scholarly journals Pelvic Kidney Mimicking Skeletal Metastasis on Bone Scan- Interesting Image

2021 ◽  
Vol 22 (2) ◽  
pp. 155-156
Author(s):  
Mohammed Mehedi Al Zahid Bhuiyan ◽  
Azmal Kabir Sarker ◽  
Hongyoon Choi ◽  
Minseok Suh ◽  
Gi Jeong Cheon
Keyword(s):  
Bone Scan ◽  
Left Kidney ◽  
Renal Cysts ◽  
Skeletal Metastasis ◽  
Breast Conserving Surgery ◽  
Left Breast ◽  
Lymph Node Biopsy ◽  
Hepatic Cyst ◽  
Large Area ◽  
The Right

A 57-year-old female patient underwent left breast-conserving surgery with sentinel lymph node biopsy for Left breast carcinoma (stage IIA). The patient had hypertension and diabetes mellitus. Other findings include multiple hepatic cyst, bilateral renal cysts and uterine myoma. She had no significant renal symptoms and her liver &renal function test were normal.She was sent for Technetium-99m-methylene diphosphonate (99mTc-MDP) bone scan. There was a large area of intense tracer concentration in the region of right sacro-iliac (SI) joint which appeared like an osteoblastic metastasis at first glance. However, absence of uptake in the right renal fossa with the left kidney being normal in position contemplated the probability of right-sidedpelvickidneywhich was confirmed later by a contrast enhanced computerized tomography (CT) scan of abdomen that showed a pelvic right kidney overlying the sacrum. Bangladesh J. Nuclear Med. 22(2): 155-156, Jul 2019

scholarly journals Is It Contralateral Axillary Metastasis or Occult Breast Cancer: A Confusing Case Report

2015 ◽  
Vol 8 (3) ◽  
pp. 498-502 ◽  
Author(s):  
Yong Gi Son ◽  
Woon Won Kim ◽  
Ki Hoon Kim ◽  
Jin Soo Kim
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Growth Factor Receptor ◽  
Immunohistochemical Analysis ◽  
Breast Conserving Surgery ◽  
Left Breast ◽  
Lymph Node Biopsy ◽  
Adjuvant Radiation ◽  
Axillary Lymph ◽  
Axillary Metastasis

We report the case of a 43-year-old woman with primary left breast cancer presenting metastatic lymphadenopathy in the contralateral axilla. This patient represents a diagnostic and therapeutic challenge because primary breast cancer, occult contralateral breast cancer, and extra-mammary primary lesion can all be the source of the contralateral axillary metastasis. Left breast-conserving surgery, left sentinel lymph node biopsy, right breast mass excision, and right axillary lymph node dissection were performed. Immunohistochemical analysis revealed that the left breast cancer specimen was positive for estrogen receptor (ER) and progesterone receptor (PR), but negative for human epidermal growth factor receptor 2 (HER2). In contrast, the right axillary lymphadenopathy specimen was negative for ER and PR, but positive for HER2. Further investigation revealed no evidence of occult primary cancers or extra-mammary tumors. After surgical intervention, the patient was treated with adjuvant chemotherapy, adjuvant radiation therapy, and targeted therapy with trastuzumab. Two years after diagnosis, she is free of disease and presently being treated with tamoxifen.

Kidney cysts in a capuchin monkey (Sapajus libidinosus) – case report

2017 ◽  
Vol XXII (128) ◽  
pp. 62-68
Author(s):  
Géssica Giselle A. Silva Araújo ◽  
Angélica da Costa F. de Souza ◽  
Vanja de Andrade Gueiros ◽  
Simone Bopp ◽  
Jacinta Eufrásia Brito Leite ◽  
...  
Keyword(s):  
Renal Cysts ◽  
Hepatic Cyst ◽  
Capuchin Monkey ◽  
Cystic Lesions ◽  
Polycystic Kidney ◽  
Sonographic Examination ◽  
Clinical Criteria ◽  
Abdominal Organs ◽  
The Right

