Case Summary 47세 여자 C.C.: hematochezia (내원 3일 전) Colonoscopy:

Slides:

Advertisements

Similar presentations

Case presentation 新光醫院核子醫學科葉力豪 2010/3/13.

Advertisements

FEMALE GENITAL TRACT II

F/46 C/C polyp in the sigmoid colon. V/S BP 120/80 mmHg HR 84/min ROS melena/hematochezia (-/-) bowel habit change (-) bearing down sensation PMHx. hemorrhoidectomy,

An 80-year-old female presented with an ulcerated nodule on the left cheek. An excision was performed.

Bladder CA-Staging.

MRS PC, 63YO WOMAN  Initially presented with chronic RIF pain  Found to have cholelithiasis, underwent a laparoscopic cholecystectomy  On the laparoscopy,

This is a double contrast BE (barium enema). For this test we put a small amount of contrast in the colon to coat the surface and then distend the colon.

4.1b. Pre-contrast Axial T1 Wtd MRI4.1c. Post-contrast Axial T1 Wtd MRI4.1a. Axial T2 Wtd MRI 4.1d. Post-contrast Sagittal T1 Wtd MRI Patient with Intra-cranial.

Dermoid Cyst of Ovary Brian Lee March 2013 Dr. Joy Sclamberg.

Tumors Dr. N. Salmo. Adrenal cortical tumor. Describe it grossly. Benign or Malignant??

D&C June 21, CR Presented to PCP with pain on defecation and hematochezia Colonoscopy - Anal mass - Squamous cell carcinoma PMedHx: DM, HTN, peripheral.

Ovary and Primary Peritoneal Carcinoma Anatomic sites of the ovary and peritoneum. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas,

RADIOLOGICAL ANATOMY OF THE LARGE AND SMALL BOWEL

Chief Complaint back pain Present Illness 73/F, DM, colon Ca. op. s/p CTx. Hx.( 송도병원 ) 있는 자로, infectious arthritis, Rt. shoulder 있어 성심병원 입원하여 I&D.

제 76 회 대한 소화기내시경 학회 월례 집담회 영남의대 소화기 내과 이 시 형. 영남대학교의료원 Case 1 66/ 여 C/C : Whole abdominal pain for 3days P/I : 내원 2 개월전부터 intermittent abd. pain 있어 LMC.

(A) Surveillance colonoscopies for detecting dysplasia and preventing colorectal carcinoma. (B) Management of visible lesions at endoscopy. A visible lesion.

계명대학교 동산의료원 소화기 내과 조 광 범 대한 소화기 내시경 학회 66 회 증례집담회.

Chief Complaint FOBT positive Present Illness 61/M, 2011 년 본원 신경과에서 Dysarthria 로 언어장애 4 급 판정이외에 다른 특이병력 없는 자로, 2015 년 7 월 산업의학과에서 시행한 검진상 분변잠혈반응 검사 양성이.

46 Magnetic Resonance Imaging of the Female Pelvis.

Adrenal Metastasis יונתן הרמן פנימית ב '. The adrenal gland is a common site of metastatic disease. fourth most common site of metastasis, after the lung,

A rare case of acute abdomen secondary to rupture of a Krukenberg tumor with intra- abdominal hemorrhage 三軍總醫院外科部大腸直腸外科浦大維糠榮誠 1.

Fig. 16. A 56-year-old woman, who was diagnosed ovarian cancer with metastatic cancer in left axilla, underwent breast MRI. (a, b) On axial T2 and T1 weighted.

A Rare Late Complication of Oocyte Retrieval : Tubaovarian Abscess

Developing an MR Imaging Strategy for Diagnosis of Ovarian Masses

Case report and literature review: Metastatic lobular carcinoma of the breast an unusual presentation Rodrigo Arrangoiz, Pavlos Papavasiliou, Holly Dushkin,

Pleomorphic adenoma –the tumour at the left side is white gray firm lobulated mass without hemorrhage or necrosis. note the normal lobulated gland at the.

Serial axial contrast-enhanced CT images in an older man with transglottic squamous cell carcinoma with cartilage erosion. (A) Image through the supraglottis.

A rare case of acute abdomen secondary to rupture of a Krukenberg tumor with intra- abdominal hemorrhage 三軍總醫院外科部大腸直腸外科報告人：浦大維 1.

FDG PET-CT of Genitourinary and Gynecologic Tumors: Overcoming the Challenges of Evaluating the Abdomen and Pelvis Leslie K. Lee, MD, Aoife Kilcoyne,

Fig. 7. Suspicious lymph nodes (CT features). A

Axial contrast-enhanced CT image demonstrates a large enhancing mass arising from the right base of tongue (yellow arrow). Note the presence of large metastatic.

