Asunto(s)
Actinomicosis/diagnóstico , Cuello del Útero/patología , Trompas Uterinas/patología , Actinomyces/aislamiento & purificación , Actinomicosis/tratamiento farmacológico , Actinomicosis/patología , Adulto , Ampicilina/administración & dosificación , Antibacterianos/administración & dosificación , Cuello del Útero/diagnóstico por imagen , Diagnóstico Diferencial , Doxiciclina/administración & dosificación , Trompas Uterinas/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Neoplasias Ováricas/diagnóstico , Sulbactam/administración & dosificación , Tomografía Computarizada por Rayos X , Neoplasias del Cuello Uterino/diagnósticoRESUMEN
Lactating adenomas are benign breast tumors, of which etiology, pathogenesis, and management are not yet fully evident in the literature. The primary goal of the radiological evaluation is to make the differential diagnosis with malignant conditions. We present a case of a 34-year-old pregnant woman referred to our service with a progressively increasing mass in the right breast, in whom the histopathology was consistent with a lactating adenoma.
Asunto(s)
Adenoma , Neoplasias de la Mama , Adenoma/diagnóstico por imagen , Adulto , Mama/diagnóstico por imagen , Neoplasias de la Mama/diagnóstico por imagen , Femenino , Humanos , Lactancia , Embarazo , RadiografíaRESUMEN
Pelvic exenteration (PE) is one of the most challenging gynecologic oncologic surgeries and is an overriding term for different procedures that entail radical en bloc resection of the female reproductive organs and removal of additional adjacent affected pelvic organs (bladder, rectum, anus, etc.) with concomitant surgical reconstruction to restore bodily functions. Multimodality cross-sectional imaging with MRI, PET/CT, and CT plays an integral part in treatment decision-making, not only for the appropriate patient selection but also for surveillance after surgery. The purpose of this review is to provide a brief background on pelvic exenteration in gynecologic cancers and to familiarize the reader with the critical radiological aspects in the evaluation of patients for this complex procedure. The focus of this review will be on how imaging can aid in treatment planning and guide management.
Asunto(s)
Neoplasias de los Genitales Femeninos/diagnóstico por imagen , Neoplasias de los Genitales Femeninos/cirugía , Imagen por Resonancia Magnética/métodos , Imagen Multimodal/métodos , Tomografía Computarizada por Rayos X/métodos , Femenino , Genitales Femeninos/diagnóstico por imagen , Genitales Femeninos/cirugía , Humanos , Exenteración Pélvica/métodos , Tomografía Computarizada por Tomografía de Emisión de Positrones/métodosRESUMEN
Involvement of the uterus by myeloma is an extremely rare manifestation of extramedullary multiple myeloma (MM), denoting a poor prognosis. Extramedullary MM occurs in 7% to 18% of newly diagnosed patients with MM, and 6% to 20% of patients can develop it later. We present a case of extramedullary MM of the uterus suspected on F-FDG PET/CT as a site of disease recurrence in a 47-year-old woman previously in remission. Further evaluation with pelvic MRI identified an infiltrative process involving the uterus, and subsequent tissue sampling confirmed malignant plasma cell infiltration of the uterus. This case highlights a rare site of myeloma recurrence, which can be detected by F-FDG PET/CT.