Lesion of Latissimus Dorsi muscle.

Lesion of Latissimus Dorsi muscle.

by | Dec 15, 2021

Age: 48 Yrs
Sex: Female
Complaints: H/o left chest wall swelling. No pain or skin abnormality.
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Well circumscribed hypo to isodense (max. -15HU) oval shaped mass lesion measuring ~6.6 x 4.0 x 3.8 cm (CC x TR x AP) noted evolving from the left latissimus dorsi  and muscle involving the intramuscular space between subscapularis. No evidence of any bone involvement.

Case Discussion :
Well defined smooth solid hypo to iso-dense lesion in the left chest wall seen arising from the latissimus dorsi muscle.
The is lesion is seen as a solid mass with hypo-dense attenuation, however the lesion shows  typical fatty appearance.
The report was given as chest wall mass arising from left latissimus dorsi muscle.
Possible DD’s include:  1. Lipoma.   2. Liposarcoma  3.Schwannoma.

Conclusion: FNA done. Histopathology came as fat containing lesion and suggested Excision biopsy.

Reference

  • Lee JH, Do HD, Lee JC. Well-circumscribed type of intramuscular lipoma in the chest wall. Journal of cardiothoracic surgery. 8: 181. doi:10.1186/1749-8090-8-181 – Pubmed
  • 3. López Soriano A, Tomasello A, Luburich P, Noel A. Fat necrosis in a chest wall lipoma. AJR. American journal of roentgenology. 183 (3): 866. doi:10.2214/ajr.183.3.1830866 – Pubmed
Urinary Bladder Neoplasm

Urinary Bladder Neoplasm

by | Oct 27, 2021

Transitional cell carcinoma (TCC), also called urothelial cell carcinoma (UCC) of the bladder, is the most common primary neoplasm of the urinary bladder, and bladder TCC is the most common tumour of the entire urinary system.

Age: 52

Sex : Male

CASE DISCUSSION

The bladder is by far the most common site of transitional cell carcinomas, 50 times more common than TCC of the renal pelvis, and 100 times more common than TCC of the ureter 1. Bladder TCCs are the most common tumour of the entire urinary tract.

There is a known association of TCCs developing within bladder diverticula, presumably due to urinary stasis which leads to chronic urothelial irritation and potentially exaggerated exposure to urinary carcinogens 10-12.

REFERENCE

  1. Explore expert insights into key ASCO21 data plus complimentary access to 50 official presentations and downloadable slides
    ASCO Direct 2021
  2. Surgically treated transitional cell carcinomas of the bladder. The role of radical surgery
    Muneer A. Al-Ali et al., Saudi Medical Journal, 2002
  3. Intravesical immunotherapy for superficial bladder cancer
    Mohammad T. Said et al., Saudi Medical Journal, 2002
  1. Overexpression of normal and mutated forms of HRAS induces orthotopic bladder invasion in a human transitional cell carcinoma.
    D Theodorescu et al., Proc Natl Acad Sci U S A, 1990
  2. Bladder Cancer: A Review
    Andrew T. Lenis et al., Journal of American Medical Association, 2020
  3. Non-muscle-invasive clear cell carcinoma of the urinary bladder: Is cystectomy necessary?
    Tamani Jayawardhana et al., Case Rep, 2019

 

A case umbilical hernia with vessel and fat as content

A case umbilical hernia with vessel and fat as content

by | Oct 26, 2021

Age: 52 Yrs

Sex: Female

Complaints: A 52yr old male came with chief complaints of abdominal distension with increase tension in the abdomen during standing.

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On color doppler evaluation there is evidence of mesenteric vessel  showing significant vascularity along with the herniation of fat.

Ultrasound images shows an abdominal wall defect in the umbilical region with herniation omental and evidence free fluid in the herniated sac.

 

 

A case of acute appendicitis

A case of acute appendicitis

by | Oct 20, 2021

 

 

 

Age: 13yr

Sex: Female

Complaints: Right lower abdominal pain.

Case study:  RIF: Ultrasound examination shows enlarged appendix measuring ~8.7mm with non-compressible oedematous wall and minimal peri-appendiceal fluid.

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A case of acute appendicitis.Ultrasound examination shows enlarged appendix measuring ~8.7mm with non-compressible oedematous wall and minimal peri-appendiceal fluid.