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
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Malignant transformation

Malignant transformation is the term given to the process whereby either normal, metaplastic, or benign neoplastic tissue, becomes a cancer. The process usually occurs in a series of steps and the affected tissue gradually accumulates the genetic mutations that express a malignant phenotype. The...
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Exophytic

Exophytic is a descriptive term used by radiologists/pathologists to describe solid organ lesions arising from the outer surface of the organ of origin. Literally exophytic only refers to those lesions arising from the outer surface, however radiologists and pathologists use the term to include...
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Testicular embryonal cell carcinoma

Testicular embryonal cell carcinoma is a type of non-seminomatous germ cell tumor.  Epidemiology Incidence peaks at around 25-30 years. Pathology It may occur as part of a mixed germ cell tumor (more common and may be present as a component in around 80% of mixed germ cell tumors) or very ra...
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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...
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Radiogenomics

Radiogenomics is a relatively recently coined term to denote the relationship between the imaging features of a particular disease and various genetic or molecular features. The former is referred to as an imaging phenotype, whereas the later as genomic phenotype.  Radiogenomics, therefore, pro...
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Hand-foot syndrome (chemotherapy)

Hand-foot syndrome, also known as palmar-plantar erythrodysaesthesia or Burgdorf reaction, is a benign, aseptic, self-limiting complication of many chemotherapeutic agents characterized by a widespread erythema, edema and ulceration of the hands and feet.  Causative drugs Many chemotherapeutic...
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von Hippel-Lindau disease (mnemonic)

Features of von Hippel-Lindau disease can be remembered by the mnemonic: HIPPEL Mnemonic: H: hemangioblastoma of CNS I: increased risk of renal cell cancer P: pheochromocytoma P: pancreatic lesions (cyst, cystadenoma, cystadenocarcinoma, neuro-endocrine tumors) E: eye and ear dysfunction ...
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Primary breast chondrosarcoma

Primary breast chondrosarcoma is a rare type of sarcoma that originates from the mammary stroma and not from the underlying bone or cartilage of the chest wall. Epidemiology The prevalence of primary breast chondrosarcoma is reported to be 0.5-1%, they represent <5% of all sarcomas 1,14. Clin...
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Radiation-induced neuritis

Radiation-induced neuritis is a complication of radiotherapy that may present with visible changes on MRI. It is likely to be most relevant in the head and neck region. There is only scarce radiology literature on the subject and radiation-induced optic neuritis is best documented.  Epidemiolog...
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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...
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Gynecologic Imaging-Reporting and Data System (GI-RADS)

The Gynecologic Imaging-Reporting and Data System (GI-RADS) is a reporting system that was created for reporting the findings in adnexal masses based on transvaginal ultrasonography. Classification Findings are classified into five categories 1: GI-RADS 1 normal ovaries identified and no adn...
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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...
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Hickman catheter

Hickman catheters (or Hickman lines) are a type of tunneled central venous access line. Radiographic features Hickman catheters are typically inserted into either jugular vein, and the proximal tubing is tunneled through the subcutaneous tissues to a skin incision on the chest. The distal part...
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Mesothelioma (summary)

This is a basic article for medical students and other non-radiologists. Pleural mesotheliomas are malignant tumors of the lining of the lungs. There is a strong association with asbestos exposure. Reference article This is a summary article; read more in our article on mesothelioma. Summary...
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Gallbladder metastases

Gallbladder metastases are rare and usually represent an advanced and end-stage of malignancy. Malignant melanoma and gastric carcinoma account for the most common primary malignancies to see metastases to the gallbladder, in the Western and Asian societies, respectively.  Epidemiology They re...
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Investigation of hemoptysis (summary)

This is a basic article for medical students and other non-radiologists. Hemoptysis is the coughing up of frank blood or blood-stained mucus/pus from the lungs and it is an important indicator of pathology. Careful assessment of history, clinical examination and investigations will help elicit ...
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PSA density

The PSA density (PSAD), is a calculation performed at diagnosis and is the serum prostate specific antigen (PSA) level (ng/mL) divided by the volume of the prostate gland (mL), resulting in a value with the units, ng/mL2 1. Prostate volume is calculated from TRUS measurements 2,3.  Alternativel...
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Head and neck cancer therapy response interpretation (Hopkins criteria)

