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Article: Metastatic prostate cancer presenting as incidental pelvic lymphadenopathy - a report of three cases with literature review.

Dattani, Seyan M T / Yamada, Maria Luiza / Dhoot, Nilu Malpani / Ghazala, Gamal / Levene, Adam / Somsundaram, Ramkumar

2022 Volume 17, Issue 6, Page(s) 2247–2252

Abstract: The presence of metastatic lymph nodes is a poor prognostic factor in patients with prostate cancer. Currently, there is no national prostate cancer screening program through prostate-specific antigen testing and the benefits of initiating such a scheme ... ...

Abstract	The presence of metastatic lymph nodes is a poor prognostic factor in patients with prostate cancer. Currently, there is no national prostate cancer screening program through prostate-specific antigen testing and the benefits of initiating such a scheme have not yet been proven. However, an informed choice program is in place, on request, for men over the age of 50, following discussion with a healthcare professional and an assessment of the potential benefits. This test is also available to men presenting with lower urinary tract symptoms. We report three cases in men who were imaged for non-specific reasons and found to have pelvic lymphadenopathy. The patients reported no urinary symptoms and all were subsequently diagnosed as metastases from a prostatic primary. As this diagnosis was not considered at an earlier stage, there was a delay in initiating appropriate treatments.
Language	English
Publishing date	2022-04-22
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2022.03.053
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Metastatic prostate cancer presenting as incidental pelvic lymphadenopathy – a report of three cases with literature review

Seyan M.T. Dattani / Maria Luiza Yamada / Nilu Malpani Dhoot, FRCR / Gamal Ghazala, FRCR / Adam Levene, FRCP / Ramkumar Somsundaram, FRCR

Radiology Case Reports, Vol 17, Iss 6, Pp 2247-

2022 Volume 2252

Abstract	The presence of metastatic lymph nodes is a poor prognostic factor in patients with prostate cancer. Currently, there is no national prostate cancer screening program through prostate-specific antigen testing and the benefits of initiating such a scheme have not yet been proven. However, an informed choice program is in place, on request, for men over the age of 50, following discussion with a healthcare professional and an assessment of the potential benefits. This test is also available to men presenting with lower urinary tract symptoms. We report three cases in men who were imaged for non-specific reasons and found to have pelvic lymphadenopathy. The patients reported no urinary symptoms and all were subsequently diagnosed as metastases from a prostatic primary. As this diagnosis was not considered at an earlier stage, there was a delay in initiating appropriate treatments.
Keywords	Prostate cancer ; Pelvic lymphadenopathy ; CT ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
Subject code	150
Language	English
Publishing date	2022-06-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Assigning computed tomography involvement score in COVID-19 patients: prognosis prediction and impact on management.

Malpani Dhoot, Nilu / Goenka, Usha / Ghosh, Somali / Jajodia, Surabhi / Chand, Rashmi / Majumdar, Sanjib / Ramasubban, Suresh

BJR open

2020 Volume 2, Issue 1, Page(s) 20200024

Abstract: Objective: Chest CT can provide a simple quantitative assessment of the extent of the parenchymal opacities in COVID-19 patients. In this study, we postulate that CT findings can be used to ascertain the overall disease burden and predict the clinical ... ...

Abstract	Objective: Chest CT can provide a simple quantitative assessment of the extent of the parenchymal opacities in COVID-19 patients. In this study, we postulate that CT findings can be used to ascertain the overall disease burden and predict the clinical outcome. Methods: In this prospective study undertaken from March 28, 2020, until May 20, 2020, 142 patients with CT features suggestive of viral pneumonia, and positive RT-PCR for COVID-19 were enrolled. A dedicated spiral CT scanner was used for all COVID-19 suspects. CT features were reported as typical, indeterminate, or atypical for COVID-19 pneumonia. A CT involvement score (CT-IS) was given to each scan and assigned mild, moderate, or severe category depending on the score range. The patients were followed up for at least 15 days. Results: Ground glass opacity was present in 100% of the patients. There was a significant association between CT-IS and the final outcome of the patients. A statistically significant increasing trend of mortality and requirement of critical medical attention was observed with the rising value of CT-IS in COVID-19. Conclusion: The severe CT-IS score group has a high mortality. The CT-IS score could be valuable in predicting clinical outcome and could also be useful in triage of patients needing hospital admission. In situations where healthcare resources are limited, and patient load high, a more careful approach for patients with higher CT-IS scores could be indispensable. Advances in knowledge: CT-IS is a simple quantitative method for assessing the disease burden of COVID-19 cases. It can be invaluable in places with limited resources and high patient load to segregate patients requiring critical medical attention.
Keywords	covid19
Language	English
Publishing date	2020-08-20
Publishing country	England
Document type	Journal Article
ISSN	2513-9878
ISSN (online)	2513-9878
DOI	10.1259/bjro.20200024
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Article: A rare peritoneal egg: Case report with literature review.

