Pub Date : 2019-10-01DOI: 10.15406/ijrrt.2019.06.00245
Andressa Almeida de Noronha, Ritamaris de Arruda Régis, Ana Rita Régis Borges
Pregnancy associated breast cancer is defined as a breast cancer diagnosed during pregnancy or within one year postpartum It is an under studied entity despite its increased incidence due to the tendency to extend the age of the first gestation The major issue regarding breast cancer in pregnant women is the delay in diagnosis both due to glandular and ductal hyperplasia typical of pregnancy as well as the physician s uncertainty about the diagnostic approach fearing harmful effects on the fetus thus leading to a worse prognosis We report the case of a pregnant patient with invasive ductal carcinoma suspected by palpation during physical examination and confirmed after histological study of the fragment obtained by ultrasound guided core biopsy with subsequent staging with magnetic resonance imaging The purpose of this report was to discuss the correct investigative management of a case of invasive ductal carcinoma associated with pregnancy aiming at reducing morbidity and mortality
{"title":"Clinical, histological and radiological findings of invasive ductal carcinoma in a pregnant woman","authors":"Andressa Almeida de Noronha, Ritamaris de Arruda Régis, Ana Rita Régis Borges","doi":"10.15406/ijrrt.2019.06.00245","DOIUrl":"https://doi.org/10.15406/ijrrt.2019.06.00245","url":null,"abstract":"Pregnancy associated breast cancer is defined as a breast cancer diagnosed during pregnancy or within one year postpartum It is an under studied entity despite its increased incidence due to the tendency to extend the age of the first gestation The major issue regarding breast cancer in pregnant women is the delay in diagnosis both due to glandular and ductal hyperplasia typical of pregnancy as well as the physician s uncertainty about the diagnostic approach fearing harmful effects on the fetus thus leading to a worse prognosis We report the case of a pregnant patient with invasive ductal carcinoma suspected by palpation during physical examination and confirmed after histological study of the fragment obtained by ultrasound guided core biopsy with subsequent staging with magnetic resonance imaging The purpose of this report was to discuss the correct investigative management of a case of invasive ductal carcinoma associated with pregnancy aiming at reducing morbidity and mortality","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114887862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.15406/ijrrt.2019.06.00226
D. L. Dias, Vinícius Martins Valois, S. Furlán
We report a rare case of a giant vagal schwannoma that was presented as a slow growing cervical mass Our purpose is to describe the clinical presentation diagnostic imaging and histopathological aspects
{"title":"A giant vagal Schwannoma: a case report","authors":"D. L. Dias, Vinícius Martins Valois, S. Furlán","doi":"10.15406/ijrrt.2019.06.00226","DOIUrl":"https://doi.org/10.15406/ijrrt.2019.06.00226","url":null,"abstract":"We report a rare case of a giant vagal schwannoma that was presented as a slow growing cervical mass Our purpose is to describe the clinical presentation diagnostic imaging and histopathological aspects","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134371802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Glynou, E. Karamanis, Chalasti Maria, Epistimi Angelou, A. Alexandris, Nikolaos Kapeleris
The ultrasonography is a significant method in imaging and diagnosing in the most frequent urgent pediatric incidents in country region hospitals Our clinical experience of the most frequent in pediatric emergencies of the Emergency Department in our hospital with symptoms of acute abdomen pain Ultrasound in acute abdomen pain can help in diagnosis of acute appendicitis mesenteric lymphadenitis testicular twisting twisting epididymis ovarian twisting inflammation of the testicles epididymitis orchitis hydronephrosis inflammation of the urinary tract pyelonephritis cystitis nephritis hepatosplenomegaly hypertrophy of pyloric sphincter bowel intussuseption
{"title":"The ultrasound as a significant method in imaging and diagnosing in frequent urgent pediatric incidents in country region hospitals","authors":"E. Glynou, E. Karamanis, Chalasti Maria, Epistimi Angelou, A. Alexandris, Nikolaos Kapeleris","doi":"10.15406/ijrrt.6.3","DOIUrl":"https://doi.org/10.15406/ijrrt.6.3","url":null,"abstract":"The ultrasonography is a significant method in imaging and diagnosing in the most frequent urgent pediatric incidents in country region hospitals Our clinical experience of the most frequent in pediatric emergencies of the Emergency Department in our hospital with symptoms of acute abdomen pain Ultrasound in acute abdomen pain can help in diagnosis of acute appendicitis mesenteric lymphadenitis testicular twisting twisting epididymis ovarian twisting inflammation of the testicles epididymitis orchitis hydronephrosis inflammation of the urinary tract pyelonephritis cystitis nephritis hepatosplenomegaly hypertrophy of pyloric sphincter bowel intussuseption","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114741574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-26DOI: 10.15406/IJRRT.2018.05.00196
