scholarly journals Primary Renal Carcinoid Tumor

2004 ◽  
Vol 4 ◽  
pp. 378-380 ◽  
Author(s):  
Siamak Daneshmand ◽  
Shahin Chandrasoma ◽  
Shandra Wilson
Keyword(s):  
Back Pain ◽  
Lymph Nodes ◽  
Carcinoid Tumor ◽  
Radical Nephrectomy ◽  
Left Kidney ◽  
Normal Kidney ◽  
Medial Aspect ◽  
Typical Carcinoid ◽  
Retroperitoneal Lymphadenectomy

Primary carcinoid tumors originating in a normal kidney are exceptionally rare. We describe a case of a 52-year-old woman who presented with vague back pain and was found to have a 4-cm mass in the medial aspect of the left kidney. Radical nephrectomy and retroperitoneal lymphadenectomy were performed. Histopathology revealed a typical carcinoid tumor with 1 out of 17 lymph nodes involved. She has no evidence of recurrence or metastasis on 7-month follow-up.

Laparoscopic lymphadenectomy for clinical stage I nonseminomatous testicular tumour

1996 ◽  
Vol 63 (3) ◽  
pp. 398-402
Author(s):  
S. Siracusano ◽  
C. Trombetta ◽  
G. Savoca ◽  
G. De Giorgi ◽  
M. Zanon ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Clinical Stage ◽  
Operating Time ◽  
Stage I ◽  
Testicular Tumour ◽  
Histological Findings ◽  
Retroperitoneal Lymphadenectomy ◽  
Laparoscopic Operation ◽  
The Mean

We report our experience in laparoscopic lymphadenectomy in non-seminomatous stage I testicular neoplasia. This technique is an alternative to the formal retroperitoneal lymphadenectomy. Between 1993 and 1996 we carried out 8 retroperitoneal laparoscopic lymphadenectomies in patients, aged 19–40 years, affected by non-seminomatous testicular neoplasia. We removed from 13 to 24 lymph nodes. Operating time ranged between 200 and 300 minutes. The mean stay in hospital was 5 days. Histological findings revealed micrometastatic lymph nodes in half the patients. No complications were reported except in one patient, who underwent TC-guided drain owing to voluminous lymphocele one week after the laparoscopic operation. Normal antegrade ejaculation was preserved in all cases and no retroperitoneal recurrence was noted at a mean 18 months follow-up.

scholarly journals Isolated Para-Aortic Lymph Nodes Recurrence in Carcinoma Cervix

1970 ◽  
Vol 7 (2) ◽  
pp. 103-107
Author(s):  
S Ghimire ◽  
S Hamid ◽  
A Rashid
Keyword(s):  
Overall Survival ◽  
Low Back Pain ◽  
Back Pain ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Salvage Treatment ◽  
Definitive Treatment ◽  
Low Back ◽  
Aortic Lymph Node

Background: To evaluate the presentation of isolated para-aortic lymph node recurrence after definitive treatment, and to analyze the effect of salvage treatment on the survival rate. Methods: A retrospective study was done for patients with invasive carcinoma of the uterine cervix treated with various modalities of treatment at Shaukat Khanum Memorial Cancer Hospital Research Center Lahore Pakistan from December, 1999 to August 2004. Results: The incidence of radiographically detected para aortic lymph node recurrence was 3.7% by FIGO stage at original diagnosis was 3 (50 %) in stage IIIB, 2 (33.3%) in post hysterectomy status and 1 (16.7%) in stage IB cervical carcinoma. Total 4 (66.7%) patients with para-aortic lymph nodes recurrences were identified with in the first 12 months after the initial treatment and 2(33.3%) had their recurrence after 12 month. Leg swelling, low back pain and hydronephrosis were observed when inquired for the presentation in those patients with recurrence in paraarotic lymph nodes. Hydronephrosis was the commonest finding (50%) either alone or in association with other symptoms. And 3 (50%) of the patient were died within two year of the diagnosis of recurrence.Three patients are still on follow up, one with progressive disease in liver and one with chronic renal failure, and one asymptomatic. Patient who received radiation alone had overall survival of 3.16 months after the recurrence compared with >12 months overall survival for those treated with chemotherapy. Conclusions: Symptoms like leg swelling, low back pain and hydronephrosis helps a lot to detect the early paraaortic recurrence, hydronephrosis being commonest. Although the number of patients with para-aortic recurrence were very small and the follow up time was too short to make any recommendations for salvage treatment or survival advantages, as a definitive treatment for isolated para aortic lymph nodes we can offer both radiotherapy or chemotherapy. Key words: cervix; carcinoma; lymph nodes; para-aortic; recurrence. DOI: 10.3126/jnhrc.v7i2.3016 Journal of Nepal Health Research Council Vol.7(2) Apr 2009 103-107

USE OF LASER PHOTOCOAGULATION THROUGH ENDOBRONCHIAL APPROACH AS AN ALTERNATIVE TREATMENT FOR BRONCHIAL CARCINOID TUMOR.CASE REPORT

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
L A García González ◽  
F J Aragón Valverde ◽  
I P Pérez Méndez ◽  
A B Gutiérrez Pérez ◽  
M Vaquero Cacho ◽  
...  
Keyword(s):  
Carcinoid Tumor ◽  
Laser Photocoagulation ◽  
Respiratory Infections ◽  
Left Lung ◽  
Rigid Bronchoscopy ◽  
Bronchial Carcinoid ◽  
First Line ◽  
Typical Carcinoid ◽  
Nccn Guidelines

