Neuroendocrine tumor or endometriosis of the appendix: which is which?
The first case is a 36-years-old nulliparous patient was referred for dysmenorrhea, deep dyspareunia and infertility. Physical examination revealed a tender retrocervical nodule that was confirmed by transvaginal ultrasound with bowel preparation. Imaging also showed a 3 cm rectosigmoid nodule compromising the muscularis and the submucosa and an appendiceal nodule measuring 1.2 × 0.7 × 0.6 cm. Patient opted for expectant management of endometriosis, underwent in-vitro fertilization (IVF) treatment for infertility and had a successful pregnancy and delivery.
Conclusion: Preoperative systematic staging by EBUS-TBNA of early lung cancer can reduce postoperative upstaging. Sensitivity for detection of radiologically occult mediastinal metastases seems lower than selective sampling of pathologic lymph nodes. Verification of negative results by mediastinoscopy in selected cases remains of value.
This study compares the safety, pain level, and time involved in these techniques. Methods: We randomized 100 patients receiving ultrasound-guided unilateral thoracentesis in an academic medical center from December 2015 through September 2017 to either vacuum or manual drainage. Without using pleural manometry, the effusion was drained completely or until the development of refractory symptoms. Measurements included self-reported pain before and during the procedure (from 0 to 10), time for completion of drainage, and volume removed. Primary outcomes were rates of all-cause complications and of early termination of the...
Conclusion: Our study demonstrates a 100% negative predictive value for the exclusion of PTX via TUS’ verification of SL. The practical value of TUS post-TBLCB may lie in its application as a rule-out study, thereby avoiding CXR.
Conclusion: EBUS-elastography is feasible during EBUS and may be helpful in predicting malignant lymph node infiltration. It could improve anatomopathologic sample collection and increase diagnostic efficiency.
Conclusion: Elastography does not preclude performing TBNA of the lymph nodes. It does not preclude EBUS-TBNA when a type 1 elastogram pattern is found. All lymph nodes visualized should be sampled by EBUS-TBNA, regardless of elastography pattern.
Conclusion: EBUS-TBNA is a useful investigation in the diagnostic algorithm of suspected lymphoma as it helps avoid other invasive diagnostic procedures. The sensitivity of EBUS-TBNA in subtyping new-onset mediastinal lymphoma depends on the adequacy of cell aspirate and the judicious utilization of pathologic techniques.
Conclusion: EBUS-TBNA using either capillary sampling or complete stylet removal are effective and has a high proportion of satisfactory results for ancillary testing.
Conclusion: NUS and needle sampling of cervical lymph nodes is a potential modality that can be used for the diagnosis of sarcoidosis in a selected group of patients.
ConclusionConception and safe, full-term pregnancy is achievable following Lap-RFA of symptomatic fibroids. Additional large, rigorous, multivariate prospective studies that adjust for confounders and report pregnancy outcomes following symptomatic fibroid treatment are needed.