Appendix cancer echocardiography and ultrasound: Difference between revisions

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{{CMG}}; {{AE}} {{Soroush}}
{{CMG}}; {{AE}} {{Soroush}}
==Overview==
==Overview==


Ultrasound may be helpful in the diagnosis of appendix tumors, appendix mucucele, and [[appendicitis]] as the most prevalent complication of appendiceal cancers. Findings on an ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
Ultrasound may be helpful in the [[diagnosis]] of appendix [[Tumor|tumors]], appendix mucocele, and [[appendicitis]] as the most [[Prevalence|prevalent]] complication of appendiceal [[Cancer|cancers]]. There are no [[echocardiography]] findings associated with appendix cancer. However, an [[echocardiography]] may be helpful in the diagnosis of complications of [[Carcinoid syndrome|carcinoid tumor]]. If a patient develop [[carcinoid syndrome]], [[Standard views and measurements in transthoracic echocardiography|transthoracic echocardiography]] is the method of choice in the [[diagnosis]] and follow-up of [[Carcinoid syndrome|carcinoid heart disease]].  


There are no echocardiography findings associated with appendix cancer. However, an echocardiography may be helpful in the diagnosis of complications of carcinoid tumor; If a patient develop carcinoid syndrome transthoracic echocardiography is the method of choice in the diagnosis and follow-up of carcinoid heart disease.
==Ultrasound==
*There are no specific [[Ultrasound|ultrasound findings]] associated with [[Vermiform appendix|appendix]] cancer.  
*Ultrasound may be helpful in the diagnosis of [[Vermiform appendix|appendix]] mucucele, and [[acute appendicitis]] as the most [[Prevalence|prevalent]] [[Complication (medicine)|complication]] of appendiceal [[Cancer|cancers]].
*The following might be presented in [[Medical ultrasonography|ultrasonographic]] study of the patients with appendiceal cancer:<ref name="pmid23902717">{{cite journal |vauthors=Pinto F, Pinto A, Russo A, Coppolino F, Bracale R, Fonio P, Macarini L, Giganti M |title=Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature |journal=Crit Ultrasound J |volume=5 Suppl 1 |issue= |pages=S2 |year=2013 |pmid=23902717 |pmc=3711731 |doi=10.1186/2036-7902-5-S1-S2 |url=}}</ref><ref name="pmid26883138">{{cite journal |vauthors=Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, Nyhsen C, Owens CM |title=How to diagnose acute appendicitis: ultrasound first |journal=Insights Imaging |volume=7 |issue=2 |pages=255–63 |year=2016 |pmid=26883138 |pmc=4805616 |doi=10.1007/s13244-016-0469-6 |url=}}</ref><ref name="pmid25358207">{{cite journal |vauthors=Hussain S, Rahman A, Abbasi T, Aziz T |title=Diagnostic accuracy of ultrasonography in acute appendicitis |journal=J Ayub Med Coll Abbottabad |volume=26 |issue=1 |pages=12–7 |year=2014 |pmid=25358207 |doi= |url=}}</ref>
**Dilated [[Vermiform appendix|appendix]]
**Peri-appendiceal fluid collection
**Distinct appendix wall layers


==Ultrasound==
{|
*There are no specific ultrasound findings associated with appendix cancer.
|
*Ultrasound may be helpful in the diagnosis of appendix mucucele, and appendicitis as the most prevalent complication of appendiceal cancers.
[[Image:Appendicitis-perforated.png|thumb|left|400px|Inflammed appendix associated with perforation Source:Case courtesy of Dr Maulik S Patel, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/26853">rID: 26853</a>]]
*The following might be presented in ultrasonographic study of the patients with appendical cancer:
|
*Dilated appendix
[[Image :Appendix-mucocele.jpg|thumb|center|500px|'''Appendix mucocele.''' ''Case courtesy of Dr Hein Els, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/41222">rID: 41222</a>'']]
*Periappeniceal fluid collection
|}
*Distinct appendieal wall layers
*Echogenic prominent [[pericaecal]] fat
*
*[[CT scan]]s are preferred over ultrasounds for diagnosing appendicitis. However, ultrasound imaging presents with the least amount of radiation and is therefore the investigation of choice for young patients.<ref name="pmid23902717">{{cite journal |vauthors=Pinto F, Pinto A, Russo A, Coppolino F, Bracale R, Fonio P, Macarini L, Giganti M |title=Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature |journal=Crit Ultrasound J |volume=5 Suppl 1 |issue= |pages=S2 |year=2013 |pmid=23902717 |pmc=3711731 |doi=10.1186/2036-7902-5-S1-S2 |url=}}</ref><ref name="pmid26883138">{{cite journal |vauthors=Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, Nyhsen C, Owens CM |title=How to diagnose acute appendicitis: ultrasound first |journal=Insights Imaging |volume=7 |issue=2 |pages=255–63 |year=2016 |pmid=26883138 |pmc=4805616 |doi=10.1007/s13244-016-0469-6 |url=}}</ref><ref name="pmid25358207">{{cite journal |vauthors=Hussain S, Rahman A, Abbasi T, Aziz T |title=Diagnostic accuracy of ultrasonography in acute appendicitis |journal=J Ayub Med Coll Abbottabad |volume=26 |issue=1 |pages=12–7 |year=2014 |pmid=25358207 |doi= |url=}}</ref>
[[Image:Appendicitis-perforated.png|thumb|center|500px|Inflammed appendix associated with perforationSource:Case courtesy of Dr Maulik S Patel, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/26853">rID: 26853</a>]]


