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Revista Espanola de Enfermedades... Sep 2018We report the case of a 67-year-old male with epigastric pain and weight loss during the last nine months. Physical examination revealed a hard palpable mass in the...
We report the case of a 67-year-old male with epigastric pain and weight loss during the last nine months. Physical examination revealed a hard palpable mass in the epi-mesogastrium. An abdominal ultrasound identified a large, heterogeneous and hypovascular mass, which compressed the left hepatic lobe and the pancreas.
Topics: Abdominal Neoplasms; Aged; Duodenal Neoplasms; Endosonography; Humans; Liposarcoma; Male; Tomography, X-Ray Computed
PubMed: 30032632
DOI: 10.17235/reed.2018.5176/2017 -
BMJ Case Reports Jun 2020There are less than 150 cases of non-functioning retroperitoneal abdominal schwannoma (NRS) reported. Hormonal assay is crucial in confirming the diagnosis of NRS, as...
There are less than 150 cases of non-functioning retroperitoneal abdominal schwannoma (NRS) reported. Hormonal assay is crucial in confirming the diagnosis of NRS, as manipulation of a functional retroperitoneal paraganglioma will instigate an abrupt liberation of catecholamines, resulting in devastating consequences. We report the case of 42-year-old woman who presented with headache, night sweats and abdominal discomfort. Cross-sectional imaging demonstrated a retroperitoneal mass adherent to the aorta and inferior vena cava but biochemical testing of blood and urine was negative for metanephrines and normetanephrines. She underwent successful tumour resection via laparotomy, as location increased the complexity and risk of laparoscopic resection.
Topics: Abdominal Neoplasms; Adult; Female; Humans; Neurilemmoma; Retroperitoneal Neoplasms
PubMed: 32554461
DOI: 10.1136/bcr-2019-233371 -
The British Journal of Radiology Oct 2021To investigate trends observed in a decade of published research on multimodality PET(/CT)+MR imaging in abdominal oncology, and to explore how these trends are... (Review)
Review
OBJECTIVES
To investigate trends observed in a decade of published research on multimodality PET(/CT)+MR imaging in abdominal oncology, and to explore how these trends are reflected by the use of multimodality imaging performed at our institution.
METHODS
First, we performed a literature search (2009-2018) including all papers published on the multimodality combination of PET(/CT) and MRI in abdominal oncology. Retrieved papers were categorized according to a structured labelling system, including study design and outcome, cancer and lesion type under investigation and PET-tracer type. Results were analysed using descriptive statistics and evolutions over time were plotted graphically. Second, we performed a descriptive analysis of the numbers of MRI, PET/CT and multimodality PET/CT+MRI combinations (performed within ≤14 days interval) performed during a similar time span at our institution.
RESULTS
Published research papers involving multimodality PET(/CT)+MRI combinations showed an impressive increase in numbers, both for retrospective combinations of PET/CT and MRI, as well as hybrid PET/MRI. Main areas of research included new PET-tracers, visual PET(/CT)+MRI assessment for staging, and (semi-)quantitative analysis of PET-parameters compared to or combined with MRI-parameters as predictive biomarkers. In line with literature, we also observed a vast increase in numbers of multimodality PET/CT+MRI imaging in our institutional data.
CONCLUSIONS
The tremendous increase in published literature on multimodality imaging, reflected by our institutional data, shows the continuously growing interest in comprehensive multivariable imaging evaluations to guide oncological practice.
ADVANCES IN KNOWLEDGE
The role of multimodality imaging in oncology is rapidly evolving. This paper summarizes the main applications and recent developments in multimodality imaging, with a specific focus on the combination of PET+MRI in abdominal oncology.
