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[PMID]:28746255
[Au] Autor:Hirabayashi KE; Kalin-Hajdu E; Bever GJ; Vagefi MR; de Alba Campomanes AG; Cooke DL; Dowd CF; Kersten RC
[Ti] Título:Normalization of Congenital Venous Stasis Retinopathy Following Sclerotherapy of a Macrocystic Lymphatic Malformation.
[So] Source:Ophthal Plast Reconstr Surg;34(1):e19-e21, 2018 Jan/Feb.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The authors describe, for the first time to their knowledge, a case of a congenital macrocystic lymphatic malformation of the orbit with associated venous stasis retinopathy that acutely normalized after drainage and sclerotherapy of the lesion. Prenatal ultrasound revealed prominence of the left orbital soft tissue, and at birth, the patient was noted to have unilateral proptosis, tortuous retinal vessels, and intraretinal hemorrhages in all 4 quadrants in the left eye. MRI demonstrated a primarily intraconal, multiloculated, T2-hyperintense mass consistent with a lymphatic malformation. Ultrasound-guided cyst aspiration and sclerotherapy was performed, with subsequent improvement of the proptosis and resolution of the vessel tortuosity and intraretinal hemorrhages. Although venous stasis retinopathy is usually related to central retinal vein occlusion or carotid artery occlusive disease, any entity that increases orbital venous resistance can generate retinal venous dilation and intraretinal hemorrhages, including an orbital lymphatic malformation.
[Mh] Termos MeSH primário: Anormalidades Linfáticas/tratamento farmacológico
Doenças Orbitárias/tratamento farmacológico
Recuperação de Função Fisiológica
Doenças Retinianas/induzido quimicamente
Veia Retiniana/fisiopatologia
Soluções Esclerosantes/efeitos adversos
Escleroterapia/efeitos adversos
[Mh] Termos MeSH secundário: Dexametasona/administração & dosagem
Feminino
Seguimentos
Glucocorticoides/administração & dosagem
Seres Humanos
Recém-Nascido
Injeções Intravenosas
Anormalidades Linfáticas/diagnóstico
Anormalidades Linfáticas/cirurgia
Imagem por Ressonância Magnética
Doenças Orbitárias/congênito
Doenças Orbitárias/cirurgia
Paracentese/métodos
Fluxo Sanguíneo Regional/fisiologia
Doenças Retinianas/diagnóstico
Doenças Retinianas/tratamento farmacológico
Cirurgia Assistida por Computador/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glucocorticoids); 0 (Sclerosing Solutions); 7S5I7G3JQL (Dexamethasone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000000975


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[PMID]:29078703
[Au] Autor:Gu A; Bauman NM
[Ad] Endereço:1 The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
[Ti] Título:Bipolar Radiofrequency Ablation (Coblation) of External Auditory Canal Lymphatic Malformation and Other Soft Stenoses.
[So] Source:Ann Otol Rhinol Laryngol;126(12):835-838, 2017 Dec.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Soft tissue occlusion of the external auditory canal (EAC) can cause intense pruritis, recurrent foul smelling otorrhea, recurrent otitis externa, and conductive hearing loss. Occlusion of the EAC can be challenging to treat as the area is prone to circumferential scarring. METHODS: We describe the novel use of serial bipolar radiofrequency ablation (coblation) to treat 3 children with complete EAC occlusion from congenital and acquired conditions including lymphedema (1), microcystic lymphatic malformation (1), and venolymphatic malformation (1). RESULTS: Patients underwent a mean of 3 procedures with postoperative EAC stenting (7 days) and antibiotic and steroid aural preparations (10 days). Otologic symptoms resolved in all patients, and their EACs remained patent 14 months after last procedure (range, 4-32 months). One patient experienced a pinpoint tympanic membrane perforation that healed spontaneously 2 weeks later. CONCLUSIONS: Coblation of soft tissue stenosis of the EAC can be an effective treatment for this problematic condition.
[Mh] Termos MeSH primário: Ablação por Cateter
Meato Acústico Externo
Otopatias/cirurgia
Anormalidades Linfáticas/cirurgia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Otopatias/diagnóstico por imagem
Otopatias/etiologia
Feminino
Seres Humanos
Lactente
Anormalidades Linfáticas/diagnóstico por imagem
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171029
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417739011


