Radiology Case Reports最新文献_第9页

Breast cancer with medullary features shows a fast and plateau enhancement pattern on magnetic resonance images: A case report

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.099

Senri Kondo , Shoji Oura , Mariko Honda

{"title":"Breast cancer with medullary features shows a fast and plateau enhancement pattern on magnetic resonance images: A case report","authors":"Senri Kondo , Shoji Oura , Mariko Honda","doi":"10.1016/j.radcr.2025.02.099","DOIUrl":"10.1016/j.radcr.2025.02.099","url":null,"abstract":"<div><div>An 80-year-old woman with a left breast mass was referred to our department. Mammography showed an oval mass, 2.5cm in size, with circumscribed margins in her left breast. Ultrasound showed an oval tumor with circumscribed margins, heterogenous internal echoes including numerous punctate hyperechoic foci, and posterior echo enhancement. Magnetic resonance imaging (MRI) of the tumor showed low and high signal intensity on T1-weighted images and on fat-suppressed T2-weighted images, respectively. Kinetic curve assessment of the tumor showed a fast and plateau pattern. After the pathological confirmation of malignant cells, the patient underwent mastectomy and sentinel node biopsy. Postoperative pathological study showed that atypical cells formed irregularly arranged papillary nests and grew in a medullary fashion accompanied by massive lymphocyte infiltration, leading to the diagnosis of invasive ductal carcinoma with medullary features (IDCMF). Immunostaining showed that the tumor had a triple negative phenotype and a high Ki-67 labelling index of 52%. In conclusion, breast diagnostic physicians should note that IDCsMF show a fast and plateau enhancement pattern on MRI kinetic curve assessment. Furthermore, the presence of punctate hyperechoic foci in the tumor can be useful in distinguishing IDCsMF from medullary breast carcinomas.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2719-2722"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628291","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

Recurrent vaginal squamous cell carcinoma mimicking peri-rectal abscess: The role of endoscopic ultrasound

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.060

Taha Bin Arif MD , Tahir Shaikh MD

引用次数: 0

A rare case of epididymal leiomyoma presenting as a chronic hemiscrotal swelling: Multimodal imaging and histopathological correlation

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.044

Paritosh Bhangale MBBS, Shivali Kashikar MD, Pratapsingh Hanuman Parihar MD, Nirja Thaker MBBS, Saburi Singhania MBBS, Sakshi Dudhe MBBS, Dhananjay Shinde MBBS

{"title":"A rare case of epididymal leiomyoma presenting as a chronic hemiscrotal swelling: Multimodal imaging and histopathological correlation","authors":"Paritosh Bhangale MBBS, Shivali Kashikar MD, Pratapsingh Hanuman Parihar MD, Nirja Thaker MBBS, Saburi Singhania MBBS, Sakshi Dudhe MBBS, Dhananjay Shinde MBBS","doi":"10.1016/j.radcr.2025.02.044","DOIUrl":"10.1016/j.radcr.2025.02.044","url":null,"abstract":"<div><div>Epididymal leiomyoma is an exceptionally rare benign neoplasm originating from the smooth muscle of the epididymis. Due to its rarity and nonspecific clinical presentation, it poses significant diagnostic challenges. This case report describes a 50-year-old male who presented with a painless, progressively enlarging swelling in the right hemiscrotum over 3 years. Physical examination revealed a firm, nontender, well-demarcated swelling separate from the right testis. The initial ultrasound demonstrated a heterogeneous hyperechoic lesion with minimal vascularity on Doppler imaging, and a mild hydrocele was also noted. Further evaluation using contrast-enhanced CT revealed a heterogeneously enhancing paratesticular mass arising from the epididymis, with the right testis unaffected. The patient underwent a right-sided high inguinal orchidectomy for definitive management. Histopathological examination confirmed the diagnosis of leiomyoma, revealing interlacing fascicles of spindle cells characteristic of smooth muscle origin without evidence of malignancy. The postoperative period was uneventful, and the patient was discharged with instructions for regular follow-up. This case underscores the importance of a comprehensive diagnostic approach combining advanced imaging techniques and histopathological evaluation to accurately diagnose rare epididymal tumors. Surgical excision not only provides a therapeutic resolution but also facilitates definitive diagnosis. Awareness of such rare entities is critical for clinicians to differentiate them from other paratesticular masses, particularly malignant ones. This report adds to the limited literature on epididymal leiomyoma and highlights the need for multidisciplinary collaboration in managing such rare cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2734-2737"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628205","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

