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.
1,053 results found
Article
Gallbladder cancer (staging - AJCC 8th edition)
The AJCC (American Joint Committee on Cancer) 8th edition gallbladder cancer staging system was introduced in 2018.
TNM system
T: primary tumor
Tis: carcinoma in situ - tumor only within the epithelium (the inner layer of the gallbladder)
T1: tumor invades the lamina propria or muscularis
T...
Article
CT chest abdomen-pelvis (protocol)
The CT chest-abdomen-pelvis protocol serves as an outline for an examination of the trunk covering the chest, abdomen and pelvis. It is one of the most common CT examinations conducted in routine and emergencies. It can be combined with a CT angiogram.
Note: This article aims to frame a genera...
Article
CT abdomen-pelvis (protocol)
The CT abdomen-pelvis protocol serves as an outline for an examination of the whole abdomen including the pelvis. It is one of the most common CT protocols for any clinical questions related to the abdomen and/or in routine and emergencies. It forms also an integral part of trauma and oncologic ...
Article
CT pancreas (protocol)
The CT pancreas protocol serves as an outline for a dedicated examination of the pancreas. As a separate examination, it is usually conducted as a biphasic contrast study and might be conducted as a part of other scans such as CT abdomen-pelvis, CT chest-abdomen-pelvis.
Note: This article aims...
Article
CT pelvis (protocol)
The CT pelvis protocol serves as an outline for the acquisition of a pelvic CT. As a separate examination, it might be performed as a non-contrast or contrast study or might be combined with a CT hip or rarely with a CT cystogram. A pelvic CT might be also conducted as a part of other scans such...
Article
Myelodysplastic syndrome / myeloproliferative neoplasm (MDS/MPN) overlap syndromes
Myelodysplastic syndrome / myeloproliferative neoplasm (MDS/MPN) overlap syndromes refer to a group of chronic clonal myeloid malignancies in which there are features of both myelodysplastic syndrome and myeloproliferative neoplasm at the time of presentation.
Entities that can fall into this g...
Article
Prostate atrophy
Prostatic atrophy is characterized by reduced cytoplasm prostatic acinar cells and constitutes a benign mimic of prostate cancer not only on imaging but also histologically.
Terminology
The term 'proliferative inflammatory atrophy (PIA)' is used if it is associated with inflammation.
Epidemio...
Article
Prostatic leiomyoma
Prostatic leiomyomas are benign mesenchymal tumors of the prostate.
Epidemiology
Prostatic leiomyomas are very rare 1-3.
Diagnosis
The diagnosis of prostatic leiomyoma is based on histology.
Clinical presentation
Prostatic leiomyomas can present with voiding difficulties or obstructive sym...
Article
Seminal vesicle cystadenoma
Seminal vesicle cystadenomas are a benign subgroup of mixed epithelial and stromal tumors of the seminal vesicles.
Epidemiology
Benign tumors of the seminal vesicles are very rare and so are cystadenomas 1.
Clinical presentation
Voiding difficulties or hematuria have been reported as clinica...
Article
Seminal vesicle stones
Seminal vesicle stones or calculi refer to solid mineralized pieces of material within the seminal vesicles.
Epidemiology
Seminal vesicle calculi are rare and have been mainly reported after the age of 40 years 1.
Associations
Seminal vesicle calculi are often associated with hematospermia.
...
Article
Prostatic acid phosphatase
Prostatic acid phosphatase (PAP) also known as prostatic specific acid phosphatase (PSAP) is an enzyme generated by prostatic glandular tissue.
Usage
It can be used in immunohistochemistry to identify prostatic tissue including prostatic epithelium and prostatic ducts and is usually expressed ...
Article
Mucinous adenocarcinoma of the prostate
Mucinous adenocarcinomas of the prostate or colloid adenocarcinomas of the prostate are a variant of acinar adenocarcinoma and characterized by mucinous features.
Epidemiology
Mucinous adenocarcinomas of the prostate are rare and account for less than 0.5% of prostate cancers 1-4.
Diagnosis
...
Article
Adenocarcinoma of the seminal vesicle
Adenocarcinomas of the seminal vesicles are the most common malignant primary neoplasm of the seminal vesicles.
Epidemiology
Primary adenocarcinomas of the seminal vesicles are very rare 1,2 and can be observed at a wide age range 2.
Diagnosis
Diagnostic criteria
The following modified diag...
