Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
312 results found
Article
Cotswolds-modified Ann Arbor classification
The Cotswolds-modified Ann Arbor classification is a lymphoma staging classification system for both Hodgkin lymphoma and non-Hodgkin lymphoma. They came about in 1988 following recommended modifications to the Ann Arbor staging system after a meeting in Cotswold, England.
This classification h...
Article
Lugano staging classification
The Lugano staging classification is the lymphoma staging system that is most commonly used in clinical practice currently. The categories for initial staging are defined in this article. See separate articles for the Lugano criteria for response assessment by PET-CT or by CT alone, as well as g...
Article
Lugano classification (lesion measurement guidelines)
The Lugano classification is a lymphoma staging system resulting from recommended changes in 2011 to the Cotswolds modified Ann Arbor staging. This article outlines the lesion measurement guidelines for the system:
Eligible lesions
lymph nodes: the longest diameter in axial plane should be >1....
Article
Lugano classification (PET-CT treatment response)
The Lugano classification is a lymphoma staging system for non-Hodgkin and Hodgkin lymphoma. This article outlines the classification's response to treatment based on PET-CT.
Also included in the classification are staging and response to treatment based on CT.
Scoring system
The Lugano clas...
Article
Lugano classification (response to treatment on CT)
The Lugano classification is a lymphoma staging system resulting from recommended changes in 2011 to the Ann Arbor staging with Cotswolds modifications. This article outlines the classification's response to treatment based on CT.
Also included in the classification are staging and response to...
Article
Lymphoma response to immunomodulatory therapy criteria (LYRIC)
The Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC) represents an adaptation of the Lugano classification for the evaluation of lymphoma after immune-based treatment.
During immunomodulatory agents (e.g. checkpoint inhibitors) therapy, imaging findings suggestive of progressive d...
Article
Necrobiotic xanthogranuloma
Necrobiotic xanthogranulomas are a rare form of cutaneous non-Langerhans cell histiocytosis.
Epidemiology
The condition occurs mostly in older adults 2.
Clinical presentation
Patients demonstrate cutaneous papules that develop into large, firm plaques, papules and nodules, which are often ye...
Article
Histiocyte Society classification of histiocytoses
The Histiocyte Society classification of histiocytoses and neoplasms of macrophage-dendritic cell lineages is currently in its 2016 revision of the organization's initial classification system from 1987.
Terminology
Histiocytes are mononuclear phagocytes that reside in tissues, including macro...
Article
Labeled imaging anatomy cases
This article lists a series of labeled imaging anatomy cases by body region and modality.
Brain
CT head: non-contrast axial
CT head: non-contrast coronal
CT head: non-contrast sagittal
CT head: non-contrast axial with clinical questions
CT head: angiogram axial
CT head: angiogram coronal
...
Article
Pulmonary artery stump thrombosis
Pulmonary artery stump thrombosis describes thrombus formation occurring at the site of the pulmonary arterial stump, a complication following lobectomy or pneumonectomy. It is usually discovered as an incidental finding on routine follow-up chest CT scans.
Epidemiology
The prevalence of pulmo...
Article
Marginal zone lymphoma
Marginal zone lymphomas are a group of low grade non-Hodgkin lymphoma that arise from the marginal zone of B cell germinal follicles in lymph nodes. There are three types of marginal zone lymphomas depending on the site of origin, namely mucosa-accosiated lymphoid tissue (MALT), splenic and extr...
Article
Capillary leak syndrome
Capillary leak syndrome is a situation characterized by the escape of blood plasma through capillary walls, from the blood vessels to surrounding tissues, muscle compartments, organs or body cavities.
Clinical presentation
The idiopathic form of the syndrome is characterized by three phases 1,...
Article
Hand-foot syndrome (sickle cell disease)
Hand-foot syndrome, also simply referred to as dactylitis, is a self-limiting manifestation of a vaso-occlusive crisis in individuals with sickle cell anemia.
Terminology
Dactylitis is not a specific finding in sickle cell disease, therefore cautious usage is advised if one chooses to employ i...
Article
Hemochromatosis (CNS manifestations)
Central nervous system manifestations of hemochromatosis are uncommon and can occur in either primary or secondary hemochromatosis.
