- Comparison the time to stabilization and activity of the lower extremity muscles during jump-landing in subjects with and without Genu Varum. [Journal Article]
- GPGait Posture 2018 Aug 03; 65:256-261
- CONCLUSIONS: The altered activity of the QL and GMed, in subjects with GVD may indicate instability of the spinal column, pelvis and hip during jump-landing task. Although the GVD is referred to the frontal plane deformity, the results showed that this complication might affect stability in other motion planes.
- Primary peritoneal Epithelioid mesothelioma of clear cell type with a novel VHL gene mutation: a case report. [Journal Article]
- HPHum Pathol 2018 Aug 14
- Clear cell variant of epithelioid mesothelioma is an extremely rare tumor with only isolated cases reported so far in the peritoneum. Here, we report a case of peritoneal epithelioid mesothelioma, cl...
Clear cell variant of epithelioid mesothelioma is an extremely rare tumor with only isolated cases reported so far in the peritoneum. Here, we report a case of peritoneal epithelioid mesothelioma, clear cell variant, in a 63-year-old female patient with a novel VHL gene mutation and an unusual indolent clinical course. The patient, who has no clinical history of asbestos exposure, presented with a 27.2 cm upper abdominal mass and a 5.5 cm liver lesion. Retrospective review of the patient's abdominal CT scan 4 years ago showed two small abdominal lesions that were felt clinically to represent hemangiomas. These were retrospectively considered to have grown in size and represented the current abdominal mass. Both masses were subsequently biopsied and showed a proliferation of monomorphic epithelioid cells with distinct cell membranes, fine chromatin and clear to finely vacuolated pale eosinophilic cytoplasm arranged in nests and solid sheets. Immunohistochemical staining confirmed it to be malignant mesothelioma. Clear cell variant of peritoneal epithelioid mesothelioma should always be considered in patients with an abdominal or pelvic mass with clear cell features. Given the rarity of such entity, its clinical course and prognosis remains unclear.
- A challenging case of pelvic inflammatory disease due to miliary tuberculosis. [Journal Article]
- IJInt J Gynaecol Obstet 2018 Aug 17
- A 36-year-old Venezuelan woman was admitted to Mangiagalli Clinic (Milan, Italy) for a non-productive cough lasting for 3 months, worsening left intercostal and lower abdominal pain, and onset of fev...
A 36-year-old Venezuelan woman was admitted to Mangiagalli Clinic (Milan, Italy) for a non-productive cough lasting for 3 months, worsening left intercostal and lower abdominal pain, and onset of fever, vomiting, and weight loss. The patient's medical history showed an uncomplicated pregnancy with vaginal delivery 7 months previously, falciform anemia, and 6-month hospitalization in Venezuela in 1991 for undetermined pulmonary pathology. The patient provided consent for publication. This article is protected by copyright. All rights reserved.
- Three-dimensional Femoral Head Coverage in the Standing Position Represents that Measured In-vivo During Gait. [Journal Article]
- CAClin Anat 2018 Aug 16
- CONCLUSIONS: Our results suggest that coverage measured in a standing position is a good surrogate for coverage measured during gait. This article is protected by copyright. All rights reserved.
- A rare case of co-existing adrenal and pelvic myelolipomas. [Journal Article]
- RCRadiol Case Rep 2018; 13(5):999-1002
- We are reporting a case of co-existing left sided pelvic and right sided adrenal myelolipomas in a 68-year-old male patient. Both lesions were incidentally discovered on CT whilst undergoing a stagin...
We are reporting a case of co-existing left sided pelvic and right sided adrenal myelolipomas in a 68-year-old male patient. Both lesions were incidentally discovered on CT whilst undergoing a staging scan for suspected urinary bladder cancer. The patient had a background of hypertension and type 2 diabetes. Contrast enhanced CT scan showed both lesions to be of mixed fat and soft tissue density. Given the size, location, and attenuation characteristics of the pelvic mass, retroperitoneal liposarcoma was thought to be a differential diagnosis, prompting the decision for an elective CT-guided biopsy. Both masses were targeted successfully using core biopsy needles. Subsequently, histopathology results for both the right adrenal and the left pelvic masses showed features compatible with myelolipomas. The right retroperitoneal mass was compatible with an adrenal myelolipoma and left pelvic mass was deemed as an extra-adrenal myelolipoma (EAML).
