1481: Clinical Evaluation of Elastography for the Differential Diagnosis of Thyroid Follicular Tumors

BACKGROUND: Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patient lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended. METHODS: In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated. RESULTS: The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and in the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory. CONCLUSION: Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and for researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.

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Anal Fibroepithelial Polyp With Epithelial Vascular Pseudoinvasion

International Journal of Surgical Pathology ◽

10.1177/1066896920925919 ◽

2020 ◽

Vol 28 (7) ◽

pp. 764-767

Author(s):

Giovanni Fellegara ◽

Nicoletta Di Mari

Keyword(s):

Differential Diagnosis ◽

Clinical Evaluation ◽

Squamous Cell ◽

Histological Evaluation ◽

Fibroepithelial Polyp ◽

Pathogenetic Mechanisms ◽

First Case ◽

Microscopic Evaluation

In this article, we report a case of anal fibroepithelial polyp with benign squamous cell vascular pseudoinvasion. The patient was a 38-year-old Caucasian man, who presented at our institution for recurrent episodes of anal discomfort. Clinical evaluation revealed the presence of 2 pedunculated anal polyps that were resected and submitted for histological evaluation. On microscopic evaluation, one of the polyps shows epithelial endovascular displacement associated with morphological signs of traumatism. The differential diagnosis and possible pathogenetic mechanisms explaining the presence of such findings are discussed. To the best of our knowledge, this is the first case reported of an anal fibroepithelial polyp with epithelial vascular pseudoinvasion.

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Clinical Evaluation in the Differential Diagnosis by the Analysis of Sensory and Motor Function

Practica oto-rhino-laryngologica Suppl ◽

10.5631/jibirinsuppl1986.1989.supplement36_38 ◽

1989 ◽

Vol 1989 (Supplement36) ◽

pp. 38-44 ◽

Cited By ~ 1

Author(s):

Masatsugu Asai ◽

Yukio Watanabe ◽

Naoki Ohashi ◽

Satsuki Yasumura ◽

Katuichi Akaogi ◽

...

Keyword(s):

Differential Diagnosis ◽

Motor Function ◽

Clinical Evaluation

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Clinical Evaluation of Color Doppler Imaging for the Differential Diagnosis of Thyroid Follicular Lesions

World Journal of Surgery ◽

10.1007/s00268-004-7597-8 ◽

2004 ◽

Vol 28 (12) ◽

pp. 1261-1265 ◽

Cited By ~ 65

Author(s):

Nobuhiro Fukunari ◽

Mitsuji Nagahama ◽

Kiminori Sugino ◽

Takashi Mimura ◽

Koichi Ito ◽

...

Keyword(s):

Differential Diagnosis ◽

Clinical Evaluation ◽

Color Doppler ◽

Color Doppler Imaging ◽

Doppler Imaging ◽

Follicular Lesions

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Napping the Day Away

Sleep Disorders ◽

10.1093/med/9780190671099.003.0021 ◽

2019 ◽

pp. 397-417

Author(s):

Erin Golden ◽

Maja Tippmann-Peikert

Keyword(s):

Differential Diagnosis ◽

Clinical Evaluation ◽

Treatment Options ◽

Evaluation Study ◽

Disturbed Sleep ◽

Study Results ◽

Nonpharmacologic Treatment ◽

Underlying Pathophysiology

This chapter describes a patient with narcolepsy type 1, a disorder of central hypersomnolence. His history, clinical evaluation, study results, treatment, and clinical course are detailed. The disorder is then reviewed, highlighting its classic clinical features—hypersomnia, cataplexy, sleep paralysis, hypnagogic and hypnopompic hallucinations, and disturbed sleep—and its underlying pathophysiology. The differential diagnosis is discussed, and recommendations for clinical evaluation are provided with official diagnostic criteria from the International Classification of Sleep Disorders, 3rd edition. Pharmacologic and nonpharmacologic treatment options are then addressed, along with their respective benefits and side-effect profiles.

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