The head and neck cancer therapy response interpretation (Hopkins criteria) is a qualitative system of interpretation for therapy response assessment using PET-CT. Background Widely used options for therapy response assessment are clinical examination, histopathology, CT and MR imaging, howeve...
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Body imaging

Body imaging is the term assigned to cross-sectional imaging of the body, which radiologically refers to the chest, abdomen and pelvis. It is often used by radiologists who report this region (sometimes known as body imagers/radiologists) to differentiate their primary area of interest from othe...
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Alveolar soft part sarcoma

Alveolar soft part sarcoma (ASPS) is a rare, highly vascular, deep soft tissue mesenchymal malignancy that is classically seen in the lower extremities of young adults. They account for <1% of all soft tissue sarcomas. Epidemiology There is a slight female predilection in patients less than 30...
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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...
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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...
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Extramedullary hematopoiesis in the spleen

Extramedullary hematopoiesis in the spleen represents a physiologic compensatory event that may be seen in many hematologic diseases leading to chronic anemia. The liver and the spleen are the most common site of extramedullary hematopoiesis, both usually manifesting on imaging as organomegaly a...
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Spermatic cord liposarcoma

Spermatic cord liposarcomas are the most common malignant tumor of the spermatic cord. Most present as painless, slow-growing masses and can be mistaken for inguinal hernias. They are usually well-differentiated and spread by local extension.  Epidemiology In a large population-based registry,...
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Fluorine-18-labeled sodium fluoride

Fluorine-18-labeled sodium fluoride (also known as 18F-NaF or sodium fluoride) is a PET radiotracer used primarily for skeletal imaging. Structure Fluorine-18-labeled sodium fluoride is an ionic compound comprised of a single sodium atom bound to a positron-emitting isotope of fluorine.  Dist...
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Radiation-induced thyroid cancer

Radiation-induced thyroid cancer is an important etiology of thyroid cancer.  Epidemiology Information about radiation-induced thyroid malignancies comes from several long-term cohort studies along with some case-controlled studies and their subsequent meta-analyzes. Although these studies var...
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WHO criteria in tumor response

The WHO criteria were developed in the 1980s under the auspices of the World Health Organization (WHO) to standardize reporting of cancers in clinical trials.​ Nowadays, newer criteria often based on the WHO criteria (such as RECIST, mRECIST, Choi criteria, Lugano response criteria), have widely...
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Positron Emission Tomography Response Criteria in Solid Tumors (PERCIST)

Positron Emission Tomography Response Criteria in Solid Tumors (PERCIST) are guidelines to asses tumors that makes use of positron emission tomography (PET) to provide functional information to help determine tumor viability. The criteria consist of four categories: complete metabolic response ...
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Choi response criteria

The solitary use of the size of the tumor during evaluation for response to chemotherapy has some pitfalls and limitations, especially for specific tumors such as gastrointestinal stromal tumor (GIST). The Choi response criteria for GIST proposed that tumor attenuation could provide an addition...
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Primary urethral cancer

Primary urethral cancer, in most cases a urethral carcinoma, is a rare urological malignancy. It can be divided in female urethral cancer and male urethral cancer. Epidemiology It has an incidence of 4.3 per million for males and 1.5 per million for females. It usually manifests in the fifth d...
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Undifferentiated embryonal sarcoma of the liver

Undifferentiated embryonal sarcomas of the liver are rare, aggressive, and malignant liver tumors encountered in the pediatric population.  Epidemiology Approximately 90% of cases occur in patients under 15 years of age, most commonly between 6 and 10 years of age, but some cases have been rep...
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Radiation-induced heart disease

Radiation-induced heart disease, also known as radiation cardiotoxicity, describes an uncommon constellation of potential cardiac complications of thoracic radiotherapy. Epidemiology The demographics of patients affected by radiation-induced heart disease are those of the underlying condition ...
Article