Article
Basal cell carcinoma of the prostate
Basal cell carcinoma of the prostate or prostatic adenoid basal proliferation of uncertain significance is a type of prostate cancer resembling adenoid cystic carcinoma of the salivary glands.
Terminology
Other terms include 'adenoid cystic carcinoma', 'adenoid basal cell tumor', 'adenoid cyst...
Article
Squamous neoplasms of the prostate
Squamous neoplasms of the prostate include squamous cell carcinomas and adenosquamous carcinomas of the prostate that account for two separate entities in the WHO classification of prostate tumors.
Epidemiology
Squamous cell carcinomas of the prostate are very rare and encompass <1% of prostat...
Article
Urothelial carcinoma of the prostate
Urothelial carcinomas or transitional cell carcinomas of the prostate are malignant neoplasms that can occur as primary cancers of the prostate gland.
Epidemiology
Prostatic urothelial carcinomas account for less than 2-4% of all prostate cancers 1 and are usually seen in middle-aged men 2.
A...
Article
High-grade prostatic intraepithelial neoplasia
High-grade prostatic intraepithelial neoplasia (HGPIN) refers to a proliferation of glandular epithelial cells and is generally considered a nonobligatory precursor lesion of invasive prostate cancer.
Epidemiology
High-grade prostatic intraepithelial neoplasia is diagnosed in core needle biops...
Article
Intraductal carcinoma of the prostate
Intraductal carcinomas of the prostate (IDCP) are a new subtype of prostate cancer that has been included as a new entity in the WHO classification of prostate tumors in 2016.
Epidemiology
Intraductal carcinomas of the prostate are rarely found isolated on needle core biopsy samples in 0.1-0.3...
Article
Ductal adenocarcinoma of the prostate
Ductal adenocarcinomas of the prostate or prostatic ductal adenocarcinomas are malignant glandular neoplasms of the prostate and tend to be more aggressive than acinar adenocarcinomas.
Terminology
Due to its morphologic resemblance, it has been formerly referred to as 'endometrial' or 'endomet...
Article
Periportal lymphadenopathy (differential)
Periportal lymphadenopathy can be a common observation during imaging of the upper abdomen. What is considered the exact upper limit of normal has been variable 1,3 among different publications but with many authors suggesting a cut-off of around 10 mm in short axis diameter.
Pathology
Etiolog...
Article
Adenocarcinoma of the prostate with neuroendocrine differentiation
Adenocarcinoma of the prostate with neuroendocrine differentiation is a malignant neuroendocrine tumor of the prostate which only differs from acinar or ductal adenocarcinoma on immunohistochemistry staining.
Diagnosis
The diagnosis of adenocarcinoma of the prostate with neuroendocrine differe...
Article
Well-differentiated neuroendocrine tumor of the prostate
Well-differentiated neuroendocrine tumors of the prostate also known as low-grade neuroendocrine carcinoma of the prostate or carcinoid tumors of the prostate are low-grade neuroendocrine tumors arising from the prostate that may metastasize.
Epidemiology
Well-differentiated neuroendocrine tum...
Article
Large cell neuroendocrine carcinomas of the prostate
Large cell neuroendocrine carcinomas (LCNEC) of the prostate or prostatic large cell neuroendocrine carcinomas are very aggressive and rare high-grade neuroendocrine tumors that are usually observed in the presence of an already existing adenocarcinoma and very rarely found alone.
Epidemiology
...
Article
Right hemicolectomy
A right hemicolectomy is a surgical procedure to remove the cecum and ascending colon.
Indications
cancer of the appendix, cecum or ascending colon (most common) 1
inflammatory bowel disease, particularly Crohn disease
complicated appendicitis
cecal volvulus
perforation of the right colon
...
Article
Theranostics
Theranostics (a.k.a. theragnostics 6) uses a diagnostic examination to determine if a patient may benefit from a specific therapeutic drug and thus couples the therapy with diagnostic information specific for the intended target 2.
Theranostics promises improved patient selection for therapy on...
Article
Small cell carcinoma of the prostate
Small cell carcinomas of the prostate (SCCP) or small cell neuroendocrine carcinomas of the prostate are neuroendocrine tumors and are characterized by aggressive behavior and a proliferation of small cells.
Epidemiology
Small cell neuroendocrine carcinomas of the prostate are rare 1,2 and mak...
