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Cisplatin intra-arterial chemotherapy for recurrent maxillary gingival cancer and metastatic lymph nodes without radiation or surgery: A case report 顺铂动脉内化疗治疗复发性上颌牙龈癌和转移淋巴结，无需放疗或手术：病例报告
Radiology Case Reports Pub Date : 2024-11-06 DOI: 10.1016/j.radcr.2024.10.081
Akemi Ohtani MD , Masato Saito MD, PhD , Naoki Hirokawa MD, PhD , Hiroki Okuda MD, PhD , Hiroki Sato MD , Kenichiro Nitta MD , Shoh Mafune MD , Akihiro Miyazaki DDS, PhD , Hironari Dehari DDS, PhD , Masanori Someya MD, PhD
{"title":"Cisplatin intra-arterial chemotherapy for recurrent maxillary gingival cancer and metastatic lymph nodes without radiation or surgery: A case report","authors":"Akemi Ohtani MD ,&nbsp;Masato Saito MD, PhD ,&nbsp;Naoki Hirokawa MD, PhD ,&nbsp;Hiroki Okuda MD, PhD ,&nbsp;Hiroki Sato MD ,&nbsp;Kenichiro Nitta MD ,&nbsp;Shoh Mafune MD ,&nbsp;Akihiro Miyazaki DDS, PhD ,&nbsp;Hironari Dehari DDS, PhD ,&nbsp;Masanori Someya MD, PhD","doi":"10.1016/j.radcr.2024.10.081","DOIUrl":"10.1016/j.radcr.2024.10.081","url":null,"abstract":"<div><div>Most patients with head and neck cancers struggle with their treatment, particularly those with recurrent cancer. However, there is no consensus on effective treatments for recurrent head and neck cancer. Recurrent cases are often challenging to treat because performing both reirradiation and surgical intervention can occasionally be difficult.</div><div>This report describes the effective cisplatin intra-arterial chemotherapy with oral S-1 for a recurrent case of maxillary gingival cancer (rT4bN1M0, rStage ⅣB). The patient who had undergone chemoradiotherapy 13 years ago and achieved complete response (CR) was referred to us due to recurrence. His recurrent lesions were located on the left maxillary bone, and a metastatic cervical lymph node was detected. We approached the feeder of the locoregional recurrence site using Seldinger's technique and repeated the cisplatin intra-arterial chemotherapy 5 times. As a result, we achieved a complete response, including <strong>t</strong>he regional metastatic lymph node, without radiation or surgery. Notably, although we infused the anticancer drug into the feeder of the locoregional metastatic area, we noticed its effect on the metastatic cervical lymph node. Initially, neck dissection following intra-arterial chemotherapy had been planned; however, owing to the high effectiveness of the treatment, the subsequent surgery was deemed unnecessary. No evidence of recurrence has been observed during the 2.5-year follow-up period. In the future, intra-arterial chemotherapy can be an alternative option for patients with recurrent head and neck cancers, and our result seems to be enough to indicate that possibility.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jejunal diverticulosis: A rare diagnosis with serious complications 空肠憩室病：具有严重并发症的罕见诊断
Radiology Case Reports Pub Date : 2024-11-06 DOI: 10.1016/j.radcr.2024.10.016
Hajar Andour, Sarah Loubaris, Hiba Zahi, Kaoutar Imrani, Itimade Nassar, Nabil Moatassim Billah
{"title":"Jejunal diverticulosis: A rare diagnosis with serious complications","authors":"Hajar Andour,&nbsp;Sarah Loubaris,&nbsp;Hiba Zahi,&nbsp;Kaoutar Imrani,&nbsp;Itimade Nassar,&nbsp;Nabil Moatassim Billah","doi":"10.1016/j.radcr.2024.10.016","DOIUrl":"10.1016/j.radcr.2024.10.016","url":null,"abstract":"<div><div>Diverticula of the jejunum is a rare but real disease with various manifestations. The diagnosis is often missed due to a lack of awareness, leading to delays and added complications, and consequently increased morbidity and mortality. Management remains controversial, ranging from a conservative approach that recommends rest, analgesics with close monitoring even for mildly complicated cases, to an aggressive approach justified by the increased risk of complications.</div><div>We report the case of a 40- year-old-woman with no significant medical history who presented with recurrent left abdominal pain. A CT-scan revealed multiple jejunal diverticula, some of which were inflamed, leading to a final diagnosis of jejunal diverticulitis. This case discusses the clinical presentation, complications, diagnosis and management of this condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The subtle scaphoid fracture in childhood: A case report with literature insights 儿童期隐匿性肩胛骨骨折：病例报告与文献启示
