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1.
Clin Nucl Med ; 46(2): 148-150, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33315666

RESUMO

ABSTRACT: Vertebral epithelioid hemangioma is a rare vascular tumor composed of the many vessels lined by distinct epithelioid endothelial cells. We present the case of a patient with renal cell cancer (RCC) and suspicious vertebral metastasis presenting with back pain, who was later found to have epithelioid hemangioma. FDG PET/CT demonstrated uptake of FDG not only in RCC, but also in the sixth thoracic vertebral body. The SUVmax of the vertebra was more than twice as high as RCC. This report indicates importance of quantitative assessment of FDG uptake, as well as combined use of MRI.


Assuntos
Carcinoma de Células Renais/patologia , Células Endoteliais/patologia , Fluordesoxiglucose F18 , Hemangioma/diagnóstico por imagem , Neoplasias Renais/patologia , Tomografia Computadorizada com Tomografia por Emissão de Pósitrons , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica
2.
Clin Nucl Med ; 46(2): 168-170, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33181757

RESUMO

ABSTRACT: A 3-year-old boy with high-risk neuroblastoma underwent 123I-MIBG scan to evaluate the disease status after surgery and chemotherapy. 123I-MIBG SPECT/CT demonstrated liver metastasis. In addition, mildly increased uptake in the inferior left erector spinae was noted. Contrast-enhanced CT suggested intramuscular hemangioma. The 123I-MIBG accumulation in the intramuscular hemangioma persisted during the follow-up scan, whereas the abnormal activity in the liver was resolved.


Assuntos
3-Iodobenzilguanidina , Hemangioma/diagnóstico por imagem , Tomografia Computadorizada com Tomografia Computadorizada de Emissão de Fóton Único , 3-Iodobenzilguanidina/metabolismo , Transporte Biológico , Pré-Escolar , Hemangioma/metabolismo , Humanos , Masculino
3.
Clin Nucl Med ; 46(1): 88-89, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33181737

RESUMO

We report a case of a 56-year-old woman who underwent Tc-DTPA renal scintigraphy for the evaluation of a right pelviureteric junction calculi, which incidentally showed radiotracer uptake in a giant liver hemangioma. The initial scintigraphic images showed a large lobulated lesion with peripheral uptake of radiotracer at the right abdominal region, resembling a large hydronephrotic kidney. However, the pattern of progression of the radiotracer, coupled with the clinical history and available corresponding radiologic images, confirmed the uptake to be that of a giant liver hemangioma.


Assuntos
Hemangioma/diagnóstico por imagem , Hidronefrose/diagnóstico por imagem , Neoplasias Hepáticas/diagnóstico por imagem , Pentetato de Tecnécio Tc 99m , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Cintilografia
4.
BMC Surg ; 20(1): 271, 2020 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-33160352

RESUMO

BACKGROUND: Liver resection (LR) and enucleation (EN) are the main surgical treatment for giant hepatic hemangioma (HH), but how to choose the type of surgery is still controversial. This study aimed to explore the efficacy and the factors affecting the choice of open procedure for HH. METHODS: The data for patients with pathologically confirmed HH who underwent open surgery from April 2014 to August 2020 were analyzed retrospectively. Univariate and multivariate analyses with logistic regression were performed to disclose the factors associated with the choice of EN or LR. Propensity score matching (PSM) analysis was used to compare the efficacy of the two procedures. RESULTS: A total of 163 and 110 patients were enrolled in the EN and LR groups. Following 1:1 matching by PSM analysis, 66 patients were selected from each group. Centrally located lesions (OR: 0.131, 95% CI 0.070-0.244), tumors size > 12.1 cm (OR: 0.226, 95% CI 0.116-0.439) and multiple tumors (OR: 1.860, 95% CI 1.003-3.449) were independent factors affecting the choice of EN. There was no significant difference in the median operation time (156 vs. 195 min, P = 0.156), median blood loss (200 vs. 220 ml, P = 0.423), blood transfusion rate (33.3% vs. 33.3%, P = 1.000), mean postoperative feeding (3.1 vs. 3.3 d, P = 0.460), mean postoperative hospital stay (9.5 vs. 9.0 d, P = 0.206), or the major complication rates between the two groups. CONCLUSIONS: Peripherally located lesions, tumors size ≤ 12.1 cm and multiple tumors were more inclined to receive EN. There was no significant difference in the efficacy of EN or LR.


