Imaging of Tuberculosis

1996 ◽  
Vol 37 (3P2) ◽  
pp. 506-511 ◽  
Author(s):  
S. Lindahl ◽  
R. S. Nyman ◽  
J. Brismar ◽  
C. Hugosson ◽  
C. Lundstedt
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Soft Tissue Mass ◽  
Spinal Tuberculosis ◽  
Common Finding ◽  
Spinal Tumors ◽  
Tissue Mass ◽  
Radiologic Findings ◽  
Spinal Infections

Purpose: To describe the radiologic findings in patients with spinal tuberculosis (TB). Material and Methods: Out of a total of 503 patients with TB, 63 (13%) had involvement of the spine. Results: In 40 patients, the spine was the only location; 20 patients had concomitant chest TB. Conventional radiographs gave a good overview, CT visualized the diskovertebral lesions and the paravertebral abscesses, while MR imaging was useful to determine the spread of disease to the soft tissues and the spinal canal. The typical findings were destroyed vertebrae with associated paraspinal soft-tissue mass, with or without abscess formation, sometimes also involving the epidural space together with adjoining disk lesion and focal gibbus formation. Involvement of a single vertebra was a relatively common finding. Large psoas abscesses could occur without any signs of bone involvement. The TB process could sometimes be indistinguishable from malignant processes, and in 3 patients, with multiple lesions in the spine, it mimicked metastatic disease. Conclusion: It is stressed that TB should always be considered in the differential diagnosis when radiologic findings suggest spinal infections or primary or secondary spinal tumors.

scholarly journals Extraskeletal Chondroma: Another Diagnostic Possibility for a Soft Tissue Axillary Mass in an Adolescent

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Ibrahim Adaletli ◽  
Tal Laor ◽  
Hong Yin ◽  
Daniel J. Podberesky
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Soft Tissue Mass ◽  
Tissue Mass ◽  
Cartilaginous Tumor ◽  
Axillary Mass ◽  
Hands And Feet ◽  
Head Neck

Extraskeletal chondroma is a benign cartilaginous tumor that occurs predominantly in the soft tissues near small joints of the hands and feet. There are rare reports of the lesion in other sites, such as the head, neck, trunk, oral cavity, larynx, and pharynx. We present a case of an axillary mass in a 15-year-old girl who underwent MRI examination and resection, with the ultimate diagnosis of an extraskeletal chondroma, in order to expand the differential diagnosis of an axillary soft tissue mass in an adolescent.

scholarly journals A Rare Case of Kimura Disease in the Wrist

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 4881-4881
Author(s):  
Parastou Tizro ◽  
Taraneh Hashemi Zonouz ◽  
Fawaz Almutairi ◽  
Donald Karcher
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Conflicts Of Interest ◽  
Soft Tissue Mass ◽  
Germinal Centers ◽  
Unknown Etiology ◽  
Inflammatory Disorder ◽  
Kimura Disease ◽  
High Endothelial Venules ◽  
Tissue Mass

Kimura disease is a rare benign chronic inflammatory disorder of unknown etiology that typically involves lymph nodes and soft tissues. This disease is most common in middle-aged Asian men. Although the disorder most frequently involves the head and neck region, it has also been reported to involve the extremities. Lesions typically show follicular lymphocytic hyperplasia with prominent interfollicular venules and a mixed inflammatory infiltrate, including numerous eosinophils. We describe a case of Kimura disease in a 29-year-old female presenting with a slowly enlarging, painless soft tissue mass in her left wrist for five months. The lesion was non-tender, mobile, and compressible. Lab results were significant for peripheral blood eosinophilia and elevated IgE. Microscopically, the mass was circumscribed, with apparent fibrous capsule or pseudocapsule, prominent high-endothelial venules, and inflammatory cells consisting of lymphocytes and eosinophils. There were prominent secondary B-lymphocytic follicles with germinal centers containing many penetrating small blood vessels, and some follicles exhibiting follicle lysis and a small amount of eosinophilic extracellular material. Polykaryocytes were noted in many germinal centers. Angiolymphoid hyperplasia with eosinophilia, a main differential diagnosis of Kimura disease, was considered; however, the combined clinical and morphologic findings appeared to be more consistent with Kimura disease, particularly in the context of eosinophilia and elevated IgE level. Kimura disease may present as a rare cause of a soft tissue mass and a diagnostic challenge for clinicians and pathologists, especially in less common sites such as the wrist. Disclosures No relevant conflicts of interest to declare.

