Adenomyoepithelioma is very rare. Because of its rarity, adeonomyoepithelioma may present a diagnostic challenge to the radiologists and there is a little information on the diagnosis and treatment of this condition. I report on two patients with benign and malignant adenomyoepitheliomas which represent breast masses on mammograms and ultrasonograms. The diagnosis was confirmed by immunohistochemical study of the resected specimens.
Adenomyoepithelioma* ; Breast* ; Diagnosis ; Humans ; Ultrasonography*

PURPOSE: To assess relative signal intensity changes in frontal and occipital white matter with age, as seenon T2 weighted axial MR images. MATERIALS AND METHODS: Thirty eight normal adults (20-29 years old) and 114children (0-11 years old) were investigated. All had nonspecific neurologic symptoms and their MR images, obtainedusing a 1.5T system (Signa, GE Medical Systems, Milwaukee, U.S.A), appeared to be normal. The signal intensitiesof frontal and occipital white matter were evaluated on T2 weighted axial images at the level of the foramen ofMonro. When the signal intensity of white matter was higher than that of gray matter, grade 0 was assigned ; whenthe opposite situation pertained, this was graded I_III. Grade I indicated that the signal intensity of occipitalwhite matter was lower than that of frontal white matter ; grade II, that the signal intensity of white matter ofboth lobes was similar. When the signal intensity of frontal white matter was lower than that of occipital whitematter, grade III was assigned. We divided the children's age by six months before 2 years of age, and by one yearafter 2 years of age, and then determined grade according to age, age distribution according to grade, and theages at which signal intensities were similar to those of adults. RESULTS: All 38 adults showed a grade IIIpattern ; this grade was apparent as early as 1.5 years of age and by 3 years of age, it was seen in over 50% ofchildren. After 8 years of age, all children were grade III. The age distribution of grade 0 was 0-0.5 years ofage, for grade I this was 0.5-2 years of age, for grade II it was 1-7, and for grade III, it was 1.5-11. CONCLUSION: On T2-weighted MR images, the signal intensity of frontal white matter ultimately shows a lowersignal intensity than that of occipital white matter.
Adult ; Age Distribution ; Child ; Humans ; Neurologic Manifestations

Primary pulmonary plasmacytoma (PPP) is extremly rare. Because of its rarity, PPP may present a diagnos-ticchallenge to the radiologists and there is a little information on the diagnosis and treatment of this condi-tion.We report on a patient with PPP presenting with a left hilar mass on chest radiograph and CT scan. The diagnosiswas confirmed by immunohistochemical study of the resected specimen.
Diagnosis ; Humans ; Plasmacytoma ; Radiography, Thoracic ; Tomography, X-Ray Computed

Encapsulated papillary carcinoma (EPC) is an uncommon breast malignancy that is known to be indolent and associated with an excellent prognosis. However, there is a rare possibility of locoregional relapse or metastasis. Here, we present a case of recurrent EPC in the ipsilateral internal mammary lymph node (IMLN) that was detected in the postoperative magnetic resonance imaging with abbreviated protocol (AB-MRI). AB-MRI could facilitate the early detection of recurrent disease in the IMLN and may provide prognostic gain for such patients.

Small cell neuroendocrine carcinoma is a high-grade and poorly differentiated tumor typically presenting as primary pulmonary neoplasm. Extrapulmonary small cell carcinoma is rare. Primary small cell neuroendocrine carcinoma of the breast (SCNCB) is extremely rare, with an incidence of less than 0.1% of all breast cancers. Herein, we report imaging features of SCNCB incidentally diagnosed in a 58-year-old woman along with a literature review. The tumor was observed to be a round and circumscribed mass with rim enhancement, heterogeneous intra-tumoral enhancement, and peritumoral edema on MRI. The patient underwent breast-conserving surgery with adjuvant chemotherapy and radiation therapy. No tumor recurrence was observed during the 2-year follow-up visits after surgery.

Extranodal lymphoma presents in almost one-third of all non-Hodgkin lymphoma cases. The gastrointestinal tract, skin, and central nervous system are common sites of involvement, whereas the urethra and cervix are very rare. To the best of our knowledge, this is the first report on concurrent extranodal involvement of the uterine cervix and urethra. We report imaging findings of malignant lymphoma involving urethra and cervix concurrently in a 79-year-old female patient with literature review. The magnetic resonance imaging showed huge intermediate to high signal intensity mass on T2 weighted images and strong homogeneous enhancement in uterine cervix and periurethral area, but no surrounding architectural disruption.

OBJECTIVES: Estimation of the anterior lower uterine segment (LUS) thickness difference who underwent prior cesarean delivery measured with transvaginal sonography at or after 36 gestational weeks (sonographic thickness) and a ruler during elective cesarean section (operation thickness) Methods: One hundred sixty women who underwent prior cesarean delivery had the thickness of their LUS measured with transvaginal sonography at or after 36 gestational weeks. The LUS thickness was measured with a ruler during elective cesarean section. We compared group I whose LUS was fairly well visualized 4 cm or more from the uterine cervix to group II which had less than 4 cm. RESULTS: The mean sonographic thickness of LUS was 1.7 0.8 mm and that of operation thickness was 1.9 0.5 mm. The mean difference of the two (thickness difference) was 0.5 0.5 mm. In 31.3% the sonographic thickness was same as the operation thickness and in 70.7% of the total with 0.5 mm or less difference, the sonographic thickness could be regarded as accurate. The thickness difference with the sonographic thickness with 2 mm or more was smaller than those with 1 mm or less (0.4 0.5; 0.6 0.6) and that of group I was smaller than that of group II (0.4 0.4; 0.9 0.6) (p< .05). CONCLUSION: The thickness difference was 0.5 0.5 mm and it was smaller when the LUS thickness is 2 mm or over, clearly visible 4 cm or over from the cervix.
Cervix Uteri ; Cesarean Section ; Cicatrix* ; Female ; Humans ; Pregnancy ; Ultrasonography*

Emergency cerclage commonly known as that performed in the setting of advanced cervical dilatation with bulging membranes and associated with significantly increased failure rates. We experienced a successful emergency cerclage for advanced incompetent internal os of cervix ( IIOC ). Pregnancy was prolonged and we delivered viable fetus. Hereby we report this case with the brief review of literature.
Cervix Uteri ; Emergencies* ; Female ; Fetus ; Labor Stage, First ; Membranes ; Pregnancy

Congenital urachal abnormalities are more common in children, but urachal cyst is more frequently seen in adults. Infection within a cyst produces significant symptoms, which may explain the fact that three times as many infected cysts as uninfected urachal cysts are detected in adults. We report here on a case of infected urachal cyst with a fish bone and also the fistular formation between the ileum and urachus in a 63-year-old male with a history of urinary frequency and a tender mass at the lower abdominal quadrant.
Adult ; Child ; Fistula ; Humans ; Ileum ; Male ; Middle Aged ; Urachal Cyst* ; Urachus

No abstract available.
Interleukin-6* ; Lymphocytes*