Radiology Case Reports Pub Date : 2024-11-06 DOI: 10.1016/j.radcr.2024.10.087
Amr Khaled MD , Fathi Milhem MD , Ameer awashra MD , Mazen Abdalla MD , Mohammad M. Jaber MD , Ayman alKhawaja MD
{"title":"The subtle scaphoid fracture in childhood: A case report with literature insights","authors":"Amr Khaled MD ,&nbsp;Fathi Milhem MD ,&nbsp;Ameer awashra MD ,&nbsp;Mazen Abdalla MD ,&nbsp;Mohammad M. Jaber MD ,&nbsp;Ayman alKhawaja MD","doi":"10.1016/j.radcr.2024.10.087","DOIUrl":"10.1016/j.radcr.2024.10.087","url":null,"abstract":"<div><div>We describe a 9-year-old male who suffered a linear, non-displaced scaphoid fracture following a pedestrian motor vehicle accident. Initially, X-ray imaging failed to detect the fracture, but MRI confirmed the diagnosis, highlighting the challenges in identifying scaphoid fractures in pediatric patients due to the bone's cartilaginous nature in this age group. The patient was treated with immobilization using a Plaster of Paris cast, consistent with standard management for non-displaced fractures in children. He experienced pain improvement and achieved bone union after eight weeks, returning to normal activities without complications. The discussion emphasizes the rarity of scaphoid fractures in children under 10 and underscores the increasing incidence of such injuries in pediatric populations due to sports participation. A comparative analysis of similar cases in children of different ages is included, demonstrating variations in fracture types, treatment approaches, and outcomes, providing valuableinsights into the management of pediatric scaphoid fractures.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal 涉及中间楔骨和第二跖骨背侧脱位的罕见 Lisfranc 型损伤
Radiology Case Reports Pub Date : 2024-11-06 DOI: 10.1016/j.radcr.2024.10.083
Morteza Gholipour M.D. , Mohsen Salimi M.D. , Alireza Motamedi M.D. , Fatemeh Abbasi M.D.
{"title":"A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal","authors":"Morteza Gholipour M.D. ,&nbsp;Mohsen Salimi M.D. ,&nbsp;Alireza Motamedi M.D. ,&nbsp;Fatemeh Abbasi M.D.","doi":"10.1016/j.radcr.2024.10.083","DOIUrl":"10.1016/j.radcr.2024.10.083","url":null,"abstract":"<div><div>Lisfranc injuries, involving the tarsometatarsal joints, are rare and account for approximately 0.2% of all fractures. Among these, dorsal dislocation of the intermediate cuneiform is extremely uncommon. This case study presents a 25-year-old male with a rare Lisfranc injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal, following a motorcycle accident. Diagnosis was confirmed through radiographs and CT scans. The patient underwent closed reduction with percutaneous pinning and K-wire fixation. Postoperative outcomes were favourable, with the patient achieving full recovery and no residual pain. This report highlights the importance of accurate diagnosis and timely intervention to prevent long-term complications. The discussion includes a review of the Lisfranc joint anatomy, classification of injuries, and imaging techniques essential for proper evaluation. The case underscores the need for heightened clinical awareness and systematic imaging approaches in managing such rare injuries.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case report: Bladder leiomyoma presenting as dysuria 病例报告：表现为排尿困难的膀胱利肌瘤
Radiology Case Reports Pub Date : 2024-11-04 DOI: 10.1016/j.radcr.2024.10.092
Charles K. Crawford BS, Mohammad Yasrab MD, Linda C. Chu MD, Elliot K. Fishman MD
