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1.
J Dairy Sci ; 103(10): 9116-9123, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32713689

ABSTRACT

The Protected Designation of Origin (PDO) label of the European Union safeguards and guarantees top-quality traditional agri-food products that must be manufactured in a specific region according to traditional production methods. Production specifications of PDO cheeses are often focused on the cheese-making process and lack information on the dairy farming system that is upstream of the chain. This case study aimed to analyze and cluster the dairy farms that supply milk to the chain of Asiago, an internationally known PDO cheese of northeastern Italy. A large survey involving all of the cheese factories of the Asiago PDO chain was made in 2017. Each cheese factory submitted a questionnaire to its supplying dairy farmers concerning (1) farm facilities and herd management and (2) feeding program of lactating cows. Results from 517 farms were processed; there were 67 ± 27% (mean ± standard deviation) respondents per cheese factory. Four clusters of dairy farms were identified by hierarchical clustering analysis. Cluster 1 (8% of the surveyed farms) and cluster 2 (22%) are small in size and low in yield, representing the traditional milk production system; farms are mainly located on mountains or hills and have autochthonous dual-purpose breeds mostly housed in tiestall barns. By rearing cattle of endangered breeds and feeding cows primarily with forages produced on-farm together with the use of pasture, these clusters, and especially cluster 1, have shown to provide essential ecosystem services for landscape and biodiversity preservation in the alpine areas. Clusters 3 and 4 (34 and 36% of the surveyed farms, respectively) gather medium-scale farms mainly located in the lowland that operate according to modern management and housing systems and rear high-producing dairy cows. These cows are mainly fed total mixed rations based on corn silage, but the dietary forage:concentrate ratio is kept relatively high, as farmers are more interested in producing high-quality milk for cheese-making than pushing for yield. Regardless of the cluster allocation, a considerable cow longevity, which is a recognized "iceberg indicator" of cattle well-being, was highlighted. This study showed that different farming systems may lay behind a single PDO cheese. The knowledge of their characteristics is important to reinforce the PDO production specifications as well as to distinguish and protect niche products that come from specific groups of farms that provide essential ecosystem services.


Subject(s)
Cattle , Cheese , Dairying , Milk , Animals , Cheese/analysis , Dairying/methods , Diet , Female , Food Quality , Italy , Lactation , Silage , Zea mays
2.
J Dairy Sci ; 103(11): 10264-10272, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32921449

ABSTRACT

Sensor systems (SS) were developed over the last few decades to help dairy farmers manage their herds. Such systems can provide both data and alerts to several productive, behavioral, and physiological indicators on individual cows. Currently, there is still a lack of knowledge on both the proportion of dairy farms that invested in SS and type of SS installed. Additionally, it is still unclear whether the performances of herds equipped with SS differ from those of similar herds managed without any technological aid. Therefore, the aims of this study were (1) to provide an insight into SS spread among Italian dairy farms and (2) to analyze the performances of similar herds equipped or not equipped with SS. To reach the former goal, a large survey was carried out on 964 dairy farms in the northeast of Italy. Farmers were interviewed by the technicians of the regional breeders association to collect information on the type of SS installed on farms and the main parameters recorded. Overall, 42% of the surveyed farms had at least 1 SS, and most of them (72%) reared more than 50 cows. Sensors for measuring individual cow milk yield were the most prevalent type installed (39% of the surveyed farms), whereas only 15% of farms had SS for estrus detection. More sophisticated parameters, such as rumination, were automatically monitored in less than 5% of the farms. To reach the latter goal of the study, a subset of 100 Holstein dairy farms with similar characteristics was selected: half of them were equipped with SS for monitoring at least individual milk yield and estrus, and the other half were managed without any SS. Average herd productive and reproductive data from official test days over 3 yr were analyzed. The outcomes of the comparison showed that farms with SS had higher mature-equivalent milk production. Further clustering analysis of the same 100 farms partitioned them into 3 clusters based on herd productive and reproductive data. Results of the Chi-squared test showed that the proportion of farms equipped with SS was greater in the cluster with the best performance (e.g., higher milk yield and shorter calving interval). However, the presence of a few farms equipped with SS in the least productive cluster for the same parameters pointed out that although the installation of SS may support farmers in time- and labor-saving or in data recording, it is not a guarantee of better herd performance.