Krenning score of neuroendocrine tumor uptake

The Krenning score is a proposed semi-quantitative method of assessing the degree of tracer uptake on octreotide scintigraphy. Parameters Initially designed for assessment of 111In-DTPA on planar imaging, the Krenning score is applicable to SPECT or PET-CT using various radiopharmaceuticals. ...
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...
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Neonatal neuroblastoma

Neonatal neuroblastoma is a type of congenital neuroblastoma, an embryonal tumor arising from the sympathetic nervous system. In the majority of cases (45%), the tumor is localized in the adrenal gland.  Epidemiology Neonatal neuroblastoma accounts for less than 5% of all cases and carries a f...
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Computed tomography texture analysis

Computed tomography texture analysis (or CTTA) is a method to obtain new useful biomarkers that provide objective and quantitative assessment of tumor heterogeneity by analyzing the differences and patterns within the pixel values of an image. CTs can be worked with as a matrix of numbers, corre...
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Radiomics

Radiomics (as applied to radiology) is a field of medical study that aims to extract a large number of quantitative features from medical images using data characterization algorithms. The data is assessed for improved decision support. It has the potential to uncover disease characteristics tha...
Article

Small bowel neuroendocrine tumor

Small bowel neuroendocrine tumors (SBNETs), also known as small bowel carcinoid tumors, are the most common gastrointestinal neuroendocrine tumors and most frequently involve the terminal ileum. Epidemiology SBNETs account for ~40% of gastrointestinal neuroendocrine tumors 1.  Clinical presen...
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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

RASopathy

RASopathies are a class of developmental disorders caused by germline mutations in genes that encode for components or regulators of the Ras/mitogen-activated protein kinase (MAPK) pathway. Epidemiology As a group, RASopathies represent one of the most common malformation syndromes, with an in...
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Giant breast mass

Giant breast masses are defined as breast masses >5 cm and may represent a late presentation of breast pathology, particularly in developing countries. They may be single or multiple and either benign or malignant. Many of the underlying etiologies for giant breast masses are indistinguishable o...
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High-grade appendiceal mucinous neoplasms

High-grade appendiceal mucinous neoplasms (HAMN) are rare mucinous tumors of the appendix showing high-grade cytologic atypia, cf. low-grade appendiceal mucinous neoplasms (LAMN). The distinction between both LAMN and HAMN is done on histological grounds and these tumors look the same on imaging...
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Cholangiohepatoma

Cholangiohepatoma, also referred to as mixed hepatocellular cholangiocarcinoma (HCC-CC) or combined hepatocellular-cholangiocarcinoma (cHCC-CC) or hepatocholangiocarcinoma, refers to synchronous cholangiocarcinoma and hepatocellular carcinoma (HCC) in the same tumor. It is a rare and aggressive ...
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Adenocarcinoma of the lacrimal glands

Adenocarcinoma of the lacrimal glands is rare, with few cases reported in the literature since it was first described in 1996 1. Primary adenocarcinoma of the lacrimal gland is extremely rare; only 9 cases have been reported in the literature 1,2. It can be classified into high- and low-grade ma...
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CDKN2A/p16

CDKN2A (cyclin-dependent kinase inhibitor 2A) is a tumor suppressor gene that encodes for the p16 protein, involved in the CDK4/6–RB1 cell-cycle pathway 5.  p16 is a widely used immunohistochemical marker indicating expression of the cell cycle protein, which is upregulated by human papillomavi...
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Prostate-specific membrane antigen

Prostate-specific membrane antigen (PSMA), also known as glutamate carboxypeptidase II, is a type II transmembrane glycoprotein that has become an increasingly prominent imaging biomarker 1. PSMA has emerged as a useful target in PET imaging of prostate cancer, especially in the evaluation of sm...
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Pseudo Meigs syndrome

Pseudo Meigs syndrome refers to a clinical syndrome of pleural effusion and ascites associated with an ovarian tumor that is not a fibroma or a fibroma-like tumor. Pathology Entities that have been reported to result in pseudo Meigs syndrome include Krukenberg tumors colon carcinoma metastas...
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SpaceOAR

SpaceOAR is a technique in which a physical space is created between the prostate gland and rectum for electron beam radiotherapy targeted to the prostate gland in cases of prostate cancer.  OAR stands for "organ at risk", and in cases of prostate cancer radiotherapy treatment the rectum is the...
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TP53 (gene)

