ACR Appropriateness Criteria ® Palpable Abdominal Mass-Suspected Neoplasm

Palpable abdominal masses may arise from the abdominal cavity or the abdominal wall. The differential diagnosis is broad for each variant ranging from benign lipomas, inflammatory processes, to malignant tumors. The imaging approach to diagnosis varies by location. For intra-abdominal masses, contrast-enhanced CT and ultrasound examination have demonstrated accuracy. For abdominal wall masses, which may arise from muscle, subcutaneous tissue, or connective tissue, MRI, CT, and ultrasound all provide diagnostic value.
Source: Journal of the American College of Radiology : JACR - Category: Radiology Authors: Tags: Appropriate use criteria Source Type: research

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Publication date: November 2019Source: Journal of the American College of Radiology, Volume 16, Issue 11, SupplementAuthor(s): Expert Panel on Gastrointestinal Imaging, Kathryn J. Fowler, Evelyn M. Garcia, David H. Kim, Brooks D. Cash, Kevin J. Chang, Barry W. Feig, Kenneth L. Gage, Avinash R. Kambadakone, Angela D. Levy, Peter S. Liu, Daniele Marin, Courtney Moreno, Christine M. Peterson, Jason A. Pietryga, Martin P. Smith, Laura R. CarucciAbstractPalpable abdominal masses may arise from the abdominal cavity or the abdominal wall. The differential diagnosis is broad for each variant ranging from benign lipomas, inflammato...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research
AbstractPatients presenting with swelling arising from the floor of the mouth (FOM) should be examined prudently, with the aid of appropriate diagnostic modalities such as ultrasonography, ultrasound guided aspirational biopsy, CT with contrast or MRI. Clinicians should include even the rare occurrences, like lipomas, especially while categorizing intra ‐oral lesions because this can impede appropriate surgical planning, which can consequently cause recurrence or even malignant transformation of the lesion. This case report presents a painless sublingual lipoma situated on the left side of the FOM. The size gradually inc...
Source: Oral Surgery - Category: ENT & OMF Authors: Tags: CASE REPORT Source Type: research
CONCLUSIONS: Patients presenting with posterior neck masses can be reassured of a low risk of malignancy. The majority of posterior neck masses can be appropriately evaluated via physical examination and ultrasound. PMID: 31608686 [PubMed - as supplied by publisher]
Source: Ear, Nose and Throat Journal - Category: ENT & OMF Authors: Tags: Ear Nose Throat J Source Type: research
te;n Luis J Abstract The aim is to present a systematic review of all the published cases of prenatally diagnosed pericallosal lipomas, their features and associations with other anomalies or syndromes and their post-natal evolution. We performed a Pubmed-based systematic review, including all the published cases of prenatal diagnosis of pericallosal lipoma, written in English, Spanish or French. We analysed gestational age at diagnosis, prenatal ultrasound characteristics of the lipoma, prenatally diagnosed associated anomalies, neonatal findings, outcomes and duration of follow-up. We gathered data from 49 cases...
Source: European Journal of Paediatric Neurology - Category: Neurology Authors: Tags: Eur J Paediatr Neurol Source Type: research
ConclusionUS does not necessarily need to be incorporated in the standard diagnostic workup of a recurrent inguinal hernia. After PE alone, a recurrent hernia (or lipoma) can be diagnosed with a PPV of 97%. Only in case of clinical doubt, US has additional value.
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionGastric lipoma are a rare type of gastric submucosal tumors. Size is highly variable. Observation is a reasonable approach when small and asymptomatic, but multiple surgical modalities can be utilized to remove the tumor. Careful utilization of pre-operative imaging including EUS is critical in choosing the appropriate surgery if simultaneous bariatric management is undertaken
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
This study aims to show the variability in echogenicity that can be seen in gastrointestinal lipomas and demonstrate that while “typical” lipomas may be hyperechoic, they can also be hypoechoic or isoechoic.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Sunday abstract Source Type: research
ConclusionEsophageal fibrovascular polyps and diverticula are rare, and a high index of suspicion is important in evaluation of these entities.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
SummaryIn this pictorial essay, we showcase the imaging and pathological findings of a variety of giant breast lesions. Some lesions such as lipomas and hamartomas contain fibrous, glandular and lipomatous tissues and can have characteristic mammographic appearances. Other lesions (e.g. simple cysts, fibroepithelial lesions and some malignancies) may be mammographically indistinguishable and ultrasound (US) may be helpful in further characterisation, for example, by demonstrating posterior enhancement with simple cysts, cystic and solid components in papillary lesions, internal septations on haematomas and abscesses, solid...
Source: Journal of Medical Imaging and Radiation Oncology - Category: Radiology Authors: Tags: Medical Imaging —Pictorial Essay Source Type: research
CONCLUSION: Ileal intussusception caused by lipoma is a rare condition, which can be diagnosed with endoscopy, barium enema, and abdominal ultrasound or CT scanning, but preoperative diagnosis may be difficult. The treatment of choice is the reduction of the intussusception and the resection (laparoscopic or open) of the involved tract. KEY WORDS: Intussusception, Lipoma, Ileum, Laparoscopy, Bleeding. PMID: 31112522 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
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