Subject(s)
Cattle/physiology , Dairying/methods , Milk/metabolism , Reproduction , Animals , Estrus Detection , Farmers , Farms , Female , Italy , Surveys and Questionnaires
3.
J Dairy Sci ; 101(12): 10589-10604, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30268617

ABSTRACT

Dairy products are important sources of nutrients for human health and in recent years their consumption has increased worldwide. Therefore, the food industry is interested in applying analytical technologies that are more rapid and cost-effective than traditional laboratory analyses. Infrared spectroscopy accomplishes both criteria, making real-time determination feasible. However, it is crucial to ensure that prediction models are accurate before their implementation in the dairy industry. In the last 5 yr, several papers have investigated the feasibility of mid- and near-infrared spectroscopy to determine chemical composition and authenticity of dairy products. Most studies have dealt with cheese, and few with yogurt, butter, and milk powder. Also, the use of near-infrared (in reflectance or transmittance mode) has been more prevalent than mid-infrared spectroscopy. This review summarizes recent studies on infrared spectroscopy in dairy products focusing on difficult to determine chemical components such as fatty acids, minerals, and volatile compounds, as well as sensory attributes and ripening time. Promising equations have been developed despite the low concentration or the absence of specific absorption bands (or both) for these compounds.


Subject(s)
Dairy Products/analysis , Spectroscopy, Near-Infrared/methods , Animals , Dairying , Humans , Milk/chemistry
4.
Biochem Genet ; 49(7-8): 523-32, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21373989

ABSTRACT

Agouti signaling protein (ASIP) is one of the key players in the modulation of hair pigmentation in mammals. Binding to the melanocortin 1 receptor, ASIP induces the synthesis of phaeomelanin, associated with reddish brown, red, tan, and yellow coats. We have sequenced 2.8 kb of the goat ASIP gene in 48 individuals and identified two missense (Cys126Gly and Val128Gly) and two intronic polymorphisms. In silico analysis revealed that the Cys126Gly substitution may cause a structural change by disrupting a highly conserved disulfide bond. We studied its segregation in 12 Spanish and Italian goat breeds (N = 360) with different pigmentation patterns and found striking differences in the frequency of the putative loss-of-function Gly(126) allele (Italian 0.43, Spanish Peninsular 0.08), but we did not observe a clear association with coat color. This suggests that the frequency of this putative loss-of-function allele has evolved under the influence of demographic rather than selection factors in goats from these two geographical areas.


Subject(s)
Agouti Signaling Protein/genetics , Goats/genetics , Hair Color/genetics , Polymorphism, Genetic , Amino Acid Substitution , Animals , Gene Frequency , Italy , Spain
5.
Heart Lung Circ ; 20(3): 197-201, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20880742

ABSTRACT

BACKGROUND: Cardiac haemangioma was first described in 1893. It is an infrequent and benign neoplasm which accounts for about 2.8% of all benign primary cardiac tumours, arising from the cardiac ventricles, valves, atria and rarely the epicardium. METHODS AND RESULTS: We report the case of a 24-year-old woman with a cardiac haemangioma detected by transthoracic echocardiography, computed tomography, and magnetic resonance imaging. The coronary CT showed a mass located in the pericardial cavity with close relationship to the myocardium. The mass surrounded completely the segments 2 and 3 of the left anterior descending coronary artery. At operation, the tumour was incompletely resected, leaving a remnant in the left anterior descending coronary artery contact, one diagonal branch has been sacrificed. Pathologic study diagnosed a cavernous haemangioma. Transthoracic echocardiography eight months later showed a remnant of haemangioma with a left ventricular ejection fraction estimated to 69%. The coronary CT 10 months after surgery showed the remnant of the tumour with normal cardiac cavities and absence of visualisation of the diagonal artery. The patient is currently asymptomatic and doing well 14 months after surgery. CONCLUSIONS: Cardiac haemangioma is a rare cardiac tumour with an unknown aetiology. The diagnosis is aided by imaging techniques. The coronary CT may be useful when more precise evaluation of the tumour extent is required. It allows specifying the relationship of the mass with the coronary vessels. Successful treatment usually requires timely surgery. However, periodic examinations and echocardiography are recommended.


