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1.
Skeletal Radiol ; 52(1): 119-127, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35780259

RESUMO

Pseudomyogenic hemangioendothelioma (PMH) is a rare vascular tumor that occurs in young mostly male patients. Seventy percent of PMH cases are multifocal and 25% involve bones. PMH is an indolent tumor with mild local aggressiveness and an unclear pathology. Only two cases of spontaneous regressive bone PMH have been reported. Here, we report the case of a 17-year-old boy with a multifocal bone PMH diagnosed from a chronic pain in his left knee. The PMH affected the right scapula, both humeri, the right olecranon, the second metacarpal bone, the second and fourth right ribs, the thoracic and lumbar spine, the pelvic ring, the left and right femoral neck, and the left patella. Every lesion presented with a lobulated, lytic pattern, sometimes with a peripheral sclerotic rim. MRI showed a tissue lesion with a low intensity on T1-weighted sequences and high intensity on T2-weighted sequences. Enhancement of T1 gadolinium fat-saturated sequences was bright. After discussion, a national specialized board decided to actively monitor the patient and start general chemotherapy in the case of progression. The disease was stable at 3 and 6 months and showed signs of regression at 1 year, which was further confirmed at 2 years. CT scan and MRI highlighted a progressive filling of the tumor with cancellous bone and a regression of the tissue contingent. This case report highlights to a new therapeutic approach for indolent PMH that does not prevent further treatment in the case of progression.


Assuntos
Hemangioendotelioma , Hemangioma , Neoplasias Vasculares , Humanos , Masculino , Adolescente , Feminino , Hemangioendotelioma/diagnóstico por imagem , Hemangioendotelioma/patologia , Patela/patologia , Imageamento por Ressonância Magnética
2.
Otolaryngol Clin North Am ; 55(6): 1215-1231, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36371136

RESUMO

Vascular anomalies of the head and neck is an evolving field, with more recent focus on identifying and understanding the underlying genetic and molecular causes for these lesions. Medical therapies for some of these vascular anomalies have been developed. Many complex vascular anomalies require multimodality therapy, and other lesions could be treated with any of a variety of the available therapies. High-quality outcomes research and establishing clinical practice guidelines to help guide management are essential.


Assuntos
Malformações Arteriovenosas , Hemangioma , Doenças Vasculares , Malformações Vasculares , Humanos , Hemangioma/patologia , Malformações Arteriovenosas/terapia , Malformações Vasculares/diagnóstico , Malformações Vasculares/genética , Malformações Vasculares/terapia , Cabeça/patologia , Pescoço/patologia
3.
BMC Cardiovasc Disord ; 22(1): 482, 2022 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-36371149

RESUMO

BACKGROUND: Cardiac epicardium hemangiomas are exceedingly rare; however, they can cause significant hemodynamic impairment and large pericardial effusions. On rare occasion, cardiac tumors coexist with malformations of the heart. CASE PRESENTATION: We present the case of a 10-month-old female infant with a rare cardiac surface hemangioma coexisting with malformations of the heart. It revealed an atrial septal defect (ASD) coexisting with an abnormal occupying lesion with high echogenicity. It was 35*12*9 mm in size and was found in the anterior atrioventricular junction to the posterior atrioventricular junction at the bottom of the ventricular septum by transthoracic echocardiography. We performed surgical treatment of the atrial septal defect and performed biopsy with the occupying lesion. The histopathological examination reported a benign tumor as hemangioma. As far as we know, this is the first case in which cardiac surface hemangioma was found to coexist with an atrial septal defect. CONCLUSIONS: Cardiac epicardium hemangiomas is a rare solid tumor of the heart. If the mass is impossible to resect and does not cause hemodynamic impairment, only mass biopsy is possible.


