Diagnosing metastatic pheochromocytoma: Trick lies in attention to details!

2021 ◽  
Vol 14 (11) ◽  
pp. e245231
Author(s):  
Aditya Sharma ◽  
Shiraz Akif Mohammed Ziauddin ◽  
Kapil Chaudhary ◽  
Kirti Gupta ◽  
Venkatesh Dhanshekhar
Keyword(s):  
Rare Case ◽  
Anterior Surface ◽  
Tumour Burden ◽  
Benign Lesions ◽  
Rare Tumour ◽  
Pet Ct ◽  
Right Lobe ◽  
Low Threshold ◽  
The Right ◽  
Suspicious Nodule

Functional metastatic pheochromocytoma (PCC) is a very rare tumour and cytoreductive adrenalectomy with oligo metastatectomy is recommended in cases of low tumour burden. We report a rare case of metastatic PCC with an incidentally detected suspicious nodule seen on the anterior surface of the right lobe of the liver. The adrenal and the lesion were excised and sent for histopathology which was reported as a metastasis from PCC. This lesion was not visualised preoperatively on DOTA-PET-CT, highlighting the importance of keeping a low threshold for suspicion of metastasis in abnormal lesions and taking a biopsy during surgery. Inspection of the liver and rest of the abdomen for any abnormality should be done even when operating for any apparently benign lesions.

scholarly journals A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Partha Hota ◽  
Tejas N. Patel ◽  
Xiaofeng Zhao ◽  
Carrie Schneider ◽  
Omar Agosto
Keyword(s):  
Lung Cancer ◽  
Small Bowel ◽  
Mr Imaging ◽  
Rare Case ◽  
Adenosquamous Carcinoma ◽  
Ct Imaging ◽  
Subscapularis Muscle ◽  
Pet Ct ◽  
The Right ◽  
Penile Metastases

Although lung cancer has a high propensity for distant metastatic disease, penile metastases from primary lung neoplasms are considered particularly rare. A 71-year-old male presented to our hospital with a rapidly enlarging hard palpable penile mass. MR imaging demonstrated two penile masses centered in the left and right corpus cavernosa. Subsequent CT imaging revealed a spiculated pulmonary mass in the right upper lobe with PET/CT, MRI, and surgical exploration, demonstrating evidence of metastases to the left adrenal gland, right subscapularis muscle, brain, and small bowel. Tissue sampling of lesions in the small bowel, right subscapularis muscle, and penis demonstrated histopathology consistent with an adenosquamous carcinoma which in combination with the appearance of the right upper lobe mass on PET/CT imaging suggested the patient’s lung cancer as the primary lesion. Prior to our case, pulmonary adenosquamous carcinoma metastasizing to the penis has only been reported once in the literature. Herein, we report a rare case of penile metastases as the presenting sign of metastatic pulmonary adenosquamous carcinoma characterized with PET/CT and MR imaging.

scholarly journals Non-Hodgkin's Lymphoma in Thyroid Gland

2013 ◽  
Vol 14 (1) ◽  
pp. 83-84
Author(s):  
Md. Mahabubur Roshed ◽  
Sk. Manowar Ahsan ◽  
Kazi Abu Rashed
Keyword(s):  
Thyroid Gland ◽  
Fine Needle Aspiration ◽  
Rare Case ◽  
Large Mass ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Right Lobe ◽  
Needle Aspiration Cytology ◽  
The Right

A rare case of primary non-Hodgkin’s Lymphoma in a 52-year-old female presented with a large mass in the right lobe of thyroid. The diagnosis was established by fine needle aspiration cytology (FNAC) followed by surgery andfinally confirmed by histopathology.DOI: http://dx.doi.org/10.3329/jom.v14i1.14584 J MEDICINE 2013; 14 : 83-84

scholarly journals Pancreatic Cancer Masked by Acute Pancreatitis as well as an Unusual Iatrogenic Complication

2018 ◽  
Vol 09 (02) ◽  
pp. 088-091 ◽  
Author(s):  
Surinder Singh Rana ◽  
Ujjwal Gorsi ◽  
Pankaj Gupta ◽  
Ravi Sharma ◽  
Rajender Basher ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Serum Amylase ◽  
Elevated Serum ◽  
Inflammatory Cells ◽  
Liver Lesion ◽  
Needle Aspiration ◽  
Positron Emission ◽  
Pet Ct ◽  
Right Lobe ◽  
The Right