Assuntos
Hemangioma , Hepatectomia , Laparoscopia , Neoplasias Hepáticas , Adulto , Feminino , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Hepatectomia/métodos , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/cirurgia , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão , Estudos Retrospectivos , Resultado do Tratamento
5.
Orv Hetil ; 161(47): 2006-2010, 2020 11 22.
Artigo em Húngaro | MEDLINE | ID: mdl-33226356

RESUMO

Összefoglaló. A mellékvese-haemangiomák ritkán eloforduló, nehezen diagnosztizálható elváltozások, melyek sebészi eltávolítása gyakran nagy fokú technikai jártasságot igényel. Vizsgálatunkban egy 69 éves nobeteg esetét ismertetjük, akinél fogyás és hypertonia miatt végzett kivizsgálás mellékvesecisztát feltételezett, valamint felvetette adrenocorticalis carcinoma jelenlétét. A preoperatív kivizsgálás során (CT és MRI) a felmerülo malignitás miatt sebészi eltávolítás vált szükségessé. A kezdeti laparoszkópos transperitonealis technikát követoen a bonyolult elhelyezkedés, illetve vérzés miatt kis méretu, paramedián metszésbol konvertáltunk, és bal oldali nyitott adrenalectomiát végeztünk, valamint a vese caudalis részérol egy folyadéktartalmú képletet távolítottunk el. A szövettani feldolgozás a vese középso harmadának magasságából reszekált cisztát, valamint a cranialis lokalizációról eltávolított, ritka elofordulású mellékvese-haemangiomát igazolt. A ritkán eloforduló és többnyire bizonytalan preoperatív diagnózissal bíró mellékvese-haemangiomák sebészi eltávolítása nagy méretük, kompresszióra való hajlamuk, valamint malignitást utánzó megjelenésük miatt is indokolt. A laparoszkópos transperitonealis adrenalectomia extra nagy méretu (>10 cm ) és malignus tumorok, illetve nagy méretu haemangiomák eltávolítására is alkalmas eljárás. A mellékvese-haemangiomák sebészi reszekciója nagyfokú körültekintést igényel, megnövekedett vérzéshajlamuk, valamint a gyakori, nagyerekhez való közeli elhelyezkedés miatt a konverzió veszélye is jelentosen növekszik. Orv Heti. 2020; 161(47): 2006-2010. Summary. Adrenal hemangiomas are rare. Their preoperative diagnosis is usually vague, and often require advanced surgical skills for resection. We herein describe the case of a 69-year-old female patient initially presented with weight loss and hypertension. Preoperative Computed Tomography (CT) and magnetic resonance imaging (MRI) confirmed the presence of an adrenal cyst and possible adrenocortical carcinoma requiring surgical intervention. After initial laparoscopic transperitoneal approach, conversion to open surgery through a small paramedian incision was carried out due to the lesion's problematic location and continuous intraoperative bleeding. Open adrenalectomy along with the removal of a fluid-bearing lesion from the caudal pole of the kidney was performed. Histology confirmed a cyst removed from the mid-third, and a rare occurring adrenal hemangioma from the cranial part of the kidney. Adrenal hemangiomas usually bear uncertain preoperative diagnosis. Surgical removal becomes necessary in case of increasing size, potential to compress neighbouring structures and possible malignancy. Laparoscopic transperitoneal adrenalectomy is a feasible approach for the removal of extra large (>10 cm) and even malignant lesions as well as for large hemangiomas. Surgery of adrenal hemangiomas require a high level of caution, moreover, their potential for bleeding and frequent vicinity to nearby vascular structures may increase the need for open surgery. Orv Hetil. 2020; 161(47): 2006-2010.