Cystic lesions in the renal parenchyma can be attributed to several types of pathologic conditions, such as acquired renal cysts and polycystic kidney disease. Some clinical criteria are used to distinguish between these two diseases. Ultrasonography aids in the characterization of cystic lesions in the abdominal organs, allowing the diagnosis of these diseases. We hereby report the case of a young adult female capuchin monkey (Sapajus libidinosus) submitted to clinical and sonographic examination in order to evaluate its health prior to reintroducing the animal in nature. Physical examination did not reveal any type of alteration. However, the ultrasonogram disclosed the presence of some renal cysts in the right kidney, as well as a hepatic cyst. There are very few reports in the literature of the presence of renal cysts in primates.

Case 7.8

2014 ◽  
pp. 322-323
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Left Kidney ◽  
Renal Cysts ◽  
Renal Capsule ◽  
Axial Diffusion ◽  
Diffusion Weighted ◽  
Renal Hilum ◽  
The Right ◽  
Perinephric Fat

85-year-old man with acute on chronic renal failure Coronal SSFSE (Figure 7.8.1), axial FSE (Figure 7.8.2), and axial diffusion-weighted (b=100 s/mm2) (Figure 7.8.3) images reveal a small left kidney with hydronephrosis of upper pole calyces. Nodular thickening involves the renal capsule and Gerota fascia, with larger nodules adjacent to the renal hilum and within the perinephric fat. Note also the right-sided renal cysts....

scholarly journals Invasive Cancer Confined to the Nipple of the Conserved Breast: A Case Report

2020 ◽  
Vol 13 (3) ◽  
pp. 1125-1130
Author(s):  
Miyuki Kitahara ◽  
Yasuo Hozumi ◽  
Naoto Takeuchi ◽  
Satoko Ichinohe ◽  
Mitsuki Machinaga ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Local Recurrence ◽  
Ductal Carcinoma ◽  
Breast Conserving Surgery ◽  
Lymph Node Biopsy ◽  
Invasive Cancer ◽  
Breast Cancer Patients ◽  
Skin Changes ◽  
True Recurrence ◽  
The Right

Invasive breast cancer deriving from the milk duct and lobule that develops in the nipple is extremely rare, except in Paget’s disease and skin cancer. This is the second reported case of the development of invasive cancer confined to the nipple after breast-conserving surgery. A 69-year-old woman visited our department due to redness, swelling, and bloody discharge of the right nipple in the last month. A needle biopsy was suggestive of invasive ductal carcinoma; we performed a removal surgery of the right residual breast tissue and a second sentinel lymph node biopsy. She underwent these procedures 10 years previously as well. Thus, we diagnosed the present lesion as a local recurrence, but it was unknown whether the lesion was a true recurrence or second cancer, namely, metachronal ipsilateral breast cancer. The present case helps promote awareness that invasive cancer rarely develops in the nipple after conserving surgery. Patients should be encouraged to visit a medical facility if experiencing skin changes and swelling of the nipple. Additionally, breast cancer patients must be carefully selected for breast-conserving surgery; failure to do so may later result in nipple-specific local recurrence.

scholarly journals Bilateral Primary Breast Cancer: A Case Report and Literature Review

2020 ◽  
Author(s):  
Shuyao Fan ◽  
Xidong Gu ◽  
Zhehao Liang ◽  
Yuping Mao ◽  
Changyu Zhou ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Metastatic Cancer ◽  
Left Lung ◽  
Distant Metastases ◽  
Breast Conserving Surgery ◽  
Left Breast ◽  
Cancer History ◽  
Diagnosis And Prognosis ◽  
Systemic Treatments ◽  
The Right