For a general discussion, and for links to other system specific manifestations, please refer to the article on hemochromatosis.
Epidemiology
Studies reporting p...
Article
Factor V Leiden
Factor V Leiden is a primary hypercoagulable state due to a variant (mutated form) of human factor V (five). Factor V is one of several coagulation factors that assist in the clotting pathway.
Epidemiology
Heterozygous factor V Leiden may be present in around 5% of the European population and ...
Article
Acute promyelocytic leukemia
Acute promyelocytic leukemia (APML) is a distinct subtype of acute myeloid leukemia.
Pathology
Genetics
It is defined by a balanced translocation between chromosomes 15 and 17 resulting in fusion of the promyelocytic leukemia gene (PML) on chromosome 15 with the retinoic acid receptor alpha g...
Article
Protein C deficiency
Protein C deficiency is a hypercoagulable state due to reduced activity or an absolute deficiency of protein C, an anticoagulant protein. Protein C deficiency increases the risk of venous thrombosis.
Epidemiology
The prevalence of protein C deficiency in the general population is around 1 per ...
Article
Acute lymphoblastic leukemia
Acute lymphoblastic leukemia (ALL) is a malignant disorder of the bone marrow characterized by the proliferation of the lymphoid progenitor cells, typically of the B cell lineage.
Epidemiology
Acute lymphoblastic leukemia is the commonest form of childhood leukemia, accounting for ~80% of pedi...
Article
Smoldering multiple myeloma
Smoldering multiple myeloma is a premalignant stage between monoclonal gammopathy of undetermined significance (MGUS) and multiple myeloma.
Clinical presentation
Similar to MGUS patients, smoldering multiple myeloma patients are asymptomatic.
Diagnostic criteria
The criteria for smoldering m...
Article
Monoclonal gammopathy of undetermined significance
Monoclonal gammopathy of undetermined significance (MGUS) is the most common plasma cell disorder and refers to the presence of an abnormal monoclonal antibody in the blood but the absence of the overt bone marrow and clinical signs of multiple myeloma.
Epidemiology
MGUS is the most common pla...
Article
Periprocedural anticoagulation
When planning an interventional procedure a patient’s coagulation status must be assessed and optimized to best balance the risk of bleeding and thrombosis. The following must be considered;
bleeding risks associated with the procedure
medications the patient is taking that alter coagulation o...
Article
Thrombotic thrombocytopenic purpura
Thrombotic thrombocytopenic purpura (TTP), also known as Moschcowitz syndrome, is a rare but life-threatening condition characterized by thrombocytopenia, microangiopathic hemolytic anemia (MAHA) and end-organ damage.
Epidemiology
The prevalence of thrombotic thrombocytopenic purpura is 1 in 1...
Article
Hypogammaglobulinaemia
Hypogammaglobulinaemia is an immune disorder characterized by a reduction in all types of gammaglobulins.
Terminology
While hypogammaglobulinaemia means some loss of gammaglobulins, a total loss is termed agammaglobulinaemia which can occur as an X-linked form (X-linked agammaglobulinemia).
...
Article
Eosinophil
Eosinophils, also less commonly known as acidophils, are myeloid granulocytes and form one of the main types of white blood cells. Their counts are routinely measured as part of a full blood count. They have important roles in fighting parasitic infections, but are increasingly recognized as hav...
Article
Erythrocytosis
Erythrocytosis (or polycythemia) is the presence of an excessive number of red blood cells in the circulation. It can be primary or arise secondarily to another pathology.
Terminology
Absolute erythrocytosis is defined as a red cell mass which is >125% predicted for sex and age 2.
Although th...
Article
Erythrocyte sedimentation rate
Erythrocyte sedimentation rate (ESR) is a non-specific marker of acute inflammation which is seen in a very wide spectrum of pathologies. In recent years it has been sidelined by the use of C-reactive protein and other acute phase markers but it still has an important role to play in the managem...
Article
Primary effusion lymphoma
Primary effusion lymphoma is a rare form of non-Hodgkin lymphoma (diffuse large B-cell lymphoma) characterized by malignant fluid accumulation in the absence of lymphadenopathy.