Assuntos
Neoplasias das Glândulas Suprarrenais/cirurgia , Carcinoma Adrenocortical/cirurgia , Hemangioma/cirurgia , Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem , Neoplasias das Glândulas Suprarrenais/patologia , Adrenalectomia , Carcinoma Adrenocortical/diagnóstico por imagem , Carcinoma Adrenocortical/patologia , Idoso , Feminino , Hemangioma/diagnóstico por imagem , Hemangioma/patologia , Humanos , Rim , Laparoscopia , Imagem por Ressonância Magnética , Resultado do Tratamento
7.
J Med Vasc ; 45(6): 309-315, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33248533

RESUMO

Intrahepatic lesions in adults, commonly named hepatic hemangioma, should be called Intrahepatic Venous Malformations (IHVM), or Giant Intrahepatic Venous Malformations (GIHVM) when larger than 10 cm according to the ISSVA classification (International society study group for vascular anomalies). Localized coagulation disorders (LIC) in patients with venous malformations are quite commonly associated in venous malformations, they result in decreased fibrinogen (< 2g/l) and elevated d-dimers (> 1500 ng/ml) and might be responsible of intralesional thrombotic, pain or bleeding episodes.We report a case report of a 41 y/o patient that presented with right hypochondrium pain episodes discovering an unknown GIHVM on ultrasound imaging with a prior history of uterine bleeding episodes and multiples miscarriages.On laboratory work up the patient presented an associated localized Intravascular Coagulation (LIC) with the GIHVM. As the patient desire to become pregnant was important our multidisciplinary clinic allowed a pregnancy with close clinical, biological and imaging monitoring and follow up. Early initiation of low molecular weighted heparin (LMWH) successfully allowed an uncomplicated term pregnancy and delivery. Intrahepatic lesion stability was achieved and prevented progression from LIC to diffuse intravascular coagulation disorder (DIC)..


Assuntos
Transtornos da Coagulação Sanguínea/etiologia , Hemangioma/complicações , Neoplasias Hepáticas/complicações , Aborto Habitual/etiologia , Adulto , Anticoagulantes/administração & dosagem , Transtornos da Coagulação Sanguínea/diagnóstico , Transtornos da Coagulação Sanguínea/tratamento farmacológico , Cesárea , Enoxaparina/administração & dosagem , Feminino , Hemangioma/diagnóstico por imagem , Hemangioma/terapia , Humanos , Nascimento Vivo , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/terapia , Gravidez , Resultado do Tratamento , Carga Tumoral
8.
Medicine (Baltimore) ; 99(43): e22821, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33120807

RESUMO

RATIONALE: With the development of endoscopic techniques, endoscopic therapy began to play an important role in the management of esophageal hemangiomas. PATIENTS CONCERNS: A large esophageal submucosal tumor (2.5 cm), which was suspected to be an esophageal hemangioma, was diagnosed in a 50-year-old woman. DIAGNOSIS: Esophageal hemangioma INTERVENTIONS:: Endoscopic submucosal dissection was performed for tumor removal. OUTCOMES: Histopathological results revealed hemangioma. No complication or recurrence was observed in the 17-month follow-up period. LESSONS: Our successful experience showed that endoscopic submucosal dissection is an effective and a safe approach to treat large esophageal hemangiomas (2.5 cm).


Assuntos
Ressecção Endoscópica de Mucosa/métodos , Neoplasias Esofágicas/cirurgia , Hemangioma/cirurgia , Neoplasias Esofágicas/diagnóstico por imagem , Neoplasias Esofágicas/patologia , Feminino , Hemangioma/diagnóstico por imagem , Hemangioma/patologia , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Ultrassonografia
9.
Bull Cancer ; 107(11): 1186-1198, 2020 Nov.
Artigo em Francês | MEDLINE | ID: mdl-33059872

RESUMO

Benign and malign tumors can affect the temporomandibular joint (TMJ) as any other articulation. Nevertheless, TMJ tumors are rare and mostly benign. Their clinical expression is varied including symptomatology similar to TMJ dysfunctional disorders, otologic or neurologic pathologies. In some cases, they remain totally asymptomatic. Hence, diagnosis is difficult since the symptomatology can be misleading with TMJ dysfunctional disorders or otologic disorders wrongly diagnosed. There is thus frequently a long delay between symptoms onset and diagnosis. The great variety of TMJ lesions explains the wide range of possible treatment modalities, mostly based on surgery. We provide here a review of the lesions originating from the TMJ. Tumoral or cystic mandibular lesion affecting the TMJ through local extension will not be discussed. Osteoma, osteoid osteoma, osteoblastoma, chondroma, osteochondroma, chondroblastoma, tenosynovial giant cell tumors, giant cell lesions, non-ossifying fibroma, hemangioma, lipoma or Langerhans cell histiocytosis are all possible diagnosis among the benign tumors found in the TMJ. Pseudotumors include synovial chondromatosis and aneurysmal bone cyst. Finally, malign tumors of the TMJ include mainly sarcomas (osteosarcoma, chondrosarcoma, synovial sarcoma, Ewing sarcoma, and fibrosarcoma), but also multiple myeloma and secondary metastases. We will review the clinical, radiological and histological aspects of each of these lesions. The treatment and the recurrence risk will also be discussed.


