RESUMO
The case of a male patient with gynecomastia of the left mammary gland is discussed. The differential diagnosis was considered in relation to other possible benign and malignant lesions where there is swelling of the mammary gland in men. US was the examination of first choice. To complete the study of the diagnostic pattern, mammography was also performed. The definitive diagnosis was true nodular gynecomastia caused by chronic liver disease.
Assuntos
Ginecomastia/diagnóstico , Doença Crônica , Humanos , Hepatopatias/complicações , Masculino , Mamografia , Pessoa de Meia-Idade , Ultrassonografia MamáriaRESUMO
The case of a patient with a lesion in the right breast, is discussed. Retrospective evaluation of mammography and US previously performed elsewhere were not fully helpful in the differential diagnosis between benign and malignant and MRI was necessary. Morphological and dynamic characteristics could be indicative of an expansive/infiltrating lesion of the breast and support the staging. The histological examination established the diagnosis of primary breast lymphoma.
Assuntos
Neoplasias da Mama/diagnóstico , Linfoma/diagnóstico , Idoso de 80 Anos ou mais , Neoplasias da Mama/diagnóstico por imagem , Feminino , Humanos , Linfoma/diagnóstico por imagem , Imageamento por Ressonância Magnética , Mamografia , Ultrassonografia MamáriaRESUMO
The case of a 34-year-old female patient come to the Emergency Department for neurological symptoms of recent onset is presented. No-contrast CT documented the presence of a neoformation approximately 3 cm in size in the 4th ventricle. For an in-depth diagnostic study of the lesion contrast enhanced MRI was performed. The examination detected a second minute (< 1cm) intraparenchymal nodule highly suspicious of metastasis from primary extra-cerebral neoplasm. The differential diagnosis of infratentorial lesions is discussed. It is concluded that the diagnostic combination of standard MRI with contrast sequences in the three conventional planes plays a major role in typing the nature of focal brain lesions.
Assuntos
Adenocarcinoma Mucinoso/diagnóstico , Adenocarcinoma Mucinoso/secundário , Neoplasias da Mama/diagnóstico , Neoplasias do Ventrículo Cerebral/secundário , Neoplasias Primárias Desconhecidas/diagnóstico , Adulto , Neoplasias do Ventrículo Cerebral/diagnóstico , Meios de Contraste , Feminino , Quarto Ventrículo/patologia , Humanos , Imageamento por Ressonância MagnéticaRESUMO
The case of a female patient with a normal mammography of first level screening and a control mammography showing the presence of a cluster of microcalcifications, is discussed. The case history is carefully examined also based on previous investigations. The patient decided to undergo stereotactic vacuum-assisted biopsy (mammotome biopsy) that was performed elsewhere. Indications, advantages and possible complications of the procedure are analyzed.