Recurrence of Ovarian Cancer with Placental Metastasis: A Case Report

Acute diverticulitis. Notice several diverticula of the sigmoid colon as small round outpouchings (white arrows). These alone would be simply diverticulosis,

Ultrasound, Computed Tomography, and Magnetic Resonance Imaging of Ovarian Vein Thrombosis in Obstetrical and Nonobstetrical Patients Vivek Virmani,

Magnetic Resonance Imaging of Anorectal Neoplasms

Imaging of Ovarian Teratomas in Children: A 9-Year Review

Lymphoepithelioma-Like Carcinoma of the Colon

GEMSTONE Educational Case Summary

Metastatic Breast cancer

Combined jugular and subclavian vein thrombosis following assisted reproductive technology—new observation Ophira Salomon, M.D., Ginette Schiby, M.D.,

CRISPS: A Pictorial Essay of an Acronym to Interpreting Metastatic Head and Neck Lymphadenopathy Adam A. Dmytriw, MSc, Ahmed El Beltagi, MD, Eric Bartlett,

Figure 2 Examples of histopathological validation

CRISPS: A Pictorial Essay of an Acronym to Interpreting Metastatic Head and Neck Lymphadenopathy Adam A. Dmytriw, MSc, Ahmed El Beltagi, MD, Eric Bartlett,

Adenosquamous Carcinoma of the Colon

Figure 5 Complex perianal fistula

What is the role of genetic testing in patients with ovarian cancer?

Hidden past history Uterine myomectomy Surgical findings

The Accuracy of Colorectal Cancer Detection by Computed Tomography in the Unprepared Large Bowel in a Community-Based Hospital Suneet Mangat, MD, Michael.

Otolaryngology referred this patient for imaging after palpating a mass in the “left parotid tail.” Axial contrast-enhanced CT scan through the mass reveals.

Combined jugular and subclavian vein thrombosis following assisted reproductive technology—new observation Ophira Salomon, M.D., Ginette Schiby, M.D.,

GEMSTONE Educational Case Summary

VW-MR imaging to differentiate among causes of intracranial arterial stenosis when angiography findings are inconclusive. VW-MR imaging to differentiate.

SPLIT,Croatia AMR Slide Seminar Case # 76 Ovarian tumor

Endoscopic mechanical hemostasis of GI arterial bleeding (with videos)

Kalyana Lavu, Anil Minocha Gastroenterology

Multiple liver pseudotumors due to hepatic steatosis and fatty sparing: A non-invasive imaging approach Andrea Delli pizzi, Domenico Mastrodicasa, Barbara.

A) Contrast enhanced computed tomography (CT) scan (coronal reconstruction) showing anomalous right pulmonary vein (arrows). b) Axial CT scan showing horseshoe.

Volume 36, Pages (January 2017)

Fig. 6. Suspicious lymph nodes (ultrasonography features). A

CT scans obtained 2 months later

Pulmonary Artery Sarcoma: Diagnosis and Postoperative Follow-Up With Gadolinium- Diethylenetriamine Pentaacetic Acid-Enhanced Magnetic Resonance Imaging

Fig. 3. A 42-year-old woman with mass in left elbow. The mass is a 3

A, A 44-year-old woman with CP

Fallopian Tube Cancer Paweł Sadłecki

Bone algorithm CT images from the same case, demonstrating focal enlargement of the right tympanic segment, in the axial (left) and coronal (right) planes.

Example inverse FF-OCT images (left column) and corresponding histology images (right column) of ovarian metastases. Example inverse FF-OCT images (left.

Axial T2-weighted MR image shows normal flow void in the right internal jugular vein (arrows), whereas flow-related enhancement can be seen in the left.

Figure 29b Ovarian immature teratoma with peritoneal metastases in a 27-year-old woman. Axial (a, b) and coronal (c) contrast-enhanced CT images show a.

Volume 154, Issue 2, Pages (August 2019)

Presentation transcript:

Case Summary 47세 여자 C.C.: hematochezia (내원 3일 전) Colonoscopy: large round mass with surface erosion and oozing at the 40cm from anal verge Surrounding mucosa was severely congested and had tortous vein

Papillary serous carcinoma Right: axial image로 long arrow – sigmoid lumen내로 stalk-like하게 extension한 부위, short arrow – sigmoid colon, mass는 후방으로 Left: coronal reconstruction image로 short arrow – sigmoid colon, mass는 상부에 큰 것

cytokeratin

vimentin

Diagnosis Colon, sigmoid, segmental resection: Papillary serous carcinoma, metastatic Operation: grossly no ovarian abnormality 2005년 6월 소화기병리연구회 의견: mesothelioma vs papillary serous carcinoma, metastatic or primary

Follow-up 1달 후 다른 병원에서 bilateral oophorectomy 시행: normal ovaries Immunohistochemistry: PEM vs PSC Calretinin: 100% vs 31% (-) D2-40: 93% vs 13% (-) Podoplanin: 93% vs 13% (-) ER: 0% vs 86% (+) PR: 0% vs 56% (-)

ER

Final Diagnosis Primary peritoneal papillary serous carcinoma