Article
Prostate imaging recurrence reporting
Prostate imaging recurrence reporting (PI-RR) or prostate MRI for local recurrence reporting is a structured reporting scheme similar to the Prostate Imaging-Reporting and Data System (PIRADS) v2.1 on multiparametric prostate MRI for the detection of local recurrence after radical prostatectomy ...
Article
Acinar cell carcinoma of the pancreas
Pancreatic acinar cell carcinoma is a rare exocrine neoplasm that comprises ~1% of all pancreatic tumors. This tumor shows more aggressive behavior than the far more common adenocarcinoma 1,3,4.
Clinical presentation
High levels of serum lipase, due to hypersecretion syndrome, resulting in sub...
Article
Neuroendocrine carcinoma of the cervix
Neuroendocrine carcinoma of the cervix is a rare type of invasive cervical cancer. These are very aggressive tumors with rapid lymph nodal metastasis 1,2.
Epidemiology
Neuroendocrine carcinomas of the cervix account for approximately ~2% of tumors of the cervix seen in the females of reproduct...
Article
Neoplastic pericardial disease
Neoplastic pericardial disease, neoplastic pericardial involvement or neoplastic pericarditis refers to a pericardial infiltration by tumor cells usually associated with a variably sized pericardial effusion and is a form of non-infectious pericarditis. It needs to be differentiated from other c...
Article
Ischemic fasciitis
Ischemic fasciitis (rare plural: ischemic fasciitides) refers to a reactive pseudosarcomatous fibroblastic or myofibroblastic proliferation associated with physical constraints.
Terminology
Terms that are no longer recommended for use include ‘pseudosarcomatous fibromatosis’ and ‘atypical decu...
Article
Parathyromatosis
Parathyromatosis (plural: parathyromatoses) is the very rare phenomenon in which there is hyperplasia of residual foci of parathyroidal soft tissue after surgical parathyroidectomy resulting in recurrent hyperparathyroidism.
Epidemiology
Parathyromatosis is very rare, a study from 2012 stated ...
Article
Angiofibroma of soft tissue
Angiofibromas of soft tissue are benign fibroblastic soft tissue neoplasms permeated by a vascular network that might be found in the periarticular and articular areas of the lower extremities that have been included as a separate entity in the WHO classification of soft tissue tumors in 2020.
...
Article
MEN1 triad (mnemonic)
Mnemonics to remember the classic triad of multiple endocrine neoplasia type 1 (MEN1) are:
PPP
PiParPanc
ParaPanPit
Mnemonics
PPP
P: pituitary adenoma: prolactinoma is commonest
P: pancreatic endocrine tumors
P: parathyroid proliferative disease
parathyroid hyperplasia (most common)
pa...
Article
Atypical spindle cell/pleomorphic lipomatous tumor
Atypical spindle cell/pleomorphic lipomatous tumors or atypical spindle cell lipoma are benign adipocytic soft tissue neoplasms with a variable proportion of atypical spindle cells, pleomorphic cells adipocytes and other cells with no risk for dedifferentiation but a low risk of local recurrence...
Article
Intramuscular hemangiomas
Intramuscular hemangiomas, also known as intramuscular angiomas or intramuscular capillary-type hemangiomas, are vascular lesions consisting of benign vascular channels within skeletal muscle.
Terminology
In much of the scientific literature, the term "intramuscular hemangioma" continues to be...
Article
Extrarenal rhabdoid tumor
Extrarenal rhabdoid tumors, also known as rhabdoid tumors of soft tissue or malignant rhabdoid tumors are highly malignant neoplasms of uncertain differentiation mainly seen in infants and children.
Epidemiology
Extrarenal rhabdoid tumors are very rare and most are found in infants and childre...
Article
Haemosiderotic fibrolipomatous tumor
Haemosiderotic fibrolipomatous tumors or haemosiderotic fibrohistiocytic lipomatous lesions are locally aggressive soft tissue tumors of uncertain differentiation.
Epidemiology
Haemosiderotic fibrolipomatous tumors are rare with an estimated incidence of less than 0.2% of all benign lipomatous...
Article
Pleomorphic hyalinizing angiectatic tumor of soft parts
Pleomorphic hyalinizing angiectatic tumors (PHAT) of soft parts are locally recurring non-metastasizing neoplasms of intermediate biologic potential and are classified as soft tissue tumors of uncertain lineage.
Epidemiology
Pleomorphic hyalinizing angiectatic tumors of soft parts a very rare ...
