myxoid degeneration

粘液样变性
  • 文章类型: Case Reports
    子宫肌瘤变性是怀孕期间腹痛的罕见原因。它会在怀孕期间引起并发症,包括胎盘早剥,胎儿生长受限,和早产。粘液样变性是纤维瘤变性的不寻常形式。我们介绍了一个38岁女性的案例,G1P0,在妊娠13周时,由于腹痛和阑尾炎的担忧,应产科医生的要求到急诊科就诊。诊断为粘液样变性。患者接受了镇痛药治疗,出院后继续在门诊治疗。
    Uterine fibroid degeneration is a rare cause of abdominal pain during pregnancy. It can cause complications during pregnancy, including placental abruption, fetal growth restriction, and preterm delivery. Myxoid degeneration is an unusual form of fibroid degeneration. We present a case of a 38-year-old female, G1P0, who presented at 13 weeks gestation to the emergency department at the request of her obstetrician due to abdominal pain with concern about appendicitis. A diagnosis of myxoid degeneration was made. The patient was treated with analgesics and discharged to continue her management in the outpatient setting.
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  • 文章类型: Journal Article
    This review describes numerous pathologic entities that cause structural abnormalities of the mitral valve. Different pathologic entities involve different components of the so-called mitral apparatus: atrial wall, annulus, leaflets, chordae, papillary muscles, and/or left ventricular free wall. These abnormalities can cause valvular stenosis, regurgitation, or both.
    Currently, in addition to open-chest surgery to replace or repair the damaged mitral valve, there are less invasive percutaneous approaches to address mitral valve dysfunction. These include narrowing the orifice, clipping the leaflets, and inserting bioprostheses percutaneously. Understanding the structural abnormalities discussed in this review is essential for choosing the optimal therapeutic intervention for mitral valve disease.
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  • 文章类型: Journal Article
    Reports describing a rapid increase in the cystic volume of anaplastic astrocytoma (AA) in a short time frame are rare. The present study reports the case of a 68-year-old male who was admitted to the No. 9 People\'s Hospital, Shanghai Jiaotong University School of Medicine (Shanghai, China), with a small cystic brain lesion and positive immunological testing for cysticercosis. Head magnetic resonance imaging (MRI) showed a cystic lesion, 6 mm in diameter, in the left frontal lobe. Neurocysticercosis was suspected and the patient was treated with a clinical trial of albendazole and steroids. A period of 25 days later, the patient\'s condition had deteriorated, and MRI revealed a cystic lesion in the left frontal lobe; thereafter, the cystic lesion was removed and a diagnosis of AA was established. The tumor was soft, ivory white and gelatinous due to myxoid degeneration. In this case, tumor-related angiogenesis and microvascular extravasation (blood-brain barrier disruption) may have been the main cause of the rapid increase in the cystic volume in such a short time frame. The similarity of the glioma and cysticercus antigens may have been the cause of the positive reactions in the cystic fluid. The present study reports the rare occurrence of a rapid increase of cystic volume and potential diagnostic difficulties.
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  • 文章类型: Case Reports
    输卵管平滑肌瘤非常罕见,通常无症状,但可能因扭转或阻塞而引起症状。在这里,我们描述了输卵管平滑肌瘤伴粘液样变性的详细影像学表现。输卵管平滑肌瘤是一种定义明确的子宫旁肿瘤,由低信号边缘与肿瘤和子宫之间的桥接血管相连。在T2加权图像上没有弥散限制的情况下,输卵管肿块显示出具有中间信号背景的异质斑点高信号,这可能表明输卵管平滑肌瘤伴mxoid变性的可能性。
    Leiomyomas from the fallopian tube are very rare and usually asymptomatic but may cause symptoms by torsion or obstruction. Herein, we describe the detailed imaging findings of tubal leiomyoma with myxoid degeneration. Tubal leiomyoma appeared as a well-defined juxtauterine tumor marginated by low-signal rims with intervening bridging vessels between the tumor and uterus. A tubal mass showing heterogeneous speckled high signals with intermediate signal background on T2-weighted image without diffusion restriction could suggest the probability of tubal leiomyoma with mxoid degeneration.
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