1.Malignant Mesothelioma Presenting as a Giant Chest, Abdominal and Pelvic Wall Mass.
Zhi hong SHAO ; Xiao long GAO ; Xiang hua YI ; Pei jun WANG
Korean Journal of Radiology 2011;12(6):750-753
Malignant mesothelioma (MM) is a relatively rare carcinoma of the mesothelial cells, and it is usually located in the pleural or peritoneal cavity. Here we report on a unique case of MM that developed in the chest, abdominal and pelvic walls in a 77-year-old female patient. CT and MRI revealed mesothelioma that manifested as a giant mass in the right flank and bilateral pelvic walls. The diagnosis was confirmed by the pathology and immunohistochemistry. Though rare, accurate investigation of the radiological features of a body wall MM may help make an exact diagnosis.
Abdominal Neoplasms/diagnosis/*pathology
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Abdominal Wall
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Aged
;
Female
;
Humans
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Magnetic Resonance Imaging
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Mesothelioma/diagnosis/*pathology
;
Muscle Neoplasms/diagnosis/pathology
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Pelvic Neoplasms/diagnosis/*pathology
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Thoracic Neoplasms/diagnosis/*pathology
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Tomography, X-Ray Computed
2.A Case of Desmoid Tumor Presenting as Intra-abdominal Abscess.
Yeon Hwa YU ; Byoung Kwan SON ; Dae Won JUN ; Seong Hwan KIM ; Yun Ju JO ; Young Sook PARK ; Boo Whan HONG ; Jong Eun JOO
The Korean Journal of Gastroenterology 2009;53(5):315-319
Desmoid tumor is a rare benign tumor derived from fibrous sheath or musculoaponeurotic structure. The tumor is benign histologically but considered as malignant clinically because it has high propensity on infiltrative growth with local invasion and tendency to recurrence after local excision. Especially, when this tumor happens to be in the intra-abdomen, the prognosis is worse because it can cause intestinal obstruction, ureter obstruction and, fistula formation. It also can invade major vessels in abdomen. This tumor occurs more frequently in patients with familial adenomatous polyposis (FAP), in post-partume women, and at old surgical incision site. However, in this case, the patient had neither previous surgery nor a FAP history. We report a rare case of the young male patient who presented with an acute abdomen and underwent laparotomy and was found to have an intra-abdominal desmoid tumor with abscess formation.
Abdominal Abscess/diagnosis
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Adult
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Diagnosis, Differential
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Fibromatosis, Abdominal/*diagnosis/pathology/surgery
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Humans
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Male
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Peritoneal Neoplasms/*diagnosis/pathology/surgery
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Tomography, X-Ray Computed
3.Correlation between Signs of Living Body in Abdominal and Pelvic Cavities and Syndrome Typing of Chinese Medicine in Colorectal Cancer Patients.
Zong-liang YANG ; Yong-heng HE
Chinese Journal of Integrated Traditional and Western Medicine 2016;36(5):570-573
OBJECTIVETo explore the correlation between signs of living body in abdominal and pelvic cavities and syndrome typing of Chinese medicine (CM) in colorectal cancer patients.
METHODSTotally 112 colorectal cancer patients undergoing open abdominal surgery or laporoscopic surgery were syndrome typed as five types, i.e., inner-accumulation of damp and heat, blockage of stasis and toxin, Pi-Shen yang deficiency, blood-qi deficiency, Gan-Shen yin deficiency. Signs of living body in abdominal and pelvic cavities were collected. The correlation between signs of living body in abdominal and pelvic cavities and syndrome typing of CM were analyzed.
RESULTSRed colorectal canals or mass were dominated in colorectal cancer patients with inner-accumulation of damp and heat syndrome. Dark purple colorectal canals or mass were dominated in colorectal cancer patients with blockage of stasis and toxin syndrome. Reddish colorectal canals or mass were dominated in colorectal cancer patients with blood-qi deficiency syndrome. Pale colorectal canals or mass were dominated in colorectal cancer patients with Pi-Shen yang deficiency syndrome. Whitish or red-white stripes were dominated in colorectal cancer patients with Gan-Shen yin deficiency syndrome. Dropsy colorectal canal was associated with Pi-Shen yang deficiency syndrome. Intracavitary effusion was often seen in colorectal cancer patients with inner-accumulation of damp and heat syndrome. The effusion was yellowish in less amount. Intracavitary adhesion was often seen in colorectal cancer patients with blockage of stasis and toxin syndrome. There was no correlation between the maximum diameter of mass or each syndrome type of CM.