Topics: Abdominal Neoplasms; Contrast Media; Humans; Magnetic Resonance Imaging; Medical Oncology; Multimodal Imaging; Neoplasm Staging; Positron Emission Tomography Computed Tomography; Radiopharmaceuticals
PubMed: 34387508
DOI: 10.1259/bjr.20201351 -
The New England Journal of Medicine Mar 2019
Topics: Abdominal Neoplasms; Aged; Female; Humans; Neoplasm Metastasis; Ovarian Neoplasms; Tomography, X-Ray Computed; Umbilicus
PubMed: 30865800
DOI: 10.1056/NEJMicm1809024 -
Journal of B.U.ON. : Official Journal... 2018Gastrointestinal stromal tumors (GISTs) are the most frequent neoplasms of mesenchymal origin affecting the gastrointestinal tract. GISTs quite frequently co-exist with... (Review)
Review
PURPOSE
Gastrointestinal stromal tumors (GISTs) are the most frequent neoplasms of mesenchymal origin affecting the gastrointestinal tract. GISTs quite frequently co-exist with other primary tumors in up to 33% of the cases. Such occurrence has been mainly described in the literature in the form of case reports and rarely of case series which hasn't been sufficient to prove if there is any association between these two entities.
METHODS
We conducted a review of the current literature regarding the synchronous occurrence of GISTs and other intra-abdominal malignancies. An electronic search of the literature was undertaken using MEDLINE (database provider PubMed). A primary selection of relevant studies was based on the title and abstract, whereas a secondary selection was performed according to the full text of publications.
RESULTS
Ten retrospective case series were considered and overall 1108 GISTs patients were included. Synchronous intra-abdominal malignancies were found in 18% of all GISTs patients studied. The mean age was 70,5 years, affecting more the male gender (65%). The mean size of the concurrent GISTs were 18mm while the most common GIST-associated malignancy were gastric adenocarcinomas.
CONCLUSION
The synchronous occurrence of GISTs and other intra-abdominal primary tumors is more common that it has been considered and while it is not yet clear if there is a causal association for the concomitant occurrence of GIST with other malignancies a closer surveillance of GIST patients is needed due to their proved increased prevalence of a second primary tumor especially during the first year after diagnosis.
Topics: Abdominal Neoplasms; Gastrointestinal Neoplasms; Gastrointestinal Stromal Tumors; Humans; Neoplasms, Multiple Primary; Prognosis
PubMed: 30610779
DOI: No ID Found -
Clinical and Applied... Jul 2014With advances in modern imaging techniques, portal vein thrombosis (PVT) is being increasingly diagnosed. It has a wide ranging clinical spectrum from being an... (Review)
Review
With advances in modern imaging techniques, portal vein thrombosis (PVT) is being increasingly diagnosed. It has a wide ranging clinical spectrum from being an asymptomatic state to a potentially life-threatening situation. It is not unusual to find it as an incidental finding in the abdominal imagings done for other reasons. It is commonly associated with cirrhosis and abdominal malignancies and also has a strong association with prothrombotic disorders. It is often difficult for the clinicians to decide whether PVT is acute or chronic. This poses great challenges to its management strategies that include anticoagulants, thrombolysis, and surgical options. Timely diagnosis and appropriate management have great bearings on its outcomes of morbidity and mortality. In this clinician-oriented review, we have provided a concise review of clinical aspects of PVT and discussed various management strategies while addressing the common questions that come to a physician's mind dealing with such a patient.
Topics: Abdominal Neoplasms; Humans; Liver Cirrhosis; Portal Vein; Venous Thrombosis
PubMed: 23364162
DOI: 10.1177/1076029612473515 -
Medicina 2023Desmoplastic small round cell tumor is a rare and very aggressive neoplasm that belongs to the family of "small round blue cell tumors". It has a higher incidence in...
Desmoplastic small round cell tumor is a rare and very aggressive neoplasm that belongs to the family of "small round blue cell tumors". It has a higher incidence in males in the second decade of life. It is due to translocation t(11;22) (p13;q12). It can be located both in the abdomen and in the retroperitoneum and is characterized by nonspecific symptoms. The treatment is very varied and the one that guarantees the total cure of the patient has not yet been detected. The objective of this study is to expose a clinical case of desmoplastic tumor as an rare abdominal disease and its imaging expression.