Subject(s)
Heart Neoplasms/diagnosis , Heart Neoplasms/surgery , Hemangioma, Cavernous/diagnosis , Hemangioma, Cavernous/surgery , Adult , Coronary Vessels/surgery , Echocardiography , Female , Humans , Magnetic Resonance Imaging , Remission Induction , Tomography, X-Ray Computed
7.
J Dairy Sci ; 93(4): 1749-53, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20338454

ABSTRACT

The main goal of the current work was to identify single nucleotide polymorphisms (SNP) that might create or disrupt microRNA (miRNA) target sites in the caprine casein genes. The 3' untranslated regions of the goat alpha(S1)-, alpha(S2)-, beta-, and kappa-casein genes (CSN1S1, CSN1S2, CSN2, and CSN3, respectively) were resequenced in 25 individuals of the Murciano-Granadina, Cashmere, Canarian, Saanen, and Sahelian breeds. Five SNP were identified through this strategy: c.175C>T at CSN1S1; c.109T>C, c.139G>C, and c.160T>C at CSN1S2; and c.216C>T at CSN2. Analysis with the Patrocles Finder tool predicted that all of these SNP are located within regions complementary to the seed of diverse miRNA sequences. These in silico results suggest that polymorphism at miRNA target sites might have some effect on casein expression. We explored this issue by genotyping the c.175C>T SNP (CSN1S1) in 85 Murciano-Granadina goats with records for milk CSN1S1 concentrations. This substitution destroys a putative target site for miR-101, a miRNA known to be expressed in the bovine mammary gland. Although TT goats had higher levels (6.25 g/L) of CSN1S1 than their CT (6.05 g/L) and CC (6.04 g/L) counterparts, these differences were not significant. Experimental confirmation of the miRNA target sites predicted in the current work and performance of additional association analyses in other goat populations will be an essential step to find out if polymorphic miRNA target sites constitute an important source of variation in casein expression.


Subject(s)
Caseins/genetics , Genetic Variation , Goats/genetics , Lactation/genetics , Milk/chemistry , 3' Untranslated Regions , Animals , Breeding , Female , Goats/metabolism , MicroRNAs/chemistry , MicroRNAs/genetics , Milk/standards , Polymorphism, Single Nucleotide
8.
J Dairy Sci ; 93(9): 4332-9, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20723706

ABSTRACT

Genetic variability of the caprine stearoyl-CoA desaturase 1 (SCD1) gene has been investigated by sequencing a 4.7-kb cDNA in 6 goats from the Murciano-Granadina and Malagueña breeds. Sequence alignment revealed the existence of one synonymous polymorphism at exon 5 (c.732C>T) and one nucleotide substitution (c.*3504G>A) at exon 6 that encodes the 3' untranslated region (UTR). Moreover, the existence of a previously reported 3'UTR polymorphism involving a 3-bp indel (c.*1902_1904delTGT) was confirmed. Single nucleotide polymorphism and haplotype-based association analyses revealed suggestive associations between genetic variability of the SCD1 locus and lactose, stearic, polyunsaturated, and conjugated linoleic fatty acid contents. Associations with milk fatty acid composition might be explained by the global effects that SCD1 exerts on mammary gland lipid metabolism through the down-modulation of key transcription factors. Interestingly, the performance of an in silico analysis revealed that the c.*1902_1904delTGT polymorphism involves a considerable change in the secondary structure of the SCD1 mRNA. Gene reporter assays and quantitative PCR analysis would be needed to assess if this mutation has a causal effect on milk polyunsaturated and conjugated linoleic fatty acid levels by altering the amount of SCD1 transcripts in mammary epithelial cells.


Subject(s)
Fatty Acids/analysis , Goats/genetics , Milk/chemistry , Polymorphism, Single Nucleotide/genetics , Stearoyl-CoA Desaturase/genetics , Animals , Female , Furans , Genes/genetics , Genetic Association Studies/veterinary , Goats/metabolism , Haplotypes/genetics , Lipid Metabolism/genetics , Stearoyl-CoA Desaturase/metabolism , Thiophenes
9.
Indian J Chest Dis Allied Sci ; 52(1): 47-9, 2010.
Article in English | MEDLINE | ID: mdl-20364615

ABSTRACT

Multiple myeloma is a malignant proliferation of plasma cells that affects mainly bone marrow but may also involve other organs as well. We report thoracic involvement in the form of left-sided pleural effusion, osseous lesions, bronchial infiltration, and mediastinal lymphadenopathy in a 61-year-old woman, non-smoker presented with chest pain, dyspnoea, cough and deterioration in general health over the preceding seven months. Immunoelectrophoresis and immunofixation showed raised kappa-light chain immunoglobulin G (IgG) in serum and pleural fluid. Bronchial and pleural biopsies documented myelomatous infiltration and bone marrow aspirate revealed extensive plasma cell infiltration. At eight months, following the fourth cycle of melphalan, endoxan and prednisone based chemotherapy, the patient died.