Assuntos
Neoplasias Ósseas , Articulação Temporomandibular , Cistos Ósseos Aneurismáticos/etiologia , Cistos Ósseos Aneurismáticos/patologia , Cistos Ósseos Aneurismáticos/terapia , Neoplasias Ósseas/complicações , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Condroblastoma/complicações , Condroblastoma/diagnóstico por imagem , Condroblastoma/cirurgia , Condroma/diagnóstico por imagem , Condroma/patologia , Condroma/cirurgia , Condrossarcoma/patologia , Condrossarcoma/terapia , Diagnóstico Diferencial , Fibrossarcoma/diagnóstico por imagem , Fibrossarcoma/patologia , Fibrossarcoma/terapia , Tumor de Células Gigantes do Osso/diagnóstico por imagem , Tumor de Células Gigantes do Osso/terapia , Tumor de Células Gigantes de Bainha Tendinosa/complicações , Tumor de Células Gigantes de Bainha Tendinosa/diagnóstico por imagem , Tumor de Células Gigantes de Bainha Tendinosa/cirurgia , Hemangioma/diagnóstico por imagem , Hemangioma/terapia , Histiocitose de Células de Langerhans/patologia , Histiocitose de Células de Langerhans/cirurgia , Humanos , Lipoma/diagnóstico por imagem , Lipoma/patologia , Lipoma/cirurgia , Mieloma Múltiplo/patologia , Osteoblastoma/diagnóstico por imagem , Osteoblastoma/patologia , Osteoblastoma/cirurgia , Osteocondroma/diagnóstico por imagem , Osteocondroma/patologia , Osteocondroma/cirurgia , Osteoma/diagnóstico por imagem , Osteoma/patologia , Osteoma Osteoide/complicações , Osteoma Osteoide/diagnóstico por imagem , Osteoma Osteoide/patologia , Osteossarcoma/diagnóstico por imagem , Osteossarcoma/patologia , Osteossarcoma/terapia , Sarcoma de Ewing/diagnóstico por imagem , Sarcoma de Ewing/patologia , Sarcoma Sinovial/diagnóstico por imagem
10.
Clin Nucl Med ; 45(12): 960-961, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33065626

RESUMO

A 62-year-old man with prostate cancer underwent both F-PSMA-1007 and F-fluorocholine PET/CT studies for biochemical recurrence. F-PSMA-1007 PET/CT outperformed F-fluorocholine PET/CT in detecting lymph node metastases in the pelvis and retroperitoneum, whereas the former showed a focus of increased uptake in the spleen not seen on F-fluorocholine. The F-PSMA-1007 -avid lesion corresponded to a splenic hemangioma, which was initially detected in an MRI scan 10 years ago, unchanged in size. This case shows different features of F-PSMA-1007 and F-fluorocholine uptake, in an incidentally detected splenic hemangioma, alerting PET/CT reports for possible pitfall.


Assuntos
Colina/análogos & derivados , Hemangioma/diagnóstico por imagem , Niacinamida/análogos & derivados , Oligopeptídeos , Tomografia Computadorizada com Tomografia por Emissão de Pósitrons , Neoplasias Esplênicas/diagnóstico por imagem , Reações Falso-Positivas , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade
11.
Medicine (Baltimore) ; 99(33): e21741, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32872061

