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https://www.readbyqxmd.com/read/29031172/a-parapharyngeal-space-schwannoma-arising-from-the-vagus-nerve-a-case-report
#1
Conor Carroll, Manish Jagatiya, Dia Kamel, Jamal Siddiqi
INTRODUCTION: Tumours of the parapharyngeal space are rare. Only 0.5% of head and neck tumours occur in this space. Surgical excision of parapharyngeal space lesions is challenging because of the anatomical complexity of the area. PRESENTATION OF CASE: A 31-year-old male patient was referred by his general dental practitioner for removal of lower wisdom teeth due to multiple episodes of pericoronitis. At the initial examination, an incidental finding was made of a large fluctuant posterior oropharyngeal swelling...
October 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29026834/conservative-approach-to-the-acute-management-of-a-large-mesenteric-cyst
#2
Billy C Leung, Ruth Sankey, Matteo Fronza, Mohamed Maatouk
Mesenteric cysts are rare, benign gastrointestinal cystic lesions, which are often non-troublesome and present as an incidental radiological finding. However, surgery is often performed in the acute setting to remove lesions that are symptomatic. This report highlights the case of a large, symptomatic mesenteric cyst managed successfully with initial conservative measures followed by planned elective surgery. A 44-year-old female presented with a four-day history of generalised abdominal pain associated with distension, fever, diarrhoea and vomiting...
September 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/29026365/incidental-finding-of-bronchopulmonary-sequestration-in-a-64-year-old-female
#3
Pichapong Tunsupon, Ayesha Arshad, Sumit Patel, M Jeffery Mador
BACKGROUND: Bronchopulmonary sequestration is a congenital abnormality of the primitive foregut. In adults, the typical age at presentation is 20-25 years. CASE REPORT: A 64-year-old female was referred for evaluation of an 8 × 6-cm right lower lobe cystic lesion. Her medical history was significant for recurrent right lower lobe pneumonia requiring multiple hospitalizations. Her physical examination was significant for crackles at the right lung base. Computed tomography (CT) of the chest with contrast showed cystic changes with thickened septation of the medial segment of the right lower lobe lacking distinct visceral pleura and with arterial supply from the anomalous branch of the thoracic aorta arising near the celiac trunk...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29026364/recurrent-pneumothoraces-in-a-patient-with-pulmonary-benign-metastasizing-leiomyoma
#4
Miranda Hann, Rinu Manacheril, Jerry St Pierre, Rajiv Gala
BACKGROUND: Pulmonary benign metastasizing leiomyoma (BML) is a rare disease with a malignant characteristic of spread from the uterus. Most cases are asymptomatic, and only 1% are associated with pneumothorax. CASE REPORT: We present the case of a 42-year-old female with recurrent pneumothoraces leading to an incidental finding of diffuse bilateral pulmonary nodules. The diagnosis of BML was based on the patient's history of uterine leiomyomata and confirmed by a biopsy showing benign smooth muscle staining for desmin and vimentin...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29023902/an-incidental-finding-of-maternal-multiple-myeloma-by-non-invasive-prenatal-testing
#5
Marion Imbert-Bouteille, Jean Chiesa, Jean-Baptiste Gaillard, Véronique Dorvaux, Lucille Altounian, Vincent Gatinois, Eve Mousty, Sanae Finge, Pascal Bourquard, Joris Robert Vermeesch, Eric Legius, Peter Vandenberghe
No abstract text is available yet for this article.
October 12, 2017: Prenatal Diagnosis
https://www.readbyqxmd.com/read/29023768/changes-in-circulating-inflammatory-markers-following-febrile-non-haemolytic-transfusion-reactions-to-leucoreduced-red-cells
#6
R Larsen, N Sandhu, N H H Heegaard, H Ullum, J H von Stemann, E Sørensen, D S Nellemann, M B Hansen
It would be desirable to be able to distinguish fever as a result of febrile non-haemolytic transfusion reactions (FNHTR) from other febrile conditions. To further characterize the inflammatory feature of FNHTR, we measured a large panel of inflammatory markers in pre- and posttransfusion plasma samples from patients with and without FNHTR following the transfusion of leucoreduced red blood cells. As FNHTR patients only displayed a significant increase in IL-6, we conclude that changes in plasma cytokine levels during FNHTR are unlikely to be used diagnostically...
