keyword
https://read.qxmd.com/read/38630911/uterine-inflammatory-myofibroblastic-tumors-p16-as-a-surrogate-for-cdkn2a-deletion-and-predictor-of-aggressive-behavior
#1
JOURNAL ARTICLE
Kyle M Devins, Zehra Ordulu, Rachelle P Mendoza, Sabrina Croce, Rishikesh Haridas, Pankhuri Wanjari, Andre Pinto, Esther Oliva, Jennifer A Bennett
Uterine inflammatory myofibroblastic tumors (IMTs) are rare mesenchymal neoplasms of uncertain malignant potential. Aside from the recently described risk stratification score, which has not been validated by other studies, and rare reports of aberrant p16 expression in malignant tumors, there are no criteria to reliably predict behavior. Herein, we evaluated the clinicopathologic features and p16 expression patterns in 30 IMTs, with genomic profiling performed in a subset (13 malignant, 3 benign). Fifteen patients had malignant IMTs, defined by extrauterine disease at diagnosis (n=5) or recurrence (n=10; median: 24 mo)...
April 17, 2024: American Journal of Surgical Pathology
https://read.qxmd.com/read/38626799/improved-predictability-is-needed-for-calculators-used-to-preoperatively-determine-the-etiology-of-splenic-masses-in-dogs-an-external-validation-study-of-the-help-score-and-t-stat
#2
JOURNAL ARTICLE
Townes N Hillier, Janet A Grimes, Mandy L Wallace, Brian J Sutherland, Chad W Schmiedt
OBJECTIVE: To assess the predictability of the hemangiosarcoma likelihood prediction (HeLP) score and the Tufts Splenic Tumor Assessment Tool (T-STAT) for hemangiosarcoma and malignancy, respectively. ANIMALS: 261 dogs undergoing splenectomy for a splenic mass. METHODS: Medical records were retrospectively reviewed; variables for the HeLP score and T-STAT were collected, and scores were assigned. Area under the curve (AUC) was calculated for each score...
April 16, 2024: Journal of the American Veterinary Medical Association
https://read.qxmd.com/read/38626601/do-extremely-large-goiters-carry-a-higher-risk-of-malignancy-or-complications-a-case-control-study
#3
JOURNAL ARTICLE
Chen Hazout, Aviv Daniel, Oren Ziv, Uri Yoel, David Kiderman, Rami Shukrun, Oded Cohen
INTRODUCTION: The definition of thyroid goiter remains ambiguous, yet size may impact both malignancy rate and surgical complications' rate. METHODS: All patients with thyroid goiter who underwent thyroidectomy between 1/2015-1/2023 were included. Goiter was defined as lobe ≥4 cm. For analysis purpose, goiters measuring 4-8 cm and ≥8 cm were defined as large and extremely large goiters, respectively. For malignancy definition, tumor<1 cm in their largest diameter were excluded from study...
April 3, 2024: American Journal of Otolaryngology
https://read.qxmd.com/read/38626518/novel-small-molecule-dmamcl-induces-differentiation-in-rhabdomyosarcoma-by-downregulating-of-dll1
#4
JOURNAL ARTICLE
Qi Li, Yexi Chen, Yang Chen, Zhongyan Hua, Baocheng Gong, Zhihui Liu, Carol J Thiele, Zhijie Li
Rhabdomyosarcoma (RMS), a mesenchymal tumor occurring in the soft tissue of children, is associated with a defect in differentiation. This study unveils a novel anti-tumor mechanism of dimethylaminomicheliolide (DMAMCL), which is a water-soluble derivative of Micheliolide. First, we demonstrate that DMAMCL inhibits RMS cell growth without obvious cell death, leading to morphological alterations, enhanced expression of muscle differentiation markers, and a shift from a malignant to a more benign metabolic phenotype...
April 15, 2024: Biomedicine & Pharmacotherapy
https://read.qxmd.com/read/38625403/the-role-of-teledermatology-in-mohs-micrographic-surgery-a-review
#5
REVIEW
Yanci A Algarin, Dana Jaalouk, Anika Pulumati, Keyvan Nouri
This paper explores the role of teledermatology (TD) in Mohs micrographic surgery (MMS) at various stages of patient care. The study aims to assess the benefits, limitations, and patient experiences surrounding TD integration into MMS practices. We conducted a PubMed search using keywords related to TD and MMS, categorizing selected articles into pre-operative, intra-operative, and post-operative stages of MMS. TD reduced waiting times (26.10 days for TD compared to 60.57 days for face-to-face [FTF]) and consultation failure rates (6% for TD vs...