Abstract BackgroundInvasive micropapillary carcinoma (IMPC) and secretory carcinoma of the breast (SCB) are relatively rare types of breast cancer. IMPC is usually associated with high incidence of lymphovascular invasion, lymph node metastasis and poor prognosis. While SCB usually carries a relatively favorable prognosis, cases of axillary and distant metastases have been reported. Clinicians generally adopt systemic treatments based on the histopathological findings of the patients to improve the prognosis, but there is currently no consensus on the optimal treatment for these two types of cancer.Case presentationWe treated a 50‐year‐old woman with lung cancer history who presented with a single lump in each breast. Following bilateral breast-conserving surgery, the diagnosis of SCB of the left breast and IMPC of the right breast was confirmed with immunohistochemistry. It is worth noting that the pathological results of left lung adenocarcinoma centered on micropapillary-type was same as the invasive micropapillary component of right breast.ConclusionsWe reported this case of bilateral primary relatively-rare-form breast cancer for its extremely rare occurrence and there are less than 20 cases of SCB reported worldwide till now. It is also significative to distinguish this primary tumor of right breast from metastatic cancer. Our histopathologic diagnosis and synthetical therapy scheme will provide material for SCB and IMPC. To facilitate the diagnosis and prognosis of such relatively rare tumors, more cases will need to be reported.

scholarly journals Bilateral multiple cystic kidney disease and renal cortical abscess in a Boerboel

2011 ◽  
Vol 82 (2) ◽  
Author(s):  
A. M. Kitshoffa ◽  
V. McClure ◽  
C. K. Lim ◽  
R. M. Kirberger
Keyword(s):  
Left Kidney ◽  
Renal Cysts ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Ultrasonographic Diagnosis ◽  
Cellular Debris ◽  
Cystic Renal Disease ◽  
The Right ◽  
Portal Of Entry ◽  
Multiple Cysts

Cystic renal disease is rare in dogs and although infected renal cysts have been reported in humans, no report could be found in dogs. A 58 kg, 5-year-old, castrated, male Boerboel presented with weight loss, pyrexia, lethargy and vomiting, 20 months after an incident of haematuria was reported. The initial ultrasonographic diagnosis was bilateral multiple renal cysts of unknown aetiology. The cysts had significantly increased in size over the 20-month period and some contained echogenic specks which could be related to infection, normal cellular debris or haemorrhage. In both kidneys the renal contours were distorted (the left more than the right). The abnormal shape of the left kidney was largely due to multiple cysts and a large crescent-shaped septate mass on the cranial pole of the kidney. Aspirates of the septate mass were performed (left kidney) and the cytology and culture were indicative of an abscess. It is suggested that the previous incident of haematuria provided a portal of entry for bacteria into the cysts resulting in renal cortical abscess formation.

scholarly journals Generalized Nodular Dermatofibrosis in the Absence of Renal Neoplasia in an Australian Cattle Dog

2008 ◽  
Vol 45 (6) ◽  
pp. 901-904 ◽  
Author(s):  
D. W. Gardiner ◽  
T. R. Spraker
Keyword(s):  
Left Kidney ◽  
Renal Cysts ◽  
Abdominal Ultrasound ◽  
Needle Aspiration ◽  
Appendicular Skeleton ◽  
Subcutaneous Nodules ◽  
History Of ◽  
Subcutaneous Tissues ◽  
The Right ◽  
Renal Neoplasia

A 13-year-old, spayed, female Australian Cattle Dog had at least a 10-year history of numerous subcutaneous nodules for which fine-needle aspiration and cytologic evaluation were nondiagnostic. Abdominal ultrasound 3.5 months before necropsy detected a small left kidney but no cysts or neoplasms. At gross necropsy, innumerable, firm, round to oval, white, 0.25 to 2 cm masses were detected throughout the subcutaneous tissues of the axial and appendicular skeleton, epimysium of numerous muscles, and parietal peritoneum of the lateral abdominal body wall. The left kidney was approximately half the size of the right, and there was severe bilateral renal medullary (papillary) necrosis. Histologically, the subcutaneous nodules were well-demarcated masses of mature, hypocellular collagen that were consistent with previous reports of nodular dermatofibrosis and renal cystadenomas or cystadenocarcinomas. In addition to diffuse acute medullary necrosis, both kidneys were affected by severe chronic lymphoplasmacytic interstitial nephritis. This is the first known report of nodular dermatofibrosis in a dog without renal cysts, cystadenoma, or cystadenocarcinoma.