Subject(s)
Multiple Myeloma/pathology , Thoracic Neoplasms/pathology , Female , Humans , Middle Aged , Multiple Myeloma/diagnosis , Thoracic Neoplasms/diagnosis
10.
J Radiol ; 91(3 Pt 1): 297-300, 2010 Mar.
Article in French | MEDLINE | ID: mdl-20508561

ABSTRACT

PURPOSE: Amyloidosis involvement of mediastinal nodes is rare. Isolated pseudotumoral involvement without extra-thoracic disease is a diagnostic challenge and typically raises concern for underlying malignancy. We present 3 cases of pseudotumoral mediastinal amyloidosis. METHODS: We report the cases of 3 patients presenting with recent onset of respiratory symptoms. Bronchoscopy showed mucosal infiltration suspicious for lymphangitic spread of tumor. The patients underwent chest radiography complemented by CT of the chest and abdomen, and laboratory and immunological work-up. A diagnosis of pseudotumoral mediastinal amyloidosis was confirmed by mediastinoscopic biopsy in all cases. RESULTS: CT showed a pulmonary and mediastinal tumor process in 2 cases and pericarinal tumor in 1 case. Diffuse bronchial wall thickening was present in all cases. Review of biopsy material showed tracheobronchial amyloidosis in 1 case. Patient work-up showed no evidence of extra-thoracic amyloidosis. Rapid progression of bronchial obstruction was observed in 1 case. CONCLUSION: The imaging features of mediastinal amyloidosis are non-specific. Pseudotumoral involvement of mediastinal nodes associated with pulmonary amyloidosis accelerates the degree of airway obstruction.


Subject(s)
Amyloidosis/diagnosis , Lymphatic Diseases/diagnosis , Mediastinal Diseases/diagnosis , Adult , Aged , Bronchial Diseases/diagnosis , Bronchoscopy , Humans , Lung Diseases/diagnosis , Male , Mediastinoscopy , Middle Aged , Radiography, Thoracic , Tomography, X-Ray Computed , Tracheal Diseases/diagnosis
11.
J Radiol ; 90(12): 1851-5, 2009 Dec.
Article in French | MEDLINE | ID: mdl-20032828

ABSTRACT

Inflammatory myofibroblastic tumors are ubiquitous but most frequently affect the lung. The imaging features are non-specific but the diagnosis may be suggested in the presence of solitary pulmonary nodule or mass in children or young adults. The tumor may appear locally and regionally aggressive suggesting malignancy. Diagnostic confirmation is obtained from histological evaluation of the surgical specimen. Treatment is surgical with oncologic surgical resection.


Subject(s)
Plasma Cell Granuloma, Pulmonary/diagnostic imaging , Tomography, X-Ray Computed , Adult , Aged , Child , Humans , Male , Young Adult
12.
Rev Pneumol Clin ; 65(3): 159-63, 2009 Jun.
Article in French | MEDLINE | ID: mdl-19524805

ABSTRACT

Mediastinal fibrosis or fibrosing mediastinitis is a rare condition characterized by chronic fibrosis occurring in mediastinal structures, in proliferating fibrous scar tissue. The disease may be secondary or idiopathic. The authors report the case of a 46-year-old woman, without a particular past history, who, in December 2006, presented dyspnoea on exertion and a superior vena cava syndrome. Her chest X-ray showed a right laterotracheal opacity. Fiberoptic bronchoscopy revealed concentric tracheobronchial narrowing, severe hyperemia and mucosal edema. The chest computed tomography documented the obstruction of the superior vena cava, the right main bronchus and the right upper lobe bronchus secondary to a mediastinal mass. Mediastinoscopy revealed a hard and dense mass, surrounding the different structures of the mediastinum. Pathologic examination corroborated mediastinal fibrosis. No cause was determined. Prednisone and anticoagulant were prescribed during 2 years with a regression of dyspnoea and the superior vena cava syndrome and an important regression of radiological lesions. In conclusion, prolonged corticosteroids may be efficient in the treatment of idiopathic mediastinal fibrosis.