Dhoot, Nilu Malpani / Afzalpurkar, Shivaraj / Goenka, Usha / Mahendra, Vinay / Khan, Enam Murshed / Sutradhar, Arpita / Goenka, Mahesh

Radiology case reports

2020 Volume 15, Issue 10, Page(s) 1895–1900

Abstract: The occurrence of peritoneal loose bodies has been known for hundreds of years. Although rarely, they attain a diameter of more than 5 cm and are then named "giant" peritoneal bodies (gPLBs). Even these huge peritoneal bodies are generally symptom free, ... ...

Abstract	The occurrence of peritoneal loose bodies has been known for hundreds of years. Although rarely, they attain a diameter of more than 5 cm and are then named "giant" peritoneal bodies (gPLBs). Even these huge peritoneal bodies are generally symptom free, but may be linked with chronic symptoms like abdominal pain or discomfort. Many a times, these gPLBs are misinterpreted as intraabdominal tumors or foreign bodies and unnecessary surgical interventions are carried out. We report a rare case of a 75-year-old male, who presented to our tertiary care center emergency department with history of chronic intermittent abdominal discomfort with acute diarrhea and peri-anal pain. Contrast enhanced computed tomography of the abdomen and pelvis revealed round to oval mass in the pelvis measuring 6.2 cm × 5.8 cm. On laparoscopy, a hard, free floating object with the appearance of a boiled egg could just be scooped out from the pelvis. The postoperative pathological examination revealed laminated strands of hyalinized fibro collagenous tissue with central fat necrosis confirming the diagnosis of gPLB. Postoperative period was uneventful. Peritoneal bodies are rare intraabdominal bodies which are either detected incidentally or present with vague symptoms and require interdisciplinary management.
Language	English
Publishing date	2020-08-18
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2020.06.050
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Effectiveness of ultrasonography and computed tomography in assessing thyroid cartilage invasion in laryngeal and hypopharyngeal cancers.

Dhoot, Nilu Malpani / Choudhury, B / Kataki, A C / Kakoti, L / Ahmed, S / Sharma, J

Journal of ultrasound

2017 Volume 20, Issue 3, Page(s) 205–211

Abstract: Objective: To evaluate the adequacy of ultrasonography (US) and computed tomography (CT) in the assessment of thyroid cartilage invasion in patients with airway cancer.: Materials and methods: Sixty-two consecutive patients referred to our institute ... ...

Abstract	Objective: To evaluate the adequacy of ultrasonography (US) and computed tomography (CT) in the assessment of thyroid cartilage invasion in patients with airway cancer. Materials and methods: Sixty-two consecutive patients referred to our institute underwent US and CT to stage laryngeal ( Results: For thyroid cartilage invasion, the detection rate on CT and US was 98%. CT achieved a sensitivity of 91% and a specificity of 75%, while US attained a sensitivity of 98% and a specificity of 75%. The difference between CT and US in terms of sensitivity was not statistically significant. Conclusion: US and CT have high diagnostic performance in evaluating thyroid cartilage invasion. US is more sensitive than CT in diagnosing invasion of the thyroid cartilage; however, the difference is not statistically significant. US can be used to solve the diagnostic dilemma of the presence or absence of cartilage invasion when CT is inconclusive, as CT is more widely used in staging laryngeal and hypopharyngeal cancers.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Hypopharyngeal Neoplasms/diagnostic imaging ; Hypopharyngeal Neoplasms/pathology ; Hypopharyngeal Neoplasms/therapy ; Laryngeal Neoplasms/diagnostic imaging ; Laryngeal Neoplasms/pathology ; Laryngeal Neoplasms/therapy ; Male ; Middle Aged ; Neoplasm Invasiveness/diagnostic imaging ; Prospective Studies ; Sensitivity and Specificity ; Thyroid Cartilage/diagnostic imaging ; Tomography, X-Ray Computed ; Ultrasonography
Language	English
Publishing date	2017-08-19
Publishing country	Italy
Document type	Comparative Study ; Journal Article
ZDB