Epidemiology
Associations
immunodeficiency states such as acquired immunodeficiency syndrome (AIDS)
infections inc...
Article
Primary immunodeficiency states
The primary immunodeficiency states are a heterogenous group of disorders that occur when there is an impairment of humoral or cell-mediated immunity in the absence of any recognized precipitating cause such as drug therapy or infective agent such as human immunodeficiency virus (HIV).
Epidemio...
Article
Splenic lymphoma
Splenic lymphoma, also termed as lymphomatous involvement of the spleen, represents the most common malignancy to involve the spleen. They are commonly secondary, rarely being primary (referred to as primary splenic lymphoma).
This article focuses on the location-specific primary and secondar...
Article
Inflammatory myofibroblastic tumor of the spleen
Inflammatory myofibroblastic tumors of the spleen are rare spindle cells tumors of indeterminate clinical behavior. Please refer to the article on inflammatory myofibroblastic tumors for a broad discussion on the subject.
Radiographic features
Ultrasound
They usually present as a well define...
Article
Pyrexia of unknown origin
A pyrexia of unknown origin, commonly shortened to PUO, and also known as a fever of unknown origin (FUO), was originally defined in 1961 as the condition in which the core body temperature is >38.3oC for a period of three weeks or more, with no diagnosis reached after one week of inpatient inve...
Article
Protein S deficiency
Protein S deficiency is a hypercoagulable state associated with increased risk of venous thrombosis (up to 5% of patients with deep venous thrombosis may carry this deficiency).
Epidemiology
Protein S deficiency may be expected in ≈1 of every 500 people 3.
Clinical presentation
The spectrum ...
Article
Blastic plasmacytoid dendritic cell neoplasm
Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematological malignancy. It was previously termed as blastic natural-killer lymphoma or agranular CD4+ natural killer cell leukemia.
Epidemiology
It only represent a very small proportion (~0.44%) of all hematological malignancies...
Article
Catheter-directed thrombolysis
Catheter-directed thrombolysis (CDT) is an endovascular approach to the treatment of acute iliofemoral deep vein thrombosis. It involves the administration of a lytic agent directly into a thrombus.
Indications
precise diagnosis of iliofemoral deep vein thrombosis
first episode of acute ili...
Article
Diamond-Blackfan anemia
Diamond-Blackfan anemia (DBA) (previously known as congenital hypoplastic anemia) is the primary congenital form of pure red cell aplasia. It is a rare sporadic genetic form of anemia that typically presents in the first few years of life, and usually only affects cells of the erythroid lineage ...
Article
Wells criteria for pulmonary embolism
The Wells criteria for pulmonary embolism is a risk stratification score and clinical decision rule to estimate the probability for acute pulmonary embolism (PE) in patients in which history and examination suggests acute PE is a diagnostic possibility. It provides a pre-test probability which, ...
Article
AIDS-related diffuse large B-cell lymphoma
AIDS-related diffuse large B-cell lymphomas are one of the immunodeficiency-associated CNS lymphomas, and in Western countries represented a dramatic increase in primary CNS lymphoma during the HIV/AIDS epidemic of the 1980s, although the incidence is likely lower in patients treated with antire...
Article
Widening of the diploic space
Widening of the diploic space refers to expansion of the cancellous (spongy) bone between the inner and outer tables of the calvaria. The diploic space is the medullary cavity of the skull, and a location of normal physiologic hematopoiesis in adults. Thus, expansion of this structure most commo...
Article
Diffuse T1 bone marrow signal loss
Diffuse T1 vertebral bone marrow signal loss is associated with replacement of fatty marrow by edema or cellular tissue.
Radiographic features
MRI
T1-weighted imaging without fat suppression is one of the most important sequences for distinguishing between normal and abnormal bone marrow. Ab...
Article
Ommaya reservoir
Ommaya reservoir, also known as Ommaya shunt, is a device for the purpose of repetitive access to the intrathecal space, consisting of an intraventricular catheter connected to a reservoir (port) implanted beneath the scalp. It is used for intrathecal administration of medication such as chemoth...