Assuntos
Neoplasias Cardíacas , Comunicação Interatrial , Hemangioma , Lactente , Humanos , Feminino , Comunicação Interatrial/complicações , Comunicação Interatrial/diagnóstico por imagem , Neoplasias Cardíacas/complicações , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Ecocardiografia , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Pericárdio/patologia
4.
Radiología (Madr., Ed. impr.) ; 64(6): 552-565, Nov-Dic. 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-211652

RESUMO

La presencia de una tumoración palpable en un niño es un motivo de consulta frecuente en Radiología. El diagnóstico diferencial es extenso y considerablemente diferente al del adulto. Algunas de las etiologías son poco conocidas fuera del ámbito pediátrico. La prueba de imagen más utilizada es la ecografía, porque además de inocua y coste-efectiva, es concluyente en la mayoría de los casos. La mayor parte de las lesiones son de naturaleza benigna. Se estima que solo el 1% terminan en un diagnóstico de neoplasia maligna. Conocerlas permite hacer un diagnóstico correcto, sin tener que recurrir a pruebas innecesarias y a veces invasivas, así como evitar retrasos en el proceso asistencial cuando nos encontremos ante una enfermedad de mayor gravedad. El objetivo de este artículo es repasar las características clínico-radiológicas de las tumoraciones palpables más frecuentes en el paciente pediátrico, explicando los datos clave que permitan hacer un diagnóstico preciso.(AU)


Palpable tumors in children are a common reason for consulting a radiologist. The differential diagnosis is extensive and considerably different from that used in adults. Some of the etiologies of palpable tumors are little known outside of pediatrics. The most commonly used imaging test is ultrasonography, because in addition to being harmless and cost-effective, it is conclusive in most cases. Most palpable lesions in children are benign; it is estimated that only 1% are malignant. Knowing these lesions enables the correct diagnosis without the need to resort to unnecessary, sometimes invasive tests, thus avoiding delays in treatment when more severe disease is present. This article aims to review the clinical and radiological characteristics of the palpable lesions that are most common in pediatric patients, explaining the key features that enable accurate diagnosis.(AU)


Assuntos
Humanos , Lactente , Criança , Diagnóstico Diferencial , Linfonodos , Linfadenite , Linfoma , Granuloma Anular , Cisto Epidérmico , Cisto Dermoide , Hemangioma , Cistos Glanglionares , Radiologia , Diagnóstico por Imagem
5.
Neurol India ; 70(Supplement): S331-S335, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36412392

RESUMO

The article describes a clinical case of surgical treatment of a patient with aggressive C2 vertebral hemangioma by vertebroplasty with a transoral approach.


Assuntos
Hemangioma , Neoplasias da Coluna Vertebral , Vertebroplastia , Humanos , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Neoplasias da Coluna Vertebral/cirurgia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Coluna Vertebral
7.
Cutis ; 110(2): E32-E34, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36219649

RESUMO

Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare nodular mass that has not commonly been reported in the literature in association with coccidioidomycosis (CM). Coccidioidomycosis has other known skin manifestations including erythema nodosum and interstitial granulomatous dermatitis. Pulmonary CM is the most common form of the disease and the most common cause of CM-associated rash. This is an important clinical consideration for patients with ALHE who reside in CM-endemic areas, which notably include the southwestern region of the United States, Mexico, and South America. We report the case of an ALHE lesion that resolved following treatment for CM.


Assuntos
Hiperplasia Angiolinfoide com Eosinofilia , Coccidioidomicose , Hemangioma , Hiperplasia Angiolinfoide com Eosinofilia/complicações , Hiperplasia Angiolinfoide com Eosinofilia/diagnóstico , Hiperplasia Angiolinfoide com Eosinofilia/patologia , Coccidioidomicose/complicações , Coccidioidomicose/diagnóstico , Hemangioma/complicações , Humanos , México
8.
Radiographics ; 42(6): 1598-1620, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36190850