April 16, 2024: Archives of Dermatological Research
https://read.qxmd.com/read/38624194/a-case-report-of-uterine-leiomyosarcoma-unusual-clinical-presentation-with-unilateral-hydronephrosis-and-importance-of-an-appropriate-diagnosis
#6
JOURNAL ARTICLE
Stefano Restaino, Annalisa Graziano, Carlo Ronsini, Federico Paparcura, Margherita Bagolin, Marianna C Cinti, Arianna Castenetto, Francesca Titone, Marco Rensi, Lorenza Driul, Giuseppe Vizzielli
Uterine leiomyosarcoma is a rare malignant gynecologic tumor that arises from the myometrial or endometrial stromal precursor cells. This tumor has the highest prevalence in the pre- and post-is more frequent between 40 and 60 years old. It has a very unfavorable prognosis: only early-stage tumors have an acceptable prognosis; unfortunately, it is often diagnosed accidentally, typically on an advanced stage, when hematological metastases have already spread. Surgery is the main treatment strategy, while systemic treatment and radiotherapy are not recommended due to the lack of results...
April 2024: Minerva obstetrics and gynecology
https://read.qxmd.com/read/38624099/ischiorectal-fossa-tumors-thirty-year-single-institution-experience
#7
JOURNAL ARTICLE
Thomas Peponis, William R G Perry, Scott R Kelley
BACKGROUND: Primary tumors of the ischiorectal fossa are rare and comprise a wide array of pathologies with varying malignant potential. Due to the low prevalence, there is a paucity of data in the literature. This paper presents a case-series on the management of ischiorectal fossa tumors. OBJECTIVE: To present a 30-year experience managing ischiorectal fossa tumors. DESIGN: Retrospective single center analysis. SETTINGS: A quaternary referral academic healthcare center...
April 16, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38623754/comprehensive-assessment-of-the-intrinsic-pancreatic-microbiome
#8
JOURNAL ARTICLE
Austin M Eckhoff, Ashley A Fletcher, Matthew S Kelly, Anders Dohlman, Caitlin A McIntyre, Xiling Shen, Matthew K Iyer, Daniel P Nussbaum, Peter J Allen
OBJECTIVE: We sought to comprehensively profile tissue and cyst fluid in patients with benign, precancerous, and cancerous conditions of the pancreas to characterize the intrinsic pancreatic microbiome. SUMMARY BACKGROUND DATA: Small studies in pancreatic ductal adenocarcinoma (PDAC) and intraductal papillary mucinous neoplasm (IPMN) have suggested that intra-pancreatic microbial dysbiosis may drive malignant transformation. METHODS: Pancreatic samples were collected at the time of resection from 109 patients...
April 16, 2024: Annals of Surgery
https://read.qxmd.com/read/38623116/giant-cell-tumor-in-tarsal-midfoot-bones-a-case-report
#9
Waheeb Abed Alharbi, Hatim Mohammed Alshareef, Yasser B Hennawi, Abdulaziz A Munshi, Abdullah Khalid Alzahrani
Diffuse tenosynovial giant cell tumor (D-TGCT), previously known as pigmented villonodular synovitis (PVNS), is a benign, aggressive, and distracting proliferative synovial lesion. D-TGCT is commonly seen in large joints such as the knee and hip. We present the case of a 57-year-old female who initially presented with swelling on the left midfoot that increased over four years. Clinically, a ganglion was suspected on the left midfoot and an MRI showed a heterogeneous lobulated soft tissue mass on the superior aspect of the tarsal midfoot measuring 5...
March 2024: Curēus
https://read.qxmd.com/read/38619811/when-rare-diseases-crisscross-within-the-same-patient-von-hippel-lindau-and-type-1-gastric-neuroendocrine-tumor
#10
JOURNAL ARTICLE
Krystallenia I Alexandraki, Ariadni Spyroglou, Paraskevi Xekouki, Konstantinos I Bramis, Georgios Kyriakopoulos, Konstantinos Barkas, Ioannis S Papanikolaou, George Mastorakos, Manousos Konstadoulakis
Von-Hippel-Lindau (VHL) is a genetic multisystem disorder characterized by visceral cysts and benign and malignant tumors in various organs. Herein, we present the case of a 23-year-old woman with VHL presenting with multiple gastric neuroendocrine neoplasms (gNENs) type 1 in the context of chronic autoimmune gastritis (CAG). Although gNENs are not acknowledged as a typical entity in VHL patients, in the present case, gNENs were composed of neoplastic cells with clear cytoplasm usually seen in tumors related to VHL disease...
