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Terms not used: | Search Results for => Carcinoma <= Result Items 1 - 20 |
| Case ID: 14158 Sample Image  Click to View  | ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Intussusception secondary to metastatic renal cell Carcinoma to the small bowel. | |
| History | 62 y.o. man with intermittent abdominal pain and cramping. PMH of abdominal surgery. | |
| Findings | In addition to metastatic disease to the lungs and liver, the patient was found to have enlarged mesenteric nodes and probable metastases to the small bowel that were serving as lead points for multiple occurrences of intussusception. Classic target sign is noted in the axial view. | |
| Differential Dx | The target sign is classic for intussusception, but there are a multitude of causes, which are dependent on age group: • Gastrointestinal malignancy (most common in adults) • Meckel diverticulum • Infection (Peyer's Patches) • intestinal polyps and lipomas • Burkitt lymphoma • Ectopic pancreas | |
| Discussion | ... (continues ...) | |
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| Contributor | John Dryden :: Affiliation Unlisted - Please See Comments -  | |
| Reviewer | Jason D Sweet :: Naval Medical Center San Diego - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 14156 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: No Topic
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| Diagnosis | Carcinomatous meningitis (leptomeningeal metastases) | |
| History | Patient presents with headaches and a history of known metastatic breast cancer. | |
| Findings | MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. Some small, nonenhancing foci were seen on FLAIR sequence within the brain parenchyma. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium. | |
| Differential Dx | -infectious meningitis/meningoencephalitis due to fungal, bacterial, or viral causes -Carcinomatous meningitis | |
| Discussion | ... (continues ...) | |
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| Contributor | Reilly L Hendricks :: Naval Medical Center San Diego - | |
| Reviewer | Jason D Sweet :: Naval Medical Center San Diego - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 14155 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Renal Cell Carcinoma | |
| History | 63 yo man, smoker, presents with proptosis of his left eye. The patient denied any trauma, facial pain, or change in vision. | |
| Findings | CT of the head 12/3/2010 » 3.5 x2.5 x2.3 cm invasive destructive mass at the junction of the left zygomatic arch, left maxillary sinus and inferiolateral wall of the left orbit »contains small bony fragments MRI of the head 12/14/2010 » 3.5cm expansile mass centered at the malar eminence. » Mass enhaced homogeneously except for small areas of hypointensisty. » Flow voids within the mass MRA of the head 12/14/2010 » Enlarged blood vessels seen extending toward and within the left orbital mass. » The hypervascularity of the mass is suggestive of a metastasis CT of the abdomen and pelvis 1/25/2011 » 5 cm lower pole left renal mass » Heterogeneus enhancement with contrast » Contains calcifications » No renal vein involvement » No significant lymph node enlargment Post treatment CT of the head 3/22/2011 » Resection of the mass » Lateral wall of the orbit has been resected » Surgical mesh in place » Lateral and anterior wall of maxillary sinus have been resected » Postoperative fibrotic soft tissue at site Post Treatment CT of the abdomen and pelvis 3/22/2011 » 5 cm mass at lower pole left kidney » metal artifact at the left renal hilum consistiant with embolization » Increased area of hypodensity suggesting devascularization » IVC filter in place Follow up CT of the abdomen and pelvis 4/10/2012 » Stable Renal mass | |
| Differential Dx | • Squamous cell cancer • Osteosarcoma • Chondrosarcoma • Hemangiopericytoma • Hypervascluar metastasis | |
| Discussion | ... (continues ...) | |
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| Contributor | Matthew S Manganaro :: SUNY at Buffalo - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 14098 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Carcinoma, Small Cell with metastatic disease to spine and brain | |
| History | 27 year old man with history of many prior surgeries for lung and laryngeal papillomatosis. Now presents with cough, weakness and neck pain. | |
| Findings | • Large lung mass with mediastinal adenopathy • Destructive lesion C7 with spinal cord compression. • Enhancing lesions left parietal lobe and right temporal lobe | |
| Differential Dx | • Multiple abscesses • TB • Lymphoma • Metastatic disease | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 14028 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Leptomeningeal Carcinomatosis | |
