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Aderomyoma of the Common Bile Duct --Report of a Case
Yamanashl Med. J. 4 (2), 83"v87, 1989 Case Report AdeRomyoma of the Common Bile Duct --Report of a Case Yoshiro MATsuMoTe, Masatoshi MoGAKi, Hidehisa AoyAMA, Takayoshi SEKmAwA, Katsnhiko SuGAHARA, Koichi SuDAi), and Masayuki FuJiNo2) DePa,rt･ment of Surge7pu. i)DePartment of Pathology, 2)DePartment of lnte7"nal Medicine, YamanasJzi Medical Coglege, Tamaho, Nakakoma, Ya?nanashi 409-38, JaPan Abstract: Adenomyomas in the extrahepatic biie duc£ are extremely rare. In a 75-year- old male with acute cholangitis due to adenomyoma £erming a protruding lesion iR the terminal bile duct, pamacreatoduodenectomy was carried out, resulting complete cure, Key words: Adenomyoma of the common bile duct, Early bile dact cancer, Obstructive jaundice formed, aRd £rom the histologic examina- INTRODUCTION tion of the surgical specimen, adenomyoma Adenomyoma in the biliary ductal system of the common bile duct was confirmed. is most freguently fouRd in the gallbladder. Although beRign neoplasma o£ the bile The gallbiadder wall is more abuRdant in duct system are uncommon, the tumors are muscle fibers than is the wall o£ the bile clinically very important because they can duct. Adenomyoma in the gallbladder is cause obstructive jaundice4) and require knowlt to be closely re}ated to the forma- differentiation £rom eary cancer of the bile tion of gallstones. In other parts of the duct. biliary ductal system, kex4xeve]-, adeno- We report here the surgical results and myoma is very rarei)･2), although a few pathologic findings in a case of adeno- cases of a tumor arising from the papil}a myoma of the terminal bile duct. of Vater3) have beelt reported. -
Morphological Study of Ovarian Tumors with Special Reference to Germ Cell Tumors
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 1 Ver. VI (Jan. 2015), PP 55-60 www.iosrjournals.org Morphological Study of Ovarian Tumors with Special Reference to Germ Cell Tumors Dr. Kakumanu Nageswara Rao M.D (Path)1 Dr. Muthe Koteswari M.D (Path)2 Dr. Chaganti Padmavathi Devi MD, DCP3 Dr. Garikapati Sailabala MD(Path) 4 Dr. Ramya Katta MBBS5 1,2 Assistant Professor, Department of Pathology,Guntur Medical College, Guntur, A.P, India 3,4 Professor Department of Pathology, Guntur Medical College, Guntur, A.P, India Junior Resident Department of Pathology, Guntur Medical College, Guntur, A.P, India Abstract: Introduction: The study includes the morphological and histological aspects of the common tumors and also rare and uncommon ovarian tumors, with clinical manifestation, morphological and histopathological appearances. Material and Methods: Statistical incidence of ovarian tumors from 2001 to 2004 was taken. Specimens were processed routinely and sections, from representative sites, stained with hematoxylin and eosin were studied. Special stains like PAS, Vangieson, Reticulin and Alcian blue were done in special cases. Results: A total number of 150 ovarian tumors received from 2001 to 2004 have been studied. Of them 88 are benign tumors, 3 are borderline tumors & 59 are malignant tumors. Out of 150 ovarian tumors 122 were surface epithelial tumors, 9 were sex cord stromal tumors, 16 were germ cell tumors and 3 were metastatic tumors. Discussion: Ovary is the third most common site of primary malignancy in female genital tract and accounts for 6% of all cancers in females. -
HIV-1: Cancer Evaluation 8/1/16
Report on Carcinogens Monograph on Human Immunodeficiency Virus Type 1 August 2016 Report on Carcinogens Monograph on Human Immunodeficiency Virus Type 1 August 1, 2016 Office of the Report on Carcinogens Division of the National Toxicology Program National Institute of Environmental Health Sciences U.S. Department of Health and Human Services This Page Intentionally Left Blank RoC Monograph on HIV-1: Cancer Evaluation 8/1/16 Foreword The National Toxicology Program (NTP) is an interagency program within the Public Health Service (PHS) of the Department of Health and Human Services (HHS) and is headquartered at the National Institute of Environmental Health Sciences of the National Institutes of Health (NIEHS/NIH). Three agencies contribute resources to the program: NIEHS/NIH, the National Institute for Occupational Safety and Health of the Centers for Disease Control and Prevention (NIOSH/CDC), and the National