The TP53 gene, located on chromosome 17, is a tumor suppressor gene, responsible for the production of the p53 protein, a transcription regulatory protein which works in concert with a number of other proteins, together forming the p53 pathway 1,2. Inherited mutations in this gene result in the...
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Internal iliac lymph nodes

The internal iliac lymph nodes (often shortened to internal iliac nodes) are the lymph nodes found adjacent to the internal iliac artery and its branches and drain the regions supplied by these vessels. This encompasses a large area from the genitalia anteriorly, the psoas muscle posteriorly and...
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Hybrid nerve sheath tumor

Hybrid nerve sheath tumors or hybrid peripheral nerve sheath tumors (HPNST) are benign peripheral nerve sheath tumors displaying combined morphological characteristics of more than one of the conventional tumor types such as schwannoma neurofibroma or perineurioma. Recognized combinations are: ...
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Carney-Stratakis syndrome

Carney-Stratakis syndrome is a rare autosomal dominant condition comprising of familial paraganglioma and gastrointestinal stromal tumor (GIST). Terminology It is considered to be distinct from, but perhaps related to, the Carney triad 1. Neither should be confused with the unrelated Carney co...
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Meningeal melanomatosis

Meningeal melanomatosis is an aggressive version of meningeal melanocytosis and one of the recognized primary melanocytic tumors of the CNS. It represents proliferation of melanocytic cells within the subarachnoid space 1. There is a strong association with cutaneous melanocytic lesions, in whic...
Article

Radiation-induced carcinogenesis

Radiation-induced carcinogenesis is widely but not universally believed to occur at exposures from ionizing radiation used in medical imaging. It is thought to be a stochastic effect of ionizing radiation, with the linear no-threshold theory (LNT) proposing no "safe" level of radiation exposure,...
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Ishikawa classification of venous involvement by pancreatic ductal adenocarcinoma

Ishikawa classification system describes the degree of involvement of adjacent portal vein and superior mesenteric vein by pancreatic ductal adenocarcinoma based on the caliber of the vein: type I: normal  type II: smooth shift/displacement with normal caliber   type III: unilateral narrowing...
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Acquired tracheo-esophageal fistula

An acquired tracheo-esophageal fistula refers to a pathological communication between the trachea and esophagus due to a secondary cause. Pathology Acquired causes of tracheo-esophageal fistulae can be divided into those that are related to malignancy (common) and those from other causes (unco...
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...
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EBV-associated smooth muscle tumor

Epstein-Barr virus-associated smooth muscle tumors are rare and encountered in immunocompromised individuals. Epidemiology These tumors are generally exceedingly rare, and only seen with any frequency in the setting of immunosuppression, particularly in HIV/AIDS patients, but also post-transpl...
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Metastases to the thymus

Metastases to the thymus are rare, although they are probably under reported due to lack of symptoms.  Pathology Varied primary tumors have been reported to metastasize to the thymus 1,2: breast cancer lung cancer ovarian cancer colorectal carcinoma gastric cancer prostate cancer testic...
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Sinonasal adenocarcinoma

Sinonasal adenocarcinomas are primary tumors of the sinonasal region with glandular differentiation. They are grossly classified as salivary and non-salivary subtypes. However, generally in the literature and IARC/WHO classification, the term "sinonasal adenocarcinoma" refers to non-salivary ade...
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Rhabdomyosarcoma (genitourinary tract)

Rhabdomyosarcomas of the genitourinary tract are uncommon tumors occurring in pelvic organs. It is a disease nearly exclusive to the pediatric population.  For a general discussion of this type of tumor, please refer to the article on rhabdomyosarcomas. Epidemiology The peak incidence of tumo...
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Cortically-based brain tumors (mnemonic)

A handy mnemonic to recall cortically-based brain tumors is: PDOG DOG Pee Mnemonic P: pleomorphic xanthoastrocytoma D: dysembryoplastic neuroepithelial tumor (DNET); desmoplastic infantile astrocytoma and ganglioglioma O: oligodendroglioma G: ganglioglioma
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Radiation-induced lung cancer

