DOCSLIB.ORG

Pelvic Inflammatory Disease (PID)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pelvic Inflammatory Disease (PID) Pelvic Inflammatory Disease (PID) Chapter XIV N77-N98 Female Genital Organs นพ.บิัก์ เจิญิล์ ก่มงานัลยกรรม รพ.สวรร์ประชาัก์ นครสวรร์ 1 2 Pelvic Inflammatory Disease Pelvic Inflammatory Disease (PID) (PID) การิิจัยรวม ของการักเสบิดเ้อของอัยวะใน้งเิงกราน หักการันึกการิิจัย ควรระุอัยวะ่ักเสบิดเ้อใ้ัดเจน 1. ระุอัยวะ่ีการักเสบิดเ้อ (adnexitis) ีกมดูกักเสบ 2. แ่งชิดตามระยะเวลา่เ็น acute หือ chronic ่อำไ่ักเสบ (salpingitis) 3. ระุเ้อ่อโรค [กรีีผลตรวจทาง้องปิัิการืนัน] ังไ่ักเสบ (oophoritis) ่อำไ่และังไ่ักเสบ (salpingo-oophoritis) 4. เิดหังจากการำแ้ง การ้งครร์นอกมดูก หือการ้ง มดูกักเสบ (metritis) ครร์ไ่ปลาุก เ่อโพรงมดูกักเสบ (endometritis) เ้อเ่อ้าน้างมดูกักเสบ (parametritis) เ่อุ่อง้องใน้งเิงกรานักเสบ (pelvic peritonitis) 3 4 Pelvic Inflammatory Disease Pelvic Inflammatory Disease (PID) (PID) Acute PID Chronic PID Minimum diagnostic criteria Additional diagnostic criteria Definitive specific criteria ไ่ไ้ีการำหนดเวลาัดเจน อาจูจากการิิจัยเิน 2 ค้ง Cervical motion tenderness Oral temperture >38.3 Endometrial biopsy ภายในีเียวัน ักเิดจากการักษา acute PID อ่างไู่ก้อง Uterine tenderness Mucopurulent discharge Transvaginal sonogrpahy หือไ่เียงพอ ำใ้เิดังืดใน้งเิงกราน (pelvic peritoneal Adnexal tenderness Abundant wbc on wet smear Pelvic MRI adhesions) Elevated ESR Laparoscopic confirmation Elevated CRP level ีอาการปวด้อง้อยเ็นๆ หายๆ บางค้งปวดมาก ีอาการเ็บ Laboratory documentation of เวลา่วมเพศ ปวดมาก้นเวลาีระู chlamydia or gonorrhea ตรวจภายในักปกิหือกดเ็บเ็ก้อย ! Workowski KA, et al. CDC sexually transmitted diseases treatment guidelines. 2010. 5 6 Pelvic Inflammatory Disease Pelvic Inflammatory Disease (PID) (PID) Summary Diagnosis ICD-10 Summary Diagnosis ICD-10 PID N73.9 Oophoritis N70.9 Acute PID N73.0 Acute oophoritis N70.0 Chronic PID N73.1 Chronic oophoritis N70.1 Adnexitis N70.9 Salpingo-oophoritis N70.9 Acute adnexitis N70.0 Acute salpingo-oophoritis N70.0 Chronic adnexitis N70.1 Chronic salpingo-oophoritis N70.1 Salpingitis N70.9 Acute salpingitis N70.0 Chronic salpingitis N70.1 7 8 Pelvic Inflammatory Disease Pelvic Inflammatory Disease (PID) (PID) Summary Diagnosis ICD-10 Summary Diagnosis ICD-10 Metritis N71.9 Pelvic peritonitis N73.5 Acute metritis N71.0 Acute pelvic peritonitis N73.3 Chronic metritis N71.1 Chronic pelvic peritonitis N73.4 Endometritis N71.9 Pelvic peritoneal adhesions N73.6 Acute endometritis N71.0 Postoperative pelvic peritoneal adhesions N99.4 Chronic endometritis N71.1 Pelvic pain R10.2 Parametritis N73.2 Acute parametritis N73.0 Chronic parametritis N73.1 9 10 Pelvic Inflammatory Disease Pelvic Inflammatory Disease (PID) (PID) Summary Diagnosis ICD-10 Summary Diagnosis ICD-10 Tuberculous PID A18.1+N74.1 Fitz Hugh and Curtis syndrome A54.8+K67.1 Gonococcal PID A54.2+N74.3 Chlamydial Fitz Hugh and Curtis syndrome A74.8+K67.0 Chlamydial PID A56.1+N74.4 Gonococcal Fitz Hugh and Curtis syndrome A54.8+K67.1 Secondary syphilitic PID A51.4+N74.2 Late syphilitic PID A52.7+N74.2 PID from other organisms N73.x+B92.x "Violin-string" adhesions of Fitz-Hugh-Curtis syndrome (Perihepatitis) 11 12 Ovarian Torsion Ovarian Torsion Adnexal torsion เ็นภาวะ่ีการิดัวของอัยวะ่อ่้าน้าง Summary Diagnosis ICD-10 ่อัวมดูก หือ่เียก่า ีกมดูก [ังไ่ ่อำไ่] Ovarian torsion N83.5 Endometrioma N80.1 เือบ้งหมดเ็นการิดของังไ่ (ovarian torsion) Graafian folllcle cyst N83.0 กรีทราบพยาิสภาพของังไ่ ใ้ระุเ็นการิิจัยเ่มเิม Corpus luteum cyst N83.1 Ovarian cyst N83.2 : เ้องอกังไ่่ังไ่ทราบผลตรวจทางพยาิิทยา และเ้องอก Ovarian tumor D39.1 ังไ่่ไ่ใ่มะเ็ง ใ้ันึกเ็นการิิจัย่วม Benign ovarian tumor D27 Dermoid cyst of ovary D27 : เ้องอกังไ่่เ็นมะเ็ง ใ้ันึกเ็นการิิจัยหัก CA ovary C56 13 14 ้่วยมา้วยปวด้อง้อยเียบพัน ิิจัย่า twisted left ้่วยมา้วยปวด้อง้อยเียบพัน ิิจัย่า twisted left ovarian cyst ่าัด left salpingo-oophorectomy ovarian tumor ่าัด left salpingo-oophorectomy ผลตรวจพยาิ ิทยาเ็น benign serous cystadenoma of ovary PDx Torsion of left ovarian cyst N83.5 PDx Twisted benign serous cystadenoma of left ovary N83.5 N83.2 D27 SDx SDx Left salpingo-oophorectomy 65.49 Left salpingo-oophorectomy 65.49 Op Op 15 16 ้่วยมา้วยปวด้อง้อยเียบพัน ิิจัย่า twisted left ovarian tumor ่าัด left salpingo-oophorectomy ผลตรวจพยาิ Endometriosis ิทยาเ็น papillary serous cystadenoma of ovary ภาวะ่เ่อุโพรงมดูกไปเจิญนอกโพรงมดูก ำใ้เิดการ ักเสบเ้อังบิเวณ้นๆ จะำใ้ีอาการปวด้อง้อยเ้อัง PDx Twisted papillary serous cystadenoma of left ovary C56 ปวดประำเือนอ่างมาก ีุตรยาก N83.5 ้องไ้ับการืนันิิจัย้วย SDx Operative finding Laparoscopic finding Left salpingo-oophorectomy 65.49 Pathologic finding Op 17 18 Endometriosis Endometriosis ใ้ระุำแห่งของรอยโรค (organ) U Summary Diagnosis ICD-10 กรีีหลายำแห่ง ใ้ระุุกำแห่งของรอยโรค Endometriosis N80.9 Adenomyosis [Endometriosis of uterus] N80.0 Endometrioma [Chocolate cyst] N80.1 Endometriosis of fallopian tube N80.2 Endometriosis of pelvic peritoneum N80.3 Endometriosis of rectovaginal septum N80.4 Endometriosis of vagina N80.4 Endometriosis of surgical scar N80.6 Endometriosis of intestine N80.5 Bladder endometriosis N80.8 Pulmonary endometriosis N80.8 19 20 Bleeding per Vagina Vaginal Bleeding หมายึง การีเือดออกทาง่องคลอดโดย่ไ่ัมัน์ับ เ็นเียงอาการเ่นเียวัน ึง้องตรวจสอบหาสาเหุเสมอ การีรอบเือน เ็นเียงอาการจะ้องตรวจสอบหาสาเหุเสมอ จะใ้เ็นำิิจัยไ้ในกรี่แพท์ิไ้ำการตรวจหาสาเหุ หากตรวจพบสาเหุเ่น บาดแผลใ้ันึกสาเหุเ็นำิิจัย Summary Diagnosis ICD-10 Vaginal bleeding N93.9 Laceration of vagina S31.4 Vaginal ulcer N76.5 21 22 Abnormal Uterine Bleeding Normal Menstruation (AUB) หมายึง การีเือดออกทาง่องคลอดโดยไ่ัมัน์ับการี Characteristic Normal Abnormal รอบเือน เ็นเียงอาการจะ้องตรวจสอบหาสาเหุเสมอ ใ้เ็น ำิิจัยไ้ในกรี่แพท์ิไ้ำการตรวจหาสาเหุ Duration 4 - 6 days <2 days or >7 days : Bleeding between periods 30 ml Volume >80 ml : Bleeding after sex 2-8 tablespoons : Spotting anytime in the menstruation Interval 24 - 35 days : Bleeding heavier or for more days than normal : Bleeding after menopause 23 24 Dysfunctional Uterine Bleeding Abnormal Uterine Bleeding (DUB) (AUB) เ็นภาวะเือดออกิดปกิจากโพรงมดูก่ไ่ไ้เิดจากโรค Summary Diagnosis ICD-10 Oligomenorrhea N91.5 หือพยาิสภาพใน้งเิงกราน ักเิดจากความไ่สมุล์ของ Polymenorrhea N92.0 ฮอ์โมน Menorrhagia N92.0 แ่งเ็น 2 ชิด ไ้แ่ Metrorrhagia N92.1 : Anovulatory DUB ไ่ีการตกไ่ Menometrorrhagia N92.1 Pubertal menorrhagia N92.2 : Ovulatory DUB ีการตกไ่ Premenopausal menorrhagia N92.4 ัตถการำหับการักษา Postmenopausal bleeding N95.0 : Dilatation and curettage Intermenstrual bleeding N92.3 : Endometrial ablation Dysfunctional uterine bleeding N93.8 : Hysterectomy 25 26 Dysfunctional Uterine Bleeding Postcoital Bleeding (DUB) Endometrial ablation ใ้ใน้่วย่ไ่ตอบสนอง่อการักษา้วย เ็นการีเือดออกหังีเพศัมัน์ (bleeding after sex) ยา และ้องการหีกเ่ยงการัดมดูก หือีุขภาพ่ไ่เหมาะับ กรี่ตรวจไ่พบบาดแผล ใ้ันึก่า Postcoital bleeding การ่าัด โดยีำหลายเทคิคเ่น กรี่ตรวจพบบาดแผล