| History | Α 65 year old man presents with a gait disturbance. | |
| Findings | ||
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | ioannis Vasiliou papageorgiou :: No Academic Affiliation - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13971 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | AdenoCarcinoma of the Lung | |
| History | 60 year old woman presents with acute shortness of breath. She also endorses hoarseness, chest discomfort, cough, and increasing sputum production over the past 6 months. She denies any chest pain, hemoptysis, fever, chills, night sweats, weight loss. She endorses significant secondhand smoke exposure for the past six years. Chest x-ray performed one month ago did not reveal any abnormalities. She was diagnosed with a URI and treated with two courses of antibiotics at the time. | |
| Findings | •CXR: New bandlike area of opacification in the left upper lobe, not seen on previous exam. •CT chest w/ contrast: Large aggregation of mediastinal adenopathy involving left and right paratracheal, subcarinal, prevascular, aortic window, and left hilar nodes. There is partial obstruction of the left main stem bronchus and at the carina, likely representing peribronchial invasion. There is a significant mass effect on the left pulmonary artery and left subclavian vein, with possible invasion. In the left upper lobe there is a 2 cm spiculated focus of consolidation. In the right hepatic lobe of the liver, near the dome, there is a 1.2 x 0.8 cm area of low attenuation. Within segment 2 of the liver a 2.2 x 3.5 cm hypoattenuating lesion demonstrates peripheral enhancement. A similar lesion is seen in segment 8 of the right lobe, measuring 1.2 x 2.4 cm. There is a low-attenuating pericardial effusion. | |
| Differential Dx | •Primary Lung Cancer •Metastatic cancer to the lung •Pneumoconiosis •Sarcoidosis •Asbestosis •Pneumonia | |
| Discussion | ... (continues ...) | |
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| Contributor | James G. Smirniotopoulos, M.D. :: Uniformed Services University - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13957 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Metastatic Renal Cell Carcinoma | |
| History | 48 year old man presents with pelvic and back pain. No prior medical or surgical problems. Two weeks later, he developed a painless lump on the back of his head. | |
| Findings | • Lytic destructive lesion L4. • Lytic lesion with soft tissue mass left parietal and occipital bones. | |
| Differential Dx | • Thyroid Cancer • Melanoma • Multiple Myeloma | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13947 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Adenoid Cystic Carcinoma | |
| History | 48 year old woman with painless mass left external auditory canal | |
| Findings | 1.7 cm soft tissue mass arising from the roof of the left external auditory canal. No bone erosion. | |
| Differential Dx | • squamous cell Carcinoma • infection • osteoma • sebaceous cyst | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | Alice Boyd Smith :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13943 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Bronchogenic Carcinoma Metastatic to Brainstem | |
| History | 65 year old women presents to her doctor with cough and chest pain and was treated for pneumonia. Soon after, she develops diplopia and left sided weakness. She has an extensive history of smoking. | |
| Findings | Ring enhancing mass in midbrain and pons with central non-enhancing cavity - necrosis. No hydrocephalus. | |
| Differential Dx | • Pontine glioma • Brainstem abscess • Tuberculoma • Cysticercosis • MS | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13915 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Nasopharyngeal Carcinoma | |
| History | 38 y/o man has swelling in right side of his neck which developed several weeks previously. He states it's nontender, nonpulsatile, and doesn't really bother him. He denies hoarsness, dysphagia, or dyspnea. Denies any recent trauma to the neck or recent illness. No fevers, chills, night sweats, weight loss. | |
| Findings | MRI neck mass: Just deep to the right sternomastoid muscle is a T1 dark T2 bright fluid collection measuring 4.5 cm in craniocaudal dimension by 3.3 cm AP by 2.6 cm transverse. The wall is thin and demonstrating mild enhancement, but no internal enhancement is noted. No additional adenopathy in the neck is noted. CT neck s/p excisional biopsy of neck mass: Nasopharyngeal mass measures 1.6 x 1.8 cm anterior to posterior x 1.5 cm superior to inferior. Enlarged lymph node at C2 vertebral level in left parapharyngeal space measuring 1.8cm on long axis. There are surgical changes in the right neck, consistent with the resected metastatically enlarged right level 5 lymph node. There is air/gas and fluid in the resection site. NM-PET s/p excisional biopsy of neck mass: 1) Extending from the fossa of Rosenmueller in the right nasopharyngeal space is an irregular mass which measures approximately 2.6 x 1.7 cm and demonstrates avid FDG uptake with an SUV of 12.3. There is an enlarged level II lymph node on the left just adjacent to the oropharynx which demonstrates FDG uptake with an SUV of 8.0. Additionally, several small level V lymph nodes also seen on the left which demonstrate mild FDG uptake with SUV of 2.5. 