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[Multinodular splenomegaly revealing multifocal, splenic and spinal tuberculosis: a case report].
Pan Afr Med J
February 2022
Service de Gastroentérologie, Centre Hospitalier Universitaire Mohammed VI Marrakech, Marrakech, Maroc.
Splenic tuberculosis and Pott´s disease are two rare entities, in particular in immunocompetent people. We here report the case of a 57-year-old immunocompetent woman presenting with atypical pain in the left hypochondriac region evolving over the last 3 months, associated with lower limb paraparesis with progressive onset. Laboratory data did not provide any specific information regarding diagnosis, except for positive response to the QuantiFERON Test.
View Article and Find Full Text PDFDifferential diagnosis of renal oncocytoma and chromophobe renal cell carcinoma using CT features: a central scar-matched retrospective study.
Acta Radiol
February 2022
Department of Radiology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, PR China.
Background: Renal oncocytoma (RO) and chromophobe renal cell carcinoma (chRCC) have a common cellular origin and different clinical management and prognosis.
Purpose: To explore the utility of computed tomography (CT) in the differentiation of RO and chRCC.
Material And Methods: Twenty-five patients with RO and 73 patients with chRCC presenting with the central scar were included retrospectively.
Elevated procalcitonin levels in primary hepatic neuroendocrine carcinoma: Case report and literature review.
Medicine (Baltimore)
July 2020
Department of Interventional Radiology, the First Hospital of China Medical University, Shenyang, Liaoning, P.R. China.
Article Synopsis
- Procalcitonin (PCT) has been recognized as a biomarker for medullary thyroid carcinoma, but its unexpected elevation in primary hepatic carcinoma is not well documented.
- A 78-year-old man presented with fatigue and fever, showing extremely high PCT levels and a poorly differentiated neuroendocrine carcinoma in the liver, confirmed through imaging and pathology.
- After antibiotic treatment failed to lower PCT levels, successful treatment with transcatheter hepatic arterial chemoembolization led to a significant decrease in PCT, indicating its potential role as a therapeutic biomarker.
[Special aspects of stress fractures].
Radiologe
June 2020
Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.
Article Synopsis
- Stress fractures are common injuries classified as either fatigue fractures (in healthy bones) or insufficiency fractures (in already weakened bones).
- Imaging techniques include X-rays as the first step, followed by MRI for better sensitivity; CT is used for detailed fracture line mapping, and bone scintigraphy detects increased bone metabolism.
- Key imaging signs vary by method, including specific features identifiable on X-rays, MRIs showing edema and reactions, and CT displaying hypodense fracture lines; recognizing these signs is crucial for accurate diagnosis and determining further imaging needs when initial tests are inconclusive.
Acromegaly associated with GIST, non-small cell lung carcinoma, clear cell renal carcinoma, multiple myeloma, medulla oblongata tumour, adrenal adenoma, and follicular thyroid nodules.
Endokrynol Pol
August 2019
Department of Endocrinology, Diabetes, and Isotope Therapy, Medical University Wroclaw, Wrocław, Poland.
Acromegaly is associated with increased growth hormone (GH) and insulin-like growth factor-I (IGF-I) secretion which may support tumour development and growth. A 68-year-old woman was diagnosed with acromegaly due to typical clinical and hormonal characteristics. While contrast-enhanced MRI at diagnosis did not reveal a pituitary adenoma, a 5-mm lesion was identified on repeat scanning 13 months later.
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