Hungarian Radiology

[Atypical breast cyst: problems of differential diagnosis]

PAPP László, KOVÁCS Zsolt, SZABÓ Éva, MINIK Károly, ANTALFI Bálint, BENDE Sándor

JUNE 20, 2006

Hungarian Radiology - 2006;80(03-04)

[INTRODUCTION - Cystic breast masses detected by ultrasound can be devided into several groups upon their morphology. One of them is the group of progressive atypical cysts. CASE REPORT - A young female patient presented multiple palpable nodules in the central part and in the upper-medial quadrant of the left breast. Ultrasound examination showed cystic lesions of middle size and with smooth walls. The cytological results of two consecutive punctures of the cyst was C2, consistent with acute inflammatory hemorrhagic cystic content. The patient was followed up by ultrasound, which 4-6 months later demonstrated considerable progression in size and morphological changes of the cysts. The presence of intracystic nodules and the pericystic solid lesions made the use of MRI examination justified but it couldn’t exclude the possibility of multicentric malignancy. The breast team decided the excision of the cystic lesions, at first. The biopsy revealed multiple intraductal and intracystic papilloma surrounded by normal breast tissue. CONCLUSION - Considering the problems of differential diagnosis which raised the suspicion of similar morphological histological entities (intracystic papillar carcinoma, adenoid cystic carcinoma, DCIS) surgery was justified. According to the authors’s suggestion, despite of the frightening morphological, radiological and clinical status, the less radical surgery should be performed.]

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Hungarian Radiology

[Renal cystic lesions The importance of CT in diagnosis and management in correlation with Bosniak classification]

AL-ABSI Mohammed, QAIS Abdulmalik, AL-NONO Ibrahim, GHILAN Abdulilah, GAFOUR Abdul Mohammed

[OBJECTIVE - The purpose of this study was to assess the importance of CT in differentiating renal cystic masses of surgical causes from those of non-surgical masses. PATIENTS AND METHODS - The patients included in this study were collected from a private diagnostic center and university hospital prospectively, yielding a total of 55 analyzable renal cystic lesions. A careful helical CT abdomen focusing on the kidneys with intravenous contrast was obtained from all patients. The lesions were categorized into surgical and medical renal cystic masses using the Bosniak classification system supported by histology reports and follow up protocols for medical cases. RESULTS - Of 55 cases, 35 were classified as surgical (13 lesions as category IV and 22 as III) and 20 as medical cases (15 as category II and 5 as III). Out of 22 resected category III lesions 15 were found to be malignant and all categorized as type IV were malignant. No malignancies have been identified in the prospectively monitored group of patients. CONCLUSION - Our series results are comparable with other teaching institution series, and support the usefulness of the Bosniak classification system in separating renal cystic lesion into surgical and non-surgical lesions but with diagnostic categorization difficulty of complicated multilocular hydatid cysts versus neoplastic (category III) cystic masses.]

Hungarian Radiology

[Radiological diagnosis of lung cancer - 2005 Literature review Onco Update 2005]

BALÁZS György

[Our aim is to review the radiologic literature of lung cancer of 2004 and some remarkable publications from 2003. There are three main groups in the recent publications dealing with lung cancer’s radiology. The first group comprises those reviews and metaanalyses which focus on the overall utility and reliability of routinely applied modalities such as CT and MRI. In the second group we find original articles reporting on the experience with new modalities. This group is dominated by publications dealing with positron emission tomography and the first clinical results of combined PET-CT technology. In the third part we review those articles dealing with lung cancer screening. Radiological lung cancer screening is in the focus of interest again, mainly due to the introduction of low-dose CT which is undoubtadly the most sensitive radiological modality for the early detection of lesions, however, its clinical utility is debated. The papers referred are basically sceptic, but this is not the end, because controlled long term follow-up studies are still in progress. Part of the publications report on the first clinical results of new methods, while others give valuable additional data regarding the performance of “well established” radiological modalities.]

Hungarian Radiology

[Markusovszky memorial session]

GÁSPÁRDY Géza

Hungarian Radiology

[Scientific session on the 85th Anniversary of the Clinic of Radiology in Debrecen]

MÓZES Péter

Hungarian Radiology

[Advisory Meeting of the European radiographers]

VANDULEK Csaba

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