Para-aortic Area Dissection and Left Pelvic Space Dissection in a Case of Carcinoma Ovary

Purpose To evaluate the value of cardiac magnetic resonance imaging (MRI)–based measurements of inferior vena cava (IVC) cross-sectional area in the diagnosis of pericardial constriction. Methods Patients who had undergone cardiac MRI for evaluation of clinically suspected pericardial constriction were identified retrospectively. The diagnosis of pericardial constriction was established by clinical history, echocardiography, cardiac catheterization, intraoperative findings, and/or histopathology. Cross-sectional areas of the suprahepatic IVC and descending aorta were measured on a single axial steady-state free-precession (SSFP) image at the level of the esophageal hiatus in end-systole. Logistic regression and receiver-operating curve (ROC) analyses were performed. Results Thirty-six patients were included; 50% (n = 18) had pericardial constriction. Mean age was 53.9 ± 15.3 years, and 72% (n = 26) were male. IVC area, ratio of IVC to aortic area, pericardial thickness, and presence of respirophasic septal shift were all significantly different between patients with constriction and those without ( P < .001 for all). IVC to aortic area ratio had the highest odds ratio for the prediction of constriction (1070, 95% confidence interval [8.0-143051], P = .005). ROC analysis illustrated that IVC to aortic area ratio discriminated between those with and without constriction with an area under the curve of 0.96 (95% confidence interval [0.91-1.00]). Conclusions In patients referred for cardiac MRI assessment of suspected pericardial constriction, measurement of suprahepatic IVC cross-sectional area may be useful in confirming the diagnosis of constriction when used in combination with other imaging findings, including pericardial thickness and respirophasic septal shift.

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Abstract P247: Ethnic Differences in Infrarenal Aortic Diameter and Area in a Population-Based Study

Circulation ◽

10.1161/circ.125.suppl_10.ap247 ◽

2012 ◽

Vol 125 (suppl_10) ◽

Author(s):

David E Timaran ◽

Eric B Rosero ◽

Adriana J Higuera ◽

Ron Peshock ◽

R James Valentine ◽

...

Keyword(s):

Body Size ◽

Ethnic Differences ◽

Population Based ◽

Aortic Diameter ◽

Hispanic Ethnicity ◽

Female Sex ◽

Abdominal Aortic ◽

Aortic Area ◽

Blacks And Whites ◽

Lower Height

Objective: Abdominal aortic aneurysms are defined as a 50% or greater increase in infrarenal aortic diameter (IAD). However, normal IAD has not been defined for all ethnic groups as minorities have been underrepresented in most studies. The aim of the study was to assess ethnic differences in IAD and infrarenal aortic area (AoA) adjusting for the effects of age, gender and body size in the general population. Methods: Participants (2,515) in a population based study underwent high-resolution magnetic resonance imaging (MRI) of the abdominal aorta. Analyses of variance and multiple regression analyses were used to assess the relationship between race/ethnicity, age, gender and body size and IAD and aortic area. Subjects with AAA detected by MRI (defined as IAD ≥ 3.0 cm) were excluded from the analysis. Results: Decreasing age, female sex, Hispanic ethnicity, and lower height were independent predictors of reduced IAD by multivariate linear regression (all P < 0.001). Of these, female sex and Hispanic ethnicity were the factors more strongly associated with aortic size. Female sex was associated with 0.27 cm reduction in IAD and Hispanic ethnicity with 0.39 cm reduction in IAD. Similarly, decreasing age, female sex, Hispanic ethnicity, and lower height were independent predictors of reduced AoA. Female sex was associated with a 51 cm 2 reduction in AoA and Hispanic ethnicity with 11.1 cm 2 reduction in AoA. Although Hispanics had higher BMI than blacks and whites ( P =.01), and lower height values than blacks and whites (P<.0001), IADs and AoAs were consistently lower among Hispanics. Conclusions: Ethnic differences exist in infrarenal aortic diameter. Despite larger body size, Hispanics have significantly lower IAD than blacks and whites in the general population. The reduced aortic size in Hispanics suggests that the thresholds for abdominal aortic aneurysm diagnosis, rupture and repair may be lower and need to be established.