ใ้ันึกรอยโรคเ็นิิจัยหัก Hysteroscopic Nd:YAG laser photovaporization ่วมับระุสาเหุการบาดเ็บ Electrosurgical instrument [loop, roller ball] Radiofrequency ablation Summary Diagnosis ICD-10 Summary Procedure ICD-9-CM Postcoital bleeding N93.0 Laceration of vagina S31.4 Dilatation and curettage 68.23 Laceration of perineum S31.4 Endometrial ablation 68.23 27 28 ้่วยใ้ประัิ่าีเือดออกหังีเพศัมัน์ ผลตรวจ ้่วยีเือดออกหังีเพศัมัน์ับสาี ่้าน ผลตรวจ ภายในพบ่าเือดหุดแ้ว และไ่พบบาดแผล่อัยวะเพศ ภายในพบบาดแผล่ปาก่องคลอด ักษาโดยการเ็บแผล่ ปาก่องคลอด PDx Postcoital bleeding N93.0 PDx Laceration of cervix N93.0 Postcoital bleeding at home X58.08 SDx EC Suture laceration of cervix 70.71 Op Op 29 30 ้่วยีเือดออกหังูก่มืน่สวนสาธารณะในันีให่ ตรวจภายในพบีกขาด่บิเวณีเ็บ ักษาโดยการเ็บแผล ่ปาก่องคลอด PDx Laceration of perineum S31.4 Rape at public garden Y05.81 EC Suture laceration of cervix 70.71 Chapter XIV Op N60-N64 Breast นพ.บิัก์ เจิญิล์ ก่มงานัลยกรรม รพ.สวรร์ประชาัก์ นครสวรร์ 31 32 Breast Disorder การิิจัยทางคิิก ับสนับ รัสการิิจัย Clinic: Fibrocystic change…Also…Fibroadenosis “Type a quote here.” ICD-10: Fibrocystic change…Not…Fibroadenosis แนวทางการันึกการิิจัย : ิิจัยจากอาการำของ้่วย –Johnny Appleseed : ิิจัยจากผลตรวจ่างกาย : ิิจัยจากผลตรวจเอกซเร์เ้านม [ค่นเียงความู่ง] : ิิจัยจากผลการ่าัด : ิิจัยจากผลตรวจพยาิิทยา ผลตรวจเซล์ิทยา 33 34 Breast Disorder Breast Disorder Blue dome cyst Fibrocystic change : Diffuse cystic mastopathy, Fibrosclerosis, Chronic cystic mastitis, Mammary dysplasia Cracked Nipple Fibroadenosis [microcyst of fibrocystic disease] Breast cyst [solitary cyst, gross cyst] Ductal ectasia : Comedo mastitis, Plasma cell mastitis Fibrocystic change Fistula Nipple Ductal ectasia 35 36 Breast Symptoms Breast Signs Summary Diagnosis ICD-10 Summary Diagnosis ICD-10 Mastalgia N64.4 Breast mass [by physical examination] N63 Galactorrhea N64.3 Neonatal breast engorgement P83.4 Gestational galactorrhea O92.6 Retracted nipple N64.5 Bloody nipple discharge N64.5 Gestational retracted nipple O92.0 Hypertrophy of breast N62 Cracked nipple N64.0 Hypertrophy of nipple N62 Gestational cracked nipple O92.1 Gynecomastia N62 Pau de orange N64.5 37 38 Breast Lesions Breast Mass by Pathology Summary Diagnosis ICD-10 Summary Diagnosis ICD-10 Breast mass D48.6 Fibroadenoma D24 Fibrocystic change N60.1 Juvenile fibroadenoma D24 Fibroadenosis N60.2 Giant fibroadenoma D24 Breast cyst [solitary] N60.0 Benign phyllodes tumor D24 Ductal ectasia N60.4 Phyllodes tumor D24 Galactocele N64.8 Fat necrosis N64.1 Gestational galactocele O92.7 BIRADs 3–5 R92 Screening mammogram Z01.6 39 40 Breast Infections Breast Anomalies Congenial anomalies Summary Diagnosis ICD-10 Acute mastitis N61 Gestational mastitis O91.2 Amastia, nipple present Amastia Neonatal mastitis P39.0 Breast abscess N61 Periareolar abscess N61 Nipple abscess N61 Gastational breast abscess O91.1 Gestational nipple abscess O91.0 Mondor’s disease I80.8 41 42 Breast Anomalies Breast Anomalies Congenial anomalies Congenial anomalies Supernumerary nipple Absence of breast [Amastia] Absence of nipple [Athelia] Supernumerary breast / Accessary breast [Polymastia] Supernumerary nipple / Accessary nipple [Polythlelia] Summary Diagnosis ICD-10 Axillary breast Amastia Q83.0 Amastia, nipple present Q83.8 Absence nipple / Athelia Q83.2 Accessory breast / Supernumerary breast / Polymastia Q83.1 Supernumerary breast Accessory nipple / Supernumerary nipple / Polythelia Q83.3 43 44.
Load more