RESUMO

RATIONALE: Hemangiomas are usually found in cutaneous or mucosal layers, less than 1% of hemangiomas develop in skeletal muscles. Intramuscular hemangioma (IH) in the head and neck areas is relatively infrequent, accounting for 15% of IH. Most of them are identified as a benign mass, and rapid changes in size or internal bleeding are rare. PATIENT CONCERNS: A 60-year-old female patient presented with a 2-week history of sudden onset posterior neck pain. There was no neurological deficit except limited neck motion due to pain. The palpable mass was noted on the paraspinal muscles of cervicothoracic junction, which was located midline to left side portion with tenderness. DIAGNOSES: Magnetic resonance imaging demonstrated a round shaped, multi-lobulated, and well-defined mass lesion (4.1 × 2.6 × 0.9 cm) embedded from the inter-spinous space of T1-2 to the left paraspinal muscles. The lesion was iso-intense on T2-weighted images (WI), iso- to slightly low-intense on T1-WI, heterogeneous enhancement of intra- and peri-mass lesion on contrast-enhanced T1-WI. Vascular structures presented as signal voids were identified internally and around the mass lesion. Histological examination revealed a mixed-type hemangioma. INTERVENTIONS: The mass was removed completely including some of the surrounding muscles where boundaries were unclear between the mass and surrounding muscles with ligation of peritumoral vessels. Dark-brown colored blood was drained from the ruptured tumor capsule during the dissection. There was no bony invasion. OUTCOMES: The preoperative symptoms improved immediately after the operation. There is no residual or recurrence lesion by the 15-months follow-up. LESSONS: IH with hemorrhagic transformation in the head and neck is extremely rare. In the case of intramuscular tumors accompanied by a sudden onset of severe acute pain, we recommend considering a differential diagnosis of IH with hemorrhagic transformation. Complete resection of the tumor mass including surrounding muscles is required to prevent recurrence.


Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Hemangioma/patologia , Músculos Paraespinais/patologia , Feminino , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/diagnóstico por imagem , Neoplasias de Cabeça e Pescoço/cirurgia , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Hemorragia/etiologia , Humanos , Imagem por Ressonância Magnética , Pessoa de Meia-Idade , Músculos Paraespinais/diagnóstico por imagem , Músculos Paraespinais/cirurgia
12.
Pan Afr Med J ; 36: 214, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32963680

RESUMO

Chorioangioma is the most common type of placental tumor. A primigravida woman was noted on routine scan at 21 weeks of gestation to have a placental mass measuring 1.8 x 2.2cm. A detailed ultrasound scan revealed a well circumscribed, hypoechoic lesion protruding into the amniotic cavity; hence a preliminary diagnosis of placental chorioangioma was made and close prenatal surveillance was scheduled. At 34 weeks of gestation, the mass was measuring 6.27 x 5.38cm. The patient experienced reduced fetal movements at 37 weeks gestation. A small-for-gestational age but normal female neonate was delivered by caesarean section. Histopathological analysis of the placenta confirmed the diagnosis. According to our case, a giant placental chorioangioma may have a favorable outcome without any medical intervention.


Assuntos
Hemangioma/diagnóstico por imagem , Doenças Placentárias/diagnóstico por imagem , Ultrassonografia Pré-Natal , Adulto , Cesárea , Feminino , Hemangioma/patologia , Humanos , Recém-Nascido , Doenças Placentárias/patologia , Gravidez
13.
J Cancer Res Ther ; 16(4): 938-940, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32930147

RESUMO

We report the very rare case of recurrent unilateral pleural effusion in a 53-year-old male. Computed tomography (CT) scan and magnetic resonance imaging revealed a left-sided paravertebral mass at D3 level. Multiple biopsy and CT scan lead us to the diagnosis of "Angiomatous Malformation." The lesion was excised surgically which on final histopathological report termed hemangioma.


Assuntos
Hemangioma/patologia , Derrame Pleural Maligno/patologia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Humanos , Imagem por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Derrame Pleural Maligno/diagnóstico por imagem , Derrame Pleural Maligno/cirurgia , Prognóstico , Tomografia Computadorizada por Raios X/métodos
15.
BMC Surg ; 20(1): 142, 2020 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-32600292

RESUMO

BACKGROUND: Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for HH. CASE PRESENTATION: A 38-year-old male patient was diagnosed with HH for 7 years. The initial presentation of the mass was progressive abdominal distention causing early satiety, gastro-esophageal reflux disease, vomiting, dysphagia and weight loss. Later, the patient developed bilateral lower extremity edema. Imaging with computed tomography (CT scan) showed a large mass measuring 32.4*26*3.1 cm which was considered unresectable. The patient underwent a deceased donor liver transplantation. The excised mass was 9 kg. After nine days of hospitalization the patient was discharged in good condition. Three months later, the patient was admitted due to fever and cytomegalovirus infection for which he received intravenous ganciclovir and was discharged. In the latest follow-up the patient had no liver or kidney dysfunction eight months after the transplantation. CONCLUSION: With appropriate patient selection, liver transplantation can be considered as a treatment option for patients with huge HHs which are life-threatening and surgically unresectable.


