The sandwich sign of nonlymphomatous origin

Lien, Wan‐Ching; Huang, Shih-Pei; Liu, Kao–Lang; Chang, J. R.; Lai, Tsung‐Ching; Liu, Yueh-Ping; Wang, Hsiu–Po

doi:10.1002/jcu.20540

Cited by 5 publications

(7 citation statements)

References 11 publications

(15 reference statements)

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“…4 This sign is characteristic though not specific for mesenteric lymphomas. 5 Mueller et al in their short series of seven cases have described this sign and have emphasised the importance of the correct pre operative recognition of this sign which could avoid unnecessary therapeutic interventions. The pre operative recognition of this radiological sign would have proved beneficial in our case as the patient was an elderly female with co morbidities and anaesthetic risk factors.…”

Section: Discussionmentioning

confidence: 99%

Mysterious Mesenteric Mass- an Unusual Presentation of Hodgkin’s Disease

Manicketh¹,

Ananthamurthy²,

Sinha³

2015

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Hodgkin's disease of the mesenteric lymphnode presenting as a mesenteric mass is an unusual clinical presentation. Due to the rarity of this clinical presentation, the diagnosis is seldom thought of. Radiological imaging studies play an important role in arriving at the right diagnosis. Mesenteric lymphomas can have a characteristic radiological appearance on CT imaging which is known as the 'Sandwich sign'. Herein we present a case of mesenteric Hodgkin's disease which mimicked a gastrointestinal stromal tumour. An accurate pre operative diagnosis helps in avoiding unnecessary surgical interventions and related morbidity.

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Section: Discussionmentioning

confidence: 99%

Mysterious Mesenteric Mass- an Unusual Presentation of Hodgkin’s Disease

Manicketh¹,

Ananthamurthy²,

Sinha³

2015

jmscr

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“…These lymph nodes, together with the superior mesenteric vessels, create a so-called “sandwich” image ( Fig. 18 ) ( 35 ) . An extranodal infiltration is a rarer manifestation of this pathology ( Fig.…”

Section: Secondary Malignant Tumors Without An Adipocyte Component Lomentioning

confidence: 99%

“…kanapki (ryc. 18) (35) . Rzadsza jest manifestacja tej patologii pod postacią pozawęzłowego nacieku (ryc.…”

Section: Secondary Malignant Tumors Without An Adipocyte Component Located In Intra-abdominal Fatunclassified

Tłuszcz wewnątrzbrzuszny. Część III. Zmiany nowotworowe tkanki tłuszczowej

2016

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This article focuses on various cancerous lesions that are found beyond organs in the intra-abdominal fat and can be visualized with ultrasonography. These lesions are divided into five groups. The first group includes primary benign tumors containing adipocytes, such as lipoma, lipoblastoma, hibernoma and other lesions with an adipose tissue component, such as myolipoma, angiomyolipoma, myelolipoma and teratoma. The second group comprises primary malignant adipocytecontaining tumors, including liposarcoma and immature teratoma. The third group contains primary benign tumors without an adipocyte component that are located in intra-abdominal fat. This is a numerous group of lesions represented by cystic and solid tumors. The fourth group encompasses primary malignant tumors without an adipocyte component that are located in intra-abdominal fat. These are rare lesions associated mainly with sarcomas: fibrosarcoma, malignant fibrous histiocytoma, hemangiopericytoma and leiomyosarcoma. An epithelioid tumor at this site is mesothelioma. The last but not least group includes secondary malignant tumors without an adipocyte component located in intra-abdominal fat. This is the most numerous group with prevailing carcinoma foci. For each of these groups, the authors present ultrasound features of individual lesions and discuss their differential diagnosis. In the vast majority of cases, the material for cytological and histological analysis can be obtained during ultrasound-guided procedures. This is the advantage of this imaging modality.

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“…The sandwich sign refers to the sandwiching of mesenteric vessels and fat by enlarged mesenteric lymph nodes on cross-sectional imaging ( 1 ). Although sandwich sign could occur in metastatic carcinoma, Mycobacterium avium complex, and tuberculosis, it commonly occurs in mesenteric lymphoma ( 1 , 2 ).…”

Section: Introductionmentioning

confidence: 99%

The Pleural Sandwich Sign in Two Cases of Primary Pleural Lymphoma

et al. 2015

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The sandwich sign is used to describe mesenteric lymphoma in which mesenteric vessels and fat are enveloped by enlarged mesenteric lymph nodes. We present two cases of primary pleural lymphoma demonstrating the "pleural sandwich sign". Contrast-enhanced computed tomography showed conglomerated parietal pleural and extrapleural masses encasing the intercostal arteries. Histopathological examinations confirmed low grade marginal zone B-cell lymphoma in an 80-year-old man and diffuse large B-cell lymphoma in a 68-year-old man. The pleural sandwich sign may suggest the diagnosis of primary pleural lymphoma.

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The sandwich sign of nonlymphomatous origin

Abstract: Metastatic carcinomas, M. avium-complex, and M. tuberculosis infection may produce the sandwich sign. Searching for etiologies other than lymphoma is important in patients presenting with the sandwich sign.

Cited by 5 publications

References 11 publications

Mysterious Mesenteric Mass- an Unusual Presentation of Hodgkin’s Disease

Mysterious Mesenteric Mass- an Unusual Presentation of Hodgkin’s Disease

Tłuszcz wewnątrzbrzuszny. Część III. Zmiany nowotworowe tkanki tłuszczowej

The Pleural Sandwich Sign in Two Cases of Primary Pleural Lymphoma

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