RESUMO

Vascular anomalies encompass a spectrum of tumors and malformations that can cause significant morbidity and mortality in children and adults. Use of the International Society for the Study of Vascular Anomalies (ISSVA) classification system is strongly recommended for consistency. Vascular anomalies can occur in isolation or in association with clinical syndromes that involve complex multifocal lesions affecting different organ systems. Thus, it is critical to be familiar with the differences and similarities among vascular anomalies to guide selection of the appropriate imaging studies and possible interventions. Syndromes associated with simple vascular malformations include hereditary hemorrhagic telangiectasia, blue rubber bleb nevus syndrome, Gorham-Stout disease, and primary lymphedema. Syndromes categorized as vascular malformations associated with other anomalies include Klippel-Trenaunay-Weber syndrome, Parkes Weber syndrome, Servelle-Martorell syndrome, Maffucci syndrome, macrocephaly-capillary malformation, CLOVES (congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and scoliosis, skeletal, and spinal anomalies) syndrome, Proteus syndrome, Bannayan-Riley-Ruvalcaba syndrome, and CLAPO (capillary malformations of the lower lip, lymphatic malformations of the face and neck, asymmetry of the face and limbs, and partial or generalized overgrowth) syndrome. With PHACES (posterior fossa malformations, hemangiomas, arterial anomalies, cardiac defects and/or coarctation of the aorta, eye abnormalities, and sternal clefting or supraumbilical raphe) syndrome, infantile hemangiomas associated with other lesions occur. Diagnostic and interventional radiologists have important roles in diagnosing these conditions and administering image-guided therapies-embolization and sclerotherapy, and different ablation procedures in particular. The key imaging features of vascular anomaly syndromes based on the 2018 ISSVA classification system and the role of interventional radiology in the management of these syndromes are reviewed. Online supplemental material is available for this article. ©RSNA, 2022.


Assuntos
Hemangioma , Síndrome de Klippel-Trenaunay-Weber , Anormalidades Musculoesqueléticas , Malformações Vasculares , Adulto , Criança , Humanos , Síndrome de Klippel-Trenaunay-Weber/diagnóstico por imagem , Síndrome de Klippel-Trenaunay-Weber/terapia , Radiologia Intervencionista , Malformações Vasculares/diagnóstico por imagem , Malformações Vasculares/terapia
9.
Comput Math Methods Med ; 2022: 2771869, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36203535

RESUMO

Background: Hepatocellular carcinoma is one of the malignant tumors with the highest incidence in the world. According to the latest statistics of the National Cancer Center, the incidence of liver cancer ranks fifth in malignant tumors and its mortality rate ranks second in China, which seriously threatens people' s life and health. Aim: To investigate the value of CT perfusion parameters and apparent diffusion coefficient (ADC) of magnetic resonance imaging (MRI) diffusion weighted imaging (DWI) in the diagnosis of hepatocellular carcinoma. Methods: 43 patients with hepatocellular carcinoma and 40 patients with hepatic hemangioma treated in our hospital from August 2018 to August 2021 were selected for CT perfusion imaging and MRI examination. Results: The liver blood flow (BF), liver blood volume (BV), and hepatic artery perfusion (HAP) in the hepatocellular carcinoma group were (267.38 ± 35.59) ml/(min·100 g), (30.20 ± 8.82) ml/100 g, and (0.64 ± 0.10) ml/(min·ml), respectively, which were significantly higher than those in the hepatic hemangioma group (p < 0.05). The ADC value of hepatocellular carcinoma DWI sequence was (1.20 ± 0.17) ×10-3 mm2, which was significantly lower than that of hepatic hemangioma (p < 0.05). The area under ROC curve of BF, BV, HAP, and ADC values for hepatocellular carcinoma was 0.860, 0.754, 0.804, and 0.890, respectively. The area under ROC curve of the four groups was compared (p > 0.05). Conclusion: CT perfusion parameters BF, BV, HAP, and DWI sequence ADC values have certain application value in the diagnosis of hepatocellular carcinoma, and there is no significant difference between the diagnostic value of each parameter.