Article
Angiomatoid fibrous histiocytoma
Angiomatoid fibrous histiocytomas (AFH) or angiomatoid fibrous malignant histiocytomas are neoplasms of intermediate biologic potential and are classified as soft tissue tumors of uncertain differentiation.
Epidemiology
Angiomatoid fibrous histiocytomas a rare and account for about 0.3% of all...
Article
Juxta-articular myxoma
Juxta-articular myxomas or periarticular myxomas are benign myxoid soft tissue tumors with similarities to intramuscular myxomas. They are classified as tumors of uncertain differentiation.
Epidemiology
Juxta-articular myxomas are rare and seen over a wide age range with a peak in the fourth t...
Article
Epithelioid sarcoma
Epithelioid sarcomas are malignant usually slow-growing mesenchymal tumors of unknown and multidirectional differentiation. There are classic and proximal subtypes.
Epidemiology
Epithelioid sarcomas are rare and make up for <1% of soft tissue sarcomas 1,2. They are found in children and adults...
Article
Neuromuscular choristoma
Neuromuscular choristomas (NMC), also known as benign triton tumors, nerve rhabdomyomas and neuromuscular or ectomesenchymal hamartomas are benign expansile peripheral nerve sheath tumors featuring a tight interconnection of skeletal muscle and nerve fibers within the endoneurial sheath. They al...
Article
Dermal nerve sheath myxoma
Dermal nerve sheath myxomas are benign peripheral nerve sheath tumors usually originating from the skin or subcutaneous tissues.
Terminology
The previous term was ‘classic or myxoid variant of neurothekeoma’ but recent data has shown that they are biologically and clinically distinct from neur...
Article
Soft tissue chondroma
Soft tissue chondromas or extraskeletal chondromas are benign soft tissue tumors of hyaline or myxoid cartilage originating in extraosseous and extrasynovial locations commonly found in the hands and feet.
Epidemiology
Soft tissue chondromas are rare. They are most commonly seen in middle-aged...
Article
Ectomesenchymoma
Ectomesenchymomas are biphasic or composite malignant soft tissue tumors with rhabdomyosarcoma resembling parts and neuronal or neuroblastic features.
Terminology
The term ‘gangliorhabdomyosarcoma’ is no longer recommended.
Epidemiology
Ectomesenchymomas are very rare and usually occur in in...
Article
Tumor lysis syndrome
Tumor lysis syndrome (TLS) is an entity representing a constellation of laboratory and clinical derangements inclusive of:
hyperuricemia
hyperphosphatemia
hypocalcemia and
hyperkalemia
It is considered an oncological emergency and can occur following treatment of malignancies with high cell...
Article
Pleural pointillism
Pleural pointillism is multiple high signal regions on b=1000 diffusion-weighted imaging but not at lower b-values. It can be a reliable tool allowing differentiation of malignant from benign pleural lesions and can help guide biopsy 1-3. Its sensitivity is reported to be 93-100% and specificit...
Article
Ovarian-Adnexal Reporting and Data System (O-RADS)
The Ovarian-Adnexal Imaging Reporting and Data System, (O-RADS), aims to ensure that there are uniform unambiguous sonographic and MRI evaluations of ovarian or other adnexal lesions, accurately assigning each lesion to a risk category of malignancy being present, and which informs the appropria...
Article
Immunotherapy
Immunotherapy is a relatively new treatment modality in which the immune system of the patient is modulated specifically to control conditions such as autoimmune disease, allergies, or cancer. Therapies may be cell-based (e.g. chimeric antigen receptor T cell-based), antibody-based (e.g. checkpo...
Article
Prostate MRI (an approach)
Prostate MRI has become an increasingly frequent examination faced in daily radiological practice and is mainly conducted for the detection, active surveillance and staging of prostate cancer. This approach is an example of how to create a radiological report of a prostate MRI (usually mpMRI) wi...
Article
Pseudomyogenic hemangioendothelioma
Pseudomyogenic hemangioendotheliomas, also known as epithelioid sarcoma-like hemangioendotheliomas, are locally aggressive and rarely metastasizing vascular neoplasms with histological similarities to myoid tumors and epithelioid sarcomas.
Epidemiology
Pseudomyogenic hemangioendotheliomas are...
Article
Composite hemangioendothelioma
Composite hemangioendotheliomas are locally aggressive and rarely metastasizing vascular tumors consisting of different and histologically distinct elements.
Epidemiology
Composite hemangioendotheliomas are very rare and mostly seen in adults. Women are slightly more commonly affected 1,2.
