scholarly journals A rare case of Ganglioneuroblastoma Encapsulated in Pheochromocytoma

2016 ◽  
Vol 59 (2) ◽  
pp. 67-69
Author(s):  
Nathália Vieira Sousa ◽  
Luísa Coelho Marques de Oliveira ◽  
Paulo José Oliveira Cortez ◽  
Vitor Engrácia Valenti ◽  
David Mathew Garner ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Low Back Pain ◽  
Back Pain ◽  
Rare Case ◽  
Pathological Examination ◽  
Low Back ◽  
Tumor Excision ◽  
Rare Association ◽  
Immunohistochemistry Analysis ◽  
Small Focus

Pheochromocytoma and Ganglioneuroblastoma are separate diseases and a rare combination in which the diagnosis can only be confirmed by pathological examination after tumor excision. We reported here a case of ganglioneuroblastoma encapsulated in pheochromocytoma. The patient is a woman, 73 years old, hypertensive, with hypothyroidism, associated for 15 years with hypercholesterolemia and hypertriglyceridemia, which had frequent complaints of low back pain. She underwent magnetic resonance and the findings were consistent with the diagnosis of pheochromocytoma. After surgery, anatomic, pathologic and immunohistochemistry analysis confirmed the diagnosis of pheochromocytoma composed by small ganglioneuroblastoma representation with the identification of small focus of infiltration of the adrenal capsule and adipose tissue by pheochromocytoma. This rare association can instigate the discussion of methods of diagnosis, more effective and more appropriate treatments for each patient.

Adipose Tissue in the Filum Terminale: A Computed Tomographic Finding That May Indicate Tethering of the Spinal Cord

Neurosurgery ◽  
1988 ◽  
Vol 22 (5) ◽  
pp. 873-876 ◽  
Author(s):  
Roger E. McLendon ◽  
Jerry W. Oakes ◽  
Ralph E. Heinz ◽  
Andrew E. Yeates ◽  
Peter C. Burger
Keyword(s):  
Spinal Cord ◽  
Adipose Tissue ◽  
Low Back Pain ◽  
Back Pain ◽  
Ct Scan ◽  
Tethered Cord ◽  
Ct Scanning ◽  
Low Back ◽  
Filum Terminale ◽  
Computed Tomographic

Abstract Adipose tissue in the filum terminale is frequently associated with tethering of the spinal cord in patients with spina bifida occulta (3, 8). We recently saw a patient with low back pain and no spina bifida occulta, in whom adipose tissue was noted in the area of the filum on an unenhanced computed tomographic (CT) scan. The patient had a tethered cord. This case suggested that, when CT scanning is done as the first imaging study in the evaluation of low back pain, fatty tissue in the area of the filum may be an indicator for tethering of the spinal cord. The present study was undertaken to determine the validity of using CT scan-detectable filal fat in the identification of possible tethered spinal cords among a group of patients experiencing low back pain. The presence of fat in the fila of 12 patients with the radiologically and histologically tethered cord syndrome was evaluated and the fila of 47 autopsied patients whose clinical history showed no back pain were examined histologically. There were accumulations of adipose tissue in the fila of 11 of the 12 (91%) patients with the tethered cord syndrome and in the fila of 9 of the 47 patients (17%) in the autopsy series. Of the 9 autopsy patients with fat in their fila, however only 3 patients (6%) exhibited collections of adipose tissue in the CT detection range (2 mm). These results demonstrate that, although CT scan-detectable adipose tissue can be found in the filum of an occasional patient without tethered cord, CT detectable fat in the filum of a patient with low back pain should prompt an evaluation for a tethered spinal cord. CT scanning has potential as a noninvasive tool in such a work-up.

scholarly journals Methotrexate-related lymphoproliferative disorder of the lumbar spine origin presenting with severe low-back pain: case report

2018 ◽  
Vol 29 (5) ◽  
pp. 545-548 ◽  
Author(s):  
Naoya Kikuchi ◽  
Masafumi Uesugi ◽  
Masao Koda ◽  
Tomoaki Shimizu ◽  
Kohei Murakami ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Lymphoproliferative Disorder ◽  
Rare Case ◽  
Tumor Regression ◽  
Spinal Tumors ◽  
Low Back ◽  
Spontaneous Tumor Regression

