scholarly journals Non-syndromic pheochromocytoma: From post-operatory scores to lifetime follow-up

2021 ◽  
Vol 16 (3) ◽  
pp. 394-397
Author(s):  
Mihai Cristian DUMITRASCU ◽  
◽  
Diana Elena BECHERU ◽  
Eugenia PETROVA ◽  
Anda DUMITRASCU ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Adrenal Tumor ◽  
First Year ◽  
Tumor Removal ◽  
Computed Tomography Imaging ◽  
Intravenous Contrast ◽  
Tomography Imaging ◽  
Hormonal Imbalance ◽  
Pathological Report

We introduce a case report of an adult male diagnosed with non-syndromic pheochromocytoma with a first pathological post-operatory report of malignant type with further re-considerations during follow-up for a 6-year period of time. This is 46 - year old male admitted for: post-adrenalectomy status reassessment. In 2013 he was diagnosed with high blood pressure requiring a complex regime of anti-hypertensive drugs to control it. In 2015 he was referred for an endocrine check-up which revealed a pheochromocytoma (noradrenaline type). Computed tomography imaging of the abdomen showed a right adrenal tumor of 28/38 mm, a mass that was clearly contoured, with heterogeneous pattern, and with moderate caption of intravenous contrast. Laparoscopic right adrenalectomy is performed with normalization of high pre-operatory normetanephrines and a dose reduction of anti-hypertensive medication which was still necessary. Pathological report suggested a malignant pheochromocytoma; the initial PASS score of 8 was later re-calculated, and a GAPP score of 5 was achieved showing a moderately differentiated tumor. No genetic backup was identified. Within the first year after tumor removal, the patient suffered a stroke, proving the higher cardiovascular risk than general population even after hormonal imbalance is restored. Lifelong surveillance is the rule.

Evolution of Computed Tomography Imaging the First Year after Endovascular Sealing of Infrarenal Aortic Aneurysms Using the Nellix Device

2018 ◽  
Vol 47 ◽  
pp. 223-229 ◽  
Author(s):  
Leo H. van den Ham ◽  
Thijs G. ter Mors ◽  
Johannes T. Boersen ◽  
Jean Paul P.M. de Vries ◽  
Patrick W. Vriens ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysms ◽  
First Year ◽  
Computed Tomography Imaging ◽  
Tomography Imaging

scholarly journals Follow-up of iatrogenic aorto-coronary "Dunning" dissections by cardiac computed tomography imaging

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Stefan Baumann ◽  
Michael Behnes ◽  
Benjamin Sartorius ◽  
Tobias Becher ◽  
Ibrahim El-Battrawy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cardiac Computed Tomography ◽  
Computed Tomography Imaging ◽  
Tomography Imaging

scholarly journals Use of Dual Energy Computed Tomography Imaging to follow up Stent-assisted Coil Embolization

2015 ◽  
Vol 24 (9) ◽  
pp. 614-621
Author(s):  
Toshiyuki Onda ◽  
Daisuke Sasamori ◽  
Yasuyuki Yonemasu ◽  
Yuji Hashimoto ◽  
Osamu Honda ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coil Embolization ◽  
Dual Energy ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Dual Energy Computed Tomography

scholarly journals Routine colonoscopy may not be needed for uncomplicated acute right colonic diverticulitis

2020 ◽  
Author(s):  
Kil-yong Lee ◽  
Jaeim Lee ◽  
Youn Young Park ◽  
Seong Taek Oh
Keyword(s):  
Computed Tomography ◽  
Colon Cancer ◽  
Primary Outcome ◽  
Advanced Adenoma ◽  
Colonic Diverticulitis ◽  
Right Colon ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Colon Diverticulitis

Abstract BACKGROUND Routine colonoscopy is recommended to determine the coexistence of colon cancer after medical treatment for colon diverticulitis. However, in the case of uncomplicated diverticulitis diagnosed by computed tomography imaging, the clinical relevance of routine follow-up colonoscopy has recently been debated. Yet, the role of follow-up colonoscopy for right colon diverticulitis, which tends to develop at a younger age than left colon diverticulitis, has not been specifically evaluated. Therefore, or aim in this study was to evaluate the incidence of colon cancer, detected by routine colonoscopy, after conservative management of acute uncomplicated right colon diverticulitis. METHODS Included were patients with uncomplicated right colon diverticulitis (modified Hinchey stage Ia) diagnosed by computed tomography imaging, between 2011 and 2017, and who underwent follow-up colonoscopy surveillance after treatment. The primary outcome was the incidence of colon cancer, with the detection rate of adenoma being the secondary outcome. Information for analysis was retrieved, retrospectively, from patients’ medical records. RESULTS The study group included 330 consecutive patients, with a mean age of 41.9 years, and 51.9% being men. For the primary outcome, the rate of colon cancer on follow-up colonoscopy was 0.3% (1/330 cases). The rate of adenoma detection was 20.3% (67/330 cases), with advanced adenoma identified in 9 of these cases (13.4%). CONCLUSION In patients with acute uncomplicated right colonic diverticulitis, routine colonoscopy after conservative treatment may not be necessary.

scholarly journals Three Cases of COVID-19 Pneumonia in Female Patients in Italy Who Had Pulmonary Fibrosis on Follow-Up Lung Computed Tomography Imaging

2020 ◽  
Vol 21 ◽  
Author(s):  
Giovanna Picchi ◽  
Alessia Mari ◽  
Alessandra Ricciardi ◽  
Anna Cecilia Carucci ◽  
Gaia Sinatti ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pulmonary Fibrosis ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Female Patients

Computed Tomography Imaging in Children with Head Trauma: Utilization and Appropriateness from a Quality Improvement Perspective

1993 ◽  
Vol 14 (8) ◽  
pp. 491-499 ◽  
Author(s):  
Montserrat Vera ◽  
Gary R. Fleisher ◽  
Patrick D. Barnes ◽  
Bruce H. Bjornson ◽  
Elizabeth N. Allred ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Quality Improvement ◽  
Literature Review ◽  
Head Trauma ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Staff Members ◽  
Follow Up Studies ◽  
One Year

AbstractComputed tomography (CT) imaging plays an important role in the acute evaluation and management of children with head trauma. When routine quality improvement (QI) meetings with representatives from the Children’s Hospital radiology and emergency departments revealed disagreement regarding the utilization and appropriateness of CT in children presenting with head trauma, an interdepartmental QI team was formed to address this issue. Because formal criteria for obtaining CTs for head trauma were unavailable, internal institutional criteria were developed by consensus after literature review. Contrary to perceptions of some staff members, the majority (95%) of children who received CT met at least one of the established criteria over a one-year study period. There was little relationship between the presence of criteria and abnormal CT results, but decisions whether to admit patients to the hospital or to send them home were influenced by CT results. Follow-up studies suggested that patients who were discharged home with a normal CT or no CT had uniformly good outcomes.

Sign in / Sign up

Export Citation Format

Share Document