Successful ilio-femoral-popliteal venous aspiration thrombectomy using a 12 French system in a pediatric patient

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.078

Hayley J. Good PhD , Dimitri A. Parra MD, MMEd, CPE

引用次数: 0

Uncovering a peritoneal inclusion cyst after surgery: A case report

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.037

Karim Haddar , Mohammed Leknani , Hajar Betari , Leila Haddar , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

{"title":"Uncovering a peritoneal inclusion cyst after surgery: A case report","authors":"Karim Haddar , Mohammed Leknani , Hajar Betari , Leila Haddar , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker","doi":"10.1016/j.radcr.2025.02.037","DOIUrl":"10.1016/j.radcr.2025.02.037","url":null,"abstract":"<div><div>Peritoneal inclusion cysts (PICs) are benign, multilocular fluid-filled lesions that predominantly affect women of reproductive age, often arising after abdominal surgery or chronic inflammation. We present the case of a 30-year-old woman with a history of laparotomy for a myometrial mass, who developed severe lower abdominal pain and distension 5 months postsurgery. Initial ultrasound revealed a large intraperitoneal fluid collection measuring 10 cm, with debris and septations. MRI further characterized the lesion as a peritoneal inclusion cyst, showing enhancing septations and no solid components. The patient underwent laparotomy for adhesion release and complete cyst excision, leading to complete symptom resolution. At 6-month follow-up, she remained asymptomatic with no evidence of recurrence. This case underscores the importance of considering PICs in the differential diagnosis of abdominal pain or cystic lesions in women with a history of abdominal surgery. Imaging, particularly ultrasound and MRI, plays a critical role in diagnosing PICs and distinguishing them from other conditions such as paraovarian cysts, hydrosalpinx, or ovarian malignancies. Treatment options range from conservative management to surgical intervention, depending on the patient's symptoms and clinical presentation. Early recognition and appropriate management of PICs can prevent complications and improve outcomes. This report highlights the diagnostic challenges and therapeutic approaches for PICs, emphasizing the need for a multidisciplinary approach in managing these lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2642-2645"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628298","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

Successful use of Solumbra technique in renal artery thrombectomy: A case report

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.057

Long Nguyen Tuan MD, Hung Nguyen Duc MD, Lam Truong Hoai MD, Minh Tran Duc MD, Vu Nguyen Hoai MD

引用次数: 0

Bronchial artery embolization as a life-saving method in a case of massive hemoptysis secondary to a hemorrhagic bullous emphysema

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.025

Youssef Bouktib , Ayoub El Hajjami , Badr Boutakioute , Merieme Ouali Idrissi , Najat Cherifi Idrissi El Ganouni

{"title":"Bronchial artery embolization as a life-saving method in a case of massive hemoptysis secondary to a hemorrhagic bullous emphysema","authors":"Youssef Bouktib , Ayoub El Hajjami , Badr Boutakioute , Merieme Ouali Idrissi , Najat Cherifi Idrissi El Ganouni","doi":"10.1016/j.radcr.2025.02.025","DOIUrl":"10.1016/j.radcr.2025.02.025","url":null,"abstract":"<div><div>Bullous emphysema, often associated with COPD, can lead to severe complications like massive hemoptysis. The Bronchial artery embolization (BAE) has become a well-established and effective procedure for the management of hemoptysis, which is the expectoration of blood from the lower respiratory tract. First introduced in the 1970s, BAE has evolved significantly due to advancements in interventional radiology techniques and embolic materials. The success rate of BAE in controlling acute hemoptysis ranges from 70% to 90% in the literature. However, recurrence rates remain a challenge, with studies reporting recurrence in up to 20%-30% of cases within the first year, often due to incomplete embolization or disease progression. Repeat embolization is frequently required in these patients, highlighting the importance of close follow-up and management of the underlying disease.</div><div>This case report describes a 55-year-old patient with a history of pulmonary tuberculosis, chronic smoking, and advanced COPD who presented with significant hemoptysis due to a hemorrhagic emphysematous bulla. Due to the patient's fragile condition, surgical intervention was deemed too risky, and embolization was chosen as a less invasive alternative. The procedure successfully controlled the bleeding without complications. This case highlights the importance of bronchial artery embolization (BAE) as a life-saving intervention in cases of massive hemoptysis, particularly in patients unfit for surgery. While BAE provides an effective solution for acute bleeding, long-term management of COPD and close follow-up are essential to prevent recurrence. A multidisciplinary approach is crucial for optimal patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2783-2787"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629172","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