CONCLUSIONThere existed correlation between signs of living body in abdominal and pelvic cavities and syndrome typing of CM, which could be taken as one of references for syndrome typing of colorectal cancer patients.
Abdominal Cavity ; pathology ; Colorectal Neoplasms ; diagnosis ; surgery ; Humans ; Medicine, Chinese Traditional ; Pelvis ; pathology ; Yang Deficiency ; diagnosis ; Yin Deficiency ; diagnosis
4.Large lymphangioma presenting like irreducible inguinal hernia: a rare presentation and literature review.
Rajat GOEL ; Amit AGARWAL ; Davide LOMANTO
Annals of the Academy of Medicine, Singapore 2011;40(11):518-519
Abdominal Neoplasms
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diagnosis
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surgery
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Aged
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Diagnosis, Differential
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Hernia, Inguinal
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diagnosis
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Humans
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Inguinal Canal
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pathology
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Lymphangioma
;
diagnosis
;
surgery
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Male
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Treatment Outcome
5.An unusual case of gastric carcinoma with synchronous non-Hodgkin's lymphoma.
Sung Ha PARK ; Sun Young RHA ; Dae Keun SHIM ; Hyun Jung RHO ; Nae Choon YOO ; Joo Hang KIM ; Jae Kyung ROH ; Woo Ick YANG ; Sung Hoon NOH ; Jin Sik MIN ; Byung Soo KIM ; Hyun Cheol CHUNG
Yonsei Medical Journal 1998;39(5):463-467
We report a case of synchronous gastric adenocarcinoma and abdominal non-Hodgkin's lymphoma in a 56-year-old man. An explo-laparotomy was performed for the purpose of palliative resection of the stomach and to evaluate the nature of splenic and peri-pancreatic mass lesions. The pathologic stage of the gastric carcinoma was stage IB (T2N0M0) and the clinical stage of the diffuse large cell type lymphoma was IIA2S. Following surgery and chemotherapy, the patient is now in a disease-free state.
Abdominal Neoplasms/pathology
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Abdominal Neoplasms/diagnosis*
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Adenocarcinoma/pathology
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Adenocarcinoma/diagnosis*
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Case Report
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Human
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Lymphoma, Non-Hodgkin/pathology
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Lymphoma, Non-Hodgkin/diagnosis*
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Male
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Middle Age
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Neoplasm Staging
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Neoplasms, Multiple Primary/pathology
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Neoplasms, Multiple Primary/diagnosis*
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Stomach Neoplasms/pathology
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Stomach Neoplasms/diagnosis*
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Tomography, X-Ray Computed
6.A Case of Lipoma of Parietal Peritoneum Causing Abdominal Pain.
Chang Seok BANG ; Yeon Soo KIM ; Gwang Ho BAIK ; Sang Hak HAN
The Korean Journal of Gastroenterology 2014;63(6):369-372
Lipomas are common benign tumors of mature adipose tissue, enclosed by thin fibrous capsules. They can occur on any part of the body; however, peritoneal lipoma is extremely rare. We encountered a case of a 75-year-old man presenting with intermittent abdominal pain, who had undergone right hemicolectomy due to colon cancer. Abdominal computerized tomography showed a well-defined heterogenous fatty mass measuring 4.5x3.5 cm in size, suggesting fat necrosis located in the abdominal wall. Laparotomy showed a very large soft mass of peritoneum. Pathologically, the tumor was diagnosed as lipoma containing fat necrosis located in parietal peritoneum not fixed to any organs, but with small bowel adhesion. Due to its rare etiologic origin and obscure cause of development, we report on a case of lipoma of parietal peritoneum causing abdominal pain.
*Abdominal Pain
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Aged
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Colonic Neoplasms/surgery
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Humans
;
Lipoma/*diagnosis/pathology/surgery
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Male
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Peritoneum/*pathology
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Tomography, X-Ray Computed
7.CT findings of thorax and abdominopelvic with pulmonary lymphangiomyomatosis.