Recommended publications
  • Cutaneous Manifestations of Newborns in Omdurman Maternity Hospital
    ﺑﺴﻢ اﷲ اﻟﺮﺣﻤﻦ اﻟﺮﺣﻴﻢ Cutaneous Manifestations of Newborns in Omdurman Maternity Hospital A thesis submitted in the partial fulfillment of the degree of clinical MD in pediatrics and child health University of Khartoum By DR. AMNA ABDEL KHALIG MOHAMED ATTAR MBBS University of Khartoum Supervisor PROF. SALAH AHMED IBRAHIM MD, FRCP, FRCPCH Department of Pediatrics and Child Health University of Khartoum University of Khartoum The Graduate College Medical and Health Studies Board 2008 Dedication I dedicate my study to the Department of Pediatrics University of Khartoum hoping to be a true addition to neonatal care practice in Sudan. i Acknowledgment I would like to express my gratitude to my supervisor Prof. Salah Ahmed Ibrahim, Professor of Peadiatric and Child Health, who encouraged me throughout the study and provided me with advice and support. I am also grateful to Dr. Osman Suleiman Al-Khalifa, the Dermatologist for his support at the start of the study. Special thanks to the staff at Omdurman Maternity Hospital for their support. I am also grateful to all mothers and newborns without their participation and cooperation this study could not be possible. Love and appreciation to my family for their support, drive and kindness. ii Table of contents Dedication i Acknowledgement ii Table of contents iii English Abstract vii Arabic abstract ix List of abbreviations xi List of tables xiii List of figures xiv Chapter One: Introduction & Literature Review 1.1 The skin of NB 1 1.2 Traumatic lesions 5 1.3 Desquamation 8 1.4 Lanugo hair 9 1.5
    [Show full text]
  • A Narrative Review of Poland's Syndrome
    Review Article A narrative review of Poland’s syndrome: theories of its genesis, evolution and its diagnosis and treatment Eman Awadh Abduladheem Hashim1,2^, Bin Huey Quek1,3,4^, Suresh Chandran1,3,4,5^ 1Department of Neonatology, KK Women’s and Children’s Hospital, Singapore, Singapore; 2Department of Neonatology, Salmanya Medical Complex, Manama, Kingdom of Bahrain; 3Department of Neonatology, Duke-NUS Medical School, Singapore, Singapore; 4Department of Neonatology, NUS Yong Loo Lin School of Medicine, Singapore, Singapore; 5Department of Neonatology, NTU Lee Kong Chian School of Medicine, Singapore, Singapore Contributions: (I) Conception and design: EAA Hashim, S Chandran; (II) Administrative support: S Chandran, BH Quek; (III) Provision of study materials: EAA Hashim, S Chandran; (IV) Collection and assembly: All authors; (V) Data analysis and interpretation: BH Quek, S Chandran; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: A/Prof. Suresh Chandran. Senior Consultant, Department of Neonatology, KK Women’s and Children’s Hospital, Singapore 229899, Singapore. Email: [email protected]. Abstract: Poland’s syndrome (PS) is a rare musculoskeletal congenital anomaly with a wide spectrum of presentations. It is typically characterized by hypoplasia or aplasia of pectoral muscles, mammary hypoplasia and variably associated ipsilateral limb anomalies. Limb defects can vary in severity, ranging from syndactyly to phocomelia. Most cases are sporadic but familial cases with intrafamilial variability have been reported. Several theories have been proposed regarding the genesis of PS. Vascular disruption theory, “the subclavian artery supply disruption sequence” (SASDS) remains the most accepted pathogenic mechanism. Clinical presentations can vary in severity from syndactyly to phocomelia in the limbs and in the thorax, rib defects to severe chest wall anomalies with impaired lung function.
