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PURPOSE: The triangular fibrocartilage complex is one of the most important stabilizers of the wrist and a defect in its anatomical structure is a possible cause of ulnar sided wrist pain. The aim of this study is to compare the diagnostic accuracy between conventional MRI and MR arthrography (MRA) in the depiction of triangular fibrocartilage complex (TFCC) tears. METHODS-MATERIALS: A total of 60 patients with clinical findings that suggested TFCC tears underwent wrist MRI and MRA. All the MRI and MRA results were compared with the arthroscopic findings. RESULTS: 40 tears were confirmed by arthroscopy. 38/40 tears were identified by MRA while MRI identified 26/40 tears. There were also 8 false positives and 13 false negative results identified by MRI. Two false negative results were identified by MRA. No false positive results were identified. CONCLUSION: MR arthrography is more sensitive and specific method in terms of the diagnosis of TFCC tears compared to conventional wrist MRI. There was no difference in the diagnostic accuracy between wrist arthroscopy and MRA.

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INTRODUCTION: Avascular necrosis (AVN) of the bones of the wrist most commonly involves the lunate followed by the proximal pole of the scaphoid and the capitate. Trapezium avascular necrosis is extremely rare with only two cases reported in the literature, both of which were treated surgically. In this article, we report a unique case of trapezium avascular necrosis treated conservatively. CASE PRESENTATION: A 38-year-old man complaining of a 4-month history of mild pain on the base of his right thumb. MRI scan was performed. The clinical presentation and the imaging findings indicated avascular osteonecrosis of the trapezium. The patient was treated with immobilization of the wrist joint for a period of six weeks. Three months later, the patient was free of symptoms and the MRI scan revealed a normal trapezium. CONCLUSION: AVN of trapezium is extremely rare. Our case shows that immobilization of an early stage avascular necrosis of the trapezium might be a treatment option.

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INTRODUCTION: Mantle cell lymphoma is a rare non-Hodgkin's lymphoma. It is a subtype of B-cell lymphoma with frequent involvement of the bone marrow and the gastrointestinal tract. Isolated parotid gland involvement seldom occurs. Here we report an unusual case of isolated infiltration of the parotid gland by mantle cell lymphoma. The aim of our study is to correlate magnetic resonance imaging findings with the histological features of the disease. To the best of our knowledge, no similar radiological findings of mantle cell lymphoma have been published before. CASE PRESENTATION: A 72-year-old Caucasian woman presented with a painful left parotid enlargement. She was diagnosed with mantle cell lymphoma involving the left submandibular gland seven years prior to presentation. Her whole body CT scan showed the absence of pathologically enlarged lymph nodes. However, a magnetic resonance imaging showed enlargement of her left parotid gland and an abnormal parenchyma with mixed-type solid and cystic lesions. A biopsy of her left parotid gland and subsequent histological examination confirmed a mantle cell lymphoma (common variant) relapse. CONCLUSION: Although rare, the involvement of parotid gland with mantle cell lymphoma must be considered in the differential diagnosis of parotid tumors.

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INTRODUCTION: We present a case of ectopic intrathoracic multinodular goiter and correlate the magnetic resonance imaging appearance with the histological findings. CASE PRESENTATION: A 72-year-old man was referred to our institute with a two month history of cough. The chest radiograph showed a mass located in the mediastinum. A chest computed tomography scan, showed an enhancing mass at the right side of the middle mediastinum where magnetic resonance images, demonstrated a multicystic mass. The mass was excised through a right lateral thoracotomy and histologically it proved to be an ectopic multinodular goiter. CONCLUSIONS: Although ectopic intrathoracic multinodular goiter is a rare entity, it should be considered in the differential diagnosis of mediastinal masses. The preoperative diagnosis is important as, unlike substernal goiter which is surgically approached through the neck, the ectopic thyroid is treated by thoracotomy.

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In this report, the case of a 65-year-old woman with cough and dyspnoea is described. The chest radiographs showed a sharply demarcated mass located in the left paravertebral hemithorax and a left pleural effusion. Computed tomography after intravenous contrast material showed a heterogeneous, mainly cystic mass with peripheral enhancement and enhancing intratumoral foci and septa. Magnetic resonance imaging confirmed the location and enhancement pattern of the lesion. Histology following the surgical excision of the tumor showed a localized fibrous tumor of the pleura and specifically the hemangiopericytoma-like type.

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Myoepithelial tumors only recently have been recognized as occurring primarily in soft tissue, and only a few cases have been described in the literature. The occurrence of these tumors in the hand is even more limited. In this article, we review the clinical, radiologic, and histologic features of a benign myoepithelioma of the hypothenar region of the left hand.

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