Article
Bing-Neel syndrome
Bing-Neel syndrome is an extremely rare neurological complication of Waldenström macroglobulinemia where there is malignant lymphocyte infiltration into the central nervous system (CNS).
Epidemiology
The exact incidence is unknown, however, in one study of patients with Waldenström macroglobul...
Article
Perisplenitis
Perisplenitis is acute inflammation of the splenic capsule and its peritoneal covering.
Epidemiology
It is seen uncommonly but there is no data on its actual incidence.
Clinical Presentation
It is seen usually in young and middle-aged patients, with acute left hypochondrial or lower chest pa...
Article
Extramedullary hematopoiesis in the adrenal gland
Extramedullary hematopoiesis in the adrenal gland is a rare physiologic compensatory event in many hematologic diseases.
For a general discussion on this subject, please refer to the main article on extramedullary hematopoiesis.
Epidemiology
Extramedullary hematopoiesis in the adrenal gland i...
Article
Hand-Schüller-Christian disease
Hand-Schüller-Christian disease is a clinically intermediate form of a spectrum of histiocytic disorders, which ranges from acute fulminant to chronic indolent disease. It primarily affects children, less often young adults, and rarely older adults.
Hand-Schüller-Christian disease has been desc...
Article
Hemoglobinopathies
A hemoglobinopathy is a genetic disorder which alters the structure of hemoglobin 1. The result is reduced oxygen-carrying capacity of the blood to the tissues, and other sequelae.
Clinical presentation
Clinical presentation varies, is related to hypoxia, and characteristically includes the fo...
Article
Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a paradoxical thrombotic state resulting from an immune response to heparin.
Terminology
Heparin-induced thrombocytopenia and immune thrombocytopenia (ITP) are unrelated conditions.
Epidemiology
Occurs in 1:5000 patients who have received heparin, mo...
Article
Von Willebrand disease
Von Willebrand disease (vWD) is the commonest inherited bleeding diathesis but may be acquired.
Clinical presentation
Bruising and mucosal bleeding are typical presentations, but there is a spectrum of severity. The more residual von Willebrand factor (vWF) a patient has, the less severe the b...
Article
Vitamin K
Vitamin K is not a single compound but a family of fat-soluble vitamins essential for normal blood-clotting function and comprises two vitamers that are found naturally: phytomenadione (also known as phylloquinone or K1) and menaquinone (or K2).
Menaquinone (K2) is synthesized by normal flora i...
Article
Polycythemia vera
Polycythemia vera (older term: polycythemia rubra vera) is a myeloproliferative neoplasm that results in an excess of red blood cells in the bloodstream.
Epidemiology
The estimated prevalence is around 2-3 per 10,000 people. It typically presents in older individuals. There may be a slightly g...
Article
Anatomy curriculum
The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists.
General anatomy
Neuroanatomy
Head and neck anatomy
Thoracic anatomy
Abdominal and pelvic anatomy
Spinal anat...
Article
Histiocytic sarcoma
Histiocytic sarcoma is a rare malignant hematopoietic neoplasm that has been reported in association with other hematological malignancies (particularly B and T cell lymphomas).
Pathology
It comprises of tumor cells derived from the monocyte/macrophage lineage.
Location
It usually occurs in ...
Article
Cryoglobulinaemic vasculitis
Cryoglobulinaemic vasculitis (CV) is a form of immune mediated primary vasculitis involving small to medium sized vessels. It may involve multiple organs and can have a range of clinical presentations.
Terminology
There are three main types of cryoglobulinaemia which are grouped, as per the Br...
Article
Zebra spleen
Zebra spleen, also referred to as psychedelic spleen, tigroid splenic enhancement or more correctly inhomogeneous splenic enhancement, refers to the transient heterogeneous parenchymal enhancement of the spleen during the arterial or early portal venous phases of contrast enhancement in CT, MRI,...
Article
Leukemic infiltration of liver
Leukemic infiltration of the liver can occur with several forms of leukemia inclusive of acute myeloid leukemia (AML), acute lymphoid leukemia (ALL) and chronic myeloid leukemia (CML).