- Pelvic tuberculosis: a forgotten diagnosis - case report. [Journal Article]
- RCRadiol Case Rep 2018; 13(5):993-998
- We present a case of a 14-year-old girl, Bacillus Calmette-Guérin (BCG) vaccinated, who presented with vague symptoms of abdominal pain, weight loss, and fatigue. Imaging studies revealed a pelvic ma...
We present a case of a 14-year-old girl, Bacillus Calmette-Guérin (BCG) vaccinated, who presented with vague symptoms of abdominal pain, weight loss, and fatigue. Imaging studies revealed a pelvic mass, later found to be pelvic tuberculosis, a rare diagnosis to consider at this age. The diagnostic approach was difficult, since all investigations pointed strongly to a malignancy, from clinical, imaging (ultrasound and magnetic resonance), laboratory (elevated CA-125), and even macroscopic findings at laparotomy. Histopathology was the first hint (noncaseous granulomata), but the ultimate documentation of Mycobacterium tuberculosis relied on a persistent clinical suspicion, despite contradicting results. Surgical approach could have been mutilating, with irreversible consequences, considering it was a girl with a long reproductive life ahead. Tuberculosis is still a great masquerade, especially the extrapulmonary forms, and although infrequently seen at this age, it should thus be considered in the differential diagnosis of complex pelvic masses in order to avoid surgical iatrogeny/morbidity.
- Ovarian yolk sac tumor in postmenopausal females: A case series and a literature review. [Journal Article]
- MMedicine (Baltimore) 2018; 97(33):e11838
- CONCLUSIONS: The diagnosis of postmenopausal ovarian YST is relatively difficult and it can coexist with other germ cell or epithelial tumors. Postmenopausal ovarian YSTs are aggressive, and may have a worse prognosis compared with those in young patients. More aggressive treatment is needed. When YST mixed with epithelial cancer components, adjuvant chemotherapy regimen should include platinum-based chemotherapy aiming at both epithelial ovarian cancer and germ cell tumors.
- Characterization of pelvic and cervical microbiotas from patients with pelvic inflammatory disease. [Journal Article]
- JMJ Med Microbiol 2018 Aug 16
- CONCLUSIONS: The NGS-based method provides a more informative profile of pelvic microbiota than the culture method. The pelvic and cervical microbiota from the same patient were inconsistent with each other, and thus therapeutic decisions based on cervical microbiota may lead to antimicrobial misuse.
- Pelvic Inflammatory Disease: Possible Catches and Correct Management in Young Women. [Journal Article]
- CRCase Rep Obstet Gynecol 2018; 2018:5831029
- The incidence of adnexal masses increases exponentially with age and the most frequent causes in young women are physiologic cysts and pelvic abscesses with pelvic inflammatory disease (PID). Clinica...
The incidence of adnexal masses increases exponentially with age and the most frequent causes in young women are physiologic cysts and pelvic abscesses with pelvic inflammatory disease (PID). Clinical examination can direct physicians to an appropriate management of adnexal mass, but the role of transvaginal ultrasound is crucial for diagnosis and treatment decision, even if it sometimes can be misleading, especially in young women. Ca 125, blood count, and CRP are useful to clarify suspected etiology of a pelvic mass, but specificity and positive predictive value are low because elevation of laboratory tests may occur in several benign conditions. In our work we present four cases of suspected pelvic masses. Despite guidelines for management of PID, the right timing to switch to surgical therapy is not clear. Therefore, the treatment decision should be based on a careful evaluation of various parameters such as signs symptoms and above all age. Moreover, we believe that, for a correct diagnosis and for the best fertility sparing treatment, it is also extremely important to refer to a gynecological oncology unit with an expert surgeon.
New Search Next
- Comparison of outcomes following laparoscopic and open hysterectomy with pelvic lymphadenectomy for early stage endometrial carcinoma. [Journal Article]
- SMSingapore Med J 2018; 59(7):366-369
- CONCLUSIONS: Laparoscopy offered similar oncological outcomes with superior surgical outcomes compared to laparotomy. It provides a suitable alternative in the surgical staging of endometrioid carcinoma.