ABSTRACT A 62‑year‑old female presented with abdominal pain and was diagnosed as acute on chronic pancreatitis based on elevated serum amylase and imaging findings. The pancreatic duct was dilated with abrupt cutoff at neck of pancreas, but no mass was visualized. Positron emission tomography‑computed tomography (PET‑CT) revealed a fluorodeoxyglucose (FDG) avid lesion in the neck of the pancreas but ultrasound (USG)‑guided fine‑needle aspiration (FNA) from the lesion revealed only inflammatory cells. Endoscopic ultrasound, done 2 days after USG‑guided FNA, revealed pseudoaneurysm (PA) in the neck of pancreas that was confirmed on CT angiography. The PA was occluded by USG‑guided percutaneous cyanoacrylate injection. As pain persisted, repeat PET CT was done which revealed FDG avidity around the cyanoacrylate cast as well in multiple small hypodense lesions in the right lobe of the liver. USG‑guided FNA from both the liver lesion as well as the periphery of the glue cast revealed features of adenocarcinoma. We herein report a case of pancreatic adenocarcinoma that presented as acute pancreatitis and got masked because of formation of PA consequent to USG‑guided FNA.

Parathyroid cancer: a case report

2014 ◽  
Vol 60 (5) ◽  
pp. 26-28
Author(s):  
A M Lapshina ◽  
I A Voronkova ◽  
A Yu Abrosimov ◽  
R V Molochkov ◽  
D G Bel’tsevich ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Clinical Picture ◽  
Rare Case ◽  
Parathyroid Cancer ◽  
Right Lobe ◽  
The Right

The authors describe a rare case of parathyroid cancer characterized by the obscure clinical picture of hyperparathyroidism and subtotal ingrowth of the tumour through the right lobe of the thyroid gland.

scholarly journals A Rare Case of Suppurative Aspergillosis of the Thyroid

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Nikhil Dinaker Thada ◽  
Sampath Chandra Prasad ◽  
Bhasker Alva ◽  
Monika Pokharel ◽  
Kishore Chandra Prasad
Keyword(s):  
Rare Case ◽  
Hematological Malignancies ◽  
Fungal Infections ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Subtotal Thyroidectomy ◽  
Solid Organ ◽  
Fungal Hyphae ◽  
Right Lobe ◽  
The Right

Suppurative fungal infection of the thyroid is an extremely rare condition even more so in an immunocompetent patient. Fungal infections of the thyroid usually occur in immunocompromised patients with hematological malignancies, recipients of bone marrow and solid organ allografts on immunosuppression, and patients with AIDS. A 65-year-old male presented with swelling in the front of the neck for 2 years. Examination revealed a  cm non-tender, firm swelling of the right lobe of the thyroid. The patient was taken up for a subtotal thyroidectomy. Intra-operatively, an abscess cavity with pus was found in the right lobe of the thyroid. Histopathology revealed features of fungal abscess and staining demonstrated fungal hyphae characteristic ofAspergillusssp.

Thyroid hemiagenesis: clinical significance in the patient with thyroid nodule

2006 ◽  
Vol 120 (7) ◽  
pp. 605-607 ◽  
Author(s):  
I-H Park ◽  
S-Y Kwon ◽  
K-Y Jung ◽  
J-S Woo
Keyword(s):  
Left Lobe ◽  
Lower Pole ◽  
Benign Lesions ◽  
Thyroid Lobe ◽  
Thyroid Hemiagenesis ◽  
Thyroid Mass ◽  
Nodular Hyperplasia ◽  
Right Lobe ◽  
Operative Findings ◽  
The Right

Thyroid hemiagenesis is a rare abnormality in which one thyroid lobe fails to develop. Most of the patients diagnosed have an associated thyroid disease. We report the case of a 32-year-old woman who presented with a left thyroid mass which had been gradually increasing in size over a period of two years. A thyroid scan revealed the absence of the right thyroid lobe and isthmus, and a hypoactive nodule was evident in the lower pole of the left lobe. Ultrasonography confirmed the right lobe and the isthmus agenesis. The operative findings confirmed hemiagenesis of the right lobe and nodular hyperplasia in the left lobe.The purpose of this report is to present a patient with hemiagenesis of the thyroid gland who concomitantly had nodular hyperplasia; we also stress the importance of pre-operative differentiation between benign lesions and malignancy in order to aid critical decision making and to facilitate preservation of thyroid function if possible.