Radiation-induced lung cancers are a potential long-term complication of radiotherapy to the chest.  Besides lung cancer, sarcomas (osteosarcomas are the most common arising from the irradiated bones, and malignant fibrous histiocytomas the most frequently arising from the soft tissues), breast...
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Hemorrhage exclusion sign (prostate)

The hemorrhage exclusion sign can be a useful MRI finding following prostate biopsy. Pathology The normal prostate produces high concentrations of citrate, which among other properties, acts as an anticoagulant 1. As tumor cells are dysfunctional, they will produce lower levels of citrate than...
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Visceral pleural invasion

Visceral pleural invasion is a feature that can be seen in lung cancers. It is defined as tumor extension beyond the elastic layer of the visceral pleura, and in some cases may result in a cancer crossing a fissure to invade an adjacent lobe of the lung. It is considered an aggressive sign and o...
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Lung cancer (staging - IASLC 8th edition)

The IASLC (International Association for the Study of Lung Cancer) 8th edition lung cancer staging system was introduced in 2016 and supersedes the IASLC 7th edition. It is a TNM staging system. Standard-of-care lung cancer staging ideally should be performed in a multidisciplinary meeting usin...
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Breast cancer (summary)

This is a basic article for medical students and other non-radiologists Breast cancer is the commonest malignancy in female patients. Reference article This is a summary article; read more in our article on breast cancer. Summary epidemiology 1 in 4 cancer deaths in women worldwide 1 In A...
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WHO classification of anal margin tumors

The WHO classification of anal margin tumors or perianal skin tumors is: intraepithelial tumors Bowen disease (precursor of squamous cell carcinoma) Paget disease (precursor of adenocarcinoma) invasive tumors squamous cell carcinoma adenocarcinoma basal cell carcinoma  verrucous carcinom...
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Gastric cancer (summary)

This is a basic article for medical students and other non-radiologists Gastric cancer, also known as stomach cancer or gastric carcinoma, refers to a cancer that arises from the mucosal lining of the stomach. It is the commonest gastric malignancy. Reference article This is a summary article...
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Esophageal cancer (summary)

This is a basic article for medical students and other non-radiologists Esophageal cancer is a relatively uncommon tumor that occurs within the esophagus of affected individuals. Patients present with symptoms of increasing dysphagia that progress from solid foods to liquids. Reference article...
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Hepatic carcinosarcoma

Hepatic carcinosarcoma is a very rare tumor that is defined by mixed histological features.  Terminology This tumor has also been referred to as malignant mixed tumor, spindle cell carcinoma, pseudosarcoma or sarcomatoid carcinoma 1,2.  Pathology Hepatic carcinocarcinoma contain a mixture of...
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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...
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Sarcoid-like post-immunotherapy granulomatosis

Sarcoid-like post-immunotherapy granulomatosis has been reported as an uncommon complication in patients treated with immunotherapy agents such as monoclonal antibodies. It was first reported in TNF inhibitors used to treat rheumatoid arthritis and has also been reported in various immunotherapy...
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Oligometastases

Oligometastases, or oligometastatic disease, refers to distant disease that is limited in number and distribution. Niibe et al. defined this as ≤5 metastatic/recurrent lesions with control of the primary lesion 1,2. Also, the definition states a maximum of three different metastatic sites 3.  T...
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Stereotactic body radiotherapy (SBRT)

Stereotactic body radiotherapy (SBRT), also known as stereotactic ablative radiotherapy (SABR), is a technique used to treat certain cancers as an alternative to surgical resection. It can be used to treat early lung cancer and hepatocellular carcinoma.
Article

BTA ultrasound "U" classification of thyroid nodules

The ultrasound "U" classification of thyroid nodules has been developed by the British Thyroid Association (BTA) as part of their 2014 guidelines on the management of thyroid cancer 1. It allows for the stratification of thyroid nodules as benign, suspicious or malignant based on ultrasound app...
Article