Abstract INTRODUCTION Bronchial carcinoid tumor constitutes less than 5% of lung tumors. Eighty-five percent are histologically typical, located in the main airways, generally benign with malignant potential. Clinically they present with persistent cough, respiratory infections and wheezing. Radiologically they manifest as a smooth border mass with calcifications in 25% and obstruction of the main bronchi with atelectasis. The definitive diagnosis is histopathological. According to current NCCN guidelines resection is the first line of treatment. MATERIAL AND METHODS Female, 37 years old, smoker, presents with dyspnea, dry cough and fever. Hypoxemia with absent VM in the left lung base. Chest RX/CT with increased density in LIL and hypercapillary nodule of 15x14mm in LMB that conditions stenosis of the lumen and atelectasis of the LSL. No adenopathies. Spirometry FVC 43% FEV1 44% FEV1/FVC 82%. Video/ecobronchoscopy with endobronchial lesion in LMB occupying 100% of the lumen cT1cN0.PA: carcinoid tumor. RESULTS In MDT, endobronchial approach with rigid bronchoscopy is decided, performing mechanical debridement in its entirety and laser photocoagulation with immediate bronchial repermeabilization. Spirometry FVC 67%; FEV1 66%; FEV1/FVC 98%. PA: typical carcinoid. Follow-up for 12 months with CT and bronchoscopy without evidence of recurrence. CONCLUSION According to Reuling, the endobronchial approach is a treatment alternative in intraluminal tumors <20 mm, regardless of their histologic grade; likewise, Van der Heijden proposes it as the first line of therapy; however, more prospective studies with long-term follow-up are needed. Follow-up with CT and bronchoscopy is recommended to rule out local recurrences.

Prediction of lymph node metastase in NSCLC

2010 ◽  
Vol 01 (05) ◽  
pp. 219-226 ◽  
Author(s):  
F. Beyer ◽  
B. Buerke ◽  
J. Gerss ◽  
K. Scheffe ◽  
M. Puesken ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Fdg Pet ◽  
Automatic Segmentation ◽  
Correlation Coefficients ◽  
Mediastinal Lymph Nodes ◽  
Intra Class Correlation ◽  
Axial Diameter ◽  
Pet Ct ◽  
Fdg Pet Ct

SummaryPurpose: To distinguish between benign and malignant mediastinal lymph nodes in patients with NSCLC by comparing 2D and semiautomated 3D measurements in FDG-PET-CT.Patients, material, methods: FDG-PET-CT was performed in 46 patients prior to therapy. 299 mediastinal lymph-nodes were evaluated independently by two radiologists, both manually and by semi-automatic segmentation software. Longest-axial-diameter (LAD), shortest-axial-diameter (SAD), maximal-3D-diameter, elongation and volume were obtained. FDG-PET-CT and clinical/FDG-PET-CT follow up examinations and/or histology served as the reference standard. Statistical analysis encompassed intra-class-correlation-coefficients and receiver-operator-characteristics-curves (ROC). Results: The standard of reference revealed involvement in 87 (29%) of 299 lymph nodes. Manually and semi-automatically measured 2D parameters (LAD and SAD) showed a good correlation with mean

PERCUTANEOUS EPIDURAL NEUROPLASTY (PEN) USING COMBINATION OF HYALURONIDASE AND HYPERTONIC SALINE (NaCl 3%) IN TREATING FAILED BACK SURGERY SYNDROME

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Wawan Mulyawan ◽  
Yudi Yuwono Wiwoho ◽  
Syaiful Ichwan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Hypertonic Saline ◽  
Failed Back Surgery Syndrome ◽  
Favourable Outcome ◽  
Lumbar Spine Surgery ◽  
Low Back ◽  
Failed Back Surgery ◽  
Scale Scores

Background: Following surgical treatments for low back pain, lower extremity pain or neurologic symptoms would last or recur, this is defined as failed sack surgery syndrome (FBSS). FBSS usually occurs in 5-40% of these surgical patients. The most common cause is an epidural scar adhesion. Percutaneous epidural neuroplasty is the non-mechanical treatment for this condition. Previously, the use of hyaluronidase and hypertonic saline separately is commonly used for epidurolysis but the combination of hyaluronidase and hypertonic saline 3% has not been explored.Objective: To investigate the two-year outcomes of percutaneous epidural neuroplasty using a combination of hyaluronidase and hypertonic saline 3% in patients with FBSS.Methods: Twelve patients who experience low back pain, with or without radiculopathy, who have underwent lumbar spine surgery previously were assigned to the study. Parameters, such as the visual analogue scale scores for the back (VAS-B) and legs (VAS-L), and the Oswestry disability index (ODI), were recorded and compared between pretreatment, 1 week, 1 month, 3 months, 1 year and 2 years follow-up.Results: For all 12 patients, the postoperative VAS-B, VAS-L, and ODI were significantly different from the preoperative values in all follow-up periods: 1 month, 3 months, 1 year, and 2 years.Conclusion: Based off this study group, percutaneous epidural neuroplasty using a combination of hyaluronidase and hypertonic saline 3% has a favourable outcome in the 2 years follow-up

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

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