Center for Toxicological Research of the Food and Drug Administration (NCTR/FDA). Established in 1978, the NTP is charged with coordinating toxicological testing activities, strengthening the science base in toxicology, developing and validating improved testing methods, and providing information about potentially toxic substances to health regulatory and research agencies, scientific and medical communities, and the public. The Report on Carcinogens (RoC) is prepared in response to Section 301 of the Public Health Service Act as amended. The RoC contains a list of identified substances (i) that either are known to be human carcinogens or are reasonably anticipated to be human carcinogens and (ii) to which a significant number of persons residing in the United States are exposed. The NTP, with assistance from other Federal health and regulatory agencies and nongovernmental institutions, prepares the report for the Secretary, Department of HHS. -
SNOMED CT Codes for Gynaecological Neoplasms
SNOMED CT codes for gynaecological neoplasms Authors: Brian Rous1 and Naveena Singh2 1Cambridge University Hospitals NHS Trust and 2Barts Health NHS Trusts Background (summarised from NHS Digital): • SNOMED CT is a structured clinical vocabulary for use in an electronic health record. It forms an integral part of the electronic care record, and serves to represent care information in a clear, consistent, and comprehensive manner. • The move to a single terminology, SNOMED CT, for the direct management of care of an individual, across all care settings in England, is recommended by the National Information Board (NIB), in “Personalised Health and Care 2020: A Framework for Action”. • SNOMED CT is owned, managed and licensed by SNOMED International. NHS Digital is the UK Member's National Release Centre for the creation of, and delegated authority to licence the SNOMED CT Edition and derivatives. • The benefits of using SNOMED CT in electronic care records are that it: • enables sharing of vital information consistently within and across health and care settings • allows comprehensive coverage and greater depth of details and content for all clinical specialities and professionals • includes diagnosis and procedures, symptoms, family history, allergies, assessment tools, observations, devices • supports clinical decision making • facilitates analysis to support clinical audit and research • reduces risk of misinterpretations of the record in different care settings • Implementation plans for England: • SNOMED CT must be implemented across primary care and deployed to GP practices in a phased approach from April 2018. • Secondary care, acute care, mental health, community systems, dentistry and other systems used in direct patient care must use SNOMED CT as the clinical terminology, before 1 April 2020. -
Polypoid Adenomyoma of the Uterus
Open Access Case Report DOI: 10.7759/cureus.4044 Polypoid Adenomyoma of the Uterus Nida Sajjad 1 , Hina Iqbal 1 , Kumail Khandwala 1 , Shaista Afzal 1 1. Radiology, Aga Khan University Hospital, Karachi, PAK Corresponding author: Kumail Khandwala, [email protected] Abstract Polypoid adenomyoma is a rare uterine endometrial polypoid tumor of mixed epithelial and mesenchymal origin. Although the clinical and pathologic features of polypoid adenomyomas have been described extensively, imaging findings for these tumors have not been frequently reported in the literature. On imaging, their features may be confused with prolapsed leiomyomas or malignancy. Hemorrhagic cystic spaces in a prolapsed uterine tumor within the vagina should raise consideration of a diagnosis of polypoid adenomyoma. Such blood-containing cystic spaces would be unusual findings in leiomyomas and malignancy. Diagnosing polypoid adenomyoma is vital because it can potentially be managed by hysteroscopic resection, unlike an ordinary form of adenomyosis. Categories: Obstetrics/Gynecology, Radiology Keywords: mesenchymal tumor, atypical polypoid adenomyoma, uterus Introduction Polypoid adenomyoma of the uterus is an endometrial polyp in which the stromal component is made up of smooth muscle [1]. These are benign tumors and account for 1.3% of all endometrial polyps. Polypoid adenomyomas are of mixed epithelial and mesenchymal origin [2]. Although their clinical and pathological features have been described well in literature, imaging findings for these tumors have been seldom reported. We report a case of a 44-year-old woman with urinary retention who had a prolapsed polypoidal uterine lesion on imaging which was confirmed to be polypoid adenomyoma on histopathology. We aim to review the imaging findings and the relevant literature on this rare entity. -