April 15, 2024: Hormones: International Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38619051/ex-vivo-liver-resection-and-auto-transplantation-as-an-alternative-for-the-treatment-of-liver-malignancies-progress-and-challenges
#11
REVIEW
Xin Yang, Lu Lu, Wen-Wei Zhu, Yi-Feng Tao, Cong-Huan Shen, Jin-Hong Chen, Zheng-Xin Wang, Lun-Xiu Qin
Hepatectomy is still the major curative treatment for patients with liver malignancies. However, it is still a big challenge to remove the tumors in the central posterior area, especially if their location involves the retrohepatic inferior vena cava and hepatic veins. Ex vivo liver resection and auto-transplantation (ELRA), a hybrid technique of the traditional liver resection and transplantation, has brought new hope to these patients and therefore becomes a valid alternative to liver transplantation. Due to its technical difficulty, ELRA is still concentrated in a few hepatobiliary centers that have experienced surgeons in both liver resection and liver transplantation...
April 2024: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/38618464/gallium-68-labeled-fibroblast-activation-protein-inhibitor-as-an-alternative-radiotracer-to-fluorine-18-fluorodeoxyglucose-a-case-report-of-rare-pulmonary-colloid-adenocarcinoma-diagnosed-by-pet-ct
#12
Areen Mansour, Shahed Obeidat, Dhuha Al-Adhami, Taher Abu Hejleh, Akram Al-Ibraheem
Colloid pulmonary adenocarcinoma represents a seldom encountered neoplasm in clinical practice. The diagnostic process for this rare neoplasm is complicated by its infrequency and the limited understanding of its specific molecular imaging characteristics. We report a 65-year-old male who was diagnosed with pulmonary colloid mucinous cystadenocarcinoma. Fluorine 18-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) was conducted for initial evaluation. The scan showed mild 18F-FDG expression at the primary tumor site, and several non-18F-FDG-avid mediastinal and paraesophageal lymph nodes exhibited suspicious morphologic features...
March 2024: Curēus
https://read.qxmd.com/read/38618288/submental-island-flaps-for-lateral-reconstruction-technical-refinements-for-optimal-outcomes-and-resource-efficiency
#13
JOURNAL ARTICLE
Melissa S Oh, Nikhil T Vettikattu, Harry Michael Baddour, Jennifer H Gross, Brian J Boyce, Mihir R Patel, Nicole C Schmitt, Clementino Arturo Solares, Jackson R Vuncannon, Azeem S Kaka
OBJECTIVE: To describe our modifications to the submental island flap (SMIF) in a case series that demonstrates improved reproducibility, shortened length of stay (LOS), and reduced utilization of hospital resources. STUDY DESIGN: This retrospective case series with chart review included adult patients who underwent resection of malignant or benign tumors resulting in lateral facial, parotid, or temporal bone defects, which were reconstructed with SMIF. SETTING: A tertiary-care academic referral center...
2024: OTO Open
https://read.qxmd.com/read/38617812/3-18-f-fluoro-para-hydroxyphenethylguanidine-3-18-f-phpg-pet-a-novel-imaging-modality-for-paraganglioma
#14
JOURNAL ARTICLE
Tobias Else, Ka Kit Wong, Kirk A Frey, Allen F Brooks, Benjamin L Viglianti, David M Raffel
CONTEXT: Functional positron emission tomography (PET) imaging for the characterization of pheochromocytoma and paraganglioma (PCC/PGL) and for detection of metastases in malignant disease, offers valuable clinical insights that can significantly guide patient treatment. OBJECTIVE: This work aimed to evaluate a novel PET radiotracer, 3-[18 F]fluoro- para -hydroxyphenethylguanidine (3-[18 F]pHPG), a norepinephrine analogue, for its ability to localize PCC/PGL. METHODS: 3-[18 F]pHPG PET/CT whole-body scans were performed on 16 patients (8 male:8 female; mean age 47...
April 6, 2024: Journal of the Endocrine Society
https://read.qxmd.com/read/38617763/establishment-and-verification-of-a-prediction-model-based-on-clinical-characteristics-and-computed-tomography-radiomics-parameters-for-distinguishing-benign-and-malignant-pulmonary-nodules
#15
JOURNAL ARTICLE
Xiaohui Hou, Meng Wu, Jingjing Chen, Rui Zhang, Yan Wang, Shuwen Zhang, Zaixin Yuan, Jian Feng, Liqin Xu
BACKGROUND: The radiographic classification of pulmonary nodules into benign versus malignant categories is a pivotal component of early lung cancer diagnosis. The present study aimed to investigate clinical and computed tomography (CT) clinical-radiomics nomogram for preoperative differentiation of benign and malignant pulmonary nodules. METHODS: This retrospective study included 342 patients with pulmonary nodules who underwent high-resolution CT (HRCT) examination...
