Journal

Adjuvant Chemotherapy Using Cyclophosphamide, Methotrexate, and Fluorouracil for Breast Cancer: the Tuen Mun Hospital Experience

KC Lee, CMM Lui, TY Ng, SH Lo, KK Yuen, FCS Wong, WK Sze, TW Leung, SY Tung, SK O

Hong Kong J Radiol 2004;7:14-23

Objective: This report is of the experience with combination cyclophosphamide, methotrexate, and fluorouracil as adjuvant treatment for breast cancer at Tuen Mun Hospital.

Patients and Methods: Records of patients who received combination cyclophosphamide, methotrexate, and fluorouracil chemotherapy during 1990 to 2000

Contrast-enhanced Sonography for Liver Tumours

BI Choi

Hong Kong J Radiol 2004;7:8-13

Detection and characterisation of focal hepatic lesions are important for accurate treatment planning. Although ultrasound is considered a powerful technique for identifying focal liver lesions, its capability for lesion characterisation is suboptimal. Recently, new ultrasound contrast agents have been developed,

Investigation of Small Bowel Obstruction

A McLean

Hong Kong J Radiol 2004;7:3-7

Intestinal obstruction accounts for up to 20% of acute surgical hospital admissions and suspected small bowel obstruction accounts for most of these admissions. Adhesions due to previous surgery are often the underlying cause. While the clinical history may

Contrast Material Extravasation: Appearances on Helical Computed Tomography

Full Article

VV Marwah, S Govil, A Kalyanpur

Hong Kong J Radiol 2007;10:88-94

Contrast material extravasation on a computed tomography image invariably indicates disruption of vascular structures, bowel, or the urinary tract. The pattern of contrast material extravasation often allows exact anatomic localisation of the site of haemorrhage or

Fluoroscopic-guided Biopsy for Pathological Fracture of C2: Transoral Approach

Full Article

AKP Wu, Y Wong, YW Wong

Hong Kong J Radiol 2007;10:85-7

Biopsy of the cervical spine poses special problems because of the proximity to many vital organs with the potential for bleeding and damage to nerves and spinal structures. Although the transoral approach to the atlanto-axial region is generally an open surgical

Fibrolipomatous Hamartoma of the Median Nerve

Full Article

CK So, KF Tam, CY Lui, CM Lee

Hong Kong J Radiol 2007;10:81-4

This report is of a 64-year-old woman with a fibrolipomatous hamartoma of the median nerve who presented with recent enlargement of a right palm mass that had been present for more than 30 years. Magnetic resonance imaging demonstrated pathognomonic

Superior Mesenteric Arteriovenous Fistula: an Unusual Cause of Ascites

Full Article

KK Wong, JSW Wong, WK Tso, KS Tai

Hong Kong J Radiol 2007;10:77-80

Superior mesenteric arteriovenous fistulae are rare. They are usually associated with previous penetrating abdominal trauma or surgery. Patients may present with ascites or gastrointestinal bleeding. This report is of a patient with postoperative refractory ascites.

Myocardial Infarction with Ruptured Left Ventricle

Full Article

KY Kwok, KS Tse, SSM Lo, TK Tsang, AMW Wai, HS Fung, SCH Chan

Hong Kong J Radiol 2007;10:74-6

Myocardial rupture is one of the major complications of myocardial infarction. This report is of a patient with myocardial rupture complicating myocardial infarction. As well as reviewing the clinical details of myocardial rupture, the ability of contrast computed

Pyogenic Infection of the Sacroiliac Joint Complicated by Iliacus Abscess in a Paediatric Patient

Full Article

SK Kei, CC Chan, MK Yuen, JCS Chan

Hong Kong J Radiol 2007;10:70-3

Pyogenic sacroiliitis is a rare disease entity, comprising only 1% to 2% of cases of osteomyelitis and septic arthritis. Clinical symptoms and signs are usually non-specific and may result in delayed diagnosis. This report is of a 15-year-old girl with pyogenic sacroiliitis and

Peripheral Neuropathy: Clinical Diagnosis of POEMS Syndrome and Treatment with Radiotherapy

Full Article

AWY Ng, KK Yuen, SY Tung, SK O

Hong Kong J Radiol 2007;10:66-9

POEMS syndrome is a rare paraneoplastic syndrome of plasma cell dyscrasia. Since this is a potentially fatal and devastating disease, prompt diagnosis and appropriate treatment is essential. This report is of a young woman who presented with peripheral

Endoluminal Stent Placement in the Management of Recurrent Carotid Blowout Syndrome

Full Article

JJ Kasthoori, O Nawawi

Hong Kong J Radiol 2007;10:62-5

This report is of a patient with acute carotid blowout syndrome that was managed successfully with emergency placement of a covered stent. A 68-year-old man with carcinoma of the tongue had been treated surgically and underwent repeated radiotherapy for

Suture Granuloma following Inguinal Herniorrhaphy Mimicking Urachal Tumour

Full Article

GC Gan, ML Wastie

Hong Kong J Radiol 2007;10:59-61

A suture or stitch granuloma is a recognised complication of surgical procedures. This entity needs to be considered in a patient with a previous history of surgery presenting with a mass, as it may simulate a soft-tissue tumour. Although inguinal hernias and their repair

Analysis of Cervical Cancer in Chinese Patients Treated with Chemoradiation or Radiotherapy Alone

Full Article

CY Choi, WT Ng, ATY Chang, IS Soong, AWM Lee

Hong Kong J Radiol 2007;10:51-8

Aim: A retrospective review was performed to compare chemoradiation and radiotherapy alone for the treatment of carcinoma of the cervix in a Hong Kong Chinese population.

