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Huang T, Ma M, Yang Q, Fu X, Xu M. Preoperative 3-dimensional visualization technology-assisted laparoscopic resection of ectopic pheochromocytoma surrounding the renal artery: a case description. Quant Imaging Med Surg 2024; 14:3157-3161. [PMID: 38617173 PMCID: PMC11007504 DOI: 10.21037/qims-23-1667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 01/24/2024] [Indexed: 04/16/2024]
Affiliation(s)
- Ting Huang
- Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| | - Min Ma
- Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| | - Qing Yang
- Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| | - Xiaodan Fu
- Department of Pathology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
| | - Min Xu
- Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
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Yang L, Yang H, Zhao H, Hu Z, Shen Z, Zhao L, Tan S, Zhu L, Xu R, Liu H, Ding C, Qin Y, Zhao Y. Resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, and bilateral partial external iliac arteries with artificial vessel replacement during radical endometrial cancer surgery: a case report. BMC Womens Health 2022; 22:554. [PMID: 36578004 PMCID: PMC9798542 DOI: 10.1186/s12905-022-02120-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 12/07/2022] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Endometrial carcinoma (EC) is a common malignant tumor of the female reproductive system, often accompanied by lymph node metastasis. Artificial vascular implantation is a common surgical treatment for mediastinal tumors and abdominal aortic aneurysms but is rarely used in gynecological surgery. CASE PRESENTATION A 54-year-old female patient was first admitted to the hospital in January 2018 due to "irregular vaginal bleeding over 3 months". CT showed a mass in the uterine cavity, and several swollen lymph nodes in the retroperitoneum and pelvic cavity. The initial diagnosis was an endometrial malignant tumor. We performed radical endometrial cancer surgery with parallel resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, bilateral external iliac arteries, and artificial vessel replacement, which was successful, with good postoperative recovery and no lesion progression at 3 years postoperative follow-up. CONCLUSION This is an early case of gynecological clinical use of prostheses. Through multidisciplinary cooperation, the surgical resection rate of patients with EC in radical surgery was improved without serious fatal complications and achieved a high long-term postoperative survival rate.
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Affiliation(s)
- Linlin Yang
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Hongying Yang
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - He Zhao
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Zaoxiu Hu
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Zhenglei Shen
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Lingfeng Zhao
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Shufen Tan
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Lei Zhu
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Ruolan Xu
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Hui Liu
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Chunyan Ding
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Yan Qin
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
| | - Yanfei Zhao
- grid.452826.fDepartment of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118 Kunming, China
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Berry R, Busireddy K, Chu LC, Johnson PT, Fishman EK. The good, the bad, and the ugly: uncommon CT appearances of pheochromocytoma. Abdom Radiol (NY) 2022; 47:1406-1413. [PMID: 35212806 DOI: 10.1007/s00261-022-03447-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/03/2022] [Accepted: 02/07/2022] [Indexed: 11/28/2022]
Abstract
Pheochromocytoma is a neuroendocrine tumor arising in the adrenal medulla with varied imaging appearances and associated risk of serious cardiovascular complications if left undiagnosed and untreated. It is discovered incidentally in up to 70% of cases due to the increase in use of CT in clinical practice. Biopsy can have life-threatening consequences, so imaging is crucial for diagnosis and surgical planning. The purpose of this review is to demonstrate unusual CT appearances of pheochromocytoma and enhance diagnostic confidence in cases discovered incidentally. High level of suspicion for pheochromocytoma based on CT findings, along with urinary metanephrine levels, can obviate the need for additional expensive imaging.
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Affiliation(s)
- Renu Berry
- Russell H Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School Medicine, Baltimore, MD, 21287, USA.
- Johns Hopkins University School Medicine, 601 N. Caroline Street, Room JHOC 3140B, Baltimore, MD, 21287, USA.
| | - Kiran Busireddy
- Russell H Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School Medicine, Baltimore, MD, 21287, USA
| | - Linda C Chu
- Russell H Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School Medicine, Baltimore, MD, 21287, USA
| | - Pamela T Johnson
- Russell H Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School Medicine, Baltimore, MD, 21287, USA
| | - Elliot K Fishman
- Russell H Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School Medicine, Baltimore, MD, 21287, USA
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