{"title":"Case report: Bladder leiomyoma presenting as dysuria","authors":"Charles K. Crawford BS,&nbsp;Mohammad Yasrab MD,&nbsp;Linda C. Chu MD,&nbsp;Elliot K. Fishman MD","doi":"10.1016/j.radcr.2024.10.092","DOIUrl":"10.1016/j.radcr.2024.10.092","url":null,"abstract":"<div><div>Leiomyoma of the bladder is an unusual cause of benign smooth muscle tumor, only reported about 250 times in the literature. Imaging studies including computed tomography (CT) and magnetic resonance imaging (MRI) scans are useful in defining the extent and location of the tumor, however, immunohistology samples must be obtained to rule out similar appearing cancerous masses. In this article, we report the case of a 50-year-old male diagnosed with leiomyoma of the bladder that initially presented as dysuria and raised suspicion of a bladder transitional cell carcinoma (TCC). We focus on the utilization of radiological imaging modalities for diagnosis, management, and preoperational planning with pathological findings for an optimized diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optical coherence tomography-guided approach in diagnosing and managing spontaneously recanalized coronary thrombus 光学相干断层扫描引导下诊断和处理自发再通冠状动脉血栓的方法
Radiology Case Reports Pub Date : 2024-11-04 DOI: 10.1016/j.radcr.2024.09.128
Mohamed El Minaoui, Wafa Id El Mouden
{"title":"Optical coherence tomography-guided approach in diagnosing and managing spontaneously recanalized coronary thrombus","authors":"Mohamed El Minaoui,&nbsp;Wafa Id El Mouden","doi":"10.1016/j.radcr.2024.09.128","DOIUrl":"10.1016/j.radcr.2024.09.128","url":null,"abstract":"<div><div>Recanalized coronary thrombus is a rare and under-recognized condition in interventional practice, however its incidence is steadily increasing with the use of endo-coronary imaging. It has been initially described by pathological studies in approximately one-third of chronic coronary occlusions. It is described as a chronic occlusion that constitutes several endothelium-covered channels separated by septa that converge into a single lumen. In angiographic studies, it is often misidentified as fresh thrombus, spontaneous coronary artery dissection or severe calcification. Hence the interest of intracoronary imaging, particularly optical coherence tomography, to conclusively establish its diagnosis and identify the related mechanism in order to guide the optimal therapeutic strategy.</div><div>In this report, we describe our experience with a case of recanalized thrombus diagnosed using intracoronary optical coherence tomography imaging with successful percutaneous coronary intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142579056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatocellular adenoma with activation of the β-catenin mutation pathway mimicking intrahepatic cholangiocarcinoma: Case report 模仿肝内胆管癌的β-catenin突变通路激活肝细胞腺瘤：病例报告
Radiology Case Reports Pub Date : 2024-11-04 DOI: 10.1016/j.radcr.2024.10.061
Walid El Ouardi , Fatima Zahrae El Mansoury , Rania Labbioui , Mustapha Benazzouz
{"title":"Hepatocellular adenoma with activation of the β-catenin mutation pathway mimicking intrahepatic cholangiocarcinoma: Case report","authors":"Walid El Ouardi ,&nbsp;Fatima Zahrae El Mansoury ,&nbsp;Rania Labbioui ,&nbsp;Mustapha Benazzouz","doi":"10.1016/j.radcr.2024.10.061","DOIUrl":"10.1016/j.radcr.2024.10.061","url":null,"abstract":"<div><div>Hepatocellular adenomas are relatively rare benign tumors of the liver that primarily develop in young women, particularly those who use oral contraceptive pills. There are 4 distinct subtypes of these tumors. Among them, β-catenin-mutated adenomas constitute approximately 10% to 15% and are notable for their potential to undergo malignant transformation. In this report, we present the case of a young patient who had a 4 cm hepatic lesion. The initial imaging studies, particularly an MRI, suggested that the lesion might be an intrahepatic cholangiocarcinoma. However, upon further histological examination, the lesion was identified as a benign hepatic adenoma, with activation of the β-catenin mutation pathway. Due to the associated risk of malignant transformation, the treatment plan included surgical resection of the adenoma. This approach is critical in managing such lesions to prevent any potential progression to hepatocellular carcinoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Right-sided Poland syndrome with no classical hand deformity: A case report 手部无典型畸形的右侧波兰综合征病例报告
Radiology Case Reports Pub Date : 2024-11-04 DOI: 10.1016/j.radcr.2024.10.023