    [Show full text]
  • EUROCAT Syndrome Guide
    JRC - Central Registry european surveillance of congenital anomalies EUROCAT Syndrome Guide Definition and Coding of Syndromes Version July 2017 Revised in 2016 by Ingeborg Barisic, approved by the Coding & Classification Committee in 2017: Ester Garne, Diana Wellesley, David Tucker, Jorieke Bergman and Ingeborg Barisic Revised 2008 by Ingeborg Barisic, Helen Dolk and Ester Garne and discussed and approved by the Coding & Classification Committee 2008: Elisa Calzolari, Diana Wellesley, David Tucker, Ingeborg Barisic, Ester Garne The list of syndromes contained in the previous EUROCAT “Guide to the Coding of Eponyms and Syndromes” (Josephine Weatherall, 1979) was revised by Ingeborg Barisic, Helen Dolk, Ester Garne, Claude Stoll and Diana Wellesley at a meeting in London in November 2003. Approved by the members EUROCAT Coding & Classification Committee 2004: Ingeborg Barisic, Elisa Calzolari, Ester Garne, Annukka Ritvanen, Claude Stoll, Diana Wellesley 1 TABLE OF CONTENTS Introduction and Definitions 6 Coding Notes and Explanation of Guide 10 List of conditions to be coded in the syndrome field 13 List of conditions which should not be coded as syndromes 14 Syndromes – monogenic or unknown etiology Aarskog syndrome 18 Acrocephalopolysyndactyly (all types) 19 Alagille syndrome 20 Alport syndrome 21 Angelman syndrome 22 Aniridia-Wilms tumor syndrome, WAGR 23 Apert syndrome 24 Bardet-Biedl syndrome 25 Beckwith-Wiedemann syndrome (EMG syndrome) 26 Blepharophimosis-ptosis syndrome 28 Branchiootorenal syndrome (Melnick-Fraser syndrome) 29 CHARGE
    [Show full text]
  • Chapter VIII Mammae
    CHAPTER VIII. LINEAR SERIES-COhnWd. MAMMAL SOME of the phenomena of Meristic Variation are well seen in the case of mammael, and especially in the modes by which increase in the number of these organs takes place. The facts regarding these variations in Man have so often been collected that it is scarcely necessary to detail them again. For our present purposes it will be sufficient to give a recapitulation of the chief observations in so far as they illustrate the pheno- mena of Variation. The most important collections of the evidence on this subject are those of PUECH’,LEICHTENSTERN3, and WILLIAMS4,from whose papers references to all cases recorded up to 1890 may be obtained. Besides these, BRUCE~has given a valuable account of a consider- able number of new cases together with measurements and statis- tical particulars. These accounts contain almost all that is known on the subject but additional reference will be made to original authorities in a few special cases. In Man supernumerary mammae or nipples nearly always occur on the front of the trunk, being nsually placed at points on two imaginary lines drawn from the normal nipples, converging in the direction of the pubes. These lines may thus be spoken of as the ‘‘ Ma7nnzary lines.” It is with reference to supernumerary mammie occurring on these lines that the subject of mammary variations is chiefly important to the study of Meristic Variation. In addition to these, however, there are a few well authenticated examples of mamme placed in parts of the body other than the maminary lines and of these some mention must be made hereafter.