==Echocardiography==
==Echocardiography==
*There are no echocardiography findings associated with appendix cancer.
*There are no [[echocardiography]] findings associated with appendix cancer.
*However, an echocardiography may be helpful in the diagnosis of complications of carcinoid tumor; If a patient develop carcinoid syndrome transthoracic echocardiography is the method of choice in the diagnosis and follow-up of carcinoid heart disease.<ref name="pmid7681733">{{cite journal |vauthors=Pellikka PA, Tajik AJ, Khandheria BK, Seward JB, Callahan JA, Pitot HC, Kvols LK |title=Carcinoid heart disease. Clinical and echocardiographic spectrum in 74 patients |journal=Circulation |volume=87 |issue=4 |pages=1188–96 |date=April 1993 |pmid=7681733 |doi= |url=}}</ref>
*However, an [[echocardiography]] may be helpful in the diagnosis of complications of [[Carcinoid syndrome|carcinoid tumor]].
* Findings on an echocardiography suggestive of carcinoid heart disease include:
*If a patient develop [[carcinoid syndrome]], [[Standard views and measurements in transthoracic echocardiography|transthoracic]] [[echocardiography]] is the method of choice in the diagnosis and follow-up of [[Carcinoid|carcinoid heart disease]].<ref name="pmid7681733">{{cite journal |vauthors=Pellikka PA, Tajik AJ, Khandheria BK, Seward JB, Callahan JA, Pitot HC, Kvols LK |title=Carcinoid heart disease. Clinical and echocardiographic spectrum in 74 patients |journal=Circulation |volume=87 |issue=4 |pages=1188–96 |date=April 1993 |pmid=7681733 |doi= |url=}}</ref>
**Tricuspid regurgitation
* Findings on an [[echocardiography]] suggestive of [[Carcinoid syndrome|carcinoid heart disease]] include:
**Thickening and retraction of immobile tricuspid valve leaflets  
**[[Tricuspid regurgitation]]
**Immobility of the pulmonary valve cusps
**Thickening and retraction of immobile [[tricuspid valve]] leaflets  
**Immobility of the [[pulmonary valve]] cusps
**[[Right atrium]] as well as [[right ventricle]] enlargement


==References==
==References==
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[[Category:Surgery]]
[[Category:Medicine]]
[[Category:Emergency medicine]]
[[Category:Oncology]]
[[Category:Up-To-Date]]
[[Category: Radiology]]

Latest revision as of 17:56, 22 February 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]

Overview

Ultrasound may be helpful in the diagnosis of appendix tumors, appendix mucocele, and appendicitis as the most prevalent complication of appendiceal cancers. There are no echocardiography findings associated with appendix cancer. However, an echocardiography may be helpful in the diagnosis of complications of carcinoid tumor. If a patient develop carcinoid syndrome, transthoracic echocardiography is the method of choice in the diagnosis and follow-up of carcinoid heart disease.

Ultrasound

Inflammed appendix associated with perforation Source:Case courtesy of Dr Maulik S Patel, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/26853">rID: 26853</a>
Appendix mucocele. Case courtesy of Dr Hein Els, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/41222">rID: 41222</a>

Echocardiography

References

  1. Pinto F, Pinto A, Russo A, Coppolino F, Bracale R, Fonio P, Macarini L, Giganti M (2013). "Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature". Crit Ultrasound J. 5 Suppl 1: S2. doi:10.1186/2036-7902-5-S1-S2. PMC 3711731. PMID 23902717.
  2. Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, Nyhsen C, Owens CM (2016). "How to diagnose acute appendicitis: ultrasound first". Insights Imaging. 7 (2): 255–63. doi:10.1007/s13244-016-0469-6. PMC 4805616. PMID 26883138.
  3. Hussain S, Rahman A, Abbasi T, Aziz T (2014). "Diagnostic accuracy of ultrasonography in acute appendicitis". J Ayub Med Coll Abbottabad. 26 (1): 12–7. PMID 25358207.
  4. Pellikka PA, Tajik AJ, Khandheria BK, Seward JB, Callahan JA, Pitot HC, Kvols LK (April 1993). "Carcinoid heart disease. Clinical and echocardiographic spectrum in 74 patients". Circulation. 87 (4): 1188–96. PMID 7681733.

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