Neoplasms of the Ovary and Normal Histology Pincas Bitterman, MD 2019
Neoplasms of the Ovary and Normal Histology Pincas Bitterman, MD 2019 Epithelial ovarian tumors Sub-types Brenner tumor BRCA1/BRCA2 Borderline tumors Tumors with "coffee-bean" nuclei Pseudomyxoma peritonei Germ cell tumors Benign and malignant Mature cystic teratoma (Dermoid cyst) Dysgerminoma Schiller-Duval bodies Sex Cord-Stromal Tumors Fibroma Granulosa cell tumor Call-Exner bodies Metastatic tumors to the ovary Most common sites Krukenberg tumor OVARIES ● Most common lesions are functional cyst which are benign, and non-malignant neoplasms. ● Functional cysts include Follicular cysts and Luteal Cysts. Patients may present with or without symptoms, or vaginal bleeding with or without a pelvic mass. ● The incidence of ovarian cancer increases with age. Early detection is problematic as generally the patients have no symptoms and present at high stage (II-III) where the tumor has spread to other sites inside or outside the pelvis. ● Ovarian cancer is the #1 killer among female genital malignancies in the US ● Inflammation ○ Oophoritis . Associated with PID . Autoimmune, rare ● Non-Neoplastic and Functional Cysts ○ Follicular and luteal cysts . Very common: physiologic? . Unruptured graafian follicles . Ruptured follicles which sealed immediately . Usually multiple, about 2cm in diameter . Lined by granulosa and thecal cells Theca cells may be luteinized ○ Corpora lutea . Lined by luteinized granulosa cells ○ Polycystic Ovaries (former name: Stein Leventhal syndrome). May be associated with stromal hyperthecosis . Stromal hyperplasia is not unusual ▪ Affects 3% - 6% of reproductive-age women ▪ Very conspicuous luteinized thecal cells . estrogen production . Endometrial hyperplasia on occasion . Most common in postmenopausal women . Numerous follicle cysts Subcortical . Enlarged ovaries Twice the normal size . Thickened cortex . Absence of corpora lutea . -
Sonography of Adenomyosis
3105jumonline.qxp:Layout 1 4/19/12 9:48 AM Page 805 SOUND JUDGMENT SERIES Sonography of Adenomyosis Khaled Sakhel, MD, Alfred Abuhamad, MD Invited paper denomyosis was first described by Rokitansky in 1860 as “cystosarcoma adenoides uterinum” and was later defined A by Von Recklinghausen in 1896. It is a common condition that predominantly affects women in the late reproductive years. Adenomyosis has been noted to occur in about 30% of the general female population and in up to 70% of hysterectomy specimens depending on the definition of the entity.1 The diagnosis can be The Sound Judgment Series consists of made with sonography or magnetic resonance imaging (MRI), but invited articles highlighting the clinical this article will show that sonography should be the imaging modal- value of using ultrasound first in specific ity of choice for adenomyosis. clinical diagnoses where ultrasound has Definition shown comparative or superior value. The series is meant to serve as an educational Adenomyosis is defined by the presence of ectopic endometrial tool for medical and sonography students glands and stroma within the myometrium. The presence of ectopic and clinical practitioners and may help endometrial glands and stroma induces a hypertrophic and hyper- integrate ultrasound into clinical practice. plastic reaction in the surrounding myometrial tissue. Clinical Presentation Most patients with adenomyosis are asymptomatic. Symptoms related to adenomyosis include dysmenorrhea, dyspareunia, chronic pelvic pain, and menstrual menometrorrhagia. Adeno- myosis presents most commonly as a diffuse disease involving the entire myometrium (Figure 1). It can also present in a focal area of the uterus, known as adenomyoma (Figure 2). -
Conversion of Morphology of ICD-O-2 to ICD-O-3