Di...
Article
Plexiform fibrohistiocytic tumor
Plexiform fibrohistiocytic tumors (PFHT) are dermal or subcutaneous soft tissue neoplasms of uncertain behavior with biphasic tumor morphology and a plexiform growth pattern.
Epidemiology
Plexiform fibrohistiocytic tumors are rare tumors. They can occur over a wide age range but are usually s...
Article
Mesorectal lymph nodes
Mesorectal lymph nodes refers to lymph nodes that are present in the mesorectal fascia. Their assessment is important in the staging of colorectal tumors such as rectal cancer and anal cancer.
Distribution
According to one study, the majority of nodes were located in the proximal two-thirds ...
Article
Acral fibromyxoma
Acral fibromyxomas, also known as superficial acral fibromyxomas or digital fibromyxomas are benign mesenchymal proliferations prone to recurrence usually found in the subungual and periungual sites of the digits.
Terminology
The term 'cellular digital fibroma' is not recommended 1,2.
Epidemi...
Article
Distal cholangiocarcinoma (staging)
Distal cholangiocarcinoma staging is defined according to the TNM staging classification of the American Joint Committee on Cancer (AJCC)/Union for International Cancer Control (UICC). As of 2018, the staging criteria are in their 8th edition and reflected below 1. These criteria apply to cancer...
Article
Perihilar cholangiocarcinoma (staging)
Perihilar cholangiocarcinoma staging is, for prognostication, most commonly conducted using the TNM staging classification of the American Joint Committee on Cancer (AJCC)/Union for International Cancer Control (UICC). As of 2018, the staging criteria are in their 8th edition and reflected below...
Article
Sclerosing epithelioid fibrosarcoma
Sclerosing epithelioid fibrosarcomas are rare slow-growing malignant fibroblastic soft tissue neoplasms pictured by a dense sclerotic hyalinized stroma with cords and areas of epithelioid fibroblasts.
Epidemiology
The tumor is rare and usually found in the middle-aged and elderly population. T...
Article
Low-grade fibromyxoid sarcoma
Low-grade fibromyxoid sarcomas also known as Evans tumors are malignant fibroblastic soft tissue neoplasms characterized by alternating fibrous and myxoid elements and a propensity to late recurrence and metastasis.
Terminology
The term hyalinizing spindle cell tumor with giant rosettes is now...
Article
Lipofibromatosis
Lipofibromatosis refers to a rare unspecified/borderline slow-growing soft tissue tumor prone to recurrence, which is often found in the hands and feet of children.
Terminology
Infantile or juvenile fibromatosis variant is an alternative term, which has been used but is now discouraged 1.
Ep...
Article
Seminal vesicle invasion
Seminal vesicle invasion (SVI) is referred to as the secondary involvement of the seminal vesicles and ductus deferens by neoplasms not originating from the seminal vesicles themselves and are much more common than their primary counterparts. Involvement of the seminal vesicles stages prostate c...
Article
Low-grade myofibroblastic sarcoma
Low-grade myofibroblastic sarcomas, also known as myofibrosarcoma are locally aggressive rarely metastasizing fibroblastic tumors.
Epidemiology
Low-grade myofibroblastic sarcomas most commonly occur in adults in the 4th and 5th decade of life with a minor male predominance and are rarely found...
Article
Infantile fibrosarcoma
Infantile fibrosarcomas also known as congenital fibrosarcoma, infantile fibrosarcoma-like tumor, and cellular congenital mesoblastic nephroma are locally aggressive rarely metastasizing fibroblastic tumors found in the pediatric population.
Epidemiology
Infantile fibrosarcomas are most common...
Article
Adult fibrosarcoma
Adult fibrosarcomas are rare, malignant and highly aggressive fibroblastic soft tissue tumors. They constitute a diagnosis of exclusion.
Epidemiology
Adult fibrosarcomas by more recent definition are rare and make up around 1% of soft tissue sarcomas. They are mostly seen in middle-aged people...
Article
Myxoid pleomorphic liposarcoma
Myxoid pleomorphic liposarcomas are extremely rare aggressive malignant neoplasms arising from adipocytic tissues characterized by a mixture of pleomorphic and myxoid features and the absence of genetic fusions and amplifications seen in well-differentiated liposarcoma and other lines of differe...
