Ultrasonography of superficial soft tissues - Revision history

Mikael Häggström: Template

2019-07-30T06:46:22Z

Template

Mikael Häggström: Linked

2019-02-06T10:45:15Z

Linked

Mikael Häggström: /* Lipoma/Liposarcoma */ 160

2019-02-06T10:33:58Z

Lipoma/Liposarcoma: 160

Mikael Häggström: /* Lipoma/Liposarcoma */ Formatting

2019-02-06T10:33:43Z

Lipoma/Liposarcoma: Formatting

Mikael Häggström: /* Lipoma/Liposarcoma */ ISBN

2019-02-06T10:32:58Z

Lipoma/Liposarcoma: ISBN

Mikael Häggström: /* Lipoma/Liposarcoma */ /

2019-02-06T10:32:29Z

Lipoma/Liposarcoma: /

Mikael Häggström: Expanded

2019-02-06T10:32:14Z

Expanded

Mikael Häggström: /* Evaluation */ Fixed

2019-02-06T09:57:39Z

Evaluation: Fixed

Mikael Häggström: Potential findings

2019-02-06T09:57:08Z

Potential findings

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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
===Choice of modality===
*'''Ultrasonography of superficial soft tissues''' is the investigation of choice in stable superficial soft tissue masses of unknown origin, at least in flexion surfaces of large joints (groin, popliteal fossa, armpit and cubital fossa).
*'''MRI''' is the imaging modality of choice in suspected lipoma, with superior sensitivity of distinguishing it from liposarcoma as well as mapping the surrounding anatomy.<ref>{{cite web|url=https://radiopaedia.org/articles/lipoma|title=Lipoma|author=Rohit Sharma and A.Prof Frank Gaillard et al.|accessdate=2018-09-27|website=Radiopaedia}}</ref>

==Evaluation==
Possible findings:
<gallery mode="packed">
File:Ultrasonography of a normal lymph node.jpg|thumb|A typical '''normal lymph node''': smooth, gently lobulated oval with a hypoechoic cortex measuring less than 3 mm in thickness with a central echogenic hilum.<ref name=Dialani2014>{{cite journal|last1=Dialani|first1=V.|last2=James|first2=D. F.|last3=Slanetz|first3=P. J.|title=A practical approach to imaging the axilla|journal=Insights into Imaging|volume=6|issue=2|year=2014|pages=217–229|issn=1869-4101|doi=10.1007/s13244-014-0367-8}} Creative Commons attribution license</ref>
File:Ultrasonography of a '''suspected malignant lymph node''', with Doppler.jpg|A suspected malignant lymph node:<br>- Absence of the fatty hilum<br>- Increased focal cortical thickness greater than 3 mm <br>- [[Doppler ultrasonography]] that shows hyperaemic blood flow in the hilum and central cortex and/or abnormal (non-hilar cortical) blood flow.<ref name=Dialani2014/>
</gallery>

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← Older revision		Revision as of 06:46, 30 July 2019
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	The latter case demonstrates the inaccuracy of ultrasound to properly distinguish lipomas from liposarcomas, so this case should have had MRI as a first investigation.		The latter case demonstrates the inaccuracy of ultrasound to properly distinguish lipomas from liposarcomas, so this case should have had MRI as a first investigation.