NATIONAL INSTITUTES OF HEALTH National Cancer Institute to Neoplasms CONVERSION of NEOPLASMS BY TOPOGRAPHY AND MORPHOLOGY from the INTERNATIONAL CLASSIFICATION OF DISEASES FOR ONCOLOGY, SECOND EDITION to INTERNATIONAL CLASSIFICATION OF DISEASES FOR ONCOLOGY, THIRD EDITION Edited by: Constance Percy, April Fritz and Lynn Ries Cancer Statistics Branch, Division of Cancer Control and Population Sciences Surveillance, Epidemiology and End Results Program National Cancer Institute Effective for cases diagnosed on or after January 1, 2001 TABLE OF CONTENTS Introduction .......................................... 1 Morphology Table ..................................... 7 INTRODUCTION The International Classification of Diseases for Oncology, Third Edition1 (ICD-O-3) was published by the World Health Organization (WHO) in 2000 and is to be used for coding neoplasms diagnosed on or after January 1, 2001 in the United States. This is a complete revision of the Second Edition of the International Classification of Diseases for Oncology2 (ICD-O-2), which was used between 1992 and 2000. The topography section is based on the Neoplasm chapter of the current revision of the International Classification of Diseases (ICD), Tenth Revision, just as the ICD-O-2 topography was. There is no change in this Topography section. The morphology section of ICD-O-3 has been updated to include contemporary terminology. For example, the non-Hodgkin lymphoma section is now based on the World Health Organization Classification of Hematopoietic Neoplasms3. In the process of revising the morphology section, a Field Trial version was published and tested in both the United States and Europe. Epidemiologists, statisticians, and oncologists, as well as cancer registrars, are interested in studying trends in both incidence and mortality. -
Gynecologic and Obstetric Pathology
ANNUAL MEETING ABSTRACTS 273A Design: From January 2011 to August 2013, 162 patients underwent robotic laparoscopic radical prostatectomy for clinically localized prostatic carcinoma at our institution. Gynecologic and Obstetric Pathology Periprostatic fat pads, yielded during defatting of the prostate, were dissected and sent to pathology for histopathologic examination in 133 cases. Clinical and pathological 1128 Recurrent Grade I, Stage Ia Endometrioid Carcinomas of the Uterus: staging was recorded according to the 2009 American Joint Committee on Cancer Analysis of Pathology and Correlation with Clinical Data (AJCC) criterion. SN Agoff. Virginia Mason Medical Center, Seattle, WA. Results: Of 133 patients whose periprostatic fat was examined, 32 (24%) patients had Background: Low-grade and low-stage endometrioid carcinoma of the uterus is thought lymph nodes in the periprostatic fat pads. Metastatic prostatic carcinoma to periprostatic to have an excellent prognosis in the vast majority of patients. However, despite the lack lymph nodes was detected in 5 individuals (3.8%). All 32 patients had bilateral pelvic of myometrial invasion or superfi cial invasion, some patients develop recurrent disease, lymphadenectomy. 3 of the 5 patients with positive periprostatic lymph nodes had no often in the vaginal apex. There is limited literature on these tumors, but recent analyses metastasis in pelvic lymph nodes, thereby upstaging 3 cases from T3N0 to T3N1. No have implicated the pattern of myoinvasion as a prognostic factor. The emphasis of relationship exists between the presences of periprostatic LNs and prostate weight, the current study is non-invasive or stage Ia, grade I endometrioid adenocarcinomas. patient age, pathological staging or Gleason score. -
Atypical Stromal Cells As a Diagnostic Pitfall in Lesions of the Lower Female Genital Tract and Uterus: a Review and Presentation of Some Unusual Cases
Patología 2009;47(2):103-7 Revista latinoamericana 2ULJLQDODUWLFOH Atypical stromal cells as a diagnostic pitfall in lesions of the lower female genital tract and uterus: a review and presentation of some unusual cases MI Rodrigues,* E Goez,** K Larios K,*** M Cuevas,**** J Aneiros Fernandez,**** S Stolnicu,1 FF Nogales**** RESUMEN Antecedentes: las células estromales atípicas (CEAts) en el conducto genital femenino son un hallazgo poco frecuente en lesiones polipoides de vulva, vagina, cuello uterino y endometrio, lo que con frecuencia genera errores diagnósticos. Objetivo: mostrar los hallazgos de 12 casos enviados a consulta por la sospecha de una lesión maligna. Material y métodos: estudio clínico-patológico de 12 casos con inmunohistoquímica de actina, desmina, S100, Ki67, RE y RP. Resultados: las células estromales atípicas se encontraron en un patrón multifocal, en tres casos de lesiones de