Article
Pleomorphic liposarcoma
Pleomorphic liposarcomas are high-grade malignant neoplasms arising from adipocytic tissues characterized by a variable number of pleomorphic lipoblasts and the absence of areas of well-differentiated liposarcoma and other lines of differentiation.
Epidemiology
Pleomorphic sarcomas are rare an...
Article
Dedifferentiated liposarcoma
Dedifferentiated liposarcomas (DDLPS) are malignant adipocytic soft tissue neoplasms that have progressed from primary or recurrent atypical lipomatous tumors/well-differentiated liposarcomas and are characterized by a much higher rate of recurrence, metastasis in about one-fourth of the cases a...
Article
Well-differentiated liposarcoma/atypical lipomatous tumor
Well-differentiated liposarcomas (WDLPS) or atypical lipomatous tumors (ALT) are locally aggressive adipocytic soft tissue neoplasms and are the most common form of liposarcomas.
Terminology
The terminology well-differentiated liposarcoma and atypical lipomatous tumor depend on the localizatio...
Article
Epithelioid hemangioma
Epithelioid hemangiomas are benign vascular neoplasms made of epithelioid endothelial cell morphology usually seen in cutaneous and subcutaneous tissues.
Epidemiology
They have been observed in all age groups with a peak incidence in the 4th decade. There is no gender predominance 1.
Diagnosi...
Article
Epithelioid hemangioma of bone
Epithelioid hemangiomas of bone are benign intraosseous vascular neoplasms of epithelioid morphology which show locally aggressive behavior.
Terminology
The following terms are not recommended 1:
histiocytoid hemangioma
hemorrhagic epithelioid hemangioma
spindle cell hemangioma
Epidemiolo...
Article
High-grade surface osteosarcoma
High-grade surface osteosarcomas are sporadic and high-grade malignant osteoid-forming tumors emerging from the bony surfaces similar to parosteal and periosteal osteosarcomas.
Epidemiology
High-grade surface osteosarcomas are very rare and constitute <1% of all osteosarcomas. There seems to b...
Article
Paclitaxel lung toxicity
Paclitaxel lung toxicity is a form of drug induced lung disease that can precipitate following the use of paclitaxel which is a chemotherapeutic agent commonly used in the treatment of breast, ovarian, and non-small cell lung cancers.
Two forms have been described:
hypersensitivity reactions 1...
Article
WHO classification of prostate tumors
The World Health Organization (WHO) classification of prostate tumors is a commonly used classification system for prostate tumors. The current version was published in 2016 as part of the WHO Classification of Tumors of the Urinary System and Male Genital Organs 1,2 and replaces the previous c...
Article
Stromal tumor of uncertain malignant potential
Stromal tumor of uncertain malignant potential (STUMP) is a rare stromal tumor of the prostate with a broad spectrum of histologic patterns and variable clinical behavior.
Terminology
Stromal tumor of uncertain malignant potential has been also known as atypical stromal hyperplasia, cystic epi...
Article
Sarcomatoid carcinoma of the prostate
Sarcomatoid carcinoma of the prostate is a rare malignant prostatic tumor variant usually composed of both malignant glandular cells and spindle cells.
Terminology
Sarcomatoid carcinoma of the prostate is also known as carcinosarcoma, metaplastic carcinoma or spindle cell carcinoma of the pros...
Article
Leiomyosarcoma of the prostate
Leiomyosarcoma of the prostate is a rare mesenchymal smooth muscle malignancy of the prostate gland.
Epidemiology
It is a rare tumor with less than 200 cases reported in the literature accounting for approximately 25% of all sarcomas of the prostate gland and less than 0.1% of primary prostate...
Article
DNA
DNA (deoxyribonucleic acid) is a nucleic acid that encodes the genetic information (genome) necessary for RNA (ribonucleic acid) transcription (transcriptome) and protein synthesis (proteome) 1. It is contained in the nucleus of eukaryotic cells in the form of chromatin or chromosomes 7,8.
Mole...
Article
Skip metastases to the axillary lymph nodes in breast cancer
Skip metastases to the axillary lymph nodes in breast cancer refer to the uncommon phenomenon in which metastases do not follow the conventional stepwise pattern from level I to level II, to level III (infraclavicular), to the supraclavicular fossa, and or internal jugular chain 1-6,9.
Terminol...
Article
Rectal cancer response assessment
Assessment of rectal cancer response to therapy, which may be chemotherapy, radiotherapy, or a combination, relies on the synthesis of clinical, endoscopic and radiologic evaluation.
