RESUMEN
We report a case of a nonfunctioning neuroendocrine pancreatic tumor in the pediatric age group. An 8-year-old child complains of vague abdominal pain and radiological investigations detect a tumoral mass in the pancreatic tail. Abdominal ultrasound, contrast enhanced computed tomography and magnetic resonance imaging demonstrate a round intrapancreatic solid moderately vascularized lesion of approximately 5 cm in diameter, with a smooth contour and well demarcated from the surrounding tissues. After surgical resection, the diagnosis of a hormonally inactive benign neuroendocrine tumor is histologically diagnosed. Patient's follow-up is uneventful.
Asunto(s)
Tumores Neuroendocrinos/diagnóstico , Neoplasias Pancreáticas/diagnóstico , Niño , Medios de Contraste , Femenino , Humanos , Imagen por Resonancia Magnética , Tumores Neuroendocrinos/diagnóstico por imagen , Tumores Neuroendocrinos/cirugía , Neoplasias Pancreáticas/diagnóstico por imagen , Neoplasias Pancreáticas/cirugía , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
We report amyloid deposition in the breast presenting as suspicious microcalcifications on screening mammography. Stereotactic mammotome biopsy provided the diagnosis. The history of the patient revealed primary Sjögren syndrome. The combination of amyloid deposition in the breast and Sjögren's syndrome has only rarely been reported.
Asunto(s)
Amiloidosis/diagnóstico , Enfermedades de la Mama/diagnóstico , Síndrome de Sjögren/complicaciones , Amiloide/análisis , Biopsia , Neoplasias de la Mama/diagnóstico , Calcinosis/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Mamografía , Persona de Mediana Edad , Ultrasonografía MamariaRESUMEN
This article discusses the range of manifestations of tuberculosis (TB) of the abdomen, including involvement of the gastrointestinal tract, the peritoneum, mesentery, omentum, abdominal lymph nodes, solid abdominal organs, the genital system and the abdominal aorta. Abdominal TB is a diagnostic challenge, particularly when pulmonary TB is absent. It may mimic many other abdominal diseases, both clinically and radiologically. An early correct diagnosis, however, is important in order to ensure proper treatment and a favorable outcome. Modern imaging is a cornerstone in the early diagnosis of abdominal TB and may prevent unnecessary morbidity and mortality. Generally, CT appears to be the imaging modality of choice in the detection and assessment of abdominal tuberculosis, other than gastrointestinal TB. Barium studies remain superior for demonstrating mucosal intestinal lesions. Ultrasound may be used for follow-up to monitor therapy response. The diagnosis of abdominal TB should be considered if suggestive imaging findings are found in patients with a high index of suspicion.