Case Reports

Distant Metastases as Primary Presentation of Gastric Cancer: Report of 3 Cases

T Puri, G Gunabushanam, DN Sharma, PK Julka

Hong Kong J Radiol 2005;8:59-62

It is uncommon for gastric cancer to present clinically with symptoms attributable to distant metastases. This report describes 3 cases of carcinoma of the greater curvature and the posterior wall of the stomach that presented as metastases to the skin,

Phlebosclerotic Colitis: an Unusual Cause of Ischaemic Colitis in a 65-year-old Man

TJ Ho, CW Cheung, WM Wong, FL Chan

Hong Kong J Radiol 2005;8:53-8

Ischaemic colitis is a well-known entity that yields a wide spectrum of pathological and clinical findings. Different precipitating factors have been incriminated. Phlebosclerosis involving venous drainage into the colon has been previously described in Japanese patients as a unique form

Omental Lymphangioma with Torsion: Case Report

FCY Lam, TW Fan, KF Chan, WY Leung, NSY Chao

Hong Kong J Radiol 2005;8:49-52

Lymphangioma is an uncommon benign lesion that usually occurs during childhood. Its presentation in the abdomen is rare. Its occurrence at the omentum, with complication of torsion, is even rarer. This report describes a 4-year-old boy who presented with abdominal

Intracranial Metastases from Carcinoma of the Cervix: Report of 4 Cases and Review of the Literature

P Agrawal, AK Rathi, AK Bahadur, K Singh, PK Mohanta

Hong Kong J Radiol 2005;8:112-6

Although the brain is a common site of blood-borne metastases in many cancers, a tumour in the brain secondary to cervical cancer is very rare. This report describes 4 patients with brain metastases from cancer of the cervix who were

Posterior Fossa Ependymoma: Unusual Extension into the Internal Auditory Canal in a 32-year-old Woman

T Gupta, R Sarin, R Jalali, S Juvekar

Hong Kong J Radiol 2005;8:109-11

Ependymomas are relatively rare glial neoplasms that arise from ependymal cells. The majority of cases (>75%) arise from the fourth ventricle in the posterior fossa. These tumours may expand locally, extend along subarachnoid spaces, and disseminate through the cerebrospinal fluid.

Congenital Lobar Emphysema: a Diagnostic Challenge

ZY Joazlina, ML Wastie, JA De Bruyne

Hong Kong J Radiol 2005;8:105-8

Congenital lobar emphysema is an abnormality of the lung of unknown aetiology that can present a diagnostic and therapeutic dilemma. This report describes a neonate with respiratory distress for whom an initial diagnosis of meconium aspiration syndrome was made.

5-Fluorouracil–induced Encephalopathy in a 51-year-old Man

AS Lee, TW Leung, FCS Wong, WK Sze, SY Tung, SK O

Hong Kong J Radiol 2005;8:102-4

A case of hyperammonaemic encephalopathy that developed during the administration of a widely used chemotherapy regimen is reported in a 51-year-old man. 5- Fluorouracil was considered to be the causative agent. Although encephalopathy is a rare toxic effect of

Parathyroid Carcinoma Presenting as Lung Cancer

A Dubey, R Koul, A Binahmed, A Leylek, M Rajaram

Hong Kong J Radiol 2005;8:182-4

Carcinoma of the parathyroid gland is an extremely rare entity. Most causes of the primary hyperparathyroidism are due to either adenoma or hyperplasia. Parathyroid carcinoma is a rare cause of increased parathyroid hormone and related hypercalcaemia. We report on a

Intracranial Chondrosarcoma

S Arora, PK Mohanta, AK Bahadur, AK Rathi, P Anand, P Agrawal

Hong Kong J Radiol 2005;8:179-81

Chondrosarcomas are slow-growing, malignant, mesenchymal tumours occuring only rarely in the cranial bones. Only 5% of all chondrosarcomas are located in the head-neck region; the ethmoid and sphenoid sinuses are the commonest sites. Surgery is considered the treatment of choice.

Recurrent Pineoblastoma Responsive to Chemotherapy

P Kulshrestha, P Aggrawal, S Kumar, S Arora, K Singh, AK Bahadur, AK Rathi, PK Mohanta

Hong Kong J Radiol 2005;8:175-8

Pineoblastomas are malignant embryonal tumours that are classified as suprasellar primitive neuroectodermal tumours. Incidence of pineoblastoma is approximately 0.1% to 0.3% of histogically verified primary malignant brain tumours. This case report concerns a 19-year-old male with a mass lesion in

Wide-volume Partial Breast Interstitial Brachytherapy Alone after Lumpectomy in Breast-conserving Treatment for Early Breast Cancer

RKY Wong, RKC Ngan, F Tang

Hong Kong J Radiol 2005;8:256-60

As most local recurrence after breast-conserving treatment occurs within 2 cm around the lumpectomy cavity, wide-volume partial breast rather than whole breast irradiation has been actively investigated with a view to decreasing radiation toxicities. Replacing external beam radiotherapy by wide-volume

Colonic Perforation from an Ingested Toothpick

SSM Lo, KW Siu, TK Tsang, KY Kwok, AMW Wai, HS Fung, FCY Lam, SCH Chan

Hong Kong J Radiol 2005;8:254-5

Foreign body ingestion is not uncommon but the majority of foreign objects ingested traverse the gastrointestinal tract without complications. We report a case of retroperitoneal abscess in a 38-year-old man following perforation of the colon by an ingested toothpick.

Diffusion Magnetic Resonance Imaging Findings in Acute Methotrexate Neurotoxicity

DSF Tsang, PL Khong

Hong Kong J Radiol 2005;8:250-3

We present the case of a patient with right fibular osteosarcoma, who was treated with multiple chemotherapeutic agents, including methotrexate, according to the Hong Kong Paediatric Haematology and Oncology Study Group osteogenic sarcoma protocol. After eight weeks of treatment, he