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http://dx.doi.org/10.1001/archderm.142.3.398DOI Listing

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  • Chordoma is a rare malignant tumor that primarily occurs in the sacrococcygeal region, with a very low incidence rate.
  • The case reported involves a 32-year-old male with a history of post-polio paralysis, who experienced lower back pain, gluteal swelling, and weight loss over two years, with MRI findings showing a significant lesion in the sacral area.
  • After a wide-margin surgical resection, the patient's tumor was classified as moderately differentiated with a high grade, and he maintained neurological function post-surgery, following a regime of rehabilitation and ongoing follow-up.
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An 82-year-old woman visited our hospital complaining of a rapidly growing hemorrhagic mass with ulceration of the right breast. A CT scan revealed a circumscribed, lobulated mass of approximately 14 cm diameter, with coarse calcifications, which had invaded the skin and major pectoral muscle and with metastasis in the both lungs. She underwent a total mastectomy with major pectoral mastectomy.

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Article Synopsis
  • The study investigates the effectiveness of ultrasound in diagnosing thyroid nodules that have a spoke-wheel blood flow pattern by comparing ultrasound data with pathological results.
  • Out of 64 patients studied, 47 had malignant nodules and 17 had benign, with specific ultrasound features such as central scars indicating malignancy and coarse calcification suggesting benignity.
  • The research highlights that combining the detection of central scars and coarse calcification enhances the diagnostic accuracy of standard thyroid imaging reporting systems (ACR TI-RADS and C-TIRADS) for these types of nodules.
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Tc-99m methylene diphosphonate (MDP) is a bone imaging agent used for skeletal staging, but it can also be localized in extraosseous calcifying lesions. We report a case of an 84-year-old woman with breast carcinoma who underwent surgery followed by radiotherapy 10 years ago and now presented with a right axillary mass referred for Tc-99m MDP to exclude bone metastasis. Tc-99m MDP shows intense tracer uptake in the right thoracic region corresponding to the site of calcified soft tissue mass in the right lateral chest wall.

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