		+	==Reporting==
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 ===Lipoma/Liposarcoma===
-<gallery mode="packed" heights=200>
+<gallery mode="packed" heights=160>
 File:Ultrasonography of a lipoma.jpg|A '''lipoma''': hyperechoic compared to adjacent muscle, and relatively well-defined, with miniature hyperechoic lines.<ref name=Chernev2013>{{Cite journal|author=Chernev I, Tingey S.|title=Thenar intramuscular lipoma: A case report.|journal=J Med Cases|year=2013|volume=4|issue=10|pages=676-8}}</ref>
 File:Scrotal ultrasonography of liposarcoma.jpg|'''Liposarcoma''': In this case a heterogeneous mass consisting of an upper hyperechoic portion, corresponding to lipomatous matrix, and areas of hypoechogenicity corresponding to nonlipomatous components.<ref name="MakTzeng2012">Content originally copied from: {{cite journal|last1=Mak|first1=Chee-Wai|last2=Tzeng|first2=Wen-Sheng|title=Sonography of the Scrotum|year=2012|doi=10.5772/27586}} from {{cite web|url=https://www.intechopen.com/books/sonography/sonography-of-the-scrotum||title=Sonography|author=Kerry Thoirs}} ISBN: 978-953-307-947-9, Published: February 3, 2012, under the [https://creativecommons.org/licenses/by/3.0/ CC-BY-3.0 license].</ref>

@@ Line 17: / Line 17: @@
 ===Lipoma/Liposarcoma===
-<gallery mode="packed">
+<gallery mode="packed" heights=200>
 File:Ultrasonography of a lipoma.jpg|A '''lipoma''': hyperechoic compared to adjacent muscle, and relatively well-defined, with miniature hyperechoic lines.<ref name=Chernev2013>{{Cite journal|author=Chernev I, Tingey S.|title=Thenar intramuscular lipoma: A case report.|journal=J Med Cases|year=2013|volume=4|issue=10|pages=676-8}}</ref>
 File:Scrotal ultrasonography of liposarcoma.jpg|'''Liposarcoma''': In this case a heterogeneous mass consisting of an upper hyperechoic portion, corresponding to lipomatous matrix, and areas of hypoechogenicity corresponding to nonlipomatous components.<ref name="MakTzeng2012">Content originally copied from: {{cite journal|last1=Mak|first1=Chee-Wai|last2=Tzeng|first2=Wen-Sheng|title=Sonography of the Scrotum|year=2012|doi=10.5772/27586}} from {{cite web|url=https://www.intechopen.com/books/sonography/sonography-of-the-scrotum||title=Sonography|author=Kerry Thoirs}} ISBN: 978-953-307-947-9, Published: February 3, 2012, under the [https://creativecommons.org/licenses/by/3.0/ CC-BY-3.0 license].</ref>
-File:Scrotal ultrasonography of liposarcoma mimicking a lipoma.jpg|'''Liposarcoma''' mimicking lipoma. A homogeneous hypoechoic mass presenting with the same appearance of lipoma. It was clinically distinguished as having rapid growth.<ref name="MakTzeng2012"/> It demonstrates the inaccuracy of ultrasound to properly distinguish lipomas from liposarcomas, so this case should have had MRI as a first investigation.
+File:Scrotal ultrasonography of liposarcoma mimicking a lipoma.jpg|'''Liposarcoma''' mimicking lipoma. A homogeneous hypoechoic mass presenting with the same appearance of lipoma. It was clinically distinguished as having rapid growth.<ref name="MakTzeng2012"/>
 </gallery>
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@@ Line 19: / Line 19: @@
 <gallery mode="packed">
 File:Ultrasonography of a lipoma.jpg|A '''lipoma''': hyperechoic compared to adjacent muscle, and relatively well-defined, with miniature hyperechoic lines.<ref name=Chernev2013>{{Cite journal|author=Chernev I, Tingey S.|title=Thenar intramuscular lipoma: A case report.|journal=J Med Cases|year=2013|volume=4|issue=10|pages=676-8}}</ref>
-File:Scrotal ultrasonography of liposarcoma.jpg|'''Liposarcoma''': In this case a heterogeneous mass consisting of an upper hyperechoic portion, corresponding to lipomatous matrix, and areas of hypoechogenicity corresponding to nonlipomatous components.<ref name="MakTzeng2012">Content originally copied from: {{cite journal|last1=Mak|first1=Chee-Wai|last2=Tzeng|first2=Wen-Sheng|title=Sonography of the Scrotum|year=2012|doi=10.5772/27586}} from {{cite web|url=https://www.intechopen.com/books/sonography/sonography-of-the-scrotum||title=Sonography|author=Kerry Thoirs}} {{ISBN|978-953-307-947-9}}, Published: February 3, 2012, under the [https://creativecommons.org/licenses/by/3.0/ CC-BY-3.0 license].</ref>
+File:Scrotal ultrasonography of liposarcoma.jpg|'''Liposarcoma''': In this case a heterogeneous mass consisting of an upper hyperechoic portion, corresponding to lipomatous matrix, and areas of hypoechogenicity corresponding to nonlipomatous components.<ref name="MakTzeng2012">Content originally copied from: {{cite journal|last1=Mak|first1=Chee-Wai|last2=Tzeng|first2=Wen-Sheng|title=Sonography of the Scrotum|year=2012|doi=10.5772/27586}} from {{cite web|url=https://www.intechopen.com/books/sonography/sonography-of-the-scrotum||title=Sonography|author=Kerry Thoirs}} ISBN: 978-953-307-947-9, Published: February 3, 2012, under the [https://creativecommons.org/licenses/by/3.0/ CC-BY-3.0 license].</ref>
 File:Scrotal ultrasonography of liposarcoma mimicking a lipoma.jpg|'''Liposarcoma''' mimicking lipoma. A homogeneous hypoechoic mass presenting with the same appearance of lipoma. It was clinically distinguished as having rapid growth.<ref name="MakTzeng2012"/> It demonstrates the inaccuracy of ultrasound to properly distinguish lipomas from liposarcomas, so this case should have had MRI as a first investigation.
 </gallery>
 {{Bottom}}