Pituitary carcinoma

Pituitary carcinomas are rare tumors indistinguishable from pituitary adenomas on imaging and defined only by the presence of central nervous system or systemic metastases. Epidemiology The incidence is estimated at less than 0.5% of the pituitary symptomatic tumors 1.  Clinical presentation ...
Article

Cutaneous and subcutaneous metastases

Cutaneous and subcutaneous metastases are not uncommon, occurring in ~5% (range 0.7-10.4%) of internal malignancies, and representing 2% of skin cancers. The Sister Mary Joseph nodule is a well known cutaneous metastasis. Pathology These metastases can come from hematogenous or lymphatic sprea...
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

Benign metastasizing tumors

There are a number of benign metastasizing tumors: benign metastasizing meningioma 1,2 benign metastasizing leiomyoma 3 primary adenoma of thyroid 4 giant cell tumor of bone 5
Article

Malignant biliary tract obstruction (summary)

This is a basic article for medical students and other non-radiologists Malignant biliary tract obstruction (MBTO) represents a group of conditions that cause obstructive jaundice. While most examples are the result of pancreatic head cancers, other malignancies may be causative. Reference art...
Article

Colorectal cancer (summary)

This is a basic article for medical students and other non-radiologists Colorectal cancer, also called colorectal carcinoma (CRC), is the most common cancer of the gastrointestinal tract and the second most frequently diagnosed malignancy in adults. CT and MRI are the modalities most frequently...
Article

Spinal instability neoplastic score (SINS)

The spinal instability neoplastic score (SINS) helps to assess tumor related instability of the vertebral column. It has been shown to be useful in guiding the mobilization or operative management of patients with neoplastic spinal disease. Studies have reported good inter-observer agreement am...
Article

British Thoracic Society guidelines for pulmonary nodules

British Thoracic Society guidelines for pulmonary nodules were published in August 2015 for the management of pulmonary nodules seen on CT. In the United Kingdom, they supersede the Fleischner Society guidelines. They are based initially on identifying whether the nodule is solid or subsolid an...
Article

Renal leiomyoma

Renal leiomyomas are benign tumors of the kidney originating from smooth muscle cells of the renal capsule, pelvis, calyces, or blood vessels. There is a 4-5.5% prevalence based on autopsy findings 1. Clinical presentation Renal leiomyomas are usually incidental findings. In symptomatic cases...
Article

Transcoelomic spread

Transcoelomic spread describes the spread of a malignancy into body cavities that occurs via penetrating the surface of the peritoneal, pleural, pericardial, or subarachnoid spaces. For example, ovarian tumors can spread transperitoneally to the surface of the liver.
Article

BRAF

BRAF (B-Raf proto-oncogene serine/threonine-protein kinase) is a proto-oncogene, encoding for a serine/threonine protein kinase. Mutations of BRAF are the most common alteration of the RAS/MAPK pathway and these have been identified in a variety of tumors and congenital syndromes including 1-5: ...
Article

Deep inguinal lymph nodes

The deep inguinal lymph nodes (often shortened to the deep inguinal nodes) form a subgroup of the inguinal lymph node group, and are located within the femoral sheath, medial to the femoral vein. They receive afferent lymphatic drainage from the deep lymphatics of the distal lower extremity and ...
Article

Cystic adrenal neoplasm

Cystic adrenal neoplasms are uncommon and only account for a minority of cystic adrenal lesions 3. There may be several histological types: adrenal adenoma 1 adrenal cortical carcinoma 1,2 adrenal epithelioid angiosarcoma 2 pheochromocytoma 1 teratoma (pediatric population) 4 Differential ...
Article

Clear cell sarcoma of the kidney

Clear cell sarcomas of the kidney (CCSK) are a rare mesenchymal renal tumor that account for ~5% of primary renal neoplasms in the pediatric population 1.  Epidemiology Clear cell sarcoma of the kidney is the second most common primary malignant pediatric renal neoplasm after Wilms tumor, with...
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

Non-bacterial thrombotic endocarditis

Non-bacterial thrombotic endocarditis (NBTE), also known as marantic endocarditis, refers to fibrin and platelets' aggregations on previously undamaged heart valves, in the absence of bacteremia. The condition is seen in advanced stage malignancies and is related to multisystemic emboli.  Epide...

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