Original Research Article
Background: Breast cancer is the most common malignancy among women in Zambia. Ultrasound can be a useful tool for early diagnosis of breast cancer based on the breast lesions’ features. However, an overlap in the ultrasound features of malignant and benign breast tumours has been noticed together with a paucity of information on the ultrasound features that are more suggestive of breast cancer. Objective: The purpose of this study was to identify ultrasound features of suspected breast cancer lesions which may assist in ascertaining a high breast cancer or benign breast disease suspicion index, that may be used to prioritise patients requiring further and urgent management for breast cancer. Methods: Systematic random sampling was used for the selection of participants in this study. The selected patients first underwent an ultrasound scan in the Ultrasound department to obtain the breast lesion ultrasound features. The histology results for the same patients were then obtained from the University Teaching Hospital (UTH) histology laboratory or the histology report filed in the patient’s medical file. Results: Irregular shape of breast lesions, vertical orientation of breast lesions, hypoechogenicity of breast lesions, complex echo pattern of breast lesions, irregular or spiculated margin contours of breast lesions, compression of breast lesion surrounding tissue, absence of hyperechogenic spots in breast lesions and a breast lesion boundary with neither a hyperechoic halo nor thin capsule (None) were found to be associated with breast cancer. No breast lesion showed less than 3 ultrasound features suspicious for breast cancer. Hyperechoic spots in breast lesions were found to be associated with non-cancerous breast lesions. Conclusion: Low-resource countries, such as Zambia, where access to imaging diagnostic equipment such as Mammography and Magnetic Resonance Imaging machines (MRI), and histology examinations are scarce, the preceding ultrasound findings .......
Introduction: Ectopia lentis is defined simply as lens displacement which may either be partial or complete. It most commonly results from orbital trauma in over fifty percent (50%) of cases, and majority are unilateral. However, traumatic bilateral ectopia lentis is rare. Hereditary connective tissue diseases may also cause ectopia lentis (usually bilateral). The role of imaging is very crucial in early identification of ocular pathologies following trauma. Ocular sonography, being the cheaper, safer and very readily available modality in most low and middle income countries, becomes handy in the initial imaging work-up of patients with ocular trauma. Objectives: To report a rare case of traumatic bilateral cataractous ectopia lentis in an elderly female patient. To review pertinent literature about this condition. To justify the role of various imaging modalities, and particularly highlight the usefulness of ultrasound for evaluating cases of ocular trauma especially in emergency situations. Case Report: The case of a 75-year old female who had blunt trauma to her eyes, and never sought immediate specialized medical care, but instead chose to patronise a traditional healing home. Her visual impairment gradually deteriorated, necessitating a late presentation for imaging at our private radiodiagnostic facility in Agbor, Nigeria. Imaging using ocular sonography, revealed bilateral displaced cataractous lenses with associated vitreous haemorrhage, necessitating an immediate, but a late referral for specialized care. Conclusion: Emergency ocular sonogram is of utmost importance in cases of acute ocular trauma, as it can help identify ocular pathologies promptly.
Congenital Cyst of the Prepuce in the Context of Phimosis: A Case Report from a Rural Setting at the Koutiala Referral Health Centre
Ballo B, Dembélé O, Traoré SI, Koné O, Ongoiba S, Traoré S, Dembé A, Kassogué S, Kanthé D, Fomba D, Dramé BM, Mallé K, Singuepiré.A, Diarra T, Samaké B, Diakité ML
EAS J Radiol Imaging Technol, 2023; 5(4): 88-90
Congenital cyst of the prepuce in tight phimosis is a rare condition, of which we have found no cases in the literature. The case we report concerns an 8-year-old patient with a large cyst measuring 5 cm long and 3 cm short that had been developing for six years and a very tight phimosis. The clinic was dominated by urinary problems such as burning miction, dysuria, deformation of the penis by the fluctuating penopreputial mass and psychological trauma affecting the parents, who decided to consult for better treatment. After an operative assessment, the patient was scheduled for surgery, which consisted of a cystectomy combined with circumcision, with simple immediate and long-term after-effects.
Penile Fracture: A Case Report
Boui Meriem, Sassi Soufiane, Zouaki Zakaria, Sirbou Rachid, Karmouch Yassine, Benazzouz Abderrazak, Nabil Hammoune, Badr Slioui, El Mehdi Atmane, Abdelilah Mouhsine
EAS J Radiol Imaging Technol, 2023; 5(3): 85-87
Rupture of the corpora cavernosa, also called penile fracture, is a rare urological emergency; it is a tear in the tunic albuginea of the corpora cavernosa of variable depth and extent up to the urethra, generally occurs in young adults between 20 and 40 years old, most often following trauma to the erect penis. The diagnosis is essentially clinical, but it is recommended to perform an ultrasound. Ignorance of this urological emergency exposes you to complications that can be disabling. We report the case of a 25-year-old patient with a fracture of the penis following a false step during coitus who was operated on and with simple postoperative consequences.
Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related deaths globally. Unlike most other cancers, HCC can be diagnosed solely on imaging for high-risk patients. However, this is frequently complicated by atypical or indeterminate features necessitating biopsy or close follow-up with serial imaging. Artificial intelligence (AI) has the potential to allow for more accurate tumour classification and, thus, avoid unnecessary biopsies. Additionally, earlier diagnosis opens up the potential for curative therapies and improves patient outcomes. A number of artificial intelligence models, including machine learning, convolutional neural networks and radiomics-based models have been tested on ultrasound, CT and MRI images of liver lesions. The following review will outline the most impactful papers in this field.
There are many intracranial pathologies of isolated 6th nerve palsy but neurovascular conflicts causing isolated 6th nerve palsy is very rare condition. We present a case of isolated abducens nerve palsy due to neurovascular conflicts caused by indentation and mass effect from left vertebral artery and left anterior inferior cerebellar artery (AICA) loop on the left VI cranial nerve.
Osteo-articular tuberculosis is a rare condition, with knee localization ranking third after the spine and the hip. Its symptomatology is vague and persistent, typically presenting as subacute or chronic arthritis, and the diagnosis is often made during the stage of joint destruction. Early diagnosis and appropriate treatment are crucial to prevent functional complications. Imaging plays a prominent role in the diagnostic process. We report a case of advanced knee tuberculosis in a young adolescent, investigated using CT and MRI to highlight the role of imaging in diagnosing this condition.