Imaging

The goal of male to female (MtoF) sex reassignment surgery (SRS) is to provide an aesthetically attractive and functional result, which permits the new female effortless intromission, preserving the potential for orgasm. Although many of these patients would benefi t from imaging investigation, either to plan SRS or to manage postoperative complications, imaging is not routinely performed in the standard clinical practice. This likely arises, at least in part, from the lack of confidence of most radiologists with the pelvic anatomy after genital reconfi guration and possible postoperative complications

Supratentorial primitive neuroectodermal tumor in an adult: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Supratentorial primitive neuroectodermal tumors predominantly occur in children, and are rare in the adult population. Less than 100 cases of supratentorial primitive neuroectodermal tumor have been reported in adults internationally. Our case study reports this rare incident.</p> <p>Case presentation</p> <p>A 22-year-old Hispanic man presented with headaches, blurry vision, diplopia, intermittent vomiting, and grossly decreased vision. A magnetic resonance image showed a left posterior parietal heterogeneously enhancing mass measuring 4.2cm × 7.2cm × 7.0cm. After craniotomy for resection and decompression, the mass was histologically revealed to be a supratentorial primitive neuroectodermal tumor. Standardized immunohistochemical studies for this mass were carried out.</p> <p>Conclusion</p> <p>We have concluded that immunohistochemical and genetic workup should be included in the standardized pathological workup for primitive neuroectodermal tumors in order to provide more prognostic information. Based on our current literature review, we propose an immunohistochemical panel.</p