S. Batıbay, S. Batıbay
Berger implemented external beam radiotherapy in the range of 30 to 50 Gy after open synovectomy in 7 patients. With no recurrence on the patients, it is stated that 1 patient complains about joint stiffness.10 Nassar et al.,11 did not report recurrence in the study involving 12 patients with an average follow-up of 27 months after postoperative radiotherapy.11 Ozturk et al.12 did not report recurrence in the study involving 7 patients with an average follow-up of 47.8 months postoperatively.12
{"title":"Radiotherapy on knee–related pigmented villonodular synovitis","authors":"S. Batıbay, S. Batıbay","doi":"10.15406/IJRRT.2018.05.00196","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00196","url":null,"abstract":"Berger implemented external beam radiotherapy in the range of 30 to 50 Gy after open synovectomy in 7 patients. With no recurrence on the patients, it is stated that 1 patient complains about joint stiffness.10 Nassar et al.,11 did not report recurrence in the study involving 12 patients with an average follow-up of 27 months after postoperative radiotherapy.11 Ozturk et al.12 did not report recurrence in the study involving 7 patients with an average follow-up of 47.8 months postoperatively.12","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"202 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122337634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-26DOI: 10.15406/IJRRT.2018.05.00195
Smily Sharma, Pankaj Sharma, U. Chauhan, R. Pasricha
Breast tissue markers are novel in the field of breast intervention They help to well localize the breast lesions that have been biopsied or have been subjected to neoadjuvant chemotherapy as these lesions might become quite inconspicuous on imaging They are not only a guide for radiologists but also for surgeons to extract the entire lesion for oncologists to evaluate treatment response and for pathologists to assess the adequacy of the tissue they sampled They are important tools for follow up of breast lesions Newer markers are available which are not just visible on mammogram but also on ultrasonography We had deployed four UltraClip reg dual trigger breast tissue markers around a malignant breast mass prior to neoadjuvant chemotherapy Post procedure these markers were visible as hyperechoic linear structures on ultrasonography and as ribbon shaped clips around the lesion on mammogram They are expected to be a guide for future localization of the breast mass and assess its treatment response Breast tissue markers are thus definitely a step towards progress in diagnosis and treatment of breast carcinoma
{"title":"Our initial experience with breast tissue marker","authors":"Smily Sharma, Pankaj Sharma, U. Chauhan, R. Pasricha","doi":"10.15406/IJRRT.2018.05.00195","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00195","url":null,"abstract":"Breast tissue markers are novel in the field of breast intervention They help to well localize the breast lesions that have been biopsied or have been subjected to neoadjuvant chemotherapy as these lesions might become quite inconspicuous on imaging They are not only a guide for radiologists but also for surgeons to extract the entire lesion for oncologists to evaluate treatment response and for pathologists to assess the adequacy of the tissue they sampled They are important tools for follow up of breast lesions Newer markers are available which are not just visible on mammogram but also on ultrasonography We had deployed four UltraClip reg dual trigger breast tissue markers around a malignant breast mass prior to neoadjuvant chemotherapy Post procedure these markers were visible as hyperechoic linear structures on ultrasonography and as ribbon shaped clips around the lesion on mammogram They are expected to be a guide for future localization of the breast mass and assess its treatment response Breast tissue markers are thus definitely a step towards progress in diagnosis and treatment of breast carcinoma","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114503842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-26DOI: 10.15406/ijrrt.2018.05.00194
D YadavKarthik, Saleem Mohammed, Saleem Rayeesa, Sindhe J Raghunand
The temperature of the skin is dynamic and depends on a number of functions, not least of which is the ambient environment. All objects including the human body emit radiation in the infrared spectrum. Wein’s law states that the rate at which the maximum energy is emitted is dependent on the temperature of the body. Therefore, temperature is reflected by gauging the infrared radiation radiated by the skin surface.3 Thermography, the science of heat recording can be used to record the heat given off by the human body.4