Assuntos
Hemangioma , Neoplasias Hepáticas , Transplante de Fígado , Adulto , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Humanos , Neoplasias Hepáticas/complicações , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/cirurgia , Transplante de Fígado/métodos , Masculino , Conduta Expectante
16.
Ann Vasc Surg ; 69: 453.e1-453.e4, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32653614

RESUMO

A 16-year-old male was brought to our hospital presenting with acute onset of a painful protruding left neck mass within a day, associated with left upper-arm tenderness. Chest computed tomography revealed high attenuation masses at the left supraclavicular and mediastinal regions, suspected of being venous vascular tumors. Surgery was arranged and then ruptured venous tumor was noted, with pathology results determining a venous malformation.


Assuntos
Implante de Prótese Vascular , Veias Braquiocefálicas/cirurgia , Neoplasias de Cabeça e Pescoço/cirurgia , Hemangioma/cirurgia , Veias Jugulares/cirurgia , Cervicalgia/etiologia , Adolescente , Veias Braquiocefálicas/diagnóstico por imagem , Veias Braquiocefálicas/patologia , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/diagnóstico por imagem , Neoplasias de Cabeça e Pescoço/patologia , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/patologia , Humanos , Veias Jugulares/diagnóstico por imagem , Veias Jugulares/patologia , Ligadura , Masculino , Cervicalgia/diagnóstico , Ruptura Espontânea , Resultado do Tratamento
18.
J Clin Neurosci ; 78: 428-430, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32534722

RESUMO

Intraneural haemangiomas are rare tumours that can affect peripheral nerves. We describe a case of a 10-year-old female with an incidental finding of a common peroneal nerve lesion following knee injury. MRI demonstrated avid heterogeneous enhancement and peri-lesional oedema, and an open biopsy was performed revealing haemangioma on histopathological analysis. The patient was managed with observation and remains intact at 24-month follow-up.


Assuntos
Hemangioma/patologia , Traumatismos do Joelho/complicações , Imagem por Ressonância Magnética/métodos , Nervos Periféricos/patologia , Neuropatias Fibulares/diagnóstico , Criança , Edema/etiologia , Edema/patologia , Feminino , Cistos Glanglionares/diagnóstico , Cistos Glanglionares/patologia , Hemangioma/diagnóstico por imagem , Humanos , Achados Incidentais , Nervo Fibular/patologia , Neuropatias Fibulares/etiologia , Neuropatias Fibulares/patologia
20.
Vasc Endovascular Surg ; 54(6): 540-543, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32452288

RESUMO

A 70-year-old man was referred to our hospital for an abnormal chest shadow. Enhanced computed tomography (CT) revealed 2-humped bronchial artery aneurysms (BAAs) associated with racemose hemangioma. The combined therapy of transcatheter bronchial artery embolization and thoracic endovascular aortic repair was performed. Postoperative CT confirmed the complete exclusion of the aneurysms with no evidence of an endoleak. Our result suggests that this combined therapy is a safe and effective treatment for BAA.


Assuntos
Aneurisma/terapia , Aorta Torácica/cirurgia , Implante de Prótese Vascular , Artérias Brônquicas , Neoplasias Brônquicas/complicações , Embolização Terapêutica , Procedimentos Endovasculares , Hemangioma/complicações , Idoso , Aneurisma/diagnóstico por imagem , Aneurisma/etiologia , Aorta Torácica/diagnóstico por imagem , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Artérias Brônquicas/diagnóstico por imagem , Neoplasias Brônquicas/diagnóstico por imagem , Terapia Combinada , Embolização Terapêutica/instrumentação , Procedimentos Endovasculares/instrumentação , Hemangioma/diagnóstico por imagem , Humanos , Masculino , Resultado do Tratamento
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