The purpose of neoadjuvant therapy is to downstage the tumor, to facilitate surgical resection, and reduce loca...
Article
Watchful waiting
Watchful waiting, also known as watch and wait, describes a palliative management option with the main goal to maintain/improve quality of life, to control complications as well as minimize adverse treatment-related effects.
Usage
Watchful waiting is usually considered in elderly patients with...
Article
Active surveillance
Active surveillance describes a management option aiming at close monitoring of a specific stage in disease and minimizing adverse treatment-related effects without compromising survival at the same time. Curative or definite treatment is intended and offered upon deterioration or explicit patie...
Article
Bethesda classification system for thyroid fine needle aspirates
Bethesda classification system for thyroid fine needle aspirates comprises six categories of pathological reporting of thyroid FNA, with each category linked to a malignancy risk.
Classification
category I: non-diagnostic
category II: benign
category III: atypia of undetermined sig...
Article
Fat containing brain lesions
Intracranial fat is uncommon and a wide range of differentials should be considered.
Neoplastic
intracranial dermoid cyst
intracranial teratoma
intracranial lipoma
pericallosal lipoma
quadrigeminal cistern lipoma
suprasellar cistern lipoma
cerebellopontine angle lipoma
choroid plexus li...
Article
Trichoptysis
Trichoptysis (rare plural: trichoptyses) is an extremely rare symptom, whereby patients cough up hair. It is highly specific for rupture of a mediastinal teratoma into the tracheobronchial tree, however it is not pathognomonic as several articles claim (see below) 1,2. Nevertheless it remains a ...
Article
Ovarian-Adnexal Reporting and Data System Magnetic Resonance Imaging (O-RADS MRI)
The Ovarian-Adnexal Reporting and Data System Magnetic Resonance Imaging (O-RADS MRI) forms the MRI component of the Ovarian-Adnexal Reporting and Data System (O-RADS). This system aims to ensure that there is a uniform, unambiguous MRI evaluation of ovarian or other adnexal lesions, accurately ...
Article
Hyperthermic intraperitoneal chemotherapy
Hyperthermic intraperitoneal chemotherapy (often abbreviated as HIPEC) is a form of chemotherapy used for the treatment of peritoneal involvement with malignancy.
It usually involves the instillation of heated (to around 41–43°C) chemotherapy agents directly into the abdominopelvic cavity imme...
Article
Pituitary blastoma
Pituitary blastomas are a very rare type of pituitary tumor.
Epidemiology
Pituitary blastomas typically affect children under 2 years old. They are almost pathognomonic for DICER1 syndrome and warrant testing for germ-line DICER1 mutation if found 1,2.
Clinical presentation
Pituitary blastom...
Article
Percutaenous renal tumor ablation
Percutaneous ablation in the kidney is now performed as a standard therapeutic nephron-sparing option in patients who are poor candidates for resection. It is performed via radiofrequency ablation or cryoablation.
Follow-up time frame
Can vary according to center but usually includes contrast-...
Article
Primary cutaneous lymphoma
Primary cutaneous lymphomas represent a group of extranodal non-Hodgkin lymphomas (T- or B-cell) primarily confined to the skin with no evidence of extracutaneous disease at the time of diagnosis (cf. secondary involvement of the skin).
Mycosis fungoides is the most prevalent type of primary c...
Article
Sclerotic bone metastasis (mnemonic)
A mnemonic for remembering which tumors may lead to sclerotic bone metastases is:
6 Bees Lick Pollen
Mnemonic
B: bone (osteogenic carcinoma)
B: breast
B: bronchus (carcinoid)
B: bladder (TCC)
B: brain (medulloblastoma)
B: bowel (mucinous)
L: lymphoma
P: prostate
Article
Urothelial carcinoma with squamous differentiation
Urothelial carcinoma with squamous differentiation (UCSD) is a variation of urothelial cell carcinoma which is associated with advanced tumor stage. When occurring in relation to bladder cancer, around 60-70% of the cases occur in those with muscle-invasive bladder cancer (MIBC) 1.
Treatment an...
Article
Undifferentiated pleomorphic sarcoma of the head and neck
Undifferentiated pleomorphic sarcoma, formerly known as malignant fibrous histiocytoma (MFH), is commonly recognized as an aggressive sarcoma with poor outcomes 1.
Epidemiology
Most patients are between 50 and 70 years of age, and men are affected 2–3 times as commonly as women 1-3.
Clinical...