The Role of Radiology in Perivesical Invasion of Muscle-Invasive Bladder Cancer

Mesane kanseri üriner sistemin en sık görülen kanseridir. Mesane kanserlerinin yaklaşık %30'u tanıda kas invaze mesane kanseridir (KİMK) ve invazyon derinliği ile birlikte metastaz varlığı sağkalımla direkt ilişkilidir. KİMK hastalarında kemoterapi ve radyoterapi ile multimodal mesane koruyucu tedaviler, radikal sistektomi ile karşılaştırılabilir düzeyde sağkalım oranları ortaya koymaktadır. Bu nedenle doğru ve güvenilir evrelendirme, mesane kanserinde en uygun tedavinin seçiminde büyük önem taşımaktadır. KİMK'lerinin evrelendirmesinde abdominal ve pelvik bilgisayarlı tomografi (BT) veya manyetik rezonans görüntüleme ile birlikte kontrastsız toraks BT yapılmasını önerilmektedir. Bu derlemenin amacı KİMK'nin evrelemesinde perivezikal invazyonu göstermede görüntüleme yöntemlerini ve klinik kullanımlarını değerlendirmektir.Bladder cancer is the most common cancer of the urinary tract. At the initial diagnosis of bladder cancer, approximately 30% of the cases are diagnosed as muscle-invasive bladder cancer (MIBC). Metastases and depth of invasion are directly related to survival. In patients with MIBC, multimodal bladder-sparing treatments with chemotherapy and radiotherapy reveal comparable survival rates with radical cystectomy. Therefore, accurate and reliable staging of bladder cancer is of paramount importance in choosing the most appropriate treatment method. In patients with confirmed MIBC, computed tomography (CT) or magnetic resonance imaging of abdomen and pelvis and the unenhanced CT of the chest is recommended for the optimal staging. The aim of this review was to evaluate imaging of perivesical invasion in MIBC and their clinical usage

Magnetic resonance imaging findings in spinal hemangioblastoma case

Oz, Ibrahim/0000-0002-5014-4972; Serifoglu, Ismail/0000-0001-5643-739XWOS: 000386368700005PubMed: 26892370A 70-year-old man presented to the neurosurgeryclinic with low back pain. Four years previously, thepatient had undergone surgery for cerebellar hemangioblas-toma. T2-weighted magnetic resonance images of thethoracolumbar spinal region showed expansion withheterogeneous hyperintense signal changes. Irregularlydilated cystic cavities were also seen at this level (Fig. 1,Middle, Right)

İnvajine Meckel Divertikülü: Bir Genç Kızda Tekrarlayan Karın Ağrısının Nadir Bir Nedeni

Meckel divertikülünün invajnasyonu, ergen ve erişkinlerde karın ağrısının çok nadir bir nedenidir. İntussepsiyonun klasik klinik bulguları olan karın ağrısı, ele gelen bir sosis şeklinde kitle ve kanlı dışkı seyrek görülür. Tanıda, ultrasonografi ve bilgisayarlı tomografini önemli bir yere sahiptir ve hedef işareti ya da sosis görünümü ile karakteristik bulgular görülür. Bu yazıda, tekrarlayan karın ağrısına neden invajine Meckel divertikülü olgusu sunulmaktadır.The invagination of Meckel's diverticulum is a very rare cause of abdominal pain in adolescents and adults. The classic clinical triad of the intussusception consisting abdominal pain, a palpable sausage-shaped mass, and bloody stools is seen infrequently. At the diagnosis, ultrasonography and computed tomography has a significant role with characteristic findings that include the “target” sign and sausage- shaped appearance. In this paper, we report a case of invagination of Meckel’s diverticulum which causes recurrent abdominal pain in a young adolescent

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

Background: Immunoglobulin G4 (IgG4)-associated diseases mostly involve the pancreatico-biliary tree and pancreatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the corticosteroid therapy in the literature. Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiological radiological findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed sequences and the duration of healing in the pancreaticobiliary tree and pancreatic parenchymal manifestations in this case report. Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreaticobiliary involvement in diagnosing IgG4-related biliary and pancreatic disease

Clips migration to duodenum as a rare complication of laparoscopic cholecystectomy