“Maxillary juvenile ossifying fibroma: A case study of severe tooth displacement and orbital involvement in a pediatric patient”

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.018

Niloofar Ghadimi DDS , Mohsen Mardani DDS , Hesam Abbasi DDS , Bita Geramizadeh MD , Seyedeh Saba Sharifzadeh DDS

引用次数: 0

Petrous apex epidermoid cyst: A rare case

Radiology Case Reports Pub Date : 2025-03-15 DOI: 10.1016/j.radcr.2025.02.047

Khaoula Boumeriem MD, Amal Lahfidi MD, Izi Zineb MD, Najwa Ech Cherif Kettani PhD, Meryem Fikri PhD, Firdaous Touarsa PhD, Mohamed Jiddane PhD

{"title":"Petrous apex epidermoid cyst: A rare case","authors":"Khaoula Boumeriem MD, Amal Lahfidi MD, Izi Zineb MD, Najwa Ech Cherif Kettani PhD, Meryem Fikri PhD, Firdaous Touarsa PhD, Mohamed Jiddane PhD","doi":"10.1016/j.radcr.2025.02.047","DOIUrl":"10.1016/j.radcr.2025.02.047","url":null,"abstract":"<div><div>Epidermoid cysts are rare intracranial lesions comprising approximately 1% of all brain tumors, with petrous apex involvement accounting for 4%-9% of cases. These congenital lesions arise from ectodermal remnants during neural tube closure, while acquired cases may result from trauma or chronic middle ear pathology. Clinical presentation is variable and depends on the lesion's location and impact on surrounding neurovascular structures, with cranial nerve dysfunction being the most common symptom. Imaging plays a crucial role in diagnosis, with diffusion-weighted MRI distinguishing epidermoid cysts from other lesions such as arachnoid cysts and cholesterol granulomas. Management remains challenging due to their proximity to critical structures; complete surgical excision minimizes recurrence but may increase morbidity, while subtotal resection requires long-term follow-up. We report the case of a 40-year-old female patient who presented with a history of progressive hearing loss and facial paralysis, in whom an epidermoid cyst of the petrous apex was diagnosed.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2662-2665"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628220","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

Successful right transbrachial cerebral angiography in a patient with aberrant right subclavian artery: A technical note

Radiology Case Reports Pub Date : 2025-03-11 DOI: 10.1016/j.radcr.2025.02.008

Naomichi Tamura MD , Toru Umehara MD,PhD , Yoshihiro Yano MD , Toshiaki Fujita MD, PhD , Haruhiko Kishima MD, PhD

{"title":"Successful right transbrachial cerebral angiography in a patient with aberrant right subclavian artery: A technical note","authors":"Naomichi Tamura MD , Toru Umehara MD,PhD , Yoshihiro Yano MD , Toshiaki Fujita MD, PhD , Haruhiko Kishima MD, PhD","doi":"10.1016/j.radcr.2025.02.008","DOIUrl":"10.1016/j.radcr.2025.02.008","url":null,"abstract":"<div><div>Aberrant right subclavian artery (RSCA) is a congenital anomaly in which the RSCA arises as the final branch of the aortic arch, the presence of which makes cerebral angiography (CAG) via the right transbrachial approach (RTBA) difficult to perform. Herein, we present a case of aberrant RSCA in which the right transbrachial CAG was successfully executed and review its technical details in consideration of the anatomy of the aberrant RSCA. A 51-year-old man was admitted to our hospital with an unexplained subcortical hemorrhage in the left parietal lobe. Diagnostic CAG was performed via the RTBA, leading to the diagnosis of aberrant RSCA. Despite some technical difficulty, the Simmons curve was formed at an acute angle between the aberrant RSCA and the aortic arch. Once the Simmons curve is formed, torque control of the catheter can result in the bilateral common carotid artery (CCA) cannulation without switching to a transfemoral approach. Left CCA angiography confirmed an arteriovenous fistula in the distal left anterior cerebral artery. Subsequently, the suspected source of intracerebral bleeding and associated hematoma were surgically resected. Early detection of aberrant RSCA is crucial when using the RTBA. Depending on the procedure of catheterization, the right transbrachial CAG can be performed even in patients with aberrant RSCA; therefore, its continued usage seems worthy of consideration after setting a time limit.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 5","pages":"Pages 2631-2636"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143594191","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