The use of methotrexate (MTX) to treat rheumatoid arthritis (RA) is increasing. Recently, MTX-associated lymphoproliferative disorder (MTX-LPD) has been frequently reported as lymphoma occurring during MTX therapy. The authors report their experience with a relatively rare case of MTX-LPD presenting in the lumbar spine. The patient, a 73-year-old woman who experienced low-back pain while receiving MTX therapy for RA, was suspected of having developed MTX-LPD based on her medical history, images of the L1 vertebra, and transpedicular biopsy results. One week after discontinuing MTX, the patient’s low-back pain reportedly improved. The woman was diagnosed with MTX-LPD based on histopathological findings. MTX discontinuation alone coincided with spontaneous tumor regression. Because MTX-LPD can occur in tissues other than lymph nodes, such as in bones and joints, it is a disease that should be considered when diagnosing spinal tumors in patients receiving MTX therapy.

Uterus-like mass of müllerian origin in the lumbosacral region causing cord tethering

2007 ◽  
Vol 6 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Mehar Chand Sharma ◽  
Chitra Sarkar ◽  
Deepali Jain ◽  
Vaishali Suri ◽  
Ajay Garg ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Dysraphism ◽  
Tethered Cord ◽  
Conus Medullaris ◽  
Mass Lesion ◽  
Pathological Examination ◽  
Low Back ◽  
Lumbosacral Region ◽  
First Case

✓The presence of müllerian-origin tissue in the lumbosacral region is extremely uncommon. The authors report two cases of müllerian-origin tissue in that region. In the first case a 33-year-old woman harbored a conus medullaris mass lesion. Spinal dysraphism, tethered cord syndrome (TCS), and diastematomyelia were also present. In the second case a 24-year-old woman presented with low-back pain and a conus medullaris lesion, which was a cause of the TCS. Pathological examination in both cases revealed a uterus-like structure with evidence of fresh and old hemorrhage. The rarity of this lesion and its association with diastematomyelia requires documentation.

scholarly journals Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

2021 ◽  
Vol 37 (6-WIT) ◽  
Author(s):  
Linyan Dong ◽  
Junhong Li ◽  
Mixia Zhao ◽  
Jing Ren
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Postoperative Complications ◽  
Success Rate ◽  
Color Doppler ◽  
Pathological Examination ◽  
Low Back ◽  
Subcapsular Hematoma ◽  
Puncture Biopsy ◽  
Information Image

Objectives: This study was to explore the application value of B-ultrasound in guiding puncture biopsy of chronic kidney disease (CKD) and the clinical nursing effects under the guidance of B-ultrasound. Methods: Pathological examination of kidney biopsy was performed on 94 patients with CKD under the guidance of ultrasound from August 2020 to December 2020.; patients were observed for symptoms such as low back pain, backache, hematuria, and subcapsular hematoma. Color Doppler ultrasonography was performed on the punctured patients on day 1, 2, and 3 to observe whether there was subrental hematoma. The pathological results were analyzed and the success rate of percutaneous renal biopsy under ultrasound guidance was analyzed. Before the patient was discharged, investigate the satisfaction with the nursing work. Results: (1) After the puncture, 45 patients developed low back pain and low back pain symptoms, 12 cases developed subcapsular hematoma; 8 cases showed gross hematuria, 62 cases showed microscopic hematuria, and the rest had no obvious symptoms; (2) the nursing satisfaction rate of 94 cases was as high as 95.7%. Conclusion: US-PRB is a safe and effective auxiliary examination method, which can improve the success rate of puncture and reduce postoperative complications. Effective nursing can reduce the incidence of postoperative complications and improve patient satisfaction. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 How to cite this:Dong L, Li J, Zhao M, Ren J. Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing. Pak J Med Sci. 2021;37(6):1564-1568. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A RARE CASE OF MINIMAL DEVIATION ADENOCARCINOMA OF CERVIX – A CASE REPORT

2021 ◽  
pp. 27-28
Author(s):  
S. Sharnitha ◽  
R. Niranjana ◽  
P. Dhanasekar ◽  
Sarah Grace Priyadharshini
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Postmenopausal Women ◽  
Rare Case ◽  
Cervical Adenocarcinoma ◽  
Low Back ◽  
Minimal Deviation ◽  
Adenoma Malignum

Minimal deviation adenocarcinoma is a subtype of cervical adenocarcinoma and accounts for 1-3% of cervical adenocarcinoma . It is also known as adenoma malignum. We report a case of 55 year old postmenopausal women with complaints of low back pain, on examination cervix was replaced by indurated growth and was diagnosed as minimal deviation adenocarcinoma of cervix by biopsy

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