Diaphragmatic Mesothelial Cyst: Radiological Appearance and Follow-Up Results During Childhood

2021 ◽  
Vol 37 (4) ◽  
pp. 357-361
Author(s):  
Ismail Akdulum ◽  
Mehmet Öztürk ◽  
Sinan Karatoprak ◽  
Melih Akyüz ◽  
Ahmet Sığırcı ◽  
...  
Keyword(s):  
Radiological Appearance ◽  
Mesothelial Cyst

scholarly journals Renal vein leiomyosarcoma and renal cell carcinoma presenting together: A case report and discussion on the follow up.

2015 ◽  
Vol 9 (7-8) ◽  
pp. 517 ◽  
Author(s):  
Conor M. Devlin ◽  
Kanwar Gill ◽  
Jennifer Thomas ◽  
Chandra Shekhar Biyani
Keyword(s):  
Computed Tomography ◽  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
English Literature ◽  
Postoperative Surveillance ◽  
Radiological Appearance ◽  
High Index Of Suspicion

Leiomyosarcoma affecting the renal vein is rare, with about 30 documented cases in the English literature. The appearance on computed tomography can be difficult to interpret and is often confused with advanced renal cell carcinoma (RCC). This confusion can have implications on the perioperative care of patients presenting with this disease. We report a case with an usual radiological appearance of a renal vein leiomyosarcoma, alongside a separate RCC. This case highlights the need for a high index of suspicion in radiological reporting and provides a dilemma in regards to postoperative surveillance.

Early Results of a Modified Brunelli Procedure for Scapholunate Instability

1998 ◽  
Vol 23 (2) ◽  
pp. 258-261 ◽  
Author(s):  
K. L. S. VAN DEN ABBEELE ◽  
Y. C. LOH ◽  
J. K. STANLEY ◽  
I. A. TRAIL
Keyword(s):  
Subjective Improvement ◽  
Short Term ◽  
Ulnar Deviation ◽  
Radiological Appearance ◽  
Scapholunate Instability ◽  
Follow Up Study ◽  
Early Results ◽  
Long Term Follow Up

Twenty-two patients with a diagnosis of scapholunate instability underwent a modified Brunelli procedure. The overall results of this short follow-up study showed that a majority of patients (17 out of 22) had relief of pain. Grip strength recovered well. Postoperative range of motion was reduced in extension and flexion, remained unchanged for radial deviation and improved for ulnar deviation. The radiological appearance of dynamic or static scapholunate instability did not change after the procedure. Most patients (17 out of 22) felt subjective improvement and would have the operation again. A significantly poorer result was seen in those patients with an unresolved medicolegal claim. Although short-term results are encouraging for some patients, the authors feel that more long-term follow-up is needed before recommending the procedure.

Condylar changes in patients with idiopathic condylar resorption: retrospective 2-year follow-up CBCT-based case–control study

2020 ◽  
Vol 42 (6) ◽  
pp. 619-625
Author(s):  
Cristina R Exposto ◽  
Peter Stoustrup ◽  
Kasper D Kristensen ◽  
Michel Dalstra ◽  
Thomas K Pedersen
Keyword(s):  
Case Control Study ◽  
Qualitative Evaluation ◽  
Vertical Displacement ◽  
Case Control ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Control Group ◽  
Radiological Appearance ◽  
Control Study

Summary Objectives To compare condylar development and changes in condylar radiological appearance in patients with idiopathic condylar resorption (ICR) to a healthy, age- and gender matched, control group. Materials and methods This case-control study included 16 ICR patients [mean age: 15years, 9 months; standard deviation (SD): 4 years) and 16 controls (mean age: 16 years, 8 months; SD: 4 years, 7 months), with diagnostic (T0) and 2-year follow-up (T1) CBCT examinations. Condylar changes were evaluated through changes in condylar neck angle (CNA), and the transversal, vertical and anteroposterior displacement of five condylar points between T0 and T1. The magnitude and direction of condylar changes were evaluated using vector analyses. A qualitative radiological evaluation of the TMJ was performed based on healthy, erosive and repaired morphological appearance. Linear and angular measurements were assessed using ANOVA and a Tukey post-hoc test, and vectors were tested using an independent-sample 2-tailed t-test. Fisher’s exact test was used for the qualitative evaluation. Results At T0, ICR patients exhibited decreased condylar height, smaller condylar width and posteriorly inclined CNA compared with the control group (P < 0.05). During observation, condylar vertical growth was smaller in the ICR group than in the control group (P < 0.05). Vector analysis showed an upward direction of vertical displacement for all condylar points in the control group; the ICR group showed a downward direction (P < 0.003). The radiological appearance of 75% of the ICR condyles and 94% of the control condyles did not change during the 2-year follow-up period. Conclusions ICR condyles displayed reduced vertical development compared with control condyles. The radiological appearance remained unchanged for most joints. Observed changes in radiological appearance did not always follow a progressive model of degenerative joint disease.

