0%] patients), and incomplete puzzle piece (two [0.2%] patients) were seen less often. Ossification variability was more common in the medial condyles (169 [18.6%] of 910 cases) than in the lateral condyles (109 [12.0%] of 910 cases), nearly always posteriorly located (277 [99.6%] of 278 condyles), and more common in boys (153/457 [33.5%]) than in girls (49/453 [10.8%]). Ossification variability was less common with decreasing residual
physeal cartilage. Peak patient age ranges for ossification variability were 2-12 years for boys and 2-10 years for girls.
Conclusion: Ossification variability selleck screening library in the femoral condyles is common in children and should not be confused with abnormal processes. (C)RSNA, 2010″
“Background
Foregut
duplication cyst (FDC) is rare in the adult population. It is usually an incidental finding in clinical settings. As endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNAB) becomes a preferred and popular procedure, it is imperative fir cytopathologists recognize this rare lesion and avoid the diagnostic pitfall.
Case
A 48-year-old roan presented with a 3-cm crass ore the lesser curvature of the stomach with regional lymphoadenopathy. EUS-FNAB click here revealed abundant tenacious, viscous, mucinous material with scattered bistiocytes and gastric and esophageal mucosal cells. :1 mucinous neoplasm was suspected, and partial sleeve gastrectomy was subsequently performed for removal of the gastric mass. The histopathologic finding was characteristic of gastric duplication cyst.
Conclusion
The cytologic features of FDCs pray closely resemble those of mucinous neoplasms, especially with clinically elevated carcinogenic embryonic antigen and CA19-9. The abundant mucinous material with scattered mucophages can create a diagnostic challenge and pitfall. DMH1 Clinical information with endoscopic findings and knowledge of FDC are important fir appropriate diagnosis of mucinous lesions. (Acts Cytol 2009;53:219-222)”
“BACKGROUND: Oversizing the lung allograft, as estimated by a donor-to-recipient predicted total lung capacity (pTLC) ratio > 1.0, was associated with improved
long-term survival after lung transplantation (LTx) but could be associated with increased post-operative complications and higher resource utilization.
METHODS: The prospectively maintained LTx database at The Johns Hopkins Hospital was retrospectively reviewed for bilateral LTx patients in the post-Lung Allocation Score (LAS) era. Patients were grouped by pTLC ratio 1.0 (undersized) or > 1.0 (oversized). Post-operative complications and hospital charges were analyzed.
RESULTS: The pTLC ratio was available for 70 patients: 31 were undersized and 39 oversized. Undersized patients had a higher LAS (40.4 vs 35.8, p = 0.009), were more often in the intensive care unit (ICU) pre-LTx (35% vs 10%, p = 0.01), and had a higher occurrence of primary graft dysfunction (POD; 25% vs 5%, p = 0.013) and tracheostomy (32% vs 10%, p = 0.