Case 8.23

2014 ◽  
pp. 414-415
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Soft Tissue ◽  
Left Kidney ◽  
Renal Cysts ◽  
Filling Defect ◽  
Phase Image ◽  
Arterial Phase ◽  
Lower Pole ◽  
Mr Urography ◽  
Urothelial Tumor ◽  
The Right

73-year-old man presenting for surveillance examination 9 months following cystectomy for an invasive urothelial tumor Coronal oblique arterial phase (Figure 8.23.1) and excretory phase (Figure 8.23.2) postgadolinium 3D SPGR images from gadolinium MR urography show marked periureteral peripelvic soft tissue thickening and mild enhancement involving the left kidney and proximal ureter, with mild associated hydronephrosis. Bilateral nephroureteral stents are present and can be perceived faintly on the excretory phase image. Note also the right renal cysts and a small filling defect in a left lower pole calyx; this was a small calculus....

scholarly journals Successful one-stage operation for ipsilateral, synchronous carcinomas of the breast and lung: A case report

2017 ◽  
Author(s):  
Liwei Meng ◽  
Liming Huang ◽  
Yingchun Xu
Keyword(s):  
Lung Cancer ◽  
Breast Conserving Surgery ◽  
Left Breast ◽  
Chest Ct ◽  
Primary Carcinoma ◽  
The Body ◽  
Ipsilateral Breast ◽  
One Stage ◽  
Node Biopsy ◽  
The Right

Abstract The incidence of double primary malignancies is very low, particularly, a case of synchronous carcinomas of the ipsilateral breast and lung. Determining whether to have a one-stage operation for ipsilateral breast cancer and lung cancer is a challenge for the surgeon. The current study presents a case of a 56-year-old female, with a rigid textured mass measuring approximately 18×20 mm above the areola of the right breast and chest CT showing a mass of 20 × 14 mm at the tip segment of right upper lobe of the lung. A diagnosis of a synchronous dual primary carcinoma of the right lung (cT1N0M0) and right breast (cT1N0M0) was made. The patient underwent a right breast-conserving surgery, sentinel node biopsy, and right upper lobectomy and lymphadenectomy with a video-assisted thoracoscopic technique simultaneously. To our knowledge, in the previous literature, there was no one-stage operation for ipsilateral, synchronous carcinomas of the breast and lung and only one reported case with left breast and right lung cancer underwent a one-stage operation. This report first presents the successful treatment of a case with synchronous primary breast and lung carcinomas on the same side of the body with a one-stage operation and therefore is educational.

STUDY OF RADIATION CHARACTERISTICS THE RENAL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES

2014 ◽  
pp. 73-77
Author(s):  
Van Chuong Nguyen ◽  
Thi Kim Anh Nguyen
Keyword(s):  
Type 2 Diabetes ◽  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Disease Duration ◽  
Left Kidney ◽  
Cross Sectional ◽  
The Right

Background: A Research glomerular filtration rate (GFR) of 61 patients with type 2 diabetes mellitus with renal scanning 99mTc-DTPA glomerular filtration rate at the hospital 175. Objective: (1) To study characteristics of imaging of renal function. (2) Understanding the relationship between GFR with blood sugar, HbA1c, blood pressure and albuminuria in patients with type 2 diabetes. Methods: Descriptive, prospective, cross-sectional study. Clinical examination, Clinical tests and 99mTc-DTPA GFR gamma - camera renography for patients. Result: GFR of the study group was 75,4 ± 22,3 ml/phut/1,73m2, the left kidney was 35,0 ± 13,0 is lower than the right kidney and 39,8 ± 11,9; p <0,01. There is no correlation between GFR with blood glucose and HbA1c, the risk of reduced GFR in hypertensive group associated is OR = 6,5 with p<0,01; albuminuria (+) is OR = 4,2 with p <0,01; and disease duration > 10 years is OR = 3,5 with p <0.01. Conclusion: GFR of the left kidneys is lower than the right kidney; correlation decreased GFR associated with hypertension, albuminuria and disease duration. Keywords: GFR, diabetes, albuminuria

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