Patients and Methods: 208 Chinese patients with carcinoma of the cervix stage I to IVA

Multiple Lentigines Syndrome Complex (LEOPARD Syndrome) with Chiari I Malformation

Full Article

EYL Kan, IYC Wong, SPC Lau, WC Lee

Hong Kong J Radiol 2007;10:31-3

This report is of a patient with multiple lentigines syndrome complex (LEOPARD syndrome), a complex dysmorphogenetic disorder, with Chiari I malformation and hydrocephalus. In this patient, the cerebellar tonsillar descent was mild but craniovertebral dysplasia

Foetus-in-foetu: Imaging Diagnosis by the Presence of Organogenetic Differentiation

Full Article

AKP Wu, WWM Lam, KL Chan

Hong Kong J Radiol 2007;10:34-7

Foetus-in-foetu is a rare condition in which a vertebrate foetus is enclosed within the abdomen of a normally developing foetus. This report is of a foetus-in-foetu in a newborn boy, in which no vertebral column was identified radiologically or pathologically. The

Ocular Sonographic and Magnetic Resonance Imaging Features of Osteoporosis Pseudoglioma Syndrome

Full Article

SHM Wong, SCW Cheung, WWM Lam, WK Tso

Hong Kong J Radiol 2007;10:27-30

Osteoporosis pseudoglioma syndrome is a rare autosomal recessive disorder, characterised by early-onset osteoporosis and congenital- or juvenile-onset blindness. The combination of multiple osteoporotic fractures and blindness suggests a clinical diagnosis of

Lung Cancer Imaging - a Surgeon's Perspective

Full Article

APC Yim

Hong Kong J Radiol 2007;10:38-42

Lung cancer remains one of the most frequently encountered cancers associated with high mortality. Recent advances in lung cancer imaging have impacted significantly on the practice of thoracic surgery. This article is a personal reflection on how these advances

Adrenal Choriocarcinoma

Full Article

R Koul, A Dubey, T Dufan, AL Cooke, R Wong

Hong Kong J Radiol 2007;10:23-6

Adrenocortical cancers are uncommon malignancies that present with protean clinical manifestations. Adrenocortical masses are common; autopsy studies show approximately 5% to 15% of the general adult population may have adrenal incidentalomas. Adrenal

Tuberculous Splenic Abscess: an Unusual Presentation

Full Article

JPK Hui,KM Kwok, MHY Lai, TKL Loke, WH Luk, JCS Chan

Hong Kong J Radiol 2007;10:19-22

Splenic abscess is an uncommon but life-threatening pathology. Splenic tuberculosis is even rarer and usually occurs in immunocompromised patients. However, it is a diagnostic challenge as there is substantial overlap in imaging features between

Anomalous Unilateral Single Pulmonary Vein - a Rare Mimicker of Pulmonary Arteriovenous Malformation

Full Article

TK Tsang, TL Kwan, WK Wong, HS Fung, AMW Wai

Hong Kong J Radiol 2007;10:16-8

Anomalous unilateral single pulmonary vein is a rare congenital anomaly that can masquerade as a pulmonary arteriovenous malformation on computed tomography scan. This report describes a woman with cough for whom an initial diagnosis of pulmonary

Neurological Complications of Cerebral Angiography Performed for Hospital Inpatients

Full Article

Y Guo, M Piza, GL Rubin, N Dorsch, N Young, KP Wong

Hong Kong J Radiol 2007;10:9-15

Objective: To determine the neurological complication rates of cerebral angiography performed for inpatients and explore the risk factors for neurological complications.

Patients and Methods: The medical records of all inpatients undergoing diagnostic head and neck carotid

Factors Affecting Endogenous Thyroid-stimulating Hormone Rise after Thyroxine Withdrawal in Preparation for I-131 Whole-body Scan for Patients with Differentiated Thyroid Carcinoma

Full Article

SM Chow, TS Choy, CG Morris, CK Kwan, PCM Poon, CC Shek, WM Mendenhall, SCK Law

Hong Kong J Radiol 2007;10:3-8

Objective: To assess the factors affecting thyroid-stimulating hormone level after thyroxine withdrawal in preparation for radioactive iodine whole-body scanning for patients with differentiated thyroid carcinoma.