The outcome of in-situ fixation of unstable slipped capital femoral epiphysis
There is limited information regarding the outcome of in-situ fixation of unstable slipped capital femoral epiphysis (U-SCFE). We aimed to report the outcome of a cohort of patients with U-SCFE that were treated with in-situ fixation, by comparing it to the outcome of patients with stable slipped capital femoral epiphysis (S-SCFE). After Institutional Review Board approval, a retrospective analysis of patients with SCFE that were treated with in-situ fixation at a single institution between 2005 and 2016 was performed. Preoperative and postoperative clinical and radiographic data was collected. The rate of complications, including avascular necrosis (AVN), and the presence of impingement were recorded. The outcome of U-SCFEs was compared to that of S-SCFEs. A total of 184 SCFEs in 154 patients (64% male; mean age 11.9 years) with a mean follow-up of 27 months were included. The SCFE was classified as stable in 90.2% of cases, and unstable in 9.8% of. The mean duration of symptoms prior to presentation was 3.2 months. The mean Southwick slip angle at the time of presentation was 33°. A single screw was used to fix all S-SCFEs, while U-SCFEs were treated with either one (66.7%) or two (33.3%) screws. For U-SCFEs, the joint was decompressed at the time of surgery by either needle aspiration or small capsular incision. The final range of motion of the affected hip was comparable in both groups. The overall rate of impingement was 29%. The rate of impingement in S-SCFE and U-S...
Conclusions: Our study indicates that solid nodules have the highest risk of malignancy. Furthermore, the cytological evaluation of subsolid and partially calcified nodules is crucial for the accurate diagnosis and appropriate clinical management of lung nodule patients.
Publication date: April 2019Source: Journal of Comparative Pathology, Volume 168Author(s): M.E. Schreeg, B.J. Evans, J. Allen, M.C. Lewis, E. Luckring, M. Evola, D.K. Richard, K. Piner, E.M. Thompson, D.B. Adin, D.A. TokarzSummaryA 10-year-old neutered female domestic longhair cat was presented to a tertiary care veterinary hospital for evaluation of a right renal mass that was identified incidentally on abdominal radiographs and classified further as a sarcoma based on fine needle aspiration cytology. Further diagnostic workup, including ultrasound and cytology, identified a sarcoma in the left kidney. After approximately...
Conclusions: FNA allows sensitive, specific, and safe evaluation and diagnosis of palpable male breast lesions.Acta Cytologica
ConclusionsCategories of The PSC System each carry an implied absolute ROM, increasing from Negative to Positive categories. HGA identifies lesions at highest risk for malignancy in the Neoplastic: Other category, and its inclusion with Suspicious and Positive as positive diagnoses optimizes diagnostic performance of identifying high-risk lesions, warranting surgical excision.
Our group observed the first case of synchronous gastric neuroendocrine tumor (NET) and duodenal gastrinoma with autoimmune chronic atrophic gastritis (CAG), in the absence of Helicobacter pylori infection. Demographic, clinical, endoscopic, and pathologic data were abstracted from the electronic medical record at Mount Sinai Hospital from 2013 to 2015. The patient's anonymity was carefully protected, and informed consent was obtained for publication of protected health information. A 53-year-old woman with hypertension presented to Mount Sinai Hospital in June 2013 for a second opinion for management of gastric and duoden...
Conclusion: Our findings demonstrate poor adherence to guidance. Discharge planning, advice and follow-up was inadequate for most episodes. A high rate of surgical intervention was seen. Promotion of guidelines awareness is critical for improving patient outcomes.
Background: Studies have reported that GeneXpert MTB/RIF (Xpert) testing of BAL samples improves diagnostic yield in children undergoing bronchoscopy for complicated intrathoracic TB.Aim: To compare the diagnostic detection of Xpert and TB culture on BALMethods: In a prospective study, children
Conclusions: Lung transthoracic ultrasound elastography can be a useful tool in the diagnosis of pleuro-pulmonary images suspected of malignancy, avoiding unnecessary biopsies
Pleomorphic adenoma or benign mixed tumor is a neoplasia of salivary glands with the highest incidence. A 15-year-old female patient, hemodynamically stable, complaining of “pain and tumor on the hard palate,” clinically presented with a tumor in the hard palate extending to the soft palate of the left side, in the region of tooth 25 to 28, extending to the palatine raphe. An occlusal radiograph of the maxilla was obtained, but no remarkable changes were noted. The patient later underwent fine needle aspiration with negative results for liquid content.
Squamous odontogenic tumor (SOT) is a rare and benign neoplasm frequently occurring within the jaws. Interestingly, few case reports that describe SOT-like proliferations located in the wall of an odontogenic cyst have been published. A 42-year-old white man presented with bleeding of the upper gingiva on the right side. Radiographic examination showed a well-defined, circular, radiolucent area, with sclerotic margins involving tooth #18. Diagnosis of a benign cystic odontogenic lesion was made and was supported by results of biopsy using fine-needle aspiration.