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Removal of metastatic nodes para-aortic area

10.3802/jgo.2021.32.s1.f1 ◽

2021 ◽

Author(s):

Mikio Mikami

Keyword(s):

Aortic Area

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Oxyphilic clear cell carcinoma ovary

Journal of Postgraduate Medicine ◽

10.4103/0022-3859.43519 ◽

2008 ◽

Vol 54 (4) ◽

pp. 326

Author(s):

SK Singh ◽

R Biswas ◽

M Choudhury ◽

M Pujani

Keyword(s):

Cell Carcinoma ◽

Clear Cell ◽

Clear Cell Carcinoma ◽

Carcinoma Ovary

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The Supra-aortic Area

The Mediastinum ◽

10.1007/978-3-642-73301-7_6 ◽

1988 ◽

pp. 117-150 ◽

Cited By ~ 2

Author(s):

E. Robert Heitzman

Keyword(s):

Aortic Area

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Breaking the survival barriers: A case of stage IV carcinoma ovary with brain metastasis

Clinical Cancer Investigation Journal ◽

10.4103/ccij.ccij_19_20 ◽

2020 ◽

Vol 9 (3) ◽

pp. 92

Author(s):

Shabnum Thakur ◽

Lalit Chandrakant ◽

Vikas Fotedar ◽

Manish Gupta

Keyword(s):

Brain Metastasis ◽

Stage Iv ◽

Carcinoma Ovary

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Outcome of bowel resection in women with advanced ovarian carcinoma

10.1055/s-0039-1685310 ◽

2016 ◽

Author(s):

Ajit Sebastian ◽

Dhanya Susan Thomas ◽

Anitha Thomas ◽

Rachel Chandy ◽

Abraham Peedicayil

Keyword(s):

Surgical Site Infection ◽

Ovarian Carcinoma ◽

Bowel Resection ◽

Disease Free Survival ◽

Site Infection ◽

Free Survival ◽

Mortality And Morbidity ◽

Optimal Debulking ◽

Disease Free ◽

Carcinoma Ovary

Aim: To evaluate the mortality and morbidity related to bowel resection in women with advanced ovarian carcinoma. Methods: Retrospective case series of 47 women with stage III and IV carcinoma ovary who underwent bowel resection, over the period of 5 years from Jan 2011 to Dec 2015. The disease free survival was assessed and the prognostic factors for disease free survival was also analysed by bivariate analysis. Results: In this cohort 64% (30/47) had primary debulking, 21% (10/47) had interval debulking and 15% (7/47) had secondary debulking. The mean period of follow up was 23 months (1 – 45 month). The mortality was 15% (7/47), while major morbidity like anastomotic leak were nil. The three variables considered for mortality were relaparotomy, paralytic ileus and surgical site infection. 6% (3/47) had relaparotomy, 21% (10/47) had paralytic iileus and 15% (7/47) had surgical site infection. The overall morbidity was 42.5% (20/47). A total 34% (16/47) of patients had stoma. 79% (37/47) patients had optimal debulking. Conclusion: Bowel resection in optimally selected cases of advanced carcinoma ovary is a good option with limited mortality and morbidity. Often, bowel resection is the only way to achieve optimal debulking.

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Neuromyelitis optica spectrum disorder and adenocarcinoma of ovary: a novel association

BMJ Case Reports ◽

10.1136/bcr-2018-227435 ◽

2019 ◽

Vol 12 (4) ◽

pp. e227435

Author(s):

Julie Sachdeva ◽

Ramandeep Bansal ◽

Aastha Takkar ◽

Rajveer Singh

Keyword(s):

Neuromyelitis Optica ◽

Spectrum Disorder ◽

Clinical Entity ◽

Rare Clinical Entity ◽

Neuromyelitis Optica Spectrum Disorder ◽

Intravenous Methylprednisolone ◽

Novel Association ◽

Carcinoma Ovary

Paraneoplastic neuromyelitis optica spectrum disorder (NMOSD) is a rare clinical entity with less than 40 cases described in literature until today. Paraneoplastic NMOSD in association with adenocarcinoma of ovary has not been described yet. We present a case of paraneoplastic NMOSD in association with carcinoma ovary which improved following appropriate immunomodulation with pulse intravenous methylprednisolone and azathioprine.

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