Assuntos
Carcinoma Hepatocelular , Hemangioma , Neoplasias Hepáticas , Carcinoma Hepatocelular/diagnóstico por imagem , Diagnóstico Diferencial , Imagem de Difusão por Ressonância Magnética/métodos , Hemangioma/diagnóstico por imagem , Hemangioma/patologia , Humanos , Neoplasias Hepáticas/patologia , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Perfusão , Curva ROC , Tomografia Computadorizada por Raios X
11.
Pan Afr Med J ; 42: 156, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36187039

RESUMO

Uterine inversion is a rare postpartum complication. It is a rare condition in which the internal surface of the uterus protrudes through the vagina. Non-puerperal uterine inversion (NPUI) is extremely rare. In most instances, it is linked to uterine tumors. Among these tumors, leiomyoma is the most frequent cause reported in data. This condition may not be noticed until time of surgery. Malignancy is suspected in most cases. Nevertheless, uterine inversion can be diagnosed preoperatively using radiology. Difficulties in diagnosing NPUI makes this clinical case a challenge in gynaecology and not commonly reported in literature. We report our experience in the diagnosis and treatment of a complete non-puerperal uterine inversion associated with uterine angioleiomyoma. The patient's age was 44, gravida 2 para 1 presented with intermittent vaginal bleeding for four months and an acute abdominal cramping pain. On examination, a large mass lesion was observed which occupies the vaginal cavity and the contour of the uterine cervix could not be reached. Biopsies and Immunohistochemistry matched with an angioleiomyoma. She underwent a transvaginal surgical reposition technique: Spinelli's. It is important to diagnose accurate non-puerperal uterine inversion. Surgery provides good prognosis and it is necessary. We report a case of NPUI caused by angioleiomyoma. Nevertheless, malignancy must be eliminated in first place.


Assuntos
Abdome Agudo , Angiomioma , Hemangioma , Complicações do Trabalho de Parto , Inversão Uterina , Neoplasias Uterinas , Pré-Escolar , Feminino , Humanos , Gravidez , Inversão Uterina/diagnóstico , Inversão Uterina/etiologia , Inversão Uterina/cirurgia , Neoplasias Uterinas/complicações , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/cirurgia , Útero/cirurgia , Vagina
12.
Medicine (Baltimore) ; 101(39): e30791, 2022 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-36181115

RESUMO

Several circRNA have been reported to serve critical roles in various biological processes of human body. The present study aimed to build a circRNA-based competing endogenous RNA (ceRNA) network and explore the regulatory mechanisms of circRNA in infantile hemangiomas (IH). Differentially expressed circRNA, miRNA, and mRNA were downloaded from the gene expression synthesis (GEO) microarray database (GSE98795, GSE69136, and GSE127487). Cancer-specific circRNA database (CSCD), miRDB and Targetscan were employed to predict the targets of RNA. A total of 855 DEcircRNAs, 69 differentially expressed miRNAs (DEmiRNAs), and 3233 differentially expressed mRNAs (DEmRNAs) appeared as genes that were aberrantly expressed in IH. The circRNA-miRNA-mRNA network was constructed based on 108 circRNAs, 7 miRNAs, 274 mRNAs in IH. Gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) pathway analysis indicated hypoxia-inducible factors (HIF)-1 signaling pathway and Notch signaling pathway were significantly enriched in IH with being constructed a ceRNA regulatory network. Furthermore, protein-protein interaction (PPI) network and Cytoscape showed the top 10 hub genes that regulate angiogenesis, namely FBXW7, CBLB, HECW2, FBXO32, FBXL7, KLHL5, EP300, MAPK1, MEF2C, and PLCG1. Our findings provide a deeper understanding the circRNA-related ceRNA regulatory mechanism in IH. This study further perfected the circRNA-miRNA-mRNA regulatory network related to IH and explored the potential function of mRNA in this network. It provides more understanding for the circRNA-related ceRNA regulation mechanism in the pathogenesis of IH.