Wei SONG ; Ying XU ; Zheng-Yu JIN ; Yun WANG
Acta Academiae Medicinae Sinicae 2008;30(2):161-164
OBJECTIVETo investigate the CT findings of thorax and abdominopelvic with pulmonary lymphangiomyomatosis.
METHODThe clinical data, CT findings, and histopathological data of 14 patients with pulmonary lymphangiomyomatosis were analyzed.
RESULTSTypical high resolution CT (HRCT) findings of 14 patients with pulmonary lymphangiomyomatosis were diffusely scattered with small imperceptible-walled or thin-walled cysts (diameter < 1 cm) throughout both lungs. Other findings in thorax included: small noncalcified pulmonary nodules in 1 case, bilateral patchy shadows in 1 case, subpleural bulla in 3 cases, honeycombing sign in 1 case, mediastinal lymphadenopathy in 2 cases, pericardial effusion in 1 case, and pleural effusion in 3 cases. Nine patients had abnormal abdominopelvic findings: renal and hepatic angiomyolipoma in 1 case, retroperitoneal lymphangioleiomyoma in 6 cases, retroperitoneal lymphadenopathy in 1 case, and uterine leiomyoma in 1 case.
CONCLUSIONPulmonary lymphangiomyomatosis has typical pectoral CT findings. It is also often accompanied with abdominopelvic abnormity with typical CT findings.
Abdominal Neoplasms ; diagnosis ; Adult ; Angiomyolipoma ; diagnosis ; Female ; Humans ; Lung Neoplasms ; diagnosis ; pathology ; Lymphangioleiomyomatosis ; diagnosis ; pathology ; Middle Aged ; Pelvic Neoplasms ; diagnosis ; Thorax ; pathology ; Tomography, X-Ray Computed ; methods ; Young Adult
9.A Case of Secondary Myocardial Lymphoma Presenting with Ventricular Tachycardia.
Jeong Gwan CHO ; Young Keun AHN ; Sang Hee CHO ; Je Jung LEE ; Ik Joo CHUNG ; Moo Rim PARK ; Hyeoung Joon KIM ; Myung Ho JEONG ; Jong Chun PARK ; Jung Chaee KANG
Journal of Korean Medical Science 2002;17(4):549-551
Malignant lymphoma can involve the cardiac cavity or myocardium as a mass. Clinical symptoms of its cardiac involvement are usually absent or nonspecific, making the diagnosis of the cardiac involvement very difficult before death. We experienced a patient with secondary myocardial non-Hodgkin's lymphoma presenting with sustained ventricular tachycardia (VT) as a primary clinical problem. A 39-yr-old woman visited our hospital because of dyspnea and palpitation for 7 days. Physical examination revealed rapid heart beat with variable intensity of the first heart sound and soft mass in the lower abdomen. VT with a cycle length of 480 msec was recorded in resting 12-lead electrocardiogram. Two well-circumscribed hypo-echogenic round masses were demonstrated in the interventricular septum and left ventricular posterior wall. Cytological examination of aspirated pericardial fluid and percutaneous needle biopsy of the abdominal mass revealed a diffuse large cell type non-Hodgkin's lymphoma. Myocardial masses and ventricular tachycardia resolved with chemotherapy using cyclophosphamide, adriamycin, vincristine and prednisone regimen. To our best knowledge, the same case as ours has not been reported previously.
Abdominal Neoplasms/secondary
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Adult
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Biopsy, Needle
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Bundle-Branch Block
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Echocardiography
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Electrocardiography
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Female
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Heart Neoplasms/*pathology
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Humans
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Lymphoma, Non-Hodgkin/*complications/diagnosis/*pathology
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Myocardium/*pathology
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Tachycardia, Ventricular/*etiology/physiopathology
10.Uterine epithelioid trophoblast tumor: report of a case.
Mei-fu GAN ; Chun-kai YU ; Hong-sheng LU ; Pei-nong YANG
Chinese Journal of Pathology 2007;36(8):570-571
Abdominal Neoplasms
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secondary
;
surgery
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Abdominal Wall
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Antiporters
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metabolism
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Choriocarcinoma
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pathology
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Diagnosis, Differential
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Epithelioid Cells
;
pathology
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Female
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Gestational Trophoblastic Disease
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metabolism
;
pathology
;
secondary
;
surgery
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Humans
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Pregnancy
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Uterine Neoplasms
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metabolism
;
pathology
;
surgery
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Young Adult