Radiographic features
CT
Described features are non-specific but include:
hepatomegaly
periportal low att...
Article
Essential thrombocythemia
Essential thrombocythemia (ET) is a myeloproliferative neoplasm characterized by an expansion of the megakaryocytic lineage, leading to an isolated elevation of platelets. It increases the risk of both thrombosis and hemorrhage.
Pathology
The disease has traditionally been a diagnosis of excl...
Article
Osteosclerosing myeloma
Osteosclerosing (or osteosclerotic) myeloma is an uncommon form of multiple myeloma. It may manifest as multiple sclerotic lesions or areas of diffuse osteosclerosis 3. It once was considered in the same spectrum of plasma cell dyscrasias with polyneuropathy as POEMS syndrome but is now consider...
Article
Immunity
The human body regularly encounters harmful micro-organisms, and because of this it has developed a system of defenses to help identify and eliminate infective pathogens in the body, known as immunity, executed by the immune system. This system also contributes to antioncogenic mechanisms.
Type...
Article
T-prolymphocytic leukemia
T-prolymphocytic leukemia (T-PLL) is a rare and unusual hematological malignancy.
Terminology
In the most recent version of the WHO classification, this is referred to as T-prolymphocytic leukemia rather than T-cell prolymphocytic leukemia.
Epidemiology
It represents around 2% of all mature ...
Article
Hematopoietic stem cell transplantation (abdominal complications)
Abdominal complications of hematopoietic stem cell transplantation can occur early (0-100 days) or late (>100 days) post-transplant.
Complications
Early
bacterial infections, e.g. pseudomembranous colitis
fungal infections, often affecting the esophagus or as hepatic/splenic microabscesses
...
Article
Hematopoietic stem cell transplantation
Hematopoietic stem cell transplantation (HSCT) (encompasses bone marrow transplantation (BMT)) is a relatively common procedure used to treat a wide spectrum of conditions 1,2:
lymphoproliferative disorders, e.g. multiple myeloma (most common indication), lymphoma,
leukemia
solid tumors, e.g...
Article
Hypersensitivity reaction
Hypersensitivity reactions are the immunological response to both exogenous and endogenous antigens, and form the basis for many diseases.
Pathology
Classification
Using the Gell and Coombs' classification, there are four types of hypersensitivity reactions, each mediated by a different mech...
Article
Wiskott-Aldrich syndrome
Wiskott-Aldrich syndrome (WAS) is a rare immunodeficiency disease.
Epidemiology
The incidence currently quoted is approximately 4 per million live male births, although there can be regional variation. Rarely occurs in females.
Associations
splenic hamartoma
infantile cortical hyperostosis ...
Article
Splenic granulomatous disease
Splenic granulomatous disease refers to sequelae arising from granulomatous infection-inflammation of the spleen.
They are a result of:
infective
splenic tuberculosis
splenic histoplasmosis
splenic brucellosis
non-infective
splenic sarcoidosis
Radiographic features
General
In latent s...
Article
Trousseau syndrome
Trousseau syndrome is an inconsistently defined entity which broadly represents the association between thromboembolism and malignancy, often prior to or concomitantly with the diagnosis of the underlying malignancy 1.
The syndrome has been variably defined to include entities such as migratory...
Article
Neurolymphomatosis
Neurolymphomatosis is a rare cause of neuropathy due to infiltration of the peripheral nervous system by a hematologic malignancy, in the great majority a B-cell non-Hodgkin lymphoma.
It should be differentiated from non-tumor neuropathies associated with lymphoma, such as irradiation, chemothe...
Article
Reed-Sternberg cells
Reed-Sternberg cells are a classical finding diagnostic of Hodgkin lymphoma. They are giant, multinucleated cells with abundant pale cytoplasm. Reed-Sternberg cells are rare, making up <1% of lymphoid tissue, with the background consisting of lymphocytes, plasma cells, eosinophils and macrophages.
Article
Chronic myelomonocytic leukemia
Chronic myelomonocytic leukemia (CMML) is a relatively rare clonal hematologic disorder. In the World Health Organizatiοn classification, it is listed as a disorder with features of both myelodysplastic syndromes and myeloproliferative neoplasms.