Subject(s)
Mediastinum/pathology , Anticoagulants/therapeutic use , Dyspnea/drug therapy , Dyspnea/etiology , Female , Fibrosis , Glucocorticoids/therapeutic use , Humans , Mediastinoscopy , Middle Aged , Prednisone/therapeutic use , Superior Vena Cava Syndrome/diagnosis , Superior Vena Cava Syndrome/drug therapy
13.
Animal ; 13(8): 1676-1689, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30854998

ABSTRACT

Hyperketonemia (HYK) is one of the most frequent and costly metabolic disorders in high-producing dairy cows and its diagnosis is based on ß-hydroxybutyrate (BHB) concentration in blood. In the last 10 years, the number of papers that have dealt with the impact of elevated BHB levels in dairy cattle has increased. Therefore, this paper reviewed the recent literature on BHB concentration in blood and milk, and its relationships with dairy cow health and performance, and farm profitability. Most studies applied the threshold of 1.2 mmol/l of BHB concentration in blood to indicate HYK; several authors considered BHB concentrations between 1.2 and 2.9 mmol/l as subclinical ketosis, and values ⩾3.0 mmol/l as clinical ketosis. Results on HYK frequency (prevalence and incidence) and cow performance varied according to parity and days in milk, being greater in multiparous than in primiparous cows, and in the first 2 weeks of lactation than in later stages. Hyperketonemia has been associated with greater milk fat content, fat-to-protein ratio and energy-corrected milk, and lower protein and urea nitrogen in milk. The relationships with milk yield and somatic cell count are still controversial. In general, HYK impairs health of dairy cows by increasing the risk of the onset of other early lactation diseases, and it negatively affects reproductive performance. The economic cost of HYK is mainly due to impaired reproductive performance and milk loss. From a genetic point of view, results from the literature suggested the feasibility of selecting cows with low susceptibility to HYK. The present review highlights that milk is the most promising matrix to identify HYK, because it is easy to sample and allows a complete screening of the herd through BHB concentration predicted using mid-IR spectroscopy during routine milk recording. Further research is needed to validate accurate and convenient methods to discriminate between cows in risk of HYK and healthy animals in field conditions and to support farmers to achieve an early detection and minimise the economic losses.


Subject(s)
3-Hydroxybutyric Acid/blood , 3-Hydroxybutyric Acid/chemistry , Cattle Diseases/blood , Ketosis/veterinary , Milk/chemistry , Animals , Cattle , Cattle Diseases/diagnosis , Cattle Diseases/metabolism , Female , Ketosis/blood , Milk/metabolism , Pregnancy
14.
J Dairy Sci ; 91(2): 814-7, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18218769

ABSTRACT

The polymorphism of major histocompatibility complex (MHC) class I genes has been often involved in the resistance/susceptibility to a variety of infectious and parasitic diseases. In this work, the complete sequence of the coding region of a major histocompatibility complex (MHC) class I gene in goats (Cahi-N*01701, GenBank accession no. EF569216) is reported. The length of the corresponding open reading frame was 1,077 bp encoding a mature protein of 337 amino acids. Sequencing of additional clones allowed us to identify a second locus (Cahi-NC4*50301, GenBank accession no. EF569217) that, after performing a Bayesian phylogenetic analysis, happened to cluster with a bovine non-classical MHC class I gene. Nonclassical MHC class I molecules display low levels of polymorphism and fulfill an important immunoregulatory role in the placenta to inhibit maternal rejection. This initial description of the gene content of the goat MHC class I region will contribute to the characterization, in this ruminant species, of one of the most important genetic factors in the elicitation of innate and adaptive immune responses against pathogens.


