In this surgical series of gastric GIST patients, preoperative imatinib led to a major reduction in tumor size. Irradical resection, tumor spill, and progressive disease at the time of surgery were associated with poor prognosis.
Müllerian duct abnormalities (MDA) are developmental disorders leading to dysmorphism of the female genital tract. Currently the Buttram and Gibbons classification of these entities is widely used. We present a case of a young girl with uterus didelphys and ipsilateral renal agenesis.Key-word: Uterus, abnormalities.From: 1. Department of Radiology, University Hospital Brussels, UZ Brussel, Brussels, Belgium Address for correspondence: Dr. A. Talebian Yazdi, MD, Department of Radiology, University Hospital Brussels, UZ Brussel, Laarbeeklaan 101, B-1090 Brussel, Belgium E-mail: atalebiany@hotmail.com Fig. 1. -Axial T2WI demonstrating the presence of a didelphic uterus with a small right (short arrow) horn and an abnormally distended left horn (large arrow) due to a fluid collection consistent with old menstrual blood.
For 6 weeks the parents of a 4-year-old girl had noticed a difference between the two eyes of their child. Ophtalmological examination revealed leukocoria. This finding raised clinical suspicion of retinoblastoma. MRI was performed. On T2 weighted images a hypointense mass relative to the vitreous humor was evident. There were several hypointensities compatible with calcifications. An area of retinal detachment was also seen. On T1 weighted images a mildly hyperintense mass relative to vitreous humor was seen. It showed marked contrast enhancement. On diffusion weighted images there was restricted diffusion suggestive for a tumoral lesion. The imaging findings were compatible with a retinoblastoma without transscleral or optic nerve extension. The tumor was complicated by retinal detachment reducing visual potential. The patient was treated with enucleation of the affected eye.
Comment
Background: A 66-year-old-woman, undergoing chemotherapy for recently diagnosed acute myeloid leukemia developed increasing abdominal pain over a period of several days. Laboratory results showed, apart from severe neutropenia, increasing infection parameters.
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