Clinical presentation
Can be variable but many ...
Article
Leukemia (CNS manifestations)
Leukemia CNS manifestations can be divided into those related to the disease itself and those associated with its treatment. Leukaemias are hematologic malignancies in which there is a proliferation of hematopoietic cells at an undifferentiated or partially differentiated stage of maturation.
C...
Article
Hyperimmunoglobulin IgE syndrome
Hyperimmunoglobulin E (hyper IgE) syndrome (HIES), also known as Job syndrome, consists of a heterogeneous group of complex hereditary combined B- and T-cell immune deficiency diseases characterized by recurrent Staphylococcus aureus chest infections, characteristic coarse facial appearance and ...
Article
Richter transformation
Richter transformation is defined as the development of high-grade non-Hodgkin lymphoma (NHL) in patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
It has been expanded to include other lymphoid malignancies that develop in CLL patients, including Hodgkin dise...
Article
Small lymphocytic lymphoma
Small lymphocytic lymphoma (SLL) is a non-Hodgkin lymphoma affecting the B-lymphocytes of the immune system. This condition is now considered different manifestations of the same disease process as chronic lymphocytic leukemia (CLL). On imaging, they are mostly depicted as lymphadenopathy.
Pa...
Article
Normal hepatobiliary imaging examples
This article lists examples of normal imaging of the liver and biliary tree and surrounding structures, divided by region and modality.
Liver
Plain radiographs
liver silhouette: example
Ultrasound
liver ultrasound
example 1 with shear wave elastography
liver Doppler ultrasound: example ne...
Article
Normal gastrointestinal tract imaging examples
This article lists examples of normal imaging of the gastrointestinal tract and surrounding structures, divided by modality.
Plain radiograph
abdominal film
example 1
example 2: erect and supine
example 3: pediatric
example 4: pediatric
example 5: young adult male
Barium studies
barium ...
Article
Intravascular lymphoma
Intravascular lymphoma (IVL), also known as intravascular lymphomatosis or intravascular large cell lymphoma or intravascular large B-cell lymphoma, corresponds to a rare variant of extranodal diffuse large B cell lymphoma that affects small and medium-sized vessels and has no specific clinical ...
Article
Antithrombin III deficiency
Antithrombin (AT) III deficiency (now simply called antithrombin deficiency) refers to a congenital lack of the endogenous anticoagulant antithrombin.
Epidemiology
Antithrombin deficiency is considered the least common of the three main anticoagulant deficiencies (the other two being protein C...
Article
Leukostasis
Leukostasis, also known as symptomatic hyperleukocytosis, is a medical emergency in patients with leukemia, particularly acute myeloid leukemia (AML) and in the blast phase of chronic myeloid leukemia (CML), characterized by the over-accumulation of leukemic cells within the small vessels. Altho...
Article
Engraftment syndrome
Engraftment syndrome (ES) refers to a potential early complication of haematopoetic stem cell transplantation. It is thought to be related to increased capillary permeability and comprises of a combination of symptoms and signs which include
fever
erythrodermatous skin rash
noncardiogenic pul...
Article
Hemolytic uremic syndrome
Hemolytic uremic syndrome (HUS) is a multisystem thrombotic microangiopathic disease characterized by the triad of renal failure, hemolytic anemia and thrombocytopenia. It is the most common cause of renal failure in infancy and childhood requiring dialysis.
There are two forms of this syndrom...
Article
Angioimmunoblastic T cell lymphoma
Angioimmunoblastic T-cell lymphoma (AITL) (previously known as angioimmunoblastic lymphadenopathy with dysproteinemia (AILD)) is a rare, aggressive (fast-growing) form of peripheral T-cell lymphoma. It only accounts for around 1-2% of all non-Hodgkin lymphoma. It is one of the more common subtyp...
Article
Splenic metastases
Splenic metastases are relatively rare on imaging, although they are more commonly found on autopsy. Typically they are part of a widespread metastatic disease.
Epidemiology
The rate of splenic metastases varies between 1-10% of autopsy studies, depending on whether microscopic or macroscopic ...
