Fibular hemimelia (FH) is a congenital disease with a clinical spectrum ranging from mild fibular hypoplasia to fibular aplasia. There is no proven genetic factor. Some anomalies can accompany FH such as tarsal coalition, ulnar hemimelia, amelia, syndactyly, several extremity anomalies, renal anomalies and cardiac anomalies. Our case is about unilateral and incomplete type of right-side FH in a 14 years old female patient. Tibia was curved (bowing) and short. Disparity of measure with left lower extremity was monitored. Tarsal coalition in osseous form, tibial curve anomaly and small bone part placed in fibula distal region compatible with FH, were visualized. There was curved joint form in the same ankle with hemimelia compatible with ball and socket ankle deformity. Calcaneal inclination angle was 120°. The findings were compatible with pes planus.
Teratomas are rarely seen in adults, and presacral region is an area where they rarely settle in. Similarly, only about 1% of teratomas show malignant transformation. Malignant transformation is often associated with the area where teratoma settles in. Malignant transformation of mediastinal teratomas is more frequent than the ones located in retroperitoneal area and gonad. They most commonly show rhabdomyosarcoma, primitive neuroectodermal tumor, enteric adenocarcinoma, and leukemia transformation. In teratomas showing malignant transformation, the clinical course is aggressive; and survival of patients with metastatic disease is very low. The primary treatment of teratomas with malignant transformations is surgical. Effect of radiotherapy and chemotherapy is not clear in patients, to whom surgical operation cannot be applied, or those who are with residual tumor, even if surgical operation can be applied to them, or those who are at metastatic stage. In this paper, we presented a 76-year-old male patient due to the histologic diagnosis of mucinous adenocarcinoma within teratoma, in whom approximately 7 cm presacral mass was found during the radiographic examination made by the reason of low back pain and pelvic pain.
This is an open access article distributed under the terms of the CreativeCommons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractPersistent left superior vena cava (LPSVC) is a rare and important congenital venous anomaly. It is caused by a defect in the closure of the left anterior cardinal vein during cardiac development. The LPSVC drains into the right atrium via the coronary sinus (CS) in 90% of cases, connects to the left atrium in 10 % of them. When cardiac anomalies are present, LPSVC is usually linked directly to left atrium. Thus, LPSVC which drains in the CS is generally isolated and asymptomatic. In our case, patient presented a heavy respiratory symptomatology without any diagnosis since all of the respiratory tests were normal. After realization of a computed tomography (CT), LPSVC had been discovered inducing a huge dilatation of CS, which its diameter was three times more than reported in literature and without any associated congenital heart disease. LPSVC seems to be a complex anatomic variation with different clinic and anatomic shapes. CS dilatation can be found in association with LPSVC in CT. As a result, it is important to use non-invasive cardiovascular examinations to make an optimal diagnosis of congenital cardiovascular variations and in order to avoid further interventional complications. ÖzKalıcı sol superior vena kava (LPSVC) nadir ve önemli bir konjenital venöz anomalidir. Bu anomali, kardiyak gelişim sırasında sol anterior kardinal venin regresyonunda bir defektten kaynaklanır. LPSVC, % 90 oranında koroner sinüs (CS) yoluyla sağ atriyuma akar, % 10'unda sol atriyuma bağlanır. Kardiyak anomaliler mevcut olduğunda, LPSVC genellikle doğrudan sol atriyuma bağlanır. CS'ye drene olan LPSVC genellikle izole ve asemptomatiktir (4). Bizim olgumuzda, solunum testlerinin tümü normaldi ancak hasta herhangi bir tanı olmaksızın ağır bir solunum semptomatolojisi sundu. Bilgisayarlı tomografi (BT)'de LPSVC'nin, CS dilatasyonunu indülendiği saptanmıştır; CS literatürde belirtilen normal boyutun 3 kat üzerinde izlenmekteydi, herhangi bir konjenital anamali saptanmadı. LPSVC, farklı klinik ve anatomik şekillerle kompleks bir anatomik varyasyon gibi görünmektedir. CS dilatasyonu BT'de LPSVC ile ilişkili olarak bulunabilir. Sonuç olarak, konjenital kardiyovasküler varyasyonların optimal tanısını koymak ve girişimsel komplikasyonları önlemek için non-invaziv kardiyovasküler muayenelerin kullanılması önemlidir. Anahtar kelimeler: Superior vena cava, Sol persistan vena kava, Toraks radyolojisi
This study aimed to determine the predictive value of lower extremity deep vein thrombosis (LE-DVT) on first cancer recurrence in patients with stage III colon cancer. A total of 113 eligible patients with stage III colon cancer were divided into two groups according to whether they had LE-DVT. LE-DVT was detected in 29 (26%) patients. Presence of recurrence with distant metastasis had a significant positive correlation with baseline platelet count, baseline mean platelet volume, and the presence of lower extremity deep vein thrombosis. It was concluded that the relation between disease progression and the presence of LE-DVT in stage III colon cancer is independent of other study variables (P=0.031; OR=4.27; 95% CI 1.89-6.71). We hypothesized that the presence of LE-DVT in patients with stage III colon cancer may predict to early cancer recurrence with distant metastasis.
The malignancy-related coagulation and secondary pulmonary embolism are common in sarcomas, whereas tumour embolism and pulmonary venous embolism are extremely rare. It is crucial to distinguish thromboembolism and tumour embolism in cancer patients. Physio pathologic basis of these two entities is also different. Knowing the type of embolism changes medical management since tumour embolism is unresponsive to anticoagulant or thrombolytic treatments. In especially patients with disseminated metastases, venous tumour embolism may occur by reaching tumour cells to the pulmonary venous circulation. This case is the fifth retrograde left atrial cardiac tumour embolisms in the literature. CT images and also follow-up images were descriptive. We report a case of a 59-year-old female patient who underwent amputation caused by extremity chondrosarcoma accompanied by clinical and radiological findings. She had multiple lung metastases and also had a right inferior pulmonary venous embolism. The embolism reached the left atrium via retrograde way during the three-month follow-up. HU value was 77 in the first CT, while 81 HU after three months. Pecking and vascular enlargement were also observed in CT. Echocardiography showed an appearance of iso-echogenic heterogenic. CT findings and HU values were compatible with tumour embolism in light of the echocardiographic findings.
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