Laparoskopik kolesistektomi sonrası, ameliyatta kullanılan metal kliplerin duedonum duvarına hareketle çıkıntı oluşturmaları nadir görülen bir komplikasyondur. Genellikle kanamalı ülsere neden olurlar. Kliniğimize karın ağrısı, hazımsızlık ve mide ekşimesi şikayetiyle başvuran 65 yaşında bayan hastaya yapılan üst gastrointestinal endoskopide duedonum bulbus tabanında yerleşik metal klip izlendi. Yapılan skopide üst üste binmiş iki klip olduğu görüldü. Metal klipler endoskopik olarak çıkarıldı. Olgunun öyküsünde 15 ay önce semptomatik kolelitiazis nedeniyle laparoskopik kolesistektomi yapıldığı öğrenildi. Bu olgu sunumunda laparoskopik kliplerlerin nadir olarak duedonum duvarına çıkıntı oluşturmasına yönelik yaklaşım ile ilgili bilgi verildiEndoclip migration into the duodenum is an extremely rare complication of laparoscopic cholecystectomy. The patients usually present with bleeding ulcer. Here we report a 65-year-old female patient with a complaint of abdominal pain and dyspepsia due to clip migration into the duodenum after laparoscopic cholecystectomy secondary to symptomatic cholelithiasis 15 months previously. Ultrasonography and liver function tests were normal. Endoscopy showed metal clips in the second part of duodenum. The clips were removed endoscopically. No active bleeding was noted. In this case report, we present diagnosis and management of clips migration into wall of duodenum as a complication of laparoscopic cholecystectom

Dumbbell Shaped Transforaminal Paravertebral Meningioma

Dambıl tümörler iki veya daha fazla spinal alanı tutan tümörlerdir. Dambıl tümörlerin büyük kısmını schwannomlar oluşturur. Spinal menenjiomların dambıl tümor olarak prezente olması oldukça nadirdir. Spinal dambıl tümör şeklinde prezente olan menenjiomların görüntüleme yöntemleri ile ayırıcı tanısının yapılması hem cerrahi öncesi doğru tedavi planlaması, hem de cerrahi sonrası olası rekürensleri engelleme açısından önemlidir.Dumbbell tumors are tumors of two or more regions of the spinal column. The majority of the dumbbell tumors are schwannomas. The presentation of spinal meningiomas as a dumbbell tumors are very rare. The diagnosis of Dumbbell-shaped meningiomas with imaging methods is important for preoperative accurate treatment planning and to prevent its postsurgical recurrences

Dördüncü ventrikülde yerleşik olmayan ventriküler şant kateteri

Ventriküloperitonal şant bozukluğu, hidrosefali yönetimi sonrasının istenmeyen bir sonucu olabilir. Sistemin proksimal uç bozukluğu, distal katetere kıyasla nadiren görülür. Burada doğumda hidrosefali teşhisi konulduktan sonra ventriküloperitonal şant sistem tedavisi almış fakat operasyodan 6 ay sonra şant disfonksiyonu gelişen 6 aylık bir yenidoğanın durumu sunulmuşturVentriculoperitonal shunt dysfunction can be a displeasing result after management of hydrocephalus. Proksimal tip malfunction of the system is rarely seen compared with distal catheter. Here we report a 6-month-old infant who was treated with ventriculoperitonal shunt system after the diagnosis of hydrocephalus at birth and presented with shunt dysfunction 6 months after the operatio

Sequential Evaluation of Pancreato-Biliary Findings in a Case with IgG4-Associated Cholangiopathy and Autoimmune Pancreatitis during Corticosteroid Treatment

Background: Immunoglobulin G4 (IgG4)-associated dis-eases mostly involve the pancreatico-biliary tree and pan-creatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the cor-ticosteroid therapy in the literature.Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiologi-cal findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed se-quences and the duration of healing in the pancreaticobili-ary tree and pancreatic parenchymal manifestations in this case report.Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreatico-biliary involvement in diagnosing IgG4-related biliary and pancreatic diseasesBackground: Immunoglobulin G4 (IgG4)-associated dis-eases mostly involve the pancreatico-biliary tree and pan-creatic parenchyma. This disease complex is characterized by marked response to corticosteroid therapy and response to steroids is incorporated in the diagnostic algorithm of IgG4 associated diseases. However, there is much unknown about the sequences and duration of healing during the cor-ticosteroid therapy in the literature.Case Report: In this case report, we report a young male patient with IgG4 associated extrahepatic biliary stricture and autoimmune pancreatitis successfully treated with corticosteroids. Recovery in the laboratory and radiologi-cal findings seemed to correlate well with the decrease in serum IgG4 levels in this patient. We also discussed se-quences and the duration of healing in the pancreaticobili-ary tree and pancreatic parenchymal manifestations in this case report.Conclusion: There is a gap in our knowledge about the evaluation of response criteria after steroid trial with regard to the duration and sequences of healing in the pancreatico-biliary involvement in diagnosing IgG4-related biliary and pancreatic disease

Suture Granuloma Mimicking Renal Cell Carcinoma: Magnetic Resonance Imaging (MRI) and Pathologic Correlation

Solid renal masses are generally distinguished with contrast enhancement and intratumoral fatty foci by radiological examinations. The present of enhancement is most important criteria for diagnosis of malignant lesions. Generally, a contrast enhanced solid mass in kidney is accepted as a neoplasm. Foreign body granuloma is an extraordinary cause of enhanced solid renal mass. This case of a renal suture granuloma demonstrated peripheral enhanced exophytic renal mass mimic renal cell carcinoma, and underwent surgery. At the solid renal mass with different radiological features, biopsy is an option to determining the necessity of surgery as well as the surgical approach