2) Surgical changes are seen on the right in the region of the angle of the mandible adjacent to the right sternocleidomastoid muscle to include soft tissue emphysema, inflammatory fat stranding, and mild FDG uptake in this region. Focal region of FDG uptake with an SUV of 5.0 likely represents lymph node which may represent metastatic focus or may be reactive in nature. No other enlarged or FDG avid lymph nodes are seen. | |
| Differential Dx | • Brachial Cleft Cyst • Reactive lymphadenopathy • Mononucleosis • Peritonsilar/retropharyngeal abscess • Warthins tumor • Nasopharyngeal Carcinoma • Hodgkins Lymphoma | |
| Discussion | ... (continues ...) | |
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| Contributor | Lawrence L Williams :: Uniformed Services University - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13827 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Secondary CNS Lymphoma, subarachnoid spread (Carcinomatous meningitis) | |
| History | 64 year old man presents with altered mental status and lethargy. | |
| Findings | • Extensive abnormal enhancement of the sulci and subarachnoid spaces overlying the cerebral hemispheres and cerebellum • Extensive deep white matter changes • Mild hydrocephalus | |
| Differential Dx | • Bacterial Meningitis • Subarachnoid hemorrhage • Carcinomatous Meningitis | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13808 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Colon Obstruction, Metastatic ovarian adenoCarcinoma | |
| History | 53 y.o. woman complaining of abdominal pain and nausea. | |
| Findings | Scout shows gas filled transverse colon, loops of contrast filled small bowel and paucity of gas in the right side of the abdomen. CT images show dilated cecum, colon and small bowel. There is propulsion of bowel contrast through the ileocecal valve mimicking intussusception. There is omental caking with multiple peritoneal poorly defined, contrast enhancing soft tissue masses throughout the pelvis. The uterus and ovaries are not clearly identified. The rectum is encased by a soft tissue mass and represents the transition point in dilation of the bowel. | |
| Differential Dx | • Large bowel obstruction • Ovarian cancer • Colon cancer • Endometrial cancer • Pertoneal Carcinomatosis | |
| Discussion | ... (continues ...) | |
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| Contributor | John Joseph Krol :: University of Kentucky - | |
| Reviewer | Rachel Booth Lewis :: National Naval Medical Center Bethesda - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13790 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Papillary Carcinoma of the Thyroid | |
| History | 50 year-old woman with incidentally identified thyroid nodule found on CT scan of head and neck performed for dizziness. | |
| Findings | • CT: 0.7 x 0.7 cm hypodense nodule in right posterolateral lobe of thyroid. • Ultrasound: 0.7 x 0.7 cm heterogeneous nodule of right mid to lower lobe of thyroid. | |
| Differential Dx | • Adenoma • Carcinoma » Papillary » Medullary | |
| Discussion | ... (continues ...) | |
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| Contributor | Tyler Thompson :: University of Kentucky - | |
| Reviewer | Steven J Goldstein :: University of Kentucky - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13715 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Squamous cell Carcinoma of orbit, superior orbital fissure, and cavernous sinus | |
| History | 76 year old man with an 8 month history of a painful mass left eye. Now he presents with proptosis | |
| Findings | • Invasive orbital mass on left. • Mass is complex heterogenous, enhances irregularly, and invades the cavernous sinus via the superior orbital fissure. | |
| Differential Dx | • Metastatic Carcinoma • Lymphoma • Orbital pseudotumor • Mixed salivary gland tumor | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13602 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Metastatic Squamous Cell Carcinoma | |
| History | 52 yo woman presented with headaches and mental status changes. Hx of L breast SCCa three years ago treated at that time with lumpectomy & chemoradiotherapy. | |
| Findings | Bilobed "cystic" appearing right hemispheric mass, with a thin peripheral rim of enhancement. | |
| Differential Dx | • Abscess • Parasitic disease • Ganglioglioma, Pleomorphic Xanthoastrocytoma (PXA) • Metastasis (unusual appearance) | |