    [Show full text]
  • Aesthetic Breast Surgery GM Ref: GM006-GM010 Version: 4.3 (16 Sept 2020)
    Greater Manchester EUR Policy Statement on: Aesthetic Breast Surgery GM Ref: GM006-GM010 Version: 4.3 (16 Sept 2020) Commissioning Statement Aesthetic Breast Surgery Policy Reconstructive surgery following cancer, trauma or another significant clinical event is Exclusions not covered by this policy and is routinely commissioned across Greater Manchester. (Alternative commissioning Treatment/procedures undertaken as part of an externally funded trial or as a part of arrangements apply) locally agreed contracts / or pathways of care are excluded from this policy, i.e. locally agreed pathways take precedent over this policy (the EUR Team should be informed of any local pathway for this exclusion to take effect). Our definition All surgery involving incision into healthy tissue, in this case a healthy breast whatever of Aesthetic its size and shape, is considered to be aesthetic. This includes cases where there are symptoms, external to the breast that are attributed to, or exacerbated by, the size of the breast(s). Policy Breast Augmentation Inclusion All surgery involving incision into healthy tissue in this case a healthy breast whatever Criteria its size and shape is considered to be aesthetic. Surgery to augment the size and or shape of a breast(s) is not routinely commissioned, with the exception of proven amastia or amazia. There should be confirmation either in the form of a consultant letter or an ultrasound report that there is an absence of breast tissue. This policy applies equally to all women including those who have completed gender realignment. The period of oestrogen therapy on the realignment pathway is considered, for the purposes of this policy, to equate to the period of hormonal increase experienced in puberty.
    [Show full text]
  • Breast Imaging Companion
    GRBT261-3456G-FM.[i-xvi].qxd 9/21/07 12:00 PM Page i Aptara (PPG-Quark) BREAST IMAGING COMPANION T HIRD E DITION GRBT261-3456G-FM.[i-xvi].qxd 9/21/07 12:00 PM Page ii Aptara (PPG-Quark) GRBT261-3456G-FM.[i-xvi].qxd 9/21/07 12:00 PM Page iii Aptara (PPG-Quark) BREAST IMAGING COMPANION T HIRD E DITION Gilda Cardeñosa, MD Veronica Donovan Sweeney Professor of Breast Imaging Director of Breast Imaging Department of Radiology Virginia Commonwealth University Health System Medical College of Virginia Hospitals Richmond, Virginia GRBT261-3456G-FM.[i-xvi].qxd 9/21/07 12:00 PM Page iv Aptara (PPG-Quark) Acquisitions Editor: Lisa McAllister Managing Editor: Kerry Barrett Project Manager: Rosanne Hallowell Manufacturing Manager: Benjamin Rivera Marketing Manager: Angela Panetta Art Director: Risa Clow Cover Designer: Larry Didona Production Services: Aptara, Inc. Third Edition © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business 530 Walnut Street Philadelphia, PA 19106 LWW.com © 2001 by Lippincott Williams & Wilkins (Second Edition). © 1997 by Lippincott-Raven (First Edition). All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilizing by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Printed in the United States Library of Congress Cataloging-in-Publication Data Cardenosa, Gilda. Breast imaging companion / Gilda Cardenosa. — 3rd ed. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-7817-6491-9 ISBN-10: 0-7817-6491-2 1.