vulva (incluido un caso de liquen escleroso), dos pólipos vaginales, dos casos de cuello uterino, incluido uno prolapsado y un carcinoma escamoso y, por último, cuatro casos de pólipos endometriales y un caso de adenomiosis. Los marcadores de inmunohistoquímica en las células estromales atí- picas fueron positivos para receptores hormonales de estrógenos y progesterona y sólo focalmente para actina. El índice de proliferación Ki67 fue bajo. ConclusionesODVFpOXODVHVWURPDOHVDWtSLFDVVRQUHDFWLYDVQRHVSHFt¿FDVRGHJHQHUDWLYDVFRQXQtQGLFHGHSUROLIHUDFLyQPX\EDMRFRQ receptores hormonales y capacidad para expresar marcadores de músculo liso y de estroma endometrial. Presentamos casos, hasta ahora no publicados, de células estromales atípicas asociadas a un liquen escleroso en la vulva, un carcinoma escamoso del cuello uterino y un cuello uterino prolapsado. Se plantean además, como diagnósticos diferenciales, sitio de implantación exagerado y nevo azul, ya que las células trofoblásticas y névicas presentan características similares a las células estromales atípicas. -
BMC Medical Informatics and Decision Making Biomed Central
BMC Medical Informatics and Decision Making BioMed Central Software Open Access Automatic extraction of candidate nomenclature terms using the doublet method Jules J Berman* Address: Cancer Diagnosis Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA Email: Jules J Berman* - [email protected] * Corresponding author Published: 18 October 2005 Received: 07 January 2005 Accepted: 18 October 2005 BMC Medical Informatics and Decision Making 2005, 5:35 doi:10.1186/1472-6947-5-35 This article is available from: http://www.biomedcentral.com/1472-6947/5/35 © 2005 Berman; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: New terminology continuously enters the biomedical literature. How can curators identify new terms that can be added to existing nomenclatures? The most direct method, and one that has served well, involves reading the current literature. The scholarly curator adds new terms as they are encountered. Present-day scholars are severely challenged by the enormous volume of biomedical literature. Curators of medical nomenclatures need computational assistance if they hope to keep their terminologies current. The purpose of this paper is to describe a method of rapidly extracting new, candidate terms from huge volumes of biomedical text. The resulting lists of terms can be quickly reviewed by curators and added to nomenclatures, if appropriate. The candidate term extractor uses a variation of the previously described doublet coding method. -
Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer Version 4.2017 — November 9, 2017
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer Version 4.2017 — November 9, 2017 NCCN.org NCCN Guidelines for Patients® available at www.nccn.org/patients Continue Version 4.2017, 11/09/17 © National Comprehensive Cancer Network, Inc. 2017, All rights reserved. The NCCN Guidelines®and this illustration may not be reproduced in any form without the express written permission of NCCN®. NCCN Guidelines Version 4.2017 Panel Members NCCN Guidelines Index Ovarian Cancer TOC Ovarian Cancer Discussion *Deborah K. Armstrong, MD/Chair Ω † Laura J. Havrilesky, MD Ω Matthew A. Powell, MD Ω The Sidney Kimmel Comprehensive Duke Cancer Institute Siteman Cancer Center at Barnes- Cancer Center at Johns Hopkins Ω Jewish Hospital and Washington Carolyn Johnston, MD University School of Medicine *Steven C. Plaxe, MD/Vice Chair Ω University of Michigan UC San Diego Moores Cancer Center Comprehensive Cancer Center Elena Ratner, MD Ω Ronald D. Alvarez, MD Ω Monica B. Jones, MD Ω Yale Cancer Center/ Vanderbilt-Ingram Cancer Center Duke Cancer Institute Smilow Cancer Hospital Jamie N. Bakkum-Gamez, MD Ω Charles A. Leath III, MD Ω Steven W. Remmenga, MD Ω Mayo Clinic Cancer Center University of Alabama at Birmingham Fred & Pamela Buffett Cancer Center Comprehensive Cancer Center Lisa Barroilhet, MD Ω Peter G. Rose, MD Ω University of Wisconsin Shashikant Lele, MD Ω Case Comprehensive Cancer Center/ Carbone Cancer Center Roswell Park Cancer Institute University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute Kian Behbakht, MD Ω Lainie Martin, MD † University of Colorado Cancer Center Fox Chase Cancer Center Paul Sabbatini, MD † Þ Memorial Sloan Kettering Cancer Center Lee-may Chen, MD Ω Ursula A.