Incidence and Survival Trends of Pancreatic Cancer in Girona: Impact of the Change in Patient Care in the Last 25 Years.

(1) Background: We investigated the incidence and survival trends for pancreatic cancer (PC) over the last 25 years in the Girona region, Catalonia, Spain; (2) Methods: Data were extracted from the population-based Girona Cancer Registry. Incident PC cases during 1994-2015 were classified using the International Classification of Diseases for Oncology Third Edition (ICD-O-3). Incidence rates age-adjusted to the European standard population (ASR) and world standard population (ASR) were obtained.

Fine-needle aspiration of breast biopsy specimens: correlation of histologic and cytologic findings.

The accuracy of fine-needle aspiration (FNA) cytologic diagnosis of nonpalpable breast lesions and the prevalence of neoplasm occurring in areas unrelated to the radiologic abnormality were studied. Template-guided FNA cytologic examination was performed in 101 surgically excised breast specimens. The exact area of the mammographic abnormality was aspirated with radiographic control.

The value of mammography after limited breast surgery and before definitive radiation therapy.

One hundred twenty consecutive patients who had breast-conserving surgery for cancer and were referred for definitive radiation therapy (RT) had a mammogram performed before starting RT. This was done to determine the presence of residual neoplasm or other abnormalities that may alter or delay the planned RT and are undetected by other means. It also was performed to provide a baseline for the diagnosis of postoperative changes and recurrence of disease on follow-up studies.

Cryptosporidiosis of the biliary tract in AIDS.

Cryptosporidiosis of the biliary system was studied retrospectively in 13 patients with acquired immunodeficiency syndrome (AIDS). The diagnosis was made by means of histologic examination (n = 9) or imaging studies and the presence of intestinal cryptosporidiosis (n = 4). Imaging studies were done in 10 patients.

Diagnostic quality of mammograms obtained with a new low-radiation-dose dual-screen and dual-emulsion film combination.

We evaluated the image quality of mammograms made by using a new dual-screen, dual-emulsion film combination (Kodak Min-R Fast screen, T-Mat Mll film) that permits reduction of radiation exposure by approximately 50% when compared with a standard single-screen, single-emulsion film system (Kodak Min-R screen, OM-1 film). This new film has been improved when compared with earlier T-Mat M film, including the introduction of an inert dye to reduce light crossover to essentially 0%. Mammogram pairs made with the dual-emulsion film combination and the standard single-emulsion film combination were obtained in 50 patients otherwise undergoing routine mammography.

Smoke inhalation injury: evaluation of radiographic manifestations and pulmonary dysfunction.

Inhalation injury is a frequent complication in burned patients. Upper airway injury is reliably diagnosed endoscopically, but early diagnosis of pulmonary parenchymal injury is less reliable. Radiographic diagnosis in such cases is inconsistent.

Echinococcal hepatic disease: magnetic resonance appearance.

The magnetic resonance (MR) appearance of an echinococcal hepatic cyst is described. A previous report has suggested that a low-intensity rim surrounding the cyst may be useful in differentiating hydatid cysts from other hepatic lesions. No such rim was identified in our case; however, MR was found to be superior to other modalities in delineating the internal contents of the hydatid cyst.

Appendicitis with bladder involvement: CT appearance.

A case of appendicitis presenting with microscopic hematuria and a suprapubic mass involving the bladder is described. Computed tomography (CT) is a valuable aid in the diagnosis of atypical or otherwise unsuspected appendicitis. Besides first suggesting the diagnosis of appendicitis, CT was also able to demonstrate the full extent of the inflammatory process preoperatively in this case.

Cytomegalovirus infection of the alimentary canal: radiologic findings with pathologic correlation.

A spectrum of radiologic findings in cytomegalovirus (CMV) infection of the alimentary canal seen in 14 patients and correlated with pathologic examinations is described. Twelve patients had acquired immunodeficiency syndrome and two had no identified immunosuppression. Autopsies were performed on 12.

Pulmonary complications in burn patients.

In recent years, pulmonary complications have become a major cause of death in burn victims. Familiarity with the spectrum of these complications leads to an earlier and more specific diagnosis based on chest radiographs. We reviewed the medical records and chest radiographs of 239 patients admitted to our burn unit over a one-year period.

Smoke inhalation: radiologic manifestations.

The medical records and radiographs of 62 patients admitted for smoke inhalation were reviewed to determine the value of the plain chest radiograph in the early detection of inhalation injury. Pulmonary edema resulting from the inhalation injury often leads to pulmonary insufficiency, and its early diagnosis is crucial to the management of patients with this condition. In addition to the usual presentation of pulmonary edema, subtle radiographic findings of interstitial edema such as perivascular fuzziness and peribronchial "cuffing" were observed.

Atypical pulmonary malaria.

Three atypical cases of pulmonary malaria are presented and discussed. Radiologically, they were manifested by very subtle thickening of interlobular septae or by more overt interstitial edema and pleural effusion. They were all relatively mild and cleared completely on antimalarial drugs.

The use of ultrasonography in the management of masses of the breast.

Contact B-mode ultrasonography of masses of the breast is a simple, safe and noninvasive technique which does not involve the use of ionizing radiation. It is highly accurate in differentiating cystic from solid mammary masses measuring 1 centimeter or larger. A biopsy of a sonographically solid mass should be done unless it has an unequivocally benign appearance on mammography.

Idiopathic intestinal pseudo-obstruction in a family.

A patient with severe manifestations of idiopathic intestinal pseudo-obstruction is presented. Three members of his family suffer from similar symptoms but in a much milder form. The disease has a wide range of clinical and radiologic presentations and its diagnosis is dependent upon the exclusion of all known causes of intestinal pseudo-obstruction.

Combined mammographic-sonographic evaluation of breast masses.

Palpable breast masses which have a nondiagnostic appearance on the mammogram often require a biopsy to rule out malignancy. Contact B-scan ultrasonography of such masses were performed in an effort to improve the diagnostic accuracy of mammography and reduce the number of unnecessary biopsies. A total of 200 patients with breast masses of 1-8 cm were examined by both methods.

Carcinoma of the gastric cardia and hiatal hernia.

Carcinoma of the cardia of the stomach in patients with sliding hiatal hernia is a disease of poor prognosis, since symptoms nearly always occur late in its course at an already incurable stage. Eleven cases are reviewed from the records of The New York Hospital-Cornell Medical Center from 1932 to 1975. Resectability of tumor appeared related to shorter interval between onset of symptoms and diagnosis.

The posterior tracheal band: a reflector of local superior mediastinal abnormality.

The posterior tracheal band (PTB) is a thin band of uniform width consisting primarily of the posterior tracheal wall which is observed almost constantly in a well-positioned and exposed lateral view of the chest. It is formed by two interfaces; and internal junction line between the inner tracheal wall and air in the lumen, and an external junction line between the adventitial surface of the right posterior wall (with paper-thin mediastinal covering) and aerated lung in the right retrotracheal recess. Any pathological process in the mediastinum, pleura or right upper lobe medially which affects the external interface causes an alteration or disappearance of the PTB.

Metastatic carcinoma simulating inflammatory colitis.

Metastatic carcinoma to the colon may be mistaken for inflammatory colitis, particulary Crohn's disease, both clinically and roentgenologically. Characteristic changes include mucosal thickening, nodular masses, multiple and eccentric strictures, asymmetric involvement, pseudosacculations, and spiculations of contour. This report, based upon experience with 12 cases, establishes the distinctive roentgen features of metastatic disease to the colon from a variety of primary sites.