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14 Cards in this Set

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ADENOMA WASHOUT EQUATION
ENHANCED-DELAYED * 100 / ENHANCED-UNENHANCED

>50% WASHOUT C/W ADENOMA
FAT CONTAINING LIVER LESION
HCC (hypervascular, can contain fat)

ADENOMA

AML (less common)

FATTY METS (teratoma, liposarc)
MEN I

MEN IIa

MEN IIb
I: Pit, Panc, Parathy

IIa: Med thy, Pheo, Parathyroid

IIb: Med thy, Pheo, Neuromas
MESENTERIC ISCHEMIA ON DOPPLER - CRITERIA
SMA velocity > 275 cm/s

CELIAC velocity > 200 cm/s
SELECTED TUMORS ASSOCIATED w/ VHL
islet cell panc tumors
RCC
hemangioblastomas (spine, brain)
pheos
cysts (panc, kidneys, liver)
RENAL ARTERY STENOSIS ON DUPLEX
RA to Aorta ratio > 3.5

RA velocity > 180 cm/s

tardus et parvus waveform
SONO APPEARANCES OF FUNGAL LIVER ABSCESS
1. wheel within a wheel
2. bull's eye
3. hypoechoic mass
4. echogenic mass
CALCIUM AND FAT IN RENAL LESION
consider RCC rather than AML
CLUSTERED, POSSIBLY OBSTRUCTED SMALL BOWEL IN RENAL PATIENT WITH THICKENED PERITONEUM
sclerosing peritonitis
DILATION OF SMALL BOWEL WITH DECOMPRESSED SB PROXIMAL AND DISTAL
closed loop obstruction
ENDOMETRIAL CA STAGING
# 0: Carcinoma in situ
# I: Tumor confined to corpus

* IA: Limited to endometrium
* IB: Invasion less than half of myometrium
* IC: Invasion more than half of myometrium

# II: Tumor invades cervix

* IIA: Endocervical glandular involvement
* IIB: Cervical stromal involvement

# III: Tumor extends beyond uterus but not outside true pelvis

* IIIA: Invasion of serosa or adnexa or positive peritoneal cytology
* IIIB: Vaginal involvement
* IIIC: Metastases to pelvic or paraaortic lymph nodes

# IV: Adjacent organ invasion or distant metastases

* IVA: Invasion of bladder, bowel or both
* IVB: Distant metastases including intraabdominal and inguinal lymph nodes
COLON CANCER STAGING
* Surgical-pathologic (modified Dukes) staging of colon cancer with TNM correlation
o Stage A (T1N0M0): Limited to mucosa ± submucosa
o Stage B (T2 or 3 & N0M0): Limited to serosa or into adjacent tissues
o Stage C (T2 or 3 & N1M0): Lymph node metastases
o Stage D (any T and N, M1): Distant metastases
PROSTATE CANCER STAGING
* Jewett-Whitmore & TNM staging
o A & T1: Clinically localized (tumor not palpable on digital rectal exam)
+ A1 & T1a: Focal tumor or low grade
+ A2 & T1b: Diffuse tumor or high grade
o B & T2: Clinically localized (tumor palpable)
+ B1 T2a: Tumor involves < 1/2 lobe
+ B2 & T2b: Tumor involves > 1/2 lobe
o C & T3: Locally invasive beyond prostatic capsule (tumor palpable)
+ C1 & T3a: Unilateral extracapsular extension
+ C1 & T3b: Bilateral extracapsular extension
+ C1 & T3c: Seminal vesicle invasion
o C2 & T4: Invades adjacent tissues
+ e.g., bladder, rectum, levator ani
o D & N/M: Lymph node & distant metastases (bones, lung, liver, & brain)
RENAL CELL CARCINOMA STAGING
* Robson classification of RCC with TNM correlation
o Stage I (T1 or 2, N0M0): Tumor confined to kidney
o Stage II (T3a, N0M0): Tumor spread to perinephric fat, but confined within renal fascia; possible ipsilateral adrenal gland
o Stage IIIA (T3b-3c, N0M0): Tumor spread to renal vein, IVC or both
o Stage IIIB (T1-3a, N1-3, M0): Tumor spread to local lymph nodes
o Stage IIIC (T3b-3c, N1-3, M0): Tumor spread to local vessels and lymph nodes
o Stage IVA (T4, any N, M0): Tumor spread to adjacent organs (except ipsilateral adrenal gland)
o Stage IVB (any T & N, M1): Distant metastases