{"title":"Thermography–a reflector in health and disease","authors":"D YadavKarthik, Saleem Mohammed, Saleem Rayeesa, Sindhe J Raghunand","doi":"10.15406/ijrrt.2018.05.00194","DOIUrl":"https://doi.org/10.15406/ijrrt.2018.05.00194","url":null,"abstract":"The temperature of the skin is dynamic and depends on a number of functions, not least of which is the ambient environment. All objects including the human body emit radiation in the infrared spectrum. Wein’s law states that the rate at which the maximum energy is emitted is dependent on the temperature of the body. Therefore, temperature is reflected by gauging the infrared radiation radiated by the skin surface.3 Thermography, the science of heat recording can be used to record the heat given off by the human body.4","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131980108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-21DOI: 10.15406/IJRRT.2018.05.00192
M. Chaudhary, B. Bhowmik, A. Datta, M. Shrestha, N. Abbas
rise in temperature was noted. Since, the swelling was confined to soft tissue, contrast enhanced Magnetic Resonance Imaging (MRI) was advised which showed a peripheral rim enhancing, large, multilobulated T1WI hypointense and T2WI hyperintense lesion in right posterior chest wall having multiple internal septations. The lesion was involving the intercostal space and intercostal muscles. Cortical irregularity and altered marrow signal intensity was noted at 6th and 7th ribs of right posterior chest wall. Similar characteristics lesion was noted in the right posterior pleural space which appeared communicating with the posterior chest wall lesion. Ultrasound (US) examination of the swelling was done which showed hypoechoic, multi lobulated mass which showed no vascularity on color flow. Hence, ultrasound guided fine needle aspiration (FNA) was done; from which thick purulent yellowish colored pus was aspirated and was sent for gram stain, acid fast bacillus, culture and sensitivity. Pus culture revealed Mycobacterium tuberculosis. Based on this, thoracotomy with decortication was done. Patient was treated with intravenous antibiotics and discharged home on oral antibiotics with significant improvement (Figure 1 & Figure 2).
{"title":"Empyema necessitans, a rare complication of empyema thoracis","authors":"M. Chaudhary, B. Bhowmik, A. Datta, M. Shrestha, N. Abbas","doi":"10.15406/IJRRT.2018.05.00192","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00192","url":null,"abstract":"rise in temperature was noted. Since, the swelling was confined to soft tissue, contrast enhanced Magnetic Resonance Imaging (MRI) was advised which showed a peripheral rim enhancing, large, multilobulated T1WI hypointense and T2WI hyperintense lesion in right posterior chest wall having multiple internal septations. The lesion was involving the intercostal space and intercostal muscles. Cortical irregularity and altered marrow signal intensity was noted at 6th and 7th ribs of right posterior chest wall. Similar characteristics lesion was noted in the right posterior pleural space which appeared communicating with the posterior chest wall lesion. Ultrasound (US) examination of the swelling was done which showed hypoechoic, multi lobulated mass which showed no vascularity on color flow. Hence, ultrasound guided fine needle aspiration (FNA) was done; from which thick purulent yellowish colored pus was aspirated and was sent for gram stain, acid fast bacillus, culture and sensitivity. Pus culture revealed Mycobacterium tuberculosis. Based on this, thoracotomy with decortication was done. Patient was treated with intravenous antibiotics and discharged home on oral antibiotics with significant improvement (Figure 1 & Figure 2).","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125594023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-21DOI: 10.15406/IJRRT.2018.05.00193
Arjit Agarwal, Ashutosh Kumar, S. Chandak
Epididymal tumors are rare lesions which we come across in routine practice nbsp It is also a rare site of solid tumor metastases and mimics the chronic mass forming inflammatory pathologies leading to a diagnostic dilemma Most of the cases of epididymal metastases are diagnosed incidentally Most cases of epididymal metastases are from genitourinary and gastrointestinal malignancies We present a case of a middle aged male presenting with complaints of pain and palpable lump in left inguino scrotal region where ultrasound revealed epididymal mass The diagnosis of epididymal metastases from jejunal adenocarcinoma was made on the basis of CT
{"title":"Jejunal adenocarcinoma manifesting as epididymal mass: a rare case scenario","authors":"Arjit Agarwal, Ashutosh Kumar, S. Chandak","doi":"10.15406/IJRRT.2018.05.00193","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00193","url":null,"abstract":"Epididymal tumors are rare lesions which we come across in routine practice nbsp It is also a rare site of solid tumor metastases and mimics the chronic mass forming inflammatory pathologies leading to a diagnostic dilemma Most of the cases of epididymal metastases are diagnosed incidentally Most cases of epididymal metastases are from genitourinary and gastrointestinal malignancies We present a case of a middle aged male presenting with complaints of pain and palpable lump in left inguino scrotal region where ultrasound revealed epididymal mass The diagnosis of epididymal metastases from jejunal adenocarcinoma was made on the basis of CT","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114010712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-19DOI: 10.15406/IJRRT.2018.05.00188
