Oncohema Key

Pros Cons No radiation Claustrophobia Multiplanar Non-MRI-compatible metal Excellent soft tissue details Cost Better resolution  Tissue differentiation  MRI Protocol T1 sagittal Dual-echo axial Pre- and post-contrast high-resolution T1 sagittal and…

Fig. 28.1 The position of the incisions. (a) One 2 cm incision is made 1 cm above the sternal notch (a) or close to the position of the tumor (b)….

Fig. 36.1 Calciphylaxis in the lower limb Better medical control and the introduction of calcimimetics have significantly reduced the need for parathyroidectomy, but it is estimated that up to 10…

Figs. 32.1, 32.2, and 32.3 Small mediastinal parathyroid adenoma on a contrast-enhanced CT Figs. 32.4a, b, and 32.5 Parathyroid adenoma demonstrated on ultrasound Fig. 32.6 (a, b) T1-weighted MRIs of…

Fig. 40.1 Coronal T1 MRI showing a giant pituitary multicystic macroadenoma The sphenoid sinuses are variable in size and shape and are normally asymmetrical. Preoperative imaging gives the surgeon a…

Fig. 31.1 Calcium homeostasis – the role of PTH and 1,25-dihydroxyvitamin D Classification of Hyperparathyroidism Primary Autonomous PTH secretion (single adenoma in 80–90 %, hyperplasia in 10–15 %, double adenoma…

Level Nodes Lateral compartment I Submental and submandibular nodes II Deep cervical nodes from the skull base to the level of the hyoid. Further divided by the relationship to the…

Fig. 9.1 (a) Axial CT image during the arterial phase of contrast medium enhancement demonstrates a brightly enhancing 8 mm diameter nodule (arrow) in the anterior portion of the pancreatic…

Early complications Intermediate complications Late complications Bleeding, perforation Leakage, abscesses Recurrence Pearls and Pitfalls Pearls Important to check gastrin pre- and postoperatively Type II may be part of MEN1 Pitfalls…