October 11, 2017: Vox Sanguinis
https://www.readbyqxmd.com/read/29023722/prevalence-and-clonality-of-synchronous-primary-carcinomas-in-the-bladder-and-prostate
#7
Ying Jing, Ruiyun Zhang, Pengfei Ma, Mei-Chun Cai, Guanglei Zhuang, Haige Chen
Incidental prostate adenocarcinoma (IPCa) has been frequently discovered during postoperative histopathological evaluation of radical cystoprostatectomy specimens in patients with bladder cancer (BCa). However, there is currently no conclusive study addressing the clinical significance of IPCa and the clonal relatedness of IPCa and BCa. Here, we performed a retrospective single-center review of 919 BCa cases and an additional meta-analysis including a total of 19,868 individuals who underwent radical cystectomy for bladder cancer...
October 11, 2017: Journal of Pathology
https://www.readbyqxmd.com/read/29022676/vitamin-d-deficiency-in-acute-coronary-syndrome-clinically-relevant-or-incidental-finding
#8
Marijana Knežević Praveček, Željka Vuković-Arar, Blaženka Miškić, Irzal Hadžibegović
OBJECTIVE: Vitamin D deficiency has been associated with cardiovascular disease. The aim of this study was to determine serum concentration of 25 hydroxyvitamin D (25(OH)D) in patients with acute coronary syndrome (ACS) and to assess the prognostic role of serum vitamin D level in ACS patients during 3-year follow up. METHODS: The study included 60 ACS patients hospitalized at cardiology department for ACS between March 2012 and October 2012, and 60 age- and sex-matched control patients without ACS...
September 2017: Central European Journal of Public Health
https://www.readbyqxmd.com/read/29019251/complete-tubular-colonic-duplication-in-an-adult-a-rare-incidental-finding-and-the-risk-of-colonoscopic-perforation
#9
Irene López Rojo, Marta González Bocanegra, Patricia Tejedor, Carlos Pastor
Gastrointestinal duplications are unusual congenital malformations, nearly always diagnosed in childhood. Roughly 80% are cysts-like lesions and only a small percentage (4-18%) involves the colonic wall. Almost all are asymptomatic and therefore diagnosed as an incidental finding on imaging tests or when become complicated and present with perforation or bleeding. The need for an elective surgical treatment is controversial and should be indicated on an individual basis. This report is a case of an adult with a complete tubular colonic duplication found incidentally by colonoscopy that required surgical treatment due to perforation...
October 11, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29018651/a-case-of-vertebral-artery-fusiform-aneurysm-treated-by-flow-alteration-successful-prediction-of-therapeutic-effects-using-computational-fluid-dynamics
#10
Yoichi Miura, Fujimaro Ishida, Yusuke Kamei, Masanori Tsuji, Masato Shiba, Hiroshi Tanemura, Yasuyuki Umeda, Shinichi Shimosaka, Hidenori Suzuki
The treatment of intracranial complicated aneurysms remains challenging. In patients with complicated aneurysms that are neither clippable nor coilable, flow alteration treatment (FAT) with a combined procedure of proximal/distal occlusion or trapping of an aneurysm with bypass surgery has been reported. However, it is difficult to predict whatever FAT can achieve aneurysmal obliteration without ischemic complications. A 69-year-old female was incidentally diagnosed with a left vertebral artery (VA) fusiform aneurysm distal to the left posterior inferior cerebellar artery (PICA)...