M. Boukobza, J. Laissy
The laboratory findings have received some recent modifications. Cerebrospinal fluid (CSF) may be normal or near-normal (protein concentration<100 mg/dL,<15 white blood cells/μL, normal glucose).3 There is a characteristic pattern of radiographic features alongside suggestive clinical manifestations, which lead to a diagnosis of RVCS.This syndrome is characterized:1-clinically by acute-onset and very severe headache, often thunderclap headache,ie headache peaking in one minute, and with or without acute neurological signs and symptoms, such as seizures, hemiparesis or encephalopathy. 2-radio logically by multifocal and segmental narrowing of multiple cerebral arteries corresponding to vasoconstriction that can affect the proximal, middle, and distal arterial segments and posterior predominant brain edema. The vasoconstriction is demonstrated by a characteristic diffuse “beaded” appearance identified onmagnetic resonance angiography (MRA), angio-CT(ACT) or catheter cerebral angiography.4,5 This syndrome is also defined by the complete resolution of the vasoconstriction shown by follow-up on MRA, CTA or catheter cerebral angiography within 12 weeks after onset, together with the total clinical normalization. Epidemiology RVCS affects patients of all ages, with a middle-aged female preponderance, between 20 and 50; the sex ratio varies among the series.The RVCS seems rare and perhaps under-recognized in children.6 Causes: There are various precipitants of RCVS including, sexual activity, exertion, pregnancy-related conditions (early puerperium, pre-eclampsia, and eclampsia; post-partum), sympathomimetic or vasoactive substances, including nasal decongestants, serotonine-reuptake inhibitors, catecholamine-secreting tumors and ergolinederivates, intravenous immunoglobulin, blood products, immune suppressants, and the use of illicit drugs(cannabis, cocaine) or comorbid auto-immune disorders. Many other putative precipitants have been reported. In 2/3 of patients, one or multiple precipitating factors are identified.
{"title":"The many faces of the reversible cerebral vasoconstriction syndrome (RCVS)","authors":"M. Boukobza, J. Laissy","doi":"10.15406/IJRRT.2018.05.00188","DOIUrl":"https://doi.org/10.15406/IJRRT.2018.05.00188","url":null,"abstract":"The laboratory findings have received some recent modifications. Cerebrospinal fluid (CSF) may be normal or near-normal (protein concentration<100 mg/dL,<15 white blood cells/μL, normal glucose).3 There is a characteristic pattern of radiographic features alongside suggestive clinical manifestations, which lead to a diagnosis of RVCS.This syndrome is characterized:1-clinically by acute-onset and very severe headache, often thunderclap headache,ie headache peaking in one minute, and with or without acute neurological signs and symptoms, such as seizures, hemiparesis or encephalopathy. 2-radio logically by multifocal and segmental narrowing of multiple cerebral arteries corresponding to vasoconstriction that can affect the proximal, middle, and distal arterial segments and posterior predominant brain edema. The vasoconstriction is demonstrated by a characteristic diffuse “beaded” appearance identified onmagnetic resonance angiography (MRA), angio-CT(ACT) or catheter cerebral angiography.4,5 This syndrome is also defined by the complete resolution of the vasoconstriction shown by follow-up on MRA, CTA or catheter cerebral angiography within 12 weeks after onset, together with the total clinical normalization. Epidemiology RVCS affects patients of all ages, with a middle-aged female preponderance, between 20 and 50; the sex ratio varies among the series.The RVCS seems rare and perhaps under-recognized in children.6 Causes: There are various precipitants of RCVS including, sexual activity, exertion, pregnancy-related conditions (early puerperium, pre-eclampsia, and eclampsia; post-partum), sympathomimetic or vasoactive substances, including nasal decongestants, serotonine-reuptake inhibitors, catecholamine-secreting tumors and ergolinederivates, intravenous immunoglobulin, blood products, immune suppressants, and the use of illicit drugs(cannabis, cocaine) or comorbid auto-immune disorders. Many other putative precipitants have been reported. In 2/3 of patients, one or multiple precipitating factors are identified.","PeriodicalId":214028,"journal":{"name":"International Journal of Radiology & Radiation Therapy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120949018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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