Subject(s)
Goats/genetics , Histocompatibility Antigens Class I/genetics , Animals , Base Sequence , Bayes Theorem , Female , Goats/immunology , Histocompatibility Antigens Class I/immunology , Molecular Sequence Data , Phylogeny , Polymorphism, Genetic , RNA/chemistry , RNA/genetics , Reverse Transcriptase Polymerase Chain Reaction/veterinary , Sequence Analysis, DNA
15.
J Radiol ; 88(1 Pt 1): 59-64, 2007 Jan.
Article in French | MEDLINE | ID: mdl-17299368

ABSTRACT

PURPOSE: To describe the CT findings of ruptured pulmonary hydatid cyst (HC) and to establish a progressive CT staging. PATIENTS AND METHODS: CT scans of 41 patients with pulmonary hydatid cyst complicated by rupture in the bronchi were retrospectively reviewed. We also reviewed the findings in the literature on the rupture of pulmonary hydatid cysts and the Lewall and McCorkell classification and proposed a more detailed staging related to the progression of HC. The Lewall and McCorkell communicating rupture is manifested by a tear of the endocyst with a discharge of the cyst's contents via the bronchioles that were incorporated in the pericyst: -Stage I: signet ring sign; -State II: crescent sign and inverse crescent sign; -Stage III: air bubble sign and honeycomb; Stage IV: air-water level, double arch sin, water lily sign, serpiginous aspect, regular air-water level; -Stage V: dry cyst sign, ball of wool aspect, small bell image, pseudotumoral aspect; -Stage VI: sequela image, residual cavity, and cicatricial image. RESULTS: Seventy-three complicated pulmonary hydatid cysts were included in the analysis and were distributed as follows: stage I (16%), stage II (12.7%), stage III (42.8%), stage IV, double arch sign (2.7%), water lily sign (10%), serpiginous aspect (8.2%), regular air-water level (5.4%), stage V, ball of wool aspect (6.8%), small bell image (15%), pseudotumoral aspect (4%), stage VI, residual cavity (4%) and cicatricial image (2.7%). CONCLUSION: Our staging offers more details than the Lewall and McCorkell general classification. Moreover, this staging takes into consideration both the natural evolution of the HC and the particularities of the pulmonary location.


Subject(s)
Bronchial Diseases/diagnostic imaging , Bronchial Diseases/etiology , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnostic imaging , Tomography, X-Ray Computed , Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle Aged , Retrospective Studies , Rupture, Spontaneous
16.
J Radiol ; 87(4 Pt 1): 363-6, 2006 Apr.
Article in French | MEDLINE | ID: mdl-16691163

ABSTRACT

Pulmonary tuberculosis may at times simulate lung carcinoma on bronchoscopic examination or imaging studies. Diagnosis can be delayed and lead to surgical resection. Based on a review of 25 cases, the different CT features are reviewed.


Subject(s)
Tomography, X-Ray Computed , Tuberculosis, Pulmonary/diagnostic imaging , Adult , Bronchi , Humans , Middle Aged , Retrospective Studies
17.
J Radiol ; 87(3): 285-9, 2006 Mar.
Article in French | MEDLINE | ID: mdl-16550112

ABSTRACT

Thoracic involvement of Behcet's disease is unusual but serious. It is related to the well known vascular tropism of the disease. It may involve the superior vena cava, pulmonary arteries, aorta and subclavian vessels. Imaging is useful for diagnosis and assess the degree of thoracic involvement. CT scan and MRI are obviously more accurate than angiography. The spectrum of thoracic manifestations of the disease is presented based on a review of 22 cases.


Subject(s)
Aneurysm/etiology , Arterial Occlusive Diseases/etiology , Behcet Syndrome/complications , Pulmonary Artery , Superior Vena Cava Syndrome/etiology , Aneurysm/diagnostic imaging , Arterial Occlusive Diseases/diagnostic imaging , Humans , Radiography , Retrospective Studies , Superior Vena Cava Syndrome/diagnostic imaging
18.
J Radiol ; 87(12 Pt 1): 1869-74, 2006 Dec.
Article in French | MEDLINE | ID: mdl-17213771