Mesothelial Cysts of the Round Ligament of the Uterus in 9 patients: A 15-year Experience

2016 ◽  
Vol 101 (3-4) ◽  
pp. 171-175 ◽  
Author(s):  
Mehmet Bulent Tirnaksiz ◽  
Arman Erkan ◽  
Ahmet Bulent Dogrul ◽  
Osman Abbasoglu
Keyword(s):  
Groin Hernia ◽  
Single Layer ◽  
Round Ligament ◽  
Preoperative Imaging ◽  
Histopathologic Examination ◽  
Mesothelial Cyst ◽  
Characteristic Features ◽  
The Right ◽  
High Index Of Suspicion

The aim of this study was to evaluate the characteristic features of patients with mesothelial cyst of the round ligament of the uterus and the incidence of this entity. This was a retrospective review of 3065 patients who underwent inguinal exploration for groin mass from 1998 to 2013. Clinical, radiologic, and histopathologic features of patients with a diagnosis of mesothelial cyst of the round ligament were analyzed. Of the 405 female patients reviewed, 9 mesothelial cysts of the round ligament were identified (2.2%). The median age was 37 (range, 19–82 years). In all patients the groin mass was manually irreducible on physical examination. The lesions were on the right side in 6 (66.6%) patients. These were identified before surgery in 4 (all by groin ultrasonography). Three were misidentified as a hernia before surgery. The remaining 2 (22%) had both hernia and the mesothelial cyst of the round ligament. The cysts were identified after surgery at the time of histopathologic examination in these 2 patients. In all patients histopathologic examination revealed multilobular cystic lesion lined by a single layer of mesothelial cells. Cystic lesions arising from the round ligament were identified and excised along with the round ligament in 7 patients. In the remaining 2, a hernia repair was also performed. There was no recurrence at follow-up. Mesothelial cysts of the round ligament are rare. They are easily misidentified as groin hernia. An accurate diagnosis requires a high index of suspicion and is greatly aided by preoperative imaging studies.

Cochleovestibular nerve involvement in multifocal fibrosclerosis

2012 ◽  
Vol 126 (9) ◽  
pp. 935-938
Author(s):  
R K Tsuji ◽  
A G Bittencourt ◽  
M H Arai ◽  
E M Santiago Gebrim
Keyword(s):  
Histopathological Examination ◽  
Symptom Improvement ◽  
Histological Findings ◽  
Radiological Appearance ◽  
Rare Association ◽  
Multifocal Fibrosclerosis ◽  
Inflammatory Processes ◽  
Systemic Disorder ◽  
Fibrotic Diseases

AbstractObjectives:To report a case of multifocal fibrosclerosis with a nine-year follow up, and to discuss this disease's radiological appearance and management. The disease is a rare systemic disorder of unknown cause characterised by fibrous proliferation involving multiple anatomical sites.Case report:A 50-year-old woman presented with histological findings characterised by similar inflammatory processes involving the meninges, pituitary gland, peritoneum, retroperitoneum and orbits, prompting a search for a common pathophysiology. A diagnosis of multifocal fibrosclerosis was postulated. Symptom improvement was noted after treatment with prednisone and azathioprine.Conclusion:This is the first documented case of involvement of the cochleovestibular nerve in a patient with multifocal fibrosclerosis. The rare association between fibrotic diseases and masses showing various clinical patterns should be kept in mind by otolaryngologists, and imaging performed to investigate for multifocal fibrosclerosis. However, diagnosis can only be confirmed with tissue biopsy and histopathological examination.