A rare case of osteopetrosis mimicking osteosarcoma: 18F-FDG PET/CT findings in an unexpected diagnosis

2016 ◽  
Vol 55 (01) ◽  
pp. N1-N3
Author(s):  
C. Ferrari ◽  
A. Niccoli Asabella ◽  
C. Altini ◽  
G. Rubini
Keyword(s):  
Fdg Pet ◽  
Rare Case ◽  
Ct Findings ◽  
Pet Ct ◽  
18F Fdg ◽  
Fdg Pet Ct

Prevalence and Characteristics of Liver Cancer Patients in Immanuel Hospital Bandung within January 2013 until December 2014 Period

2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Achmad R. Permadi ◽  
Hana Ratnawati ◽  
Teresa L. Wargasetia
Keyword(s):  
Liver Cancer ◽  
Cancer Patients ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Data Retrieval ◽  
Common Cancer ◽  
Key Words Liver Cancer ◽  
Liver Cancer Patient ◽  
Right Lobe ◽  
The Right

Liver cancer is the fifth most common cancer in Indonesia. This research is to find out the prevalence and characteristics of liver cancer patients in Immanuel Hospital Bandung within the January 2013 until December 2014 period based on age, gender, clinical symptoms and predilections. This study was a descriptive verificative research with data retrieval of patients medical records that have been diagnosed with liver cancer that were hospitalized in Immanuel Hospital Bandung within January 2013 until December 2014 period. The study showed that the liver cancer patient prevalence in Immanuel Hospital Bandung within the period of January 2013 until December 2014 was 46 people. Characteristics of liver cancer patients in Immanuel Hospital Bandung within January 2013 until December 2014 period showed that the most liver cancer patients were male, compare with female with ratio 4:1, the most common age group of 56-65 years old, the most common clinical symptoms were abdominal pain with or without reffered pain to the right scapular bone and the most common predilection was right lobe of the liver. Key words: liver cancer, patients' characteristics, prevalence 

Significance of 18F-fluorocholine PET/CT positive pulmonary lesions in prostate cancer patients

2015 ◽  
Vol 54 (05) ◽  
pp. 211-216 ◽  
Author(s):  
A. Baskin ◽  
G. Amzalag ◽  
F. Buchegger ◽  
R. Miralbell ◽  
O. Ratib ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Lung Cancer ◽  
Final Diagnosis ◽  
Papillary Adenocarcinoma ◽  
Bronchioloalveolar Carcinoma ◽  
Maximum Diameter ◽  
Benign Lesions ◽  
Pulmonary Carcinoid ◽  
Pulmonary Lesions ◽  
Pet Ct

SummaryAim: To assess the frequency and the significance of incidental pulmonary lesions with 18F-fluorocholine (18F-FCH) PET/CT in prostate cancer (PCa) patients. Patients, methods: 225 consecutive PCa patients referred for 18F-FCH PET/CT (median age 68 years) were retrospectively evaluated for the presence of lesions in the lungs: 173 referred for restaging and 52 for initial staging regarding their high risk of extra prostatic extension. The final diagnosis was based on histopathological or on clinical and radiological follow-up. Results: 13 patients had 18F-FCH positive pulmonary and 8 patients malignant lesions: 5 patients (38%) had a primary lung cancer (2 squamous cell carcinomas, 1 papillary adenocarcinoma, 1 typical pulmonary carcinoid, 1 bronchioloalveolar carcinoma) and 3 patients (23%) PCa metastases. Benign lesions were found in 5 subjects (38%). SUVmax and maximum diameter were neither significantly different in primary and metastatic tumors nor between malignant and benign lesions. Conclusions: Although our results suggest that incidental uptake in the lungs in PCa patients are nonspecific, their detection may have a significant impact on patient management knowing that more than 60% represent malignant diseas.

Popliteal nodal metastasis from squamous cell cancer of the foot. Case report and literature review

2019 ◽  
pp. 1-2
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Literature Review ◽  
Squamous Cell ◽  
Rare Case ◽  
Squamous Cell Cancer ◽  
Cell Cancer ◽  
Nodal Metastasis ◽  
Regional Disease ◽  
The Right

We report a very rare case of squamous cell cancer of the right foot which had metastasize to the ipsilateral popliteal lymph node after initial diagnosis and treatment for the loco-regional disease.

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