| Discussion | ... (continues ...) | |
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| Contributor | James G. Smirniotopoulos, M.D. :: Uniformed Services University - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13579 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: No Topic
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| Diagnosis | Metastatic Squamous Cell Carcinoma, Lung to Brain | |
| History | 79 year old man with a complex clinical history of hypertension, diabetes mellitus, peripheral vascular disease and stage IV lung cancer, status post chemotherapy and radiation therapy presented with decreased responsiveness. He was admitted for observation and monitoring to the ICU. | |
| Findings | Multiple well-demarcated cerebral and cerebellar lesions | |
| Differential Dx | Metastatic disease Multifocal glioma Lymphoma | |
| Discussion | ... (continues ...) | |
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| Contributor | James G. Smirniotopoulos, M.D. :: Uniformed Services University - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13503 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Leptomeningeal Carcinomatosis from endometrial Carcinoma. | |
| History | 68 year old woman who had right parietal lobe tumor resected two years previously. The lesion was metastatic from an endometrial Carcinoma. Now presents with new onset right CN VI palsy and back pain. | |
| Findings | Stable appearing postoperative bed left parietal lobe. Multiple enhancing intradural lesions at the conus and surrounding the cauda equina. | |
| Differential Dx | • Sarcoidosis • Neurofibromatosis • Myxopapillary Epenymoma • Carcinomatous meningitis | |
| Discussion | ... (continues ...) | |
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| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13442 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Transitional cell Carcinoma (T2 low grade papillary urothelial Carcinoma) | |
| History | 70 year old male with history of high grade T1 papillary urothelial Carcinoma in 2008 currently undergoing BCG therapy now with new onset gross hematuria and right sided flank pain. Denies fevers, chills, dysuria or other GU symptoms. | |
| Findings | Bilateral nephrolithiasis with a stone in the proximal right ureter causing obstruction of the right collecting system. Surrounding enhancing soft tissue density around this stone suggestive of an adjacent mass suspicious for an upper tract lesion. | |
| Differential Dx | Neoplasm Obstructing stone Infected stone UTI | |
| Discussion | ... (continues ...) | |
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| Contributor | Michael T Marshall :: Uniformed Services University - | |
| Reviewer | Grant Lattin, Jr. :: Uniformed Services University - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13420 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Renal Cell Carcinoma lytic bone metastases. | |
| History | 38 yo female with left hip pain and a personal history of renal cell Carcinoma | |
| Findings | Subtle lucency in proximal left femur which was not appreciated on initial plain film. Bone scan and PET imaging shows increased metabolic activity in bone turnover within the proximal left femur. MR imaging showed an isointense lesion filling the medullary cavity, slight thinning the cortex. | |
| Differential Dx | Metastases, myeloma, infection or some other primary bone neoplasm. | |
| Discussion | ... (continues ...) | |
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| Contributor | Timothy Justin Miller :: Walter Reed Army Medical Center - | |
| Reviewer | Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
| Case ID: 13398 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Poorly Differentiated Invasive Ductal Cell Carcinoma | |
| History | Palpable Breast mass in the inferior right breast. | |
| Findings | Initial mammographic images were unremarkable. Initial ultrasound showed a small circumscribed hypoechoic lesion with hyperechoic center, thought to be a intramammary lymph node. Follow up imaging six months later demonstrated a circumscribed high denisty mass in the inferior right breast. Ultrasound at followup diagnostic mammogram showed a spiculated heterogenous predominantly hypoechoic mass with internal vascularity. | |
| Differential Dx | Carcinoma. Atypical fibroadenoma or any benign etiology very unlikely. | |
| Discussion | ... (continues ...) | |
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| Contributor | Timothy Justin Miller :: Walter Reed Army Medical Center - | |
| Reviewer | Albert V Porambo :: Civilian Medical Center - Case Accepted: 2012-07-30 17:36:40-04 :: Revised: 2012-07-23 01:32:28.999025-04 :: Submitted: 2012-07-23 01:32:28.999025-04 | |
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