Assuntos
Hemangioma , MicroRNAs , Biologia Computacional , Proteína 7 com Repetições F-Box-WD/genética , Perfilação da Expressão Gênica , Redes Reguladoras de Genes , Hemangioma/genética , Humanos , MicroRNAs/genética , RNA Circular/genética , RNA Mensageiro/genética , Ubiquitina-Proteína Ligases/genética
13.
Dermatol Clin ; 40(4): 379-382, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243425

RESUMO

Various clinical disciplines defend the modality of therapy available to them (eg, medical vs surgery) when, in fact, multi-modality therapy is usually in the best interest of the patient. The aim of any modality of treatment is to obtain the best possible result for a given patient. To successfully achieve that aim for infantile hemangiomas (IH) and all vascular anomalies, defining what is meant by the best possible result and by when to achieve that, the result needs to be defined. Perhaps more important is to make a determination of what is an acceptable result. The impact of a 1-cm IH of the nasal tip is different from that of the same exact lesion on the thigh. The functional import of a 5-mm IH involving the lower eyelid is potentially very different from the same lesion involving the upper eyelid. These examples highlight that variables, such as size and location, are important. What is considered acceptable as a result of treatment of the nasal tip and upper eyelid IH is different from that for the corresponding thigh and lower lid lesions.


Assuntos
Hemangioma Capilar , Hemangioma , Hemangioma/terapia , Humanos , Lactente
14.
Dermatol Clin ; 40(4): 383-392, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243426

RESUMO

Infantile hemangiomas (IHs) are the most common benign vascular tumors of childhood. They develop during the first few weeks of life and naturally progress by proliferating over several months before they involute and resolve; this renders them inconsequential in many cases, but sometimes IHs can have detrimental consequences on function and disfigurement. Hence, systemic propranolol has become a crucial element in IH management, alongside various other medical, procedural, and surgical options that aim to promote their quicker resolution and prevent and alleviate complications.


Assuntos
Hemangioma Capilar , Hemangioma , Neoplasias Cutâneas , Hemangioma/terapia , Hemangioma Capilar/terapia , Humanos , Lactente , Propranolol/uso terapêutico , Neoplasias Cutâneas/terapia , Resultado do Tratamento
15.
Dermatol Clin ; 40(4): 393-400, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243427

RESUMO

This article explores what is known regarding infantile hemangioma (IH) genetics. Despite a great deal of research on this topic, the relationship between IH genetics and pathogenesis has yet to be understood. This article also outlines the appropriate work-up and management of syndromes associated with specific presentations of IH.


Assuntos
Hemangioma Capilar , Hemangioma , Síndromes Neurocutâneas , Hemangioma/genética , Humanos , Lactente , Síndromes Neurocutâneas/genética , Síndromes Neurocutâneas/patologia
16.
Dermatol Clin ; 40(4): 401-423, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243428

RESUMO

Vascular tumors are classified into three categories by the International Society for the Study of Vascular Anomalies (ISSVA): benign, locally aggressive/borderline, and malignant. Many of these tumors are rare, cutaneous in nature, and present in childhood. The characterization and delineation of these distinct vascular tumors is an evolving area of clinical research. The diagnosis of these lesions relies on history and clinical presentation, location, histologic appearance, immunohistochemistry, and more recently, associated genetic mutations. This article provides a brief, yet comprehensive overview of all cutaneous vascular tumors currently recognized by the ISSVA, including presentation, diagnosis, and treatment.


Assuntos
Granuloma Piogênico , Hemangioendotelioma , Hemangioma , Malformações Vasculares , Neoplasias Vasculares , Granuloma Piogênico/diagnóstico , Hemangioendotelioma/patologia , Hemangioma/diagnóstico , Hemangioma/terapia , Humanos , Malformações Vasculares/diagnóstico , Malformações Vasculares/terapia , Neoplasias Vasculares/diagnóstico , Neoplasias Vasculares/patologia , Neoplasias Vasculares/terapia
17.
Dermatol Clin ; 40(4): 473-480, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243434

RESUMO

Recommendation for the surgical approach to vascular anomalies is rapidly evolving. From an isolated approach, surgery is best seen nowadays as an adjunctive tool in multidisciplinary management. Several studies focusing on targeted therapy based on genetic findings were published, and their use in clinical practice is on the way.


Assuntos
Hemangioma , Malformações Vasculares , Hemangioma/cirurgia , Humanos , Malformações Vasculares/cirurgia
18.
Dermatol Clin ; 40(4): 481-487, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243435

RESUMO

Lasers are a safe and effective tool for the treatment of vascular anomalies. There are many laser options available. Matching laser parameters with the characteristics of the vasculature in these lesions can selectively deliver energy to the abnormal tissue. This can lead to reduction in size and symptoms of vascular malformations and hemangiomas.


