RESUMO
The most common form of splenic anomaly with a concurrent short pancreas is polysplenia, which has been described in various studies in the radiological literature. However, splenic duplication has never been reported. We report here a case of splenic duplication associated with a short pancreas and pre-duodenal portal vein. This extremely rare case of splenic anomaly shows unique multidetector CT findings that are distinguishable from a splenic lobulation or cleft.
Assuntos
Pâncreas/anormalidades , Veia Porta/anormalidades , Baço/anormalidades , Idoso , Humanos , Achados Incidentais , Masculino , Pâncreas/diagnóstico por imagem , Veia Porta/diagnóstico por imagem , Baço/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
We report a case of malignant proliferating trichilemmal tumor showing multiple distant metastases. The patient demonstrated a round mass in the right occipital area for 12 months and the lesion grew rapidly to assume 8 x 6.5 x 4 cm in diameter, with areas of superficial erosion and crusting within the recent 3 months. The entire lesion was removed with a wide surgical excision. It recurred on the neck area 4 months after excision and the lesion was removed with surgical resection again. There was evidence of multiple metastases on CNS and mediastinal lymph nodes after 6 months. The patient was treated with cisplatin and etoposide combination chemotherapy and a partial response was achieved.