scholarly journals A Large Rice Body-Containing Cyst Mimicking Infection following Total Hip Arthroplasty: A Case Report

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Wael Bayoud ◽  
Maroun Rizkallah ◽  
Samuel Georges ◽  
Tonine Younan ◽  
Gaby Haykal
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Soft Tissue Mass ◽  
White Female ◽  
Tissue Mass ◽  
Total Hip ◽  
Rice Body

Introduction. Soft tissue mass following total hip arthroplasty raises several differential diagnoses not limited to infection, hematoma, wear debris, malignancy, and bursitis. Rice body formation in the hip region is an uncommon process denoting a chronic inflammation. We report here the second case of its kind in the medical literature of a wide symptomatic rice-like body cyst complicating a total hip arthroplasty. Case Presentation. This is the case of an 82-year-old white female, presenting with a warm, red, and inflated groin five years after revision of right total hip arthroplasty. Surgical intervention reveals a large well circumscribed cyst containing well-organized rice-like bodies. This eventuality was never reported in differential diagnosis of hip periprosthetic soft tissue masses before. Conclusion. This case report helps widening the array of the differential diagnosis in patients presenting with a slow growing soft tissue mass following total hip arthroplasty, making rice-like bodies cyst a valid one to consider.

Vulval myxoid liposarcoma

2001 ◽  
Vol 11 (4) ◽  
pp. 321-322 ◽  
Author(s):  
R. Donnellan ◽  
M. Moodley
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Lymph Nodes ◽  
Soft Tissue Mass ◽  
Myxoid Liposarcoma ◽  
Complete Resection ◽  
Tissue Mass ◽  
History Of ◽  
Labium Majus ◽  
Draining Lymph Nodes

Abstract.Donnellan R, Moodley M. Vulval myxoid liposarcoma.A 26 year old woman presented with a 4-year history of a gradually enlarging fluctuant mass on the left labium majus. Histologic examination following excision revealed myxoid liposarcoma. Following the diagnosis, further surgery was performed to ensure complete resection. Routine excision of draining lymph nodes is not advocated. Although rare, myxoid liposarcoma should be considered in the differential diagnosis of a vulval soft tissue mass.

Digital angiolipoma: uncommon location and presentation of a common tumour

2021 ◽  
Vol 14 (5) ◽  
pp. e241777
Author(s):  
Katherine Porter ◽  
Michael Boring ◽  
Tara M Jehu ◽  
Vladimir Neychev
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Range Of Motion ◽  
Surgical Approach ◽  
Soft Tissue Mass ◽  
Ring Finger ◽  
Tissue Mass ◽  
Rare Lesion ◽  
Uncommon Location ◽  
Neurovascular Bundles

A 56-year-old woman presented with an enlarging soft-tissue mass of the left ring finger, causing worsening range of motion in the metacarpophalangeal and interphalangeal joints. Excision of the mass was performed and a 3.5×3.5×3 cm lipoma was found displacing the digital neurovascular bundles laterally and posteriorly. Surgical pathology revealed a rare angiolipoma. This case was unusual because of the location of the mass, and the fact that it was non-tender, and larger than the typical angiolipoma presentation. Definitive identification of angiolipomas, especially those without gross vascularisation, as in this case, is often delayed until final pathology. Reporting cases of angiolipoma of the finger will increase awareness of this rare lesion and broaden the differential diagnosis to improve identification and management in future cases. We discuss a surgical approach which successfully increased range of motion of the hand and preserved neurovascular integrity.