March 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38616444/plasma-thioredoxin-reductase-as-a-potential-diagnostic-biomarker-for-breast-cancer
#16
JOURNAL ARTICLE
Yixuan Hu, Yinxing Zhu, Junfeng Shi, Xiaowei Wei, Cuiju Tang, Xiaoxiang Guan, Wenwen Zhang
BACKGROUND: Early diagnosis of breast cancer is critical to the treatment and prognosis of breast cancer patients. Our aim is to explore more practical and effective diagnostic methods to facilitate early treatment and improve prognosis for breast cancer patients. MATERIALS AND METHODS: The Mann-Whitney U test, receiver operating characteristic curve, Youden index, Chi-square test, and Fisher's exact test were used to determine whether plasma thioredoxin reductase (TrxR) could be used for the clinical diagnosis of breast cancer...
March 15, 2024: Clinical Breast Cancer
https://read.qxmd.com/read/38615503/imaging-of-pediatric-gastrointestinal-tumors-a-tertiary-center-experience-over-19%C3%A2-years
#17
JOURNAL ARTICLE
Mareen S Kraus, Swathi Selvam, Iram Siddiqui, Jeanette A Reyes, Govind B Chavhan
PURPOSE: Gastrointestinal tract (GIT) tumors in children are rare and there is a scarcity of data on their imaging features. The purpose of this study was to determine thefrequency of various GIT tumor types in children and to identify key imaging characteristics. METHODS: This retrospective, single-center study was approved by the local ethics committee. Children with histologically proven GIT tumours (malignantand benign) who had imaging available on the institutional PACS between May 1, 2000 and Dec 31, 2019 were included...
April 10, 2024: European Journal of Radiology
https://read.qxmd.com/read/38614951/the-shared-ovary-a-multidisciplinary-discussion-with-pediatric-and-adolescent-gynecology
#18
JOURNAL ARTICLE
Barrie S Rich, Kate McCracken, Christa Nagel, Lisa Allen, Jennifer H Aldrink
Pediatric and adolescent ovarian lesions are common and are frequently managed by both pediatric surgeons and pediatric and adolescent gynecologists. During the 2023 American Academy of Pediatric Section on Surgery meeting, an educational symposium was delivered focusing on various aspects of management of pediatric and adolescent benign and malignant masses, borderline lesions, and fertility options for children and adolescents undergoing cancer therapies. This article highlights the discussion during this symposium...
March 16, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38614826/diagnostic-performance-of-radiomics-and-deep-learning-to-identify-benign-and-malignant-soft-tissue-tumors-a-systematic-review-and-meta-analysis
#19
REVIEW
Xinpeng Dai, Bingxin Zhao, Jiangnan Zang, Xinying Wang, Zongjie Liu, Tao Sun, Hong Yu, Xin Sui
RATIONALE AND OBJECTIVES: To systematically evaluate the application value of radiomics and deep learning (DL) in the differential diagnosis of benign and malignant soft tissue tumors (STTs). MATERIALS AND METHODS: A systematic review was conducted on studies published up to December 11, 2023, that utilized radiomics and DL methods for the diagnosis of STTs. The methodological quality and risk of bias were evaluated using the Radiomics Quality Score (RQS) 2.0 system and Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool, respectively...
April 13, 2024: Academic Radiology
https://read.qxmd.com/read/38614530/multiple-and-hereditary-renal-tumors-a-review-for-radiologists
#20
JOURNAL ARTICLE
M Á Corral de la Calle, J Encinas de la Iglesia, G C Fernández Pérez, A Fraino, M Repollés Cobaleda
80% of renal carcinomas (RC) are diagnosed incidentally by imaging. 2-4% of "sporadic" multifocality and 5-8% of hereditary syndromes are accepted, probably with underestimation. Multifocality, young age, familiar history, syndromic data, and certain histologies lead to suspicion of hereditary syndrome. Each tumor must be studied individually, with a multidisciplinary evaluation of the patient. Nephron-sparing therapeutic strategies and a radioprotective diagnostic approach are recommended. Relevant data for the radiologist in major RC hereditary syndromes are presented: von-Hippel-Lindau, Chromosome-3 translocation, BRCA-associated protein-1 mutation, RC associated with succinate dehydrogenase deficiency, PTEN, hereditary papillary RC, Papillary thyroid cancer- Papillary RC, Hereditary leiomyomatosis and RC, Birt-Hogg-Dubé, Tuberous sclerosis complex, Lynch, Xp11...
2024: Radiología
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