@@ Line 17: / Line 17: @@
 ===Lipoma/Liposarcoma===
-</gallery mode="packed">
+<gallery mode="packed">
 File:Ultrasonography of a lipoma.jpg|A '''lipoma''': hyperechoic compared to adjacent muscle, and relatively well-defined, with miniature hyperechoic lines.<ref name=Chernev2013>{{Cite journal|author=Chernev I, Tingey S.|title=Thenar intramuscular lipoma: A case report.|journal=J Med Cases|year=2013|volume=4|issue=10|pages=676-8}}</ref>
 File:Scrotal ultrasonography of liposarcoma.jpg|'''Liposarcoma''': In this case a heterogeneous mass consisting of an upper hyperechoic portion, corresponding to lipomatous matrix, and areas of hypoechogenicity corresponding to nonlipomatous components.<ref name="MakTzeng2012">Content originally copied from: {{cite journal|last1=Mak|first1=Chee-Wai|last2=Tzeng|first2=Wen-Sheng|title=Sonography of the Scrotum|year=2012|doi=10.5772/27586}} from {{cite web|url=https://www.intechopen.com/books/sonography/sonography-of-the-scrotum||title=Sonography|author=Kerry Thoirs}} {{ISBN|978-953-307-947-9}}, Published: February 3, 2012, under the [https://creativecommons.org/licenses/by/3.0/ CC-BY-3.0 license].</ref>

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 ==Planning==
 ===Choice of modality===

@@ Line 10: / Line 10: @@
 ==Evaluation==
 Possible findings:
 <gallery mode="packed">
 File:Ultrasonography of a normal lymph node.jpg|thumb|A typical '''normal lymph node''': smooth, gently lobulated oval with a hypoechoic cortex measuring less than 3 mm in thickness with a central echogenic hilum.<ref name=Dialani2014>{{cite journal|last1=Dialani|first1=V.|last2=James|first2=D. F.|last3=Slanetz|first3=P. J.|title=A practical approach to imaging the axilla|journal=Insights into Imaging|volume=6|issue=2|year=2014|pages=217–229|issn=1869-4101|doi=10.1007/s13244-014-0367-8}} Creative Commons attribution license</ref>
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 </gallery>
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