Topics: Male; Humans; Abdominal Neoplasms; Sarcoma; Translocation, Genetic
PubMed: 37582135
DOI: No ID Found -
RoFo : Fortschritte Auf Dem Gebiete Der... May 2023Peritoneal and retroperitoneal tumors consist of a heterogenous group of benign and malignant lesions of different origin. Due to often complex multidisciplinary...
Peritoneal and retroperitoneal tumors consist of a heterogenous group of benign and malignant lesions of different origin. Due to often complex multidisciplinary treatment concepts in patients with peritoneal surface malignancies radiological imaging plays a pivotal role regarding the therapeutic options. Moreover, tumor entity, abdominal tumor distribution and common as well as rare differential diagnoses have to be taken into account. Using different radiological modalities non-invasive pretherapeutic diagnostics might be significantly improved. KEY POINTS:: · Diagnostic CT is a valuable part of the initial diagnostic approach to peritoneal surface malignancies.. · Sensitivity might be increased by the additional use of dwMRI and PET/CT considering tumor entity and individual diagnostic issues.. · The Peritoneal Cancer Index (PCI) should be determined independent of radiologic modality.. CITATION FORMAT: · Glockzin G, Helmberger T. Radiologic staging of peritoneal and retroperitoneal disease. Fortschr Röntgenstr 2023; 195: 377 - 384.
Topics: Humans; Peritoneal Neoplasms; Positron Emission Tomography Computed Tomography; Retroperitoneal Neoplasms; Radiography; Abdominal Neoplasms; Neoplasm Staging
PubMed: 36863365
DOI: 10.1055/a-1999-7057 -
Laeknabladid Nov 2018Lipomas are slow-growing, benign soft tissue tumors that are typically asymptomatic. We describe the case of a 52 year old female, severely overweight who presented with...
Lipomas are slow-growing, benign soft tissue tumors that are typically asymptomatic. We describe the case of a 52 year old female, severely overweight who presented with an 8 month history of slowly progressive large lower abdomi-nal mass. Clinical workup gave an indication of a subcutaneous lipoma. The patient underwent open surgery where the mass was removed. Pathology results revealed a lipoma without malignancy. Lipomas only require treatment when they are symptomatic or to rule out malig-nancy. Giant lipomas are defined as a lesion that are over 10 cm in length or weigh more than 1000 grams.
Topics: Abdominal Neoplasms; Biopsy; Female; Humans; Lipoma; Middle Aged; Tumor Burden
PubMed: 30375981
DOI: 10.17992/lbl.2018.11.204 -
JSLS : Journal of the Society of... 2021Minimally invasive oncologic surgery has become the standard of care in many gynecologic cancers. While laparoscopic surgery provides many benefits to patients, such as... (Review)
Review
BACKGROUND
Minimally invasive oncologic surgery has become the standard of care in many gynecologic cancers. While laparoscopic surgery provides many benefits to patients, such as faster recovery, there are unique challenges associated with minimally invasive techniques. Port-site metastasis is a rare complication after laparoscopic oncologic surgery in management of gynecologic malignancies.
METHODS
We present the case of a 44-year-old female with isolated port-site recurrence following laparoscopic radical hysterectomy with node-negative, clinical stage IB1 cervical adenocarcinoma. In addition, we provide an updated review of the literature on management and oncologic outcomes of port-site metastasis.
CONCLUSION
Port-site metastasis prevention necessitates a better understanding of underlying risk factors and pathophysiology in order to optimize outcomes. Future studies are needed on risk-reducing strategies and standardization of management for port-site metastasis.
Topics: Abdominal Neoplasms; Abdominal Wall; Adenocarcinoma; Adult; Female; Humans; Hysterectomy; Laparoscopy; Neoplasm Seeding; Robotic Surgical Procedures; Uterine Cervical Neoplasms
PubMed: 33879998
DOI: 10.4293/JSLS.2020.00081