Angiosarcoma

1989 ◽  
Vol 30 (6) ◽  
pp. 627-631 ◽  
Author(s):  
D. M. Coldwell ◽  
R. L. Baron ◽  
C. Charnsangavej
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Clinical Course ◽  
Malignant Tumors ◽  
Soft Tissue Mass ◽  
Common Finding ◽  
Long Bones ◽  
Tissue Mass ◽  
Clinical Behavior

The findings at radiography, computed tomography and angiography and the clinical course of 30 cases of angiosarcoma were reviewed. The variety of primary sites results in a multitude of findings but the most common finding was that of a hypervascular soft tissue mass seen on CT and angiography. Additional findings of well demarcated cortical defects in long bones were also frequently noted. The general clinical behavior of these aggressive malignant tumors was also reviewed and it was noted that they had a deceptively benign presentation.

scholarly journals Metastatic Adenocarcinoma of the Lung Presenting as a Soft Tissue Mass

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
B. Yglesias ◽  
M. Brooker ◽  
R. DeVito ◽  
A. Swiger
Keyword(s):  
Lung Cancer ◽  
Case Report ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Soft Tissue Mass ◽  
The United States ◽  
Metastatic Adenocarcinoma ◽  
Tissue Mass ◽  
Sebaceous Cyst ◽  
Adenocarcinoma Of The Lung

Lung cancer is the leading cause of cancer death in the United States, with more than 230,000 new cases, and approximately 150,000 deaths estimated for 2018. Lung cancer most commonly metastasizes to the brain, liver, lungs, bone, and adrenal system; however, there have been several cases of spread to soft tissues, with an incidence rate of approximately 0.75-9%. The objective of this case report is to highlight an unusual presentation of metastatic adenocarcinoma of the lung. In this case report, patient presented with a 3 × 3  cm soft tissue mass on the back. The mass was slowly growing but had become more painful and wished to have it excised. Preoperatively, the mass was suspected to be a sebaceous cyst but intraoperatively had deep attachments and other suspicious findings. Pathology had a positive immunoprofile for metastatic adenocarcinoma favoring a lung primary. Given this presentation of metastases, the prognosis is poor with a survival time decreasing to around 5 months. Overall, this case reinforces the importance of sending all soft tissue masses for final pathology with accurate labeling and the importance of immunohistochemical testing in aiding the identification of the primary.

scholarly journals Tumors and pseudotumors of the soft tissues: Imaging semiology and strategy

2021 ◽  
Vol 11 ◽  
pp. 13
Author(s):  
Charlinne Paixao ◽  
Jean-Philippe Lustig ◽  
Sylvain Causeret ◽  
Loic Chaigneau ◽  
Alexis Danner ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Soft Tissue Mass ◽  
Soft Tissue Tumors ◽  
Benign Tumors ◽  
Imaging Features ◽  
Tissue Mass ◽  
Primary Tumors ◽  
Adipocytic Tumors ◽  
Diagnostic Certainty

The aims of this educational review are to learn the semiological basis of soft-tissue lesions and, with the help of diagnostic algorithms, to apply the current recommendations for the management of soft-tissue tumors. Pseudotumors must first be identified and excluded. Among primary tumors, the search for macroscopic fat content on MRI is decisive; since it restricts the diagnostic range to adipocytic tumors. Key imaging features of non-adipocytic tumors are highlighted. When a deep soft-tissue mass is found, therapeutic abstention or simple monitoring is only appropriate when there is diagnostic certainty: This is only the case for typical pseudotumors, typical benign tumors, and fat tumors without atypical criteria. In all other cases, histological evidence is required. If there is any suspicion of soft-tissue sarcoma or any undetermined lesion, the patient should be referred to a sarcoma referral center before biopsy.

scholarly journals Sporadic Retroperitoneal Hemangioblastoma: Report of a Case and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
F. G. Jalikis ◽  
B. L. Hoch ◽  
R. Bakthavatsalam ◽  
M. I. Montenovo
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Final Diagnosis ◽  
Rare Tumor ◽  
Review Of The Literature ◽  
Tissue Mass ◽  
Pathologic Features

We report a case of sporadic isolated hemangioblastoma arising from the retroperitoneum and provide a review of the scarce literature regarding this very rare tumor. Furthermore, we thoroughly describe the pathologic features and the broad differential diagnosis that should always be included in the study of any retroperitoneal soft tissue mass to arrive at the final diagnosis.

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