    [Show full text]
  • Incontinentia Pigmenti in Adults
    Received: 30 January 2019 Revised: 16 April 2019 Accepted: 12 May 2019 DOI: 10.1002/ajmg.a.61205 ORIGINAL ARTICLE Incontinentia pigmenti in adults Angela E. Scheuerle Department of Pediatrics, Division of Genetics and Metabolism, University of Texas Abstract Southwestern Medical Center, Dallas, Texas Incontinentia Pigmenti (IP; MIM 308300) is an X-linked dominant genodermatosis Correspondence caused by pathogenic variant in IKBKG. The phenotype in adults is poorly described Angela E. Scheuerle, Department of Pediatrics, compared to that in children. Questionnaire survey of 99 affected women showed an Division of Genetics and Metabolism, 5323 Harry Hines Boulevard, MC 9036, Dallas, age at diagnosis from newborn to 41 years, with 53 diagnosed by 6 months of age Texas 75390-9036. and 30 as adults. Stage I, II, and III lesions persisted in 16%, 17%, and 71%, respec- Email: [email protected] tively, of those who had ever had them. IP is allelic to two forms of ectodermal dys- Funding information plasia. Many survey respondents reported hypohidrosis and/or heat intolerance and University of Texas Southwestern Medical Center most had Stage IV findings. This suggests that “Stage IV” may be congenitally dys- plastic skin that becomes more noticeable with maturity. Fifty-one had dentures or implants with 26 having more invasive jaw or dental surgery. Half had wiry or uncombable hair. Seventy-three reported abnormal nails with 27 having long-term problems. Cataracts and retinal detachment were the reported causes of vision loss. Four had microphthalmia. Respondents without genetic confirmation of IP volunteered information suggesting more involved phenotype or possibly mis- assigned diagnosis.
    [Show full text]
  • Familial Functional Axillary Breasts and Breast Cancer Arising in an Axillary Breast
    Ectopic Breasts: Familial Functional Axillary Breasts and Breast Cancer Arising in an Axillary Breast Sandra S. Osswald, MD; Michael B. Osswald, MD; Dirk M. Elston, MD Supernumerary breasts and nipples are not most commonly present as polythelia, but there uncommon and have familial and syndrome are many variations including ectopic breast tis- associations. Although usually of only cosmetic sue with nipple and areola, increase in number of concern, hormonal changes and inflammatory or areolas only, or even only a patch of hair. Although neoplastic conditions that affect primary breast predominantly of cosmetic concern, supernumerary tissue also may occur in areas of ectopic breast breasts/nipples, or accessory mammary tissue, can tissue. We describe cases of familial functional develop with the same inflammatory and neoplastic axillary breasts and primary carcinoma of the conditions that occur in primary breast tissue. We breast arising in ectopic axillary breast tissue. describe cases of familial functional axillary breasts Cutis. 2011;87:300-304. and primary carcinoma of the breast arising in ec- CUTIStopic axillary breast tissue. upernumerary breasts and nipples have been Case Reports of great interest throughout history.1-4 The Patient 1—A healthy 54-year-old woman presented S Phoenician goddess of fertility, Astarte, was with 4- to 5-mm pink-brown papules located supe- portrayed with many breasts, representing virility riorly to both breasts and at the anterior margin of and fertility. Chow Man, a Chinese king in 1150 BC, each axilla (Figure 1). The papules had been pres- was Doreported to have 2 supernumerary Not nipples and ent sinceCopy birth.
    [Show full text]
  • Management of Congenital Symmastia with Z Plasty : a Case Report
    CASE REPORT MANAGEMENT OF CONGENITAL SYMMASTIA WITH Z PLASTY: A CASE REPORT Biswajit Mishra1, Annada Prasad Pattnaik2 HOW TO CITE THIS ARTICLE: Biswajit Mishra, Annada Prasad Pattnaik. ”Management of Congenital Symmastia with Z Plasty: A Case Report”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 13, March 30, 2015; Page: 2126-2128. ABSTRACT: BACKGROUND: Symmastia is defined as medial confluence of the breast. The term 'symmastia' is modified from Greek (sym meaning 'together', and mastos meaning 'breast') and was first presented by Spence et al. in 1983. Two forms of symmastia exist: congenital and acquired form. Congenital symmastia is a rare condition in which web-like soft tissue traverses the sternum to connect the breasts medially. There is few publication of this condition. Treatment options for this condition are also few. MATERIAL AND METHOD: Though Periareolar approach, and vertical reduction mammoplasty has been described as a method to reduce the size of the breast as well as correct symmastia. We used z plasty in our case because the patient was not willing for reduction of the size of the breast. RESULT: The patient had well defined midline groove, symmetric breast on each side. CONCLUSION: Z plasty can be an innovative method for creation of midline groove in congenital symmastia in patients of low socioeconomic status as an alternative to reduction mammoplasty and liposuction. KEYWORDS: Symmastia, Z plasty, reduction mammoplasty. INTRODUCTION: Accessory breast tissue, supernumerary nipple are common congenital anomalies of breast tissue. But symmastia is a very rare condition. Literature also does not reveal much regarding this condition.