Sharma Poudel MD , Amrit Bhusal MBBS , Aalok Kumar Yadav MD , Santoshi Yadav MBBS , Tek Nath Yogi MBBS
{"title":"Right-sided Poland syndrome with no classical hand deformity: A case report","authors":"Sharma Poudel MD ,&nbsp;Amrit Bhusal MBBS ,&nbsp;Aalok Kumar Yadav MD ,&nbsp;Santoshi Yadav MBBS ,&nbsp;Tek Nath Yogi MBBS","doi":"10.1016/j.radcr.2024.10.023","DOIUrl":"10.1016/j.radcr.2024.10.023","url":null,"abstract":"<div><div>Poland syndrome (PS) is a rare congenital condition characterized by the developmental anomaly of the chest wall, and classically presents with ipsilateral agenesis/hypoplasia of sternocostal head of pectoralis major which remains as the essential feature of the condition. It may or may not be associated with ipsilateral limb abnormalities. Diagnosis is mainly clinical. Imaging modalities like chest X-Ray, CT chest, US, and 3D-VRT CT can be used to know about the extent of involvement of this anomaly. We hereby present a case of a 25-year-old male who visited our hospital with chief complaint of poor development of right-sided chest wall, who was later diagnosed with right-sided Poland syndrome with no classical hand deformity. Every physician must put a differential diagnosis of PS in the back of mind while dealing with the case of poor development of chest wall.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuro-meningeal tuberculosis: A pediatric case report and review of the literature 神经脑膜结核：儿科病例报告和文献综述
Radiology Case Reports Pub Date : 2024-11-04 DOI: 10.1016/j.radcr.2024.10.089
Chaimae Lahlou MD, Chaymae Faraj MD, Sara Essetti MD, Ihssan Hadj Hsain MD, Nazik Allali PhD, Siham EL Haddad PhD, Latifa Chat PhD
{"title":"Neuro-meningeal tuberculosis: A pediatric case report and review of the literature","authors":"Chaimae Lahlou MD,&nbsp;Chaymae Faraj MD,&nbsp;Sara Essetti MD,&nbsp;Ihssan Hadj Hsain MD,&nbsp;Nazik Allali PhD,&nbsp;Siham EL Haddad PhD,&nbsp;Latifa Chat PhD","doi":"10.1016/j.radcr.2024.10.089","DOIUrl":"10.1016/j.radcr.2024.10.089","url":null,"abstract":"<div><div>Pediatric neuro-meningeal tuberculosis leads to high rates of mortality and morbidity. Prompt diagnosis and initiation of treatment are challenging; imaging findings play a key role in establishing the presumptive diagnosis. General brain imaging findings are well reported; however, specific data on cerebral vascular and spinal involvement in children are sparse. We report the case of a 10-month-old infant who presented to the emergency department with an acute febrile meningeal syndrome, complicating a prior delay in motor development. A brain MRI, including sections through the thorax, revealed cerebro-meningeal and thoracic lesions compatible with multifocal tuberculous involvement revealed by the neurological symptoms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postbiopsy Mondor disease as an early indicator of elevated thrombophlebitis risk: A case report 活组织检查后的蒙多病是血栓性静脉炎风险升高的早期指标：病例报告
Radiology Case Reports Pub Date : 2024-11-01 DOI: 10.1016/j.radcr.2024.10.017
Anahita Tavana MD, Haley Letter MD
{"title":"Postbiopsy Mondor disease as an early indicator of elevated thrombophlebitis risk: A case report","authors":"Anahita Tavana MD,&nbsp;Haley Letter MD","doi":"10.1016/j.radcr.2024.10.017","DOIUrl":"10.1016/j.radcr.2024.10.017","url":null,"abstract":"<div><div>Mondor disease (MD) is a rare, benign condition marked by thrombophlebitis of superficial veins of the breast or anterior chest wall. While it is idiopathic in most cases, it can sometimes occur secondary to an underlying cause. This case report describes a 51-year-old female, who developed MD approximately 7 weeks after undergoing a breast biopsy. Despite no prior history of venous thromboembolism, the patient also developed deep and superficial venous thromboses a few months following her diagnosis of MD. This case highlights the importance of the need to search for potential predisposing factors for venous thromboembolism once the diagnosis of MD has been established.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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