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[PMID]:28583755
[Au] Autor:Schindel DT; Twickler D; Frost N; Walsh D; Santiago-Munoz P; Johnson R
[Ad] Endereço:Fetal Intervention Team, University of Texas Southwestern Medical Center, Dallas, Texas; Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, Texas. Electronic address: David.Schindel@childrens.com.
[Ti] Título:Prognostic significance of an antenatal magnetic resonance imaging staging system on airway outcomes of fetal craniofacial venolymphatic malformations.
[So] Source:J Surg Res;217:187-190, 2017 Sep.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of the article was to determine if anatomical findings on fetal magnetic resonance imaging (MRI) of venolymphatic malformations of the face and neck (VLMFN) can be used to create a staging system predictive of airway outcomes. METHODS: We reviewed 13 fetuses evaluated for VLMFN. Stage was assigned based on anatomical findings on fetal MRI. Stage I: no evidence of polyhydramnios with free egress of amniotic fluid and clear visualization of the aryepiglottic folds and larynx. Stage II: lesions of the tongue or epiglottis but with normal aryepiglottic folds without polyhydramnios. Stage III: lesions of the tongue or larynx; nonvisualization of the aryepiglottic folds without free egress of amniotic fluid along with polyhydramnios. RESULTS: Six met stage I criteria with no airway involvement, nor any subsequent issues. Two met stage II criteria and were managed by ex-utero intrapartum therapy and intubated. One had minimal involvement of the upper airway, was extubated, and had no subsequent issues. Child two had involvement of the tongue and larynx and received a tracheostomy. Five were assigned stage III, delivered by ex-utero intrapartum therapy and intubated. Postnatal evaluation showed involvement of the upper airway by the lesion and was managed with tracheostomy. All treated by tracheostomy remain cannulated because of persistent symptomatic lesions at follow-up (relative risk 4.0; confidence interval 1.2-13.3). Median follow-up was 4 y (range 2-7 y). CONCLUSIONS: Although numbers are small, data suggest anatomical details obtained by antenatal fetal MRI appear to correlate with airway outcomes in children affected by a VLMFN. This information may be useful when counseling expectant families of affected fetuses.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/diagnóstico por imagem
Anormalidades Craniofaciais/diagnóstico por imagem
Doenças Fetais/diagnóstico por imagem
Anormalidades Linfáticas/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/etiologia
Criança
Pré-Escolar
Anormalidades Craniofaciais/complicações
Feminino
Doenças Fetais/etiologia
Seres Humanos
Anormalidades Linfáticas/complicações
Gravidez
Prognóstico
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE


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[PMID]:28557723
[Au] Autor:García-Montero P; Del Boz J; Sanchez-Martínez M; Escudero Santos IM; Baselga E
[Ad] Endereço:Departments of Dermatology and.
[Ti] Título:Microcystic Lymphatic Malformation Successfully Treated With Topical Rapamycin.
[So] Source:Pediatrics;139(5), 2017 May.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Microcystic lymphatic malformations (MLM) are low-flow vascular malformations composed of multiple small cysts. MLM usually affect deep-lying structures, which makes their treatment even more difficult and complex. A novel and interesting treatment is rapamycin, a mammalian target of rapamycin inhibitor that when orally administrated has offered favorable results. However, until recently, topical rapamycin had not been used in the treatment of MLM. Case 1 is a girl aged 13 years with extensive MLM affecting the muscles in the right buttock. The patient had received frequent cycles of cryotherapy, but they had failed to control the associated symptoms. In the previous 12 months, the patient had reported greater discomfort, swelling, exudate, and superinfection of the affected region. Because no specific treatment has yet been approved for MLM, and as a step before the use of aggressive systemic or intralesional treatments, it was decided to initiate treatment with 1% rapamycin ointment. After 4 months of treatment, the patient presented a marked improvement, with a significant reduction of associated complications and no major side effects. Case 2 is a boy aged 5 years who underwent surgery for an intergluteal lipoblastoma at 3 weeks of life and developed a MLM on the scar 6 months afterward. The lesion showed slow growth and continuous exudation with frequent episodes of superinfection. Treatments with laser multiplex and intralesional bleomycin were performed unsuccessfully. In the previous 4 months, the patient had been treated with 1% rapamycin ointment with significant improvement and no side effects.
[Mh] Termos MeSH primário: Antibióticos Antineoplásicos/uso terapêutico
Anormalidades Linfáticas/tratamento farmacológico
Sirolimo/uso terapêutico
Malformações Vasculares/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Pré-Escolar
Feminino
Seres Humanos
Injeções Intralesionais
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibiotics, Antineoplastic); W36ZG6FT64 (Sirolimus)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE


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[PMID]:28483255
[Au] Autor:Sjogren PP; Arnold RW; Skirko JR; Grimmer JF
[Ad] Endereço:Division of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
[Ti] Título:Anatomic distribution of cervicofacial lymphatic malformations based on lymph node groups.
[So] Source:Int J Pediatr Otorhinolaryngol;97:72-75, 2017 Jun.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate radiographic characteristics and to identify locations of cervicofacial lymphatic malformations in children based on known lymph node groupings. METHODS: Retrospective chart review of pediatric patients with cervicofacial lymphatic malformations who underwent imaging with magnetic resonance imaging (MRI), computed tomography (CT) or ultrasonography (US). Ninety charts were reviewed from November 2005 to June 2015. Demographic information and imaging characteristics were evaluated. RESULTS: Ninety children were included. The average age at presentation was 52 months (range, 1 day to 170 months). Imaging modalities were MRI in 73 (81%), CT in 7 (8%), US in 6 (7%), and multimodality imaging in 4 (4%) cases. Nearly half (49%) of lesions were found in the parotid and submandibular nodal group, 32% in the cervical group, and 19% in the midline face and oral cavity group. The lymphatic malformations were found on the left in 39 (43%) of cases, on the right in 30 (33%) of cases, and were bilateral in 21 (23%) cases. Nineteen (21%) lesions were macrocystic, twenty-two (24%) were microcystic, and forty-nine (49%) had mixed features. Mixed lesions were more likely to be extensive and involve multiple lymph node groups (P = 0.0005). Adjacent lymphadenopathy was present in 20 (22%) among all subjects, with an average size of 1.22 (± 1.92) cm in the short-axis. CONCLUSION: The results of this study demonstrate three lymph node groupings in which LM are commonly identified. The midline face and oral cavity lesions are predominantly microcystic, the parotid and submandibular lesions are predominately of mixed morphology, and the cervical lesions are predominately macrocystic and mixed. Further studies are needed to determine if such a classification system demonstrates clinically significant difference in disease progression and response to therapy.
[Mh] Termos MeSH primário: Face/patologia
Linfonodos/anormalidades
Anormalidades Linfáticas/diagnóstico por imagem
Pescoço/patologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Imagem por Ressonância Magnética
Masculino
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE


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[PMID]:28390757
[Au] Autor:Chen AW; Wang T; Huang YY; Liu SH
[Ad] Endereço:Attending Staff, Department of Oral and Maxillofacial Surgery, Qilu Hospital and the Institute of Stomatology, Shandong University, Jinan, China.
[Ti] Título:Multistage Sclerotherapy for Extensive Lymphatic Malformations With Airway Involvement in Infant: A Protocol to Prevent Tracheotomy.
[So] Source:J Oral Maxillofac Surg;75(9):1882-1890, 2017 Sep.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The management of extensive head and neck lymphatic malformations (LMs) in infants is challenging because of life-threatening upper airway compression. The aim of this study was to present a management protocol and evaluate the clinical outcomes for preventing tracheotomy in these patients. MATERIALS AND METHODS: Fifteen infants with extensive head and neck LMs and airway involvement were enrolled from August 2010 through September 2015 at the Qilu Hospital of Shandong University (Jinan, China). According to various key factors associated with airway compression of patients in the perioperative period, different anesthesia types, treatment times, sclerosant concentrations, and sclerotherapy protocols were used. Multistage sclerotherapy was performed with bleomycin A5. All patients were followed at 1, 3, 6, and 12 months. More extended follow-up was offered if patients had a residual lesion requiring supplementary sclerotherapy. Reviews on the site and size of the lesion, times and durations of treatments, therapeutic response, airway complications, and conduction of tracheotomy were performed. RESULTS: LM lesions in the head and neck were located in the floor of the mouth, tongue, and neck. An overall average of 5 treatments was required; a lesion volume decrease of more than 50% was achieved in all patients. For efficacy, morphologic resolution was achieved in 3 of 15 cases (20%), and there was a substantial response in 12 of 15 cases (80%). Eight of 15 patients (53.3%) with microcystic LMs exhibited immediate swelling and had more serious upper airway symptoms than preoperatively, and 2 of 15 patients (13.3%) had feeding difficulty. No upper airway obstruction occurred and no tracheotomy was performed in the patients in this study. CONCLUSIONS: Multistage sclerotherapy with bleomycin A5 is a safe and effective treatment for extensive head and neck LMs in infants with airway involvement. A routine perioperative protocol is essential for decreasing airway complications.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/terapia
Anormalidades Linfáticas/terapia
Soluções Esclerosantes/uso terapêutico
Escleroterapia/métodos
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/etiologia
Anestésicos Locais/uso terapêutico
Antibióticos Antineoplásicos/uso terapêutico
Bleomicina/uso terapêutico
Dexametasona/uso terapêutico
Quimioterapia Combinada
Feminino
Glucocorticoides/uso terapêutico
Cabeça/patologia
Seres Humanos
Lactente
Recém-Nascido
Lidocaína/uso terapêutico
Anormalidades Linfáticas/complicações
Imagem por Ressonância Magnética
Masculino
Pescoço/patologia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Local); 0 (Antibiotics, Antineoplastic); 0 (Glucocorticoids); 0 (Sclerosing Solutions); 11056-06-7 (Bleomycin); 7S5I7G3JQL (Dexamethasone); 98PI200987 (Lidocaine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170410
[St] Status:MEDLINE


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[PMID]:28213627
[Au] Autor:Partovi S; Vidal L; Lu Z; Nakamoto DA; Buethe J; Clampitt M; Coffey M; Patel IJ
[Ad] Endereço:Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Ave., Cleveland, OH, 44106, USA.
[Ti] Título:Real-time MRI-guided percutaneous sclerotherapy of low-flow head and neck lymphatic malformations in the pediatric population - a stepwise approach.
[So] Source:Pediatr Radiol;47(6):755-760, 2017 May.
[Is] ISSN:1432-1998
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Real-time MRI-guided percutaneous sclerotherapy is a novel and evolving treatment for congenital lymphatic malformations in the head and neck. We elaborate on the specific steps necessary to perform an MRI-guided percutaneous sclerotherapy of lymphatic malformations including pre-procedure patient work-up and preparation, stepwise intraprocedural interventional techniques and post-procedure management. Based on our institutional experience, MRI-guided sclerotherapy with a doxycycline-gadolinium-based mixture as a sclerosant for lymphatic malformations of the head and neck region in children is well tolerated and effective.
[Mh] Termos MeSH primário: Anormalidades Linfáticas/terapia
Imagem por Ressonância Magnética Intervencionista
Soluções Esclerosantes/uso terapêutico
Escleroterapia/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Meios de Contraste/uso terapêutico
Doxiciclina/uso terapêutico
Feminino
Cabeça
Seres Humanos
Masculino
Pescoço
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media); 0 (Sclerosing Solutions); N12000U13O (Doxycycline)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE
[do] DOI:10.1007/s00247-017-3789-x