ABSTRACT

PURPOSE: The objective of this study was to describe the different radiological features of the hydatid cyst of the mediastinum. MATERIALS AND METHODS: We conducted a retrospective study on 14 patients (seven women, seven men), diagnosed with mediastinal hydatid cyst, aged 13-67 years (mean, 48 years) over a period of 16 years in our hospital where 71 cases of hydatid disease are annually diagnosed. The patients were explored by chest radiography (n=14), chest ultrasonography (n=10), abdomen ultrasonography (n=14), computed tomography (CT scan) (n=13), and magnetic resonance imaging (MRI) (n=8). RESULTS: The chest x-ray showed an opacity of the anterior (n=11), middle (n=1), and posterior (n=1) mediastinum. The thoracic ultrasound confirmed the liquid nature of the mass with a multivesicular aspect (n=9). CT and thoracic MRI made it possible to precisely locate the mediastinal compartment involved and study the relationship to adjacent structures. A purely mediastinal location was found in only six cases. In the remaining cases, it was associated with hepatic (n=7) and pleural (n=1) locations. CONCLUSION: Hydatid cysts of the mediastinum are very uncommon. Diagnosis can be made by chest sonography. CT scan is the main tool for diagnosis and the study of possible extension. Our study showed a more frequent location to the anterior mediastinum.


Subject(s)
Echinococcosis/diagnosis , Mediastinal Cyst/diagnosis , Mediastinal Cyst/parasitology , Adolescent , Adult , Aged , Echinococcosis/diagnostic imaging , Female , Humans , Magnetic Resonance Imaging , Male , Mediastinal Cyst/diagnostic imaging , Middle Aged , Retrospective Studies , Tomography, X-Ray Computed , Ultrasonography
19.
Rev Pneumol Clin ; 62(1): 27-9, 2006 Feb.
Article in French | MEDLINE | ID: mdl-16604037

ABSTRACT

Hemothorax is an exceptional, serious and misleading manifestation of extralobular sequestration. We report the case of a 15-year-old patient who consulted for chest pain and sudden onset dyspnea. The chest x-ray revealed fluid pleural effusion. Pleural puncture produced a bloody fluid and the angioscan showed a hyperdense formation without a systemic artery. Thoracotomy was performed. A left intrapleural pyramidal formation vascularized with a pedicle from the thoracic aorta was identified and sequestrectomy performed. At two years, the patient has remained symptom free. Extralobular sequestration is an exceptional cause of hemothorax. The absence of an aberrant systemic vessel on the angioscan should not rule out the diagnosis of sequestration. Precautions must be taken at surgery to avoid vessel damage.


Subject(s)
Bronchopulmonary Sequestration/diagnosis , Hemothorax/etiology , Adolescent , Bronchopulmonary Sequestration/surgery , Humans , Male
20.
Rev Pneumol Clin ; 62(6 Pt 1): 380-5, 2006 Dec.
Article in French | MEDLINE | ID: mdl-17242643

ABSTRACT

PURPOSE: Report radiographic aspects and assess the contribution of computed tomography for the diagnosis and search for extension of bronchial carcinoid tumors. MATERIAL AND METHODS: This retrospective study included 20 patients with a bronchial carcinoid tumor. The thoracic exploration included standard chest x-ray, bronchial fibroscopy, computed tomography (CT), and magnetic resonance imaging (MRI) in two patients as well as abdominal ultrasonography to search for extension, performed in all patients. RESULTS: This series included eleven females and nine males, mean age 40 years (age range 21-71 years). Signs on the plain chest x-ray were non-specific: atelectasis (75%), isolated parenchymatous opacity (15%); CT revealed a proximal mass in 85% which was obstructive leading to ventilatory disorders in 80%. CT revealed secondary ventilatory disorders with no individualized mass in one patients (5%), an isolated parenchymatous mass in two (10%) and a endobronchial budding at the origin of the right bronchus with no noted ventilatory disorder in one patient (5%) Tumor calcifications were detected in 30% of patients. Histological there were 17 typical carcinoid tumors and three atypical tumors which were different by their size, locoregional and distant metastatic spread. CONCLUSION: CT is indispensable for positive diagnosis, and topographic localization of extension of bronchial carcinoid tumors. The main contribution of CT compared with fibroscopy is to demonstrate exobronchial tumor development and upstream pulmonary complications.


Subject(s)
Bronchial Neoplasms/diagnosis , Bronchoscopy/methods , Carcinoid Tumor/diagnosis , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Adult , Aged , Biopsy , Bronchi/pathology , Bronchial Neoplasms/diagnostic imaging , Bronchial Neoplasms/pathology , Carcinoid Tumor/diagnostic imaging , Carcinoid Tumor/pathology , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Retrospective Studies , Sensitivity and Specificity
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