Items tagged “oncology”

Unfortunately the pediatric population is susceptible to malignancies. The most common entities, in overall order of frequency, are 1-4: leukemia/lymphoma: ~35% * acute lymphoblastic leukemia: 23% Hodgkin disease: 5% acute myelogenous leukemia: 4% central nervous system malignancies: ~20% ...

Congenital neuroblastoma is defined as neuroblastoma identified within a month of birth, and is divided into: fetal neuroblastoma neonatal neuroblastoma In most cases they present as stage 1, 2 or 4S (see neuroblastoma staging). Fetal neuroblastoma In 90% of cases, fetal neuroblastomas aris...

Solitary sclerotic bone (osteosclerotic or osteoblastic) lesions are lesions of bone characterized by a higher density or attenuation on radiographs or computer tomography compared to the adjacent trabecular bone. However, a specific density range has not been specified for those terms 1. Diffe...

With the advent of echocardiography, and cardiac CT and MRI, the role of chest x-rays in evaluating congenital heart disease has been largely relegated to one of historical and academic interest. However, they continue to crop up in radiology exams. In most instances a definite diagnosis cannot ...

The skeleton is the most commonly involved organ system in Langerhans cell histiocytosis (LCH) and is by far the most common location for single-lesion LCH, often referred to as eosinophilic granuloma (EG) (the terms are used interchangeably in this article). For a general discussion of this dis...

HIV-associated neoplasms are numerous and can be broadly divided into two groups: AIDS-defining malignancies associated but not AIDS defining malignancies AIDS-defining malignancies The development of these malignancies in HIV affected individuals generally implies progression to AIDS...

Pulmonary manifestations of scleroderma are demonstrated histologically in 90% of patients with scleroderma. It is a leading cause of mortality and at autopsy the lung is reportedly involved in close to 100% of cases. However, only 25% of patients will present with respiratory symptoms or demons...

Tuberculosis of the central nervous system can result from either hematogenous spread from distant systemic infection (e.g. pulmonary tuberculosis) or direct extension from local infection (e.g. tuberculous otomastoiditis). Intracranial manifestations of tuberculosis are protean and can affect ...

Pheochromocytomas are an uncommon tumor of the adrenal gland, with characteristic clinical, and to a lesser degree, imaging features. The tumors are said to follow a 10% rule: ~10% are extra-adrenal ~10% are bilateral ~10% are malignant ~10% are found in children ~10% are not associated wit...

Below is the eighth edition of the TNM staging system for malignant pleural mesothelioma, which was published in 2018 1. T - Tumor Tx: primary tumor cannot be assessed T0: no evidence of primary tumor T1 involving ipsilateral parietal pleura (inc. mediastinal and diaphragmatic pleura) +/- v...

Malignant pleural disease usually heralds a poor prognosis, whether it represents a primary pleural malignancy or metastatic involvement.  Clinical presentation Clinical presentation is variable. Patients may be asymptomatic or have pleuritic pain. If associated with a sizable pleural effusion...

Pulmonary metastases refer to distant tumor spread from a variety of primary tumors to the lungs via the blood or lymphatics. This article primarily describes hematogenous pulmonary metastases while lymphangitic carcinomatosis is discussed separately. Epidemiology Lung metastases are common. ...

Radial scar, or complex sclerosing lesion, is a rosette-like proliferative breast lesion. It is not related to surgical scarring. Some authors, however, reserve the latter term to lesions over 1 cm 5.  It is an idiopathic process with sclerosing ductal hyperplasia.  Its significance is that it...

Primary cardiac tumors are uncommon and comprise only a small minority of all tumors that involve the heart: most are mediastinal or lung tumors that extend through the pericardium and into the heart, or metastases 1. Epidemiology Primary cardiac tumors have an estimated autopsy prevalence of ...

Primary benign cardiac tumors are much less common than secondary metastatic deposits. However, they are more likely when a cardiac mass is seen outside of the setting of terminal metastatic disease. Tumors include 1,2: cardiac myxoma most common in adults accounts for ~50% of all pr...

The FIGO staging systems are determined by the International Federation of Gynecology and Obstetrics (Fédération Internationale de Gynécologie et d’Obstétrique). In general, there are five stages: stage 0: carcinoma in situ (common in cervical, vaginal, and vulval cancer) stage I: confined to...

Cancer staging involves a number of systems to help direct treatment and aid prognosis. The AJCC TNM staging schema is the most common, but other systems are used for specific malignancies or body parts. Breast breast cancer staging Chest lung cancer staging malignant pleural mesothelioma s...

Lymphoma (historically lymphosarcoma was used for diffuse forms of the disease) is a malignancy arising from lymphocytes or lymphoblasts. Lymphoma can be restricted to the lymphatic system or can arise as extranodal disease. This, along with variable aggressiveness results in a diverse imaging a...

There are several causes leading to a perfusion defect on a VQ scan with an acute pulmonary embolus being only one of them: Vascular causes acute pulmonary embolus previous pulmonary embolus (including fat embolism, thromboembolism, air embolism, tumor) vasculitides affecting the pulmonary v...

The World Health Organization (WHO) classification of haematolymphoid tumors is the most widely used pathologic classification system for hematopoietic and lymphoid neoplasms. The current revision 1, known as the 5th edition, was published in 2022 and supersedes the 4th edition revised published...