- Keywords
- PET/MR,
- MeSH
- Humans MeSH
- Magnetic Resonance Imaging * instrumentation MeSH
- Multimodal Imaging instrumentation MeSH
- Soft Tissue Neoplasms diagnostic imaging MeSH
- Positron-Emission Tomography * instrumentation MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Czech Republic MeSH
Hibernomy jsou nádory měkkých tkání vycházející z pozůstatků hnědého tuku. Jedná se o vzácné útvary, které mohou mít různou klinickou prezentaci od náhodných asymptomatických útvarů až po bolesti způsobené útlakem nervů. Předkládáme případ 52letého muže, u kterého se na ultrazvuku a magnetické rezonanci zobrazoval atypický lipomatózní útvar. Útvar byl vyříznut a odeslán na patologii s výsledkem, že se jedná o hibernom. Při léčbě takovýchto nádorů bychom měli být bdělí, protože se může jednat o maskovaný liposarkom nízkého stupně. Nejlepším postupem k dosažení definitivní diagnózy je chirurgická biopsie nebo excize.
Hibernomas are soft tissue tumors derived from remnants of brown fat. They are rare masses that can have variable presentations ranging from incidental asymptomatic masses to pain due to nerve compression. We present the case of a 52-year-old male presenting with an atypical lipomatous mass on ultrasound and magnetic resonance imaging. The mass was excised and sent for pathology with the result being a hibernoma. We should be vigilant in the treatment of such tumor presentations as they may be a low grade liposarcoma in disguise. Surgical biopsy or excision is the best treatment for achieving a definite diagnosis.
- MeSH
- Diagnosis, Differential MeSH
- Middle Aged MeSH
- Humans MeSH
- Lipoma * surgery diagnostic imaging MeSH
- Liposarcoma surgery diagnostic imaging MeSH
- Soft Tissue Neoplasms * surgery diagnostic imaging MeSH
- Shoulder pathology MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
Myxoidní nádory měkkých tkání tvoří různorodou skupinu, jejímž společným znakem je produkce velkého množství gelovité extracelulární matrix tvořené mukopolysacharidy s velkým obsahem vody, což ovlivňuje jejich vzhled na zobrazovacích metodách, včetně charakteristického ultrazvukového obrazu. Cílem práce je představit charakteristický ultrazvukový obraz myxoidních lézí ze skupiny nenádorových afekcí (Bakerova cysta, ganglion), benigních myxoidních nádorů (myxom, schwannom) a myxoidních sarkomů (myxofibrosarkom, myxoidní liposarkom). Důležité je také upozornění na možná diagnostická úskalí spočívající v záměně myxoidních sarkomů za tekutinové kolekce či benigní nádory. Podkladem jsou potom naše zkušenosti ze souboru 252 myxoidních nádorů měkkých tkání vyšetřených na našem pracovišti v letech 2008 až 2018 a literární údaje.
Myxoid soft-tissue tumors are a heterogenous group characterized by the production of gelatinous myxoid extracellular matrix consists of mucopolysaccharids with high water content. This fact is responsible for its imaging features, and also its appearance on ultrasound. The aim of this article is to present typical ultrasound appearance of myxoid non-tumorous leasions (Bakers cyst, ganglion), benign myxoid tumors (myxoma, schwannoma) and myxoid sarcomas (myxofibrosarcoma, myxoid liposarcoma). Important are possible diagnostic pitfalls consisting in risk of myxoid sarcoma confusion with fluid collections or with benign tumors. This article is based on our experience with a set of 252 myxoid tumors examined at our departement between 2008 and 2018 and on the literary facts.
- MeSH
- Ganglion Cysts diagnostic imaging diagnosis MeSH
- Diagnosis, Differential MeSH
- Fibrosarcoma diagnostic imaging diagnosis MeSH
- Humans MeSH
- Liposarcoma, Myxoid diagnostic imaging diagnosis MeSH
- Myxoma diagnostic imaging diagnosis MeSH
- Myxosarcoma diagnostic imaging diagnosis MeSH
- Soft Tissue Neoplasms * diagnostic imaging diagnosis MeSH
- Neurofibroma diagnostic imaging diagnosis MeSH
- Popliteal Cyst diagnostic imaging diagnosis MeSH
- Ultrasonography * methods MeSH
- Check Tag
- Humans MeSH
Elastofibroma is a rare benign, soft-tissue slow-growing tumor seen predominantly in elderly females. We present such a case in a 46-year-old female. She presented with gradually increasing soft tissue swelling of 8×6 cm in the right inferior subscapular region. MRI showed a large intramuscular lesion with atypia. She underwent excisional biopsy and the histopathology and immunochemistry showed elastofibroma. We present this rare case to emphasize the important role of the diagnostic tools. A definitive diagnosis helps to avoid unnecessary wide and radical resection.
- MeSH
- Biopsy MeSH
- Edema pathology MeSH
- Fibroma pathology MeSH
- Thoracic Wall pathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging methods MeSH
- Soft Tissue Neoplasms diagnostic imaging metabolism surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Desmoid Tumors drug therapy surgery therapy MeSH
- Anthracyclines therapeutic use MeSH
- Early Diagnosis MeSH
- Ifosfamide administration & dosage therapeutic use MeSH
- Clinical Studies as Topic MeSH
- Humans MeSH
- Antibodies, Monoclonal therapeutic use MeSH
- Uterine Neoplasms drug therapy surgery classification therapy MeSH
- Thoracic Neoplasms surgery MeSH
- Soft Tissue Neoplasms * diagnostic imaging diagnosis etiology surgery MeSH
- Breast Neoplasms drug therapy classification secondary MeSH
- Antineoplastic Combined Chemotherapy Protocols * MeSH
- Radiotherapy MeSH
- Retroperitoneal Neoplasms diagnostic imaging diagnosis surgery MeSH
- Sarcoma * diagnosis etiology surgery classification radiotherapy MeSH
- Neoplasm Staging methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Time Factors MeSH
- Gastrointestinal Stromal Tumors prevention & control MeSH
- Humans MeSH
- Bone Neoplasms diagnostic imaging prevention & control MeSH
- Soft Tissue Neoplasms diagnostic imaging prevention & control MeSH
- Nomograms MeSH
- Disease-Free Survival MeSH
- Recurrence * MeSH
- Sarcoma * classification prevention & control secondary MeSH
- Treatment Outcome * MeSH
- Check Tag
- Humans MeSH
Surgical management of primary musculoskeletal tumors of the shoulder girdle is cognitively and technically demanding. Over the last decades, advances in the medical treatments, imaging and surgical techniques have fostered limb salvage surgery and reduced the need for amputation. Despite well-accepted general principles, an individualized approach is often necessary to accommodate tumor extension, anatomical challenges and patient characteristics. A combination of techniques is often required to achieve optimal oncologic and durable functional outcome. Goal of this article is to review approach and management of patients with locally advanced sarcomas of the shoulder girdle requiring major tumor surgery, to illustrate principles of surgical strategy, outcome and complications, and to provide useful guidelines for the treating physicians.
- MeSH
- Amputation, Surgical methods MeSH
- Adult MeSH
- Photography MeSH
- Medical Illustration MeSH
- Middle Aged MeSH
- Humans MeSH
- Bone Neoplasms diagnostic imaging pathology surgery MeSH
- Soft Tissue Neoplasms diagnostic imaging pathology surgery MeSH
- Shoulder MeSH
- Sarcoma diagnostic imaging pathology surgery MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Limb Salvage MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