Article
Retrorenal spleen
Retrorenal spleen refers to variant position of the spleen, when its inferior portion lies posterior to the upper pole of the left kidney.
This normal variant occurs in ~20% of patients, with the finding more common in patients who lie supine 1.
Recognition of this variant is important to avoi...
Article
Hypersplenism
Hypersplenism is a cytopenia resulting from blood pooling in the spleen and is almost always associated with splenomegaly.
Pathology
Etiology
There is an almost overwhelming list, some more common causes are given below 1,3,4:
congestive splenomegaly: cirrhosis, Budd-Chiari syndrome, portal...
Article
Splenic artery embolization
Splenic artery embolization is an endovascular technique for treatment of splenic and splenic artery pathology as an alternative to splenic artery ligation or splenectomy. It often results in successfully treating the underlying pathology, while maintaining at least partial splenic function.
I...
Article
Leukemia (testicular manifestations)
Leukemia testicular manifestations, or testicular leukemia, can be seen in patients during and after acute leukemia. The blood-testis barrier limits chemotherapy from reaching the testis, and therefore the testis can act as a sanctuary for leukemic cells.
typically presents with painless testic...
Article
Infectious mononucleosis
Infectious mononucleosis (also known as glandular fever) is the term for infection with Epstein-Barr virus (EBV). The infection classically occurs in teenagers and young adults, hence its popular name kissing disease. It is usually a clinical diagnosis, with confirmation by serum testing, but ma...
Article
Hepatic myeloid sarcoma
Hepatic myeloid sarcomas, also referred to as hepatic granulocytic sarcoma or hepatic chloromas, are rare neoplasms comprised of myeloid precursor cells happening in the liver. They are a unique presentation of acute myeloid leukemia (AML).
Please refer to the main article on myeloid sarcoma/c...
Article
Non-Hodgkin lymphoma
Non-Hodgkin lymphoma (NHL) is a neoplasm of the lymphoid tissues originating from B cell precursors, mature B cells, T cell precursors, and mature T cells. It includes all types of lymphomas apart from Hodgkin lymphoma.
See the WHO classification of haematolymphoid tumors for further informatio...
Article
Large bowel lymphoma
Large bowel (colorectal) lymphoma is a very rare tumor, accounting for <0.5% of primary colorectal malignancies, ~1.5% of all lymphomas, and ~15% of gastrointestinal lymphomas. Large bowel lymphoma differs from gastric and small bowel lymphoma in clinical presentation, management, and prognosis....
Article
Secondary hepatic involvement with lymphoma
Secondary hepatic involvement with lymphoma (secondary hepatic lymphoma) is common, much more so than primary hepatic lymphoma.
Clinical presentation
Hepatomegaly with deranged liver function tests is the most common presentation. Jaundice is common. Rarely, patients may present with acute li...
Article
MALT lymphoma
Mucosa-associated lymphoid tissue (MALT) lymphoma, sometimes shortened to MALToma, is a type of low-grade extranodal lymphoma.
Terminology
In the 5th edition of the WHO classification of haematolymphoid tumors, it is a mature B-cell neoplasm termed extranodal marginal zone lymphoma of mucosa-a...
Article
Secondary involvement of the bone with lymphoma
Secondary involvement of the bone with lymphoma, also referred as secondary bone lymphoma, is much more common than primary bone lymphoma, occurring in ~15% of disseminated lymphomas.
Terminology
Secondary bone lymphoma is defined as lymphoma involving the bone with nodal disease occurring wit...
Article
Primary bone lymphoma
Primary bone (skeletal/osseous) lymphoma (PBL) is a less common manifestation of lymphoma than secondary involvement from disseminated lymphoma. It is rare, accounting for <5% of bone tumors and <1% of non-Hodgkin lymphoma.
Terminology
PBL is defined as the presence of lymphoma isolated to one...
Article
Muscle lymphoma
Muscle lymphoma is a rare manifestation of lymphoma.
Epidemiology
Muscle lymphoma is rare, representing <2% of all lymphomas. The average age of presentation is 70 years 1.
Clinical presentation
Focal swelling and/or pain along with B-type symptoms 2. Any muscle can be involved but most comm...