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August 2015 Issue

 




Other Radiology articles from the Interventional Radiology section Interventional Radiology

Role of bilateral inferior petrosal sinus sampling (BIPSS) in the diagnosis of Cushing`s disease in a patient with double superior vena cava by Sonam Tashi et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 24-32


Free full text article: Role of bilateral inferior petrosal sinus sampling (BIPSS) in the diagnosis of Cushing`s disease in a patient with double superior vena cava

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Abstract: Cushing`s syndrome is known to have a wide spectrum of clinical presentation with debilitating consequences and morbidity if not diagnosed and treated in time. Sometimes the diagnosis of Cushing`s syndrome can be challenging to the endocrinologist, especially when the usual battery of biochemical tests and advanced cross-sectional imaging is negative or inconclusive. We described a case in which the use of bilateral inferior petrosal sinus sampling (BIPSS) was conclusive albeit being technically challenging (due to a rare incidental finding of double superior vena cava) and invasive in nature.


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Angiography, Interventional, Table

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Other Radiology articles from the General Radiology section General Radiology

A Case of Desmoplastic Small Round Cell Tumor by David Reisner et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 1-7


Free full text article: A Case of Desmoplastic Small Round Cell Tumor

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Abstract: Desmoplastic small round cell tumor is a rare, aggressive tumor primarily affecting young males. It is considered a childhood cancer, and is characterized by a unique chromosomal translocation which leads to failure to suppress tumor growth. It is classified as a soft tissue sarcoma, sharing some features with other small round cell tumors such as Ewing`s Sarcoma and primitive neuroectodermal tumor. Typical imaging findings include multiple heterogeneous, lobular abdominal masses, which can grow very large. Often there is a dominant mass with additional peritoneal, omental, retroperitoneal and retrovesical masses. Prognosis is relatively poor with a 3 year survival rate of 50% in those treated aggressively with surgical resection, chemotherapy, and radiation therapy. The clinical presentation, imaging characteristics and pathology are discussed in regards to a recent case.


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Ultrasound, Computed Tomography, Nuclear Medicine, Microscopic pathology, Table





Other Radiology articles from the Nuclear Medicine / Molecular Imaging section Nuclear Medicine / Molecular Imaging

Maxillary mesenchymal chondrosarcoma presenting with epistaxis in a child by Srinivas Anand Swaroop Uppaluri et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 33-38


Free full text article: Maxillary mesenchymal chondrosarcoma presenting with epistaxis in a child

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Abstract: Mesenchymal chondrosarcomas are a rare variant of primary chondrosarcomas and can pose a diagnostic dilemma, especially when the features on conventional imaging are equivocal for an aggressive lesion. There is very little PET-CT experience in mesenchymal chondrosarcomas as per the literature and to the best of our knowledge, we are the first to describe a maxillary mesenchymal chondrosarcoma on PET-CT imaging. We report a case where PET-CT not only complemented conventional imaging in suspecting a malignant osseous lesion, but also was indicative of the grade of the tumor.


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Computed Tomography, Nuclear Medicine, Microscopic pathology, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review by Zeid Al-Ani et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 16-23


Free full text article: Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review

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Abstract: Sarcoidosis is an idiopathic inflammatory disorder characterized by the presence of non-caseating tissue granulomas most commonly affecting lungs, lymph nodes and skin. Sarcoid skeletal involvement is relatively uncommon and in particular tenosynovitis. We describe an unusual case of sarcoidosis presenting with granulomatous tenosynovitis as the only manifestation of the disease, illustrating the radiological findings on different modalities followed by a review of the literature. Radiologists and clinicians should be aware of tenosynovitis as a manifestation of sarcoidosis as early and therefore appropriate treatment significantly alters patient`s outcome and prognosis.


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Conventional Radiography, Ultrasound, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Neuroradiology section Neuroradiology

Perineural tumour spread from colon cancer, an unusual cause of trigeminal neuropathy - a case report by Kavitha Nair et al.

Published: 2015 Aug
Issue: 9(8) :: Pages: 8-15


Free full text article: Perineural tumour spread from colon cancer, an unusual cause of trigeminal neuropathy - a case report

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Abstract: Malignant trigeminal neuralgia due to perineural spread along the branches of the trigeminal nerve, is known to commonly occur secondary to squamous cell carcinomas, lymphomas and adenoid cystic carcinomas in the head and neck region. Rarely metastases to the trigeminal nerve have been reported in breast cancer, prostate cancer and colon cancer. To the best of our knowledge trigeminal neuropathy due to skull base metastases and perineural spread along the maxillary (V2) and mandibular (V3) branches of the trigeminal nerve, secondary to colon cancer, has not been previously reported. The diagnosis in our index case was made on magnetic resonance imaging, and patient was treated accordingly by fractionated stereotactic radiotherapy, with subsequent relief of her pain.


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Magnetic Resonance Imaging, Table

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