Assuntos
Hemangioma , Malformações Vasculares , Hemangioma/radioterapia , Hemangioma/cirurgia , Humanos , Malformações Vasculares/cirurgia
19.
Int J Mol Sci ; 23(19)2022 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-36232978

RESUMO

Intracranial hemangiomas are rare neoplastic lesions in dogs that usually appear with life-threatening symptoms. The treatment of choice is tumor resection; however, complete resection is rarely achieved. The patient's prognosis therefore usually worsens due to tumor progression, and adjuvant treatments are required to control the disease. Oncolytic viruses are an innovative approach that lyses the tumor cells and induces immune responses. Here, we report the intratumoral inoculation of ICOCAV15 (an oncolytic adenovirus) in a canine intracranial hemangioma, as adjuvant treatment for incomplete tumor resection. The canine patient showed no side effects, and the tumor volume decreased over the 12 months after the treatment, as measured by magnetic resonance imaging using volumetric criteria. When progressive disease was detected at month 18, a new dose of ICOCAV15 was administered. The patient died 31.9 months after the first inoculation of the oncolytic adenovirus. Furthermore, tumor-infiltrated immune cells increased in number after the viral administrations, suggesting tumor microenvironment activation. The increased number of infiltrated immune cells, the long survival time and the absence of side effects suggest that ICOCAV15 could be a safe and effective treatment and should be further explored as a novel therapy for canine hemangiomas.


Assuntos
Hemangioma , Neoplasias , Terapia Viral Oncolítica , Vírus Oncolíticos , Adenoviridae/genética , Animais , Cães , Hemangioma/terapia , Hemangioma/veterinária , Neoplasias/terapia , Terapia Viral Oncolítica/métodos , Vírus Oncolíticos/genética , Microambiente Tumoral
20.
Am J Case Rep ; 23: e938034, 2022 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-36274219

RESUMO

BACKGROUND Patients commonly visit chiropractic clinics for treatment for low back pain, which is often due to injury or degenerative spinal conditions. Rarely, serious underlying pathology may be identified. This report describes a 68-year-old woman with a remote history of breast cancer presenting with low back pain to a chiropractic clinic in Hong Kong with imaging findings consistent with vertebral hemangioma and vertebral metastatic lesions. CASE REPORT A 68-year-old woman with a history of breast cancer status after chemotherapy and mastectomy 20 years prior presented to a chiropractor with an acute exacerbation of chronic low back pain with lower extremity paresthesia. She previously visited her general practitioner and underwent radiography, which supported diagnoses of degenerative lumbar spondylosis and hemangioma of the fifth lumbar vertebra. Given the patient's worsening status and previous cancer, the chiropractor ordered lumbar magnetic resonance imaging at the initial visit, consistent with multilevel spinal metastasis. The chiropractor referred the patient to an oncologist who performed positron emission tomography/computed tomography, which suggested breast cancer recurrence and metastasis. The greatest hypermetabolic activity was evident within the level of the suspected vertebral hemangioma, suggesting this finding which initially appeared innocuous on plain radiography contained underlying metastasis. CONCLUSIONS This case illustrates that when patients fail to respond to treatment for low back pain, clinical referral should be undertaken for investigations to identify possible serious underlying pathology.


Assuntos
Neoplasias da Mama , Quiroprática , Hemangioma , Dor Lombar , Neoplasias da Coluna Vertebral , Feminino , Humanos , Idoso , Dor Lombar/etiologia , Neoplasias da Mama/complicações , Neoplasias da Mama/terapia , Neoplasias da Mama/patologia , Neoplasias da Coluna Vertebral/complicações , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Neoplasias da Coluna Vertebral/terapia , Hong Kong , Recidiva Local de Neoplasia/patologia , Mastectomia , Vértebras Lombares/patologia , Hemangioma/diagnóstico , Hemangioma/diagnóstico por imagem
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