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[PMID]:28127788
[Au] Autor:Oliver ER; Coleman BG; DeBari SE; Victoria T; Looney DM; Horii SC; Moldenhauer JS; Langer JE; Howell LJ; Pawel BR; Adzick NS
[Ad] Endereço:Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
[Ti] Título:Fetal Lymphatic Malformations: More Variable Than We Think?
[So] Source:J Ultrasound Med;36(5):1051-1058, 2017 May.
[Is] ISSN:1550-9613
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Lymphatic malformations are benign lesions that result from abnormal development of the lymphatic and venous systems. These lesions may be detected during routine prenatal ultrasound screening, and typically demonstrate imaging findings of a multiseptate cystic lesion lacking solid components, vascularity, and calcifications. We report 73 cases of prenatally detected lymphatic malformations and describe greater variability in their prenatal sonographic appearance than previously reported, including purely cystic lesions and mixed cystic and solid lesions with calcifications. Appreciation of this increased variability is important in providing accurate prenatal diagnosis, counseling, and management.
[Mh] Termos MeSH primário: Anormalidades Linfáticas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Gravidez
Ultrassonografia Pré-Natal
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.7863/ultra.16.04071


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[PMID]:28122111
[Au] Autor:Wannemuehler TJ; Deig CR; Brown BP; Morgenstein SA
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, 1130 W. Michigan St., Fesler Hall, Ste. 400, Indianapolis, IN 46202, USA. tjwannem@iupui.edu.
[Ti] Título:Obstructing in utero oropharyngeal mass: Case report of a lymphatic malformation arising within an oropharyngeal teratoma.
[So] Source:Ear Nose Throat J;96(1):E37-E40, 2017 Jan.
[Is] ISSN:1942-7522
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An ex utero intrapartum treatment procedure was performed to deliver a fetus with a multiseptated, entirely cystic, 4.5 × 5.0 × 4.0-cm mass occupying the oropharynx and oral cavity with protrusion from the mouth. Surgical excision was performed, and final pathologic diagnosis revealed a lymphatic malformation arising within a cystic oropharyngeal teratoma. Lymphatic malformations are virtually indistinguishable radiologically from rare, purely cystic teratomata, and efforts have been made to distinguish between the two in utero because of differing available treatment modalities. This represents the first documented case in the literature of a lymphatic malformation arising from within an oropharyngeal teratoma.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/diagnóstico por imagem
Cesárea
Doenças Fetais/diagnóstico por imagem
Anormalidades Linfáticas/diagnóstico por imagem
Neoplasias Orofaríngeas/diagnóstico por imagem
Teratoma/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Obstrução das Vias Respiratórias/etiologia
Obstrução das Vias Respiratórias/patologia
Obstrução das Vias Respiratórias/cirurgia
Feminino
Seres Humanos
Recém-Nascido
Intubação Intratraqueal
Anormalidades Linfáticas/complicações
Anormalidades Linfáticas/patologia
Anormalidades Linfáticas/cirurgia
Imagem por Ressonância Magnética
Neoplasias Orofaríngeas/complicações
Neoplasias Orofaríngeas/patologia
Neoplasias Orofaríngeas/cirurgia
Poli-Hidrâmnios/diagnóstico por imagem
Gravidez
Teratoma/complicações
Teratoma/patologia
Teratoma/cirurgia
Tomografia Computadorizada por Raios X
Traqueotomia
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE


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[PMID]:28004970
[Au] Autor:Francavilla ML; White CL; Oliveri B; Lee EY; Restrepo R
[Ad] Endereço:1 Department of Radiology, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104.
[Ti] Título:Intraabdominal Lymphatic Malformations: Pearls and Pitfalls of Diagnosis and Differential Diagnoses in Pediatric Patients.
[So] Source:AJR Am J Roentgenol;208(3):637-649, 2017 Mar.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this article is to review the practical imaging workup and characteristic imaging appearances of intraabdominal lymphatic malformations (LMs) in the pediatric population with a brief discussion of some common differential diagnoses found in a vascular anomaly clinic. CONCLUSION: LMs are uncommon pediatric lesions. Because of their rarity among LMs overall, a tendency to present later in life than superficial LMs, and often incidental identification, intraabdominal LMs pose a particular diagnostic challenge, and pathologic entities that are more prevalent must be carefully excluded first. Although the diagnosis of most intraabdominal LMs can be reliably based on clear understanding of characteristic imaging findings, histologic correlation may be necessary in some cases.
[Mh] Termos MeSH primário: Abdome/diagnóstico por imagem
Erros de Diagnóstico/prevenção & controle
Anormalidades Linfáticas/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Pré-Escolar
Diagnóstico Diferencial
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.16.17008



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