No abstract available.
Incidental Findings*

Cervical spondylolysis is a rare vertebral anomaly defined as a corticated cleft between the superior and inferior articular pillar, the cervical equivalent of the pars interarticularis in the lumbar spine. Recognition of this anomaly and differentiation from acute traumatic fractures is of great importance because this lesion is usually diagnosed in patients after minor trauma or as an incidental finding on routine radiographs. The authors present two cases of this anomaly.
Humans ; Incidental Findings ; Spine ; Spondylolisthesis ; Spondylolysis*

No abstract available.
Anesthesia, Spinal* ; Arachnoid* ; Headache* ; Humans ; Incidental Findings*

No abstract available.
Anesthesia, Spinal* ; Arachnoid* ; Headache* ; Humans ; Incidental Findings*

Lumbar spondylolysis and spondylolisthesis are common spinal disorders that most of the times are incidental findings or respond favorably to conservative treatment. In a small percentage of the patients, surgical intervention becomes necessary. Because too much attention has been paid to novel surgical techniques and new modern spinal implants, some of fundamental concepts have been forgotten. Identifying that small but important number of patients with lumbar spondylolysis or spondylolisthesis who would really benefit from lumbar surgery is one of those forgotten concepts. In this paper, we have developed an algorithmic approach to determine who is a good candidate for surgery due to lumbar spondylolysis or spondylolisthesis.
Humans ; Incidental Findings ; Lumbosacral Region ; Spondylolisthesis* ; Spondylolysis*

A giant Lingzhi mushroom newly found in DaLat, Central Highland of South of Vietnam (alt. 1330m) was determined as a new species: Ganoderma dalatense Th¸m sp. nov., with laccate crust developed irregularly on the lower surface of the pilei (as chimeras on the hymenium surfaces) as a distinguished macrocharacter from other know Ganoderma species, with extraordinary sizes: 106 cm in length, up to 31 cm in thickness, 31kg in weight. This holotype specimen would be largest in Ganoderma in the world, recorded up to date. Detailed diagnosis was given and thoroughly discussed with related other taxa.
Agaricales ; Incidental Findings ; Plants, Medicinal ; Pharmaceutical Preparations

The first time the Stephania viridiflavens H.S. Lo et M. Yang has been discovered in North Vietnam (SonLa province).
Stephania ; Incidental Findings ; Plants, Medicinal ; Medicine, Traditional

Traditional genetic counseling has focused on the target gene and its natural progress with respect to disease risk. Next-generation sequencing (NGS) can produce information on several genetic variants simultaneously, with different functions and consequences for each. Accordingly, determining the status of the patient or consultant and interpreting sequencing results from many genes can largely increase the complexity of genetic counseling. Moreover, the current environment of big data that can be readily shared via the internet and a ubiquitous network provides many different avenues for which a consultant must handle the traditional principle of genetic counseling in different ways. Thus, further consideration and rethinking of genetic counseling principles are necessary in the era of NGS. In this review, we discuss several aspects of genetic counseling that one can encounter when faced with NGS data.
Consultants ; Genetic Counseling* ; Humans ; Incidental Findings ; Internet

Background: Pelvic ultrasonography is currently not recommended as a screening tool for endometrial cancer, particularly in asymptomatic women; however, its use for other indications such as pelvic masses has led to incidental findings of thickened endometrium in post menopausal women. Objectives: The aim of the study is to evaluate the clinical utility of endometrial ultrasound in asymptomatic Filipino postmenopausal women and to provide a threshold for invasive endometrial sampling. Methodology: A cohort of postmenopausal women (aged ?50 years) who underwent pelvic ultrasonography at a tertiary hospital for indications other than vaginal bleeding was retrospectively evaluated. Women were included if they had an endometrial lining of at least 5 mm and had an endometrial biopsy. Receiver operating characteristic (ROC) analysis was used to determine the endometrial thickness threshold for which endometrial thickness is able to correctly differentiate benign endometrial pathology from endometrial hyperplasia and carcinoma. Results: Out of 90 women included in the study, carcinoma was identified in 3 (3.33%) and hyperplasia was noted in 4 (4.44%). The most common histopathology noted was: endometrial polyp (35.56%), atrophic endometrium (30%) and benign endometrial tissues (18.98%). The calculated area under ROC curve was 54.39% (95% CI 34.38-79.41%), which indicates the inability of endometrial thickness to differentiate benign endometrium from endometrial carcinoma or hyperplasia in asymptomatic women with an incidentally found thickened endometrium. Conclusion Based on the results of the study, endometrial thickness alone cannot be used as basis for deciding whether to perform endometrial sampling, there is no endometrial thickness threshold for which the endometrial hyperplasia and carcinoma can be correctly identified. The decision to perform an endometrial biopsy should be done on a case to case basis. In the absence of a high index of suspicion for endometrial hyperplasia and carcinoma even in the presence of thickened endometrium, endometrial sampling is unnecessary.
Endometrial Neoplasms ; Endometrial Hyperplasia ; Incidental Findings

Although paratubal cysts are well-characterized incidental findings, paratubal serous borderline tumors are very rare, with only one case report in the literature. We describe here a 27-year-old, nulliparous, married woman with a paratubal serous borderline tumor. The patient presented with a huge pelvic mass accompanied by flank pain and underwent paratubal cystectomy and fertility-sparing surgical staging procedures. Thirteen months after surgery, she delivered a healthy baby at term. She is well, without evidence of disease, 20 months after surgery. Because paratubal serous borderline tumors are very rare, their optimal management must be extrapolated from their ovarian counterparts.
Adult ; Cystectomy ; Female ; Flank Pain ; Humans ; Incidental Findings ; Parovarian Cyst