scholarly journals Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

2019 ◽  
Vol 47 (11) ◽  
pp. 5475-5482
Author(s):  
Dongfeng Chen ◽  
Pan Zhang ◽  
Haifeng Zhang ◽  
Mingxiao Guo ◽  
Weijia Wang ◽  
...  
Keyword(s):  
Open Surgery ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Surgical Removal ◽  
Normal Body Mass Index ◽  
Transabdominal Preperitoneal ◽  
Mesothelial Cyst ◽  
The Right ◽  
Transabdominal Preperitoneal Procedure

Objective Surgical treatment of a mesothelial cyst of the uterine round ligament (MCURL), an uncommon entity, has been rarely documented. In this article, we present our experience with excision of MCURLs. Methods The records of all female patients undergoing surgical removal of a groin mass in our department from March 2013 to November 2018 were retrospectively reviewed. Demographic information, clinical data, and follow-up outcomes were collected and analyzed. Results Among 298 women who underwent groin hernia repair, 17 (5.7%) had MCURLs. Of these 17 patients, 13 were aged 30 to 45 years and 15 had a normal body mass index (18.5–23.9 kg/m2). MCURLs occurred predominantly on the right side (11/17). Approximately half of the patients (9/17) were preoperatively misdiagnosed with inguinal hernias. Approximately 70% (12/17) of the lesions were localized medially to the inner ring of the inguinal canal and excised by a laparoscopic transabdominal preperitoneal (TAPP) procedure alone. Five patients required open surgery following the TAPP procedure because the cyst extended distally beyond the inner ring. No recurrence was noted during the entire follow-up period. Conclusion Most MCURLs were localized medially to the inner ring of the inguinal canal and could be excised by a TAPP procedure.

Pancreatic mesothelial cyst

2020 ◽  
Vol 13 (10) ◽  
pp. e236255
Author(s):  
Charbel Chater ◽  
Joseph Obeid Obeid ◽  
Seba Mhanna
Keyword(s):  
Cystic Lesion ◽  
Mucinous Cystadenoma ◽  
Pathological Examination ◽  
Positive Staining ◽  
Spleen Preservation ◽  
Abdominal Ct ◽  
Hyperintense Lesion ◽  
Mesothelial Cyst ◽  
Cytokeratin 5

A 60-year-old woman was investigated for abdominal pain and increasing asthenia. Abdominal CT revealed a 25 mm hypodense cystic lesion in the tail of the pancreas. MRI showed a multiloculated cystic lesion, T1-hypointense and T2-hyperintense lesion, without wall enhancement. Endoscopic ultrasound detected a 25 mm multi-loculated cystic lesion, with regular margin and without pancreatic duct communication. Diagnosis of pancreatic mucinous cystadenoma was discussed and the patient was referred to surgery. She underwent distal pancreatectomy with spleen preservation. Pathological examination revealed the diagnosis of pancreatic mesothelial cyst. Histologically, the cyst was multiloculated, lined by cuboidal epithelium, ovoid nuclei and amphophilic cytoplasm, without mucin deposition or cytological atypia. Immunohistochemistry examination revealed positive staining for cytokeratin 5/6, vimentin and calretinin. At 1-year follow-up, she is in her usual health, without any symptoms.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

Brief summary of Kleť photographic search programme for minor planets

1999 ◽  
Vol 173 ◽  
pp. 189-192
Author(s):  
J. Tichá ◽  
M. Tichý ◽  
Z. Moravec
Keyword(s):  
Ccd Camera ◽  
Minor Planet ◽  
Minor Planets ◽  
Main Belt

AbstractA long-term photographic search programme for minor planets was begun at the Kleť Observatory at the end of seventies using a 0.63-m Maksutov telescope, but with insufficient respect for long-arc follow-up astrometry. More than two thousand provisional designations were given to new Kleť discoveries. Since 1993 targeted follow-up astrometry of Kleť candidates has been performed with a 0.57-m reflector equipped with a CCD camera, and reliable orbits for many previous Kleť discoveries have been determined. The photographic programme results in more than 350 numbered minor planets credited to Kleť, one of the world's most prolific discovery sites. Nearly 50 per cent of them were numbered as a consequence of CCD follow-up observations since 1994.This brief summary describes the results of this Kleť photographic minor planet survey between 1977 and 1996. The majority of the Kleť photographic discoveries are main belt asteroids, but two Amor type asteroids and one Trojan have been found.

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