    [Show full text]
  • Chapter 17- Congenital Malformations, Deformations and Chromosomal
    Chapter 17 Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Note: Codes from this chapter are not for use on maternal or fetal records Excludes2: inborn errors of metabolism (E70-E88) This chapter contains the following blocks: Q00-Q07 Congenital malformations of the nervous system Q10-Q18 Congenital malformations of eye, ear, face and neck Q20-Q28 Congenital malformations of the circulatory system Q30-Q34 Congenital malformations of the respiratory system Q35-Q37 Cleft lip and cleft palate Q38-Q45 Other congenital malformations of the digestive system Q50-Q56 Congenital malformations of genital organs Q60-Q64 Congenital malformations of the urinary system Q65-Q79 Congenital malformations and deformations of the musculoskeletal system Q80-Q89 Other congenital malformations Q90-Q99 Chromosomal abnormalities, not elsewhere classified Congenital malformations of the nervous system (Q00-Q07) Q00 Anencephaly and similar malformations Q00.0 Anencephaly Acephaly Acrania Amyelencephaly Hemianencephaly Hemicephaly Q00.1 Craniorachischisis Q00.2 Iniencephaly Q01 Encephalocele Includes: Arnold-Chiari syndrome, type III encephalocystocele encephalomyelocele hydroencephalocele hydromeningocele, cranial meningocele, cerebral meningoencephalocele Excludes1: Meckel-Gruber syndrome (Q61.9) Q01.0 Frontal encephalocele Q01.1 Nasofrontal encephalocele Q01.2 Occipital encephalocele Q01.8 Encephalocele of other sites Q01.9 Encephalocele, unspecified Q02 Microcephaly Includes: hydromicrocephaly Page 1 micrencephalon Excludes1: Meckel-Gruber
    [Show full text]
  • A Rare Case of Intra-Areolar Polythelia
    CASE http://dx.doi.org/10.14730/aaps.2016.22.2.100 aaps Arch Aesthetic Plast Surg 2016;22(2):100-102 Archives of REPORT pISSN: 2234-0831 eISSN: 2288-9337 Aesthetic Plastic Surgery A Rare Case of Intra-Areolar Polythelia Ryun Lee1, Hee Young Lee1, Among various types of supernumerary nipples, intra-areolar polythelia (IAP) is an ex- Ji Hyun Kim1, Kae Won Kwon2, tremely rare congenital malformation. The authors report a case of a young woman Tae-Yeon Kim1 with unilateral IAP on her right breast. The patient was 24 years old; she had had it since she was 5 or 6 years old, and it had enlarged 3 to 4 years before presentation to our 1 Department of Plastic and Reconstructive clinic. Surgical excision was performed under local anesthesia as a prophylaxis against Surgery, Bundang Jesaeng General breast cancer and cosmetic problems. Hospital, Seongnam; 2Department of Pathology, Bundang Jesaeng General Hospital, Seongnam, Korea No potential conflict of interest relevant to this article was reported. Keywords Breast, Nipples, Reconstructive surgical procedure INTRODUCTION The authors report a case of extremely rare IAP of a young female patient on her right breast. A supernumerary nipple is a common minor congenital malfor- mation that consists of accessory nipples or related tissue in addi- CASE REPORT tion to the nipples normally appearing on the chest; it can appear on the chest or along the two vertical milk lines which start in the A 24-year-old female patient visited our clinic with a small pro- armpit on each side, run down through the typical nipples and end truding accessory nipple (3 mm×4 mm in size) next to her right at the groin.
    [Show full text]
  • ICD-10 Coding Manual List of All Reportable Congenital Malformations
    New York State Department of Health Congenital Malformations Registry ICD-10 Coding Manual List of all Reportable Congenital Malformations Last updated 10/22/2019 - 1 - _________________________________________________________________________ Table of Contents Reporting Requirements and Instructions ............................................................................ - 3 - Children to Report: ............................................................................................................ - 3 - What to Report: ................................................................................................................. - 3 - Common Acronyms: ......................................................................................................... - 3 - Color Coding: .................................................................................................................... - 3 - Common Notation: ............................................................................................................ - 3 - Congenital Malformations of the Nervous System (Q00-Q07) .............................................. - 4 - Congenital Malformations of Eye, Ear, Face and Neck (Q10-Q18) .................................... - 11 - Congenital Malformations of the Circulatory System (Q20-Q28) ........................................ - 17 - Congenital Malformations of the Respiratory System (Q30-Q34) ....................................... - 24 - Congenital Malformations of the Cleft Lip and Cleft Palate (Q35-Q37) .............................
    [Show full text]