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1.
Singapore Med J ; 55(11): 564-7; quiz 568, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25631965

ABSTRACT

A 50-year-old Chinese man presented to the clinic with left hypochondrial pain, more than 10 kg of weight loss over a 3-month period, and a firm, large, ill-defined mass in the left upper quadrant. Contrast-enhanced computed tomography of the abdomen and pelvis revealed a well-circumscribed exophytic pancreatic mass with features suggestive of acinar cell carcinoma (ACC). The patient underwent chemotherapy and radiotherapy, with no evidence of local recurrence detected at one-year follow-up. He remains under close surveillance by his oncologist. Treatment for ACC includes surgical resection with adjuvant radiotherapy. Better overall survival is seen in patients with surgically resectable ACC as compared to those with the more common ductal cell carcinoma.


Subject(s)
Carcinoma, Acinar Cell/diagnostic imaging , Pancreatic Neoplasms/diagnostic imaging , Carcinoma, Acinar Cell/pathology , Humans , Male , Middle Aged , Pancreatic Neoplasms/pathology , Tomography, X-Ray Computed
2.
Singapore Med J ; 53(8): 551-4; quiz 555, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22941135

ABSTRACT

A 77-year-old Chinese female patient presented with acute onset of left lower limb paraesthesia and weakness after she received an intramuscular injection for pain relief in the gluteal region. Magnetic resonance (MR) imaging of her lumbosacral spine and sacral plexus was performed. The MR imaging findings are reviewed and discussed.


Subject(s)
Iatrogenic Disease , Injections, Intramuscular/adverse effects , Sciatic Neuropathy/diagnosis , Aged , Female , Humans , Magnetic Resonance Imaging , Sciatic Neuropathy/etiology
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