October 2017: NMC Case Rep J
https://www.readbyqxmd.com/read/29017384/leukocyte-cell-derived-chemotaxin-2-amyloidosis-alect2-in-a-patient-with-lung-adenocarcinoma-an-autopsy-report-and-literature-review
#11
Hamza Tariq, Francis E Sharkey
Amyloidosis caused by deposition of leukocyte cell-derived chemotaxin-2 amyloidosis (ALECT2) is the most recently described form of systemic amyloidosis and has quickly emerged as a common and possibly underdiagnosed cause of slowly declining renal function, particularly in patients of Hispanic ancestry. We describe the autopsy findings in a 70-year-old Hispanic woman who died of metastatic lung adenocarcinoma and was incidentally found to have extensive amyloid deposition in the kidneys, liver, spleen, adrenal glands, small intestine, gallbladder, lungs, bilateral ovaries, and uterus...
October 1, 2017: International Journal of Surgical Pathology
https://www.readbyqxmd.com/read/29016373/cancer-yield-of-incidental-breast-lesions-detected-on-chest-computed-tomography
#12
Terrance T Healey, Saurabh Agarwal, Ronak Patel, Lisa Ratanaprasatporn, Linda Ratanaprasatporn, Ana P Lourenco
OBJECTIVE: This study aimed to determine the cancer yield for abnormal breast findings initially identified on chest computed tomography (CT). MATERIALS AND METHODS: This institutional review board-approved, Health Insurance Portability and Accountability Act-compliant study retrospectively reviewed reports of 41,217 consecutive chest CT examinations done from January 1, 2006, to December 31, 2011, to identify those with breast findings noted in the impression of the report...
October 7, 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/28994621/a-rare-anomalous-origin-of-right-vertebral-artery-with-double-branch-first-case-report
#13
Ya-Dong Liu, Zhi-Qiang Li, Jing-Jing Fu, Ya-Jun E
Vertebral artery origin anomalies are typically incidental findings during angiography. We present an extremely rare variant in which the right vertebral artery has a double origin from the right subclavian artery and right common carotid artery in association with an aberrant right subclavian artery, which has never been reported before.
January 1, 2017: Interventional Neuroradiology
https://www.readbyqxmd.com/read/28994108/value-of-a-molecular-screening-program-to-support-clinical-trial-enrollment-in-asian-cancer-patients-the-integrated-molecular-analysis-of-cancer-imac-study
#14
Valerie Heong, Nicholas L Syn, Xiao Wen Lee, Nur Sabrina Sapari, Xue Qing Koh, Zul Fazreen Adam Isa, Joey Sy Lim, Diana Lim, Brendan Pang, Yee Liang Thian, Lai Kuan Ng, Andrea L Wong, Ross Andrew Soo, Wei Peng Yong, Cheng Ean Chee, Soo-Chin Lee, Boon-Cher Goh, Richie Soong, David S P Tan
The value of precision oncology initiatives in Asian contexts remains unresolved. Here we review the institutional implementation of prospective molecular screening to facilitate accrual of patients into biomarker-driven clinical trials, and to explore the mutational landscape of advanced tumors occurring in a prospective cohort of Asian patients (n = 396) with diverse cancer types. Next-generation sequencing (NGS) and routine clinicopathological assays such as immunohistochemistry, copy number analysis, and in situ hybridization tests were performed on tumor samples...
October 9, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28990806/optimizing-the-detection-of-biliary-dysplasia-in-primary-sclerosing-cholangitis-before-liver-transplantation
#15
Ammar Majeed, Maria Castedal, Urban Arnelo, Gunnar Söderdahl, Annika Bergquist, Karouk Said
BACKGROUND: Patients with primary sclerosing cholangitis (PSC) have increased risk of cholangiocarcinoma (CCA). We evaluated pre-transplant work-up in PSC patients, to search for the most effective strategy for the detection of biliary dysplasia or early CCA. METHODS: Two hundred and twenty five consecutive PSC patients undergoing liver transplantation (LTx) in Sweden between 1999 and 2013 were studied. Patients with CCA or dysplasia in the explanted liver were compared with those with benign histopathology...
October 9, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28989998/mirizzi-syndrome-necessity-for-safe-approach-in-dealing-with-diagnostic-and-treatment-challenges
#16
Bader Hamza Shirah, Hamza Asaad Shirah, Khalid B Albeladi
BACKGROUNDS/AIMS: The challenging dilemma of Mirizzi syndrome for operating surgeons arises from the difficulty to diagnose it preoperatively, and approximately 50% of cases are diagnosed intraoperatively. In this study, we analysed the effectiveness of diagnostic modalities and treatment options in our series of Mirizzi syndrome. METHODS: Patients had a preoperative or intraoperative diagnosis of Mirizzi syndrome, and were classified into three groups: Group 1: Incidental finding of Mirizzi syndrome intraoperatively (n=34)...
August 2017: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/28989900/prevalence-of-pineal-gland-calcification-as-an-incidental-finding-in-patients-referred-for-implant-dental-therapy
#17
Sunil Mutalik, Aditya Tadinada
PURPOSE: Pineal gland calcification has been proposed to play a role in the pathogenesis of Alzheimer disease. This study evaluated the prevalence and extent of pineal gland calcification in cone-beam computed tomography (CBCT) scans of patients referred for dental implant therapy who could possibly be a vulnerable group for this condition. MATERIALS AND METHODS: A retrospective evaluation of 500 CBCT scans was conducted. Scans that showed the area where the pineal gland was located were included...
September 2017: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/28988213/management-of-pneumatosis-intestinalis-in-children-over-the-age-of-6-months-a-conservative-approach
#18
Leel Nellihela, Mohamed Mutalib, David Thompson, Kammermeier Jochen, Manasvi Upadhyaya
BACKGROUND: Pneumatosis intestinalis (PI) is an uncommon and poorly understood condition. Although it can be an incidental finding in asymptomatic individuals, it can also be secondary to life-threatening bowel ischaemia and sepsis. In premature infants, it is a pathognomonic sign of necrotising enterocolitis. There is no consensus regarding management and long-term outcome of children with PI. AIM: Review of our experience of PI in children beyond the early infantile period...
October 7, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28987312/incidental-findings-on-pediatric-abdominal-computed-tomography-at-a-pediatric-trauma-center
#19
Youanna Daoud, Alexander Philip, Gal Altberg, Hadassa Leader, Jeremy Neuman, Barry Hahn
BACKGROUND: The increasing availability and use of computed tomography (CT) in pediatric abdominal trauma has increased the detection of incidental findings. While some of these findings are benign, others may require further evaluation for possible clinical importance. OBJECTIVES: This study aimed to identify the frequency and type of incidental findings and their need for follow-up on abdominal CT in patients at a pediatric trauma center. METHODS: This was a retrospective, observational study on trauma patients ≤21 years of age who presented to the emergency department between January 1, 2004 and July 31, 2016 and underwent CT scans of the abdomen and pelvis...
October 5, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28986629/incidental-perifissural-nodules-on-routine-chest-computed-tomography-lung-cancer-or-not
#20
Onno M Mets, Kaman Chung, Ernst Th Scholten, Wouter B Veldhuis, M Prokop, Bram van Ginneken, Cornelia M Schaefer-Prokop, Pim A de Jong
OBJECTIVES: Perifissural nodules (PFNs) are a common finding on chest CT, and are thought to represent non-malignant lesions. However, data outside a lung cancer-screening setting are currently lacking. METHODS: In a nested case-control design, out of a total cohort of 16,850 patients ≥ 40 years of age who underwent routine chest CT (2004-2012), 186 eligible subjects with incident lung cancer and 511 controls without were investigated. All non-calcified nodules ≥ 4 mm were semi-automatically annotated...
October 6, 2017: European Radiology
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