis/surgery , Female , Humans , Magnetic Resonance ImagingABSTRACT
Clinically apparent involvement of the nervous system occurs in a relatively small number of patients with sarcoidosis. The diagnosis of neurosarcoidosis is often difficult and particularly in patients who lack either pulmonary or systemic manifestations of sarcoidosis. Furthermore clinical and imaging features of neurosarcoidosis are extremely variable. We report a case of neurosarcoidosis which had been considered and treated at first as tuberculosis. Only the occurrence, two years later, of pulmonary manifestations of sarcoidosis enabled the diagnosis.
Subject(s)
Brain Diseases/diagnosis , Sarcoidosis, Pulmonary/complications , Aged , Brain Diseases/etiology , Female , Humans , Magnetic Resonance ImagingABSTRACT
Right tracheal bronchus is a rare almost always asymptotic congenital malformation. We report a case of right tracheal bronchus associated with pneumonia tuberculosis of the apical segment of the upper right lobe. We describe the characteristic of this malformation and stress the role of computed tomography scan to detect these anomalies.
Subject(s)
Bronchi , Choristoma/complications , Pneumonia, Bacterial/complications , Tracheal Diseases/complications , Tuberculosis, Pulmonary/complications , Choristoma/diagnostic imaging , Humans , Male , Middle Aged , Radiography , Tracheal Diseases/diagnostic imagingABSTRACT
Primary cardiac sarcoma is a rare tumor with a poor prognosis. We report 3 cases with a review of literature about this disease. There were 2 males and 1 woman. The main symptoms were thoracic pain. The clinical features were various and the thoracic ultra sonography exam allowed the diagnosis in the 3 cases. All patients had surgical remove of their cardiac tumor followed by chemotherapy. All of them died within 13 to 36 months after the diagnosis. Primary cardiac sarcoma has a poor prognosis with a mean survival less than 12 months.
Subject(s)
Heart Neoplasms/diagnosis , Sarcoma/diagnosis , Adult , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Chest Pain/etiology , Dyspnea/etiology , Female , Heart Neoplasms/therapy , Humans , Male , Middle Aged , Sarcoma/therapyABSTRACT
Primary lymphoma of bone (PLB) has benefited from recent advances in medical imaging and immunohistochemical study that are of prognostic and therapeutic value. From 3 case reports of PLB involving the iliac bone and the skull base, we review the definition of PLB and their main features. The importance of complete initial workup for staging in order to exclude secondary bone lymphomas, more frequent and of worse prognosis, is emphasized. Diagnosis of PLB involving the skull base is more difficult to obtain and nearly always requires neurosurgical biopsy unlike PLB of peripheral bones that are more readily amenable to percutaneous biopsy.
Subject(s)
Bone Neoplasms/diagnostic imaging , Lymphoma/diagnostic imaging , Adult , Female , Humans , Male , Middle Aged , RadiographyABSTRACT
The objective of this study was to identify the anatomical-clinical aspects and determine the prognostic factors for breast cancer in the central region of Tunisia. This retrospective study involved 729 patients suffering from breast cancer, proven either by histology or cytology, diagnosed and treated between January 1990 and June 1998 at the F. Hached University Hospital in Sousse, Tunisia. The patients' average age was 50 years (ranging from 22-91). The average size of the cancer at the time of diagnosis was 49.1 mm; 90% were invasive duct carcinoma with high histo-prognostic SBR grade (level II-III: 86%). The overall survival rate was 50.5% after five years, and 50% after seven years. Using univariate analysis, significant predictive value was found with the following factors: tumor size, the clinical ganglionic level, metastases at diagnosis, the number of nodes invaded, nodal capsular rupture and lymphatic embolism, SBR grade and the delay in seeking consultation. The multivariate analysis (Cox model) isolated two prognostic factors: the initial size of the tumor (p = 0.001) and metastases at the time of diagnosis (p = 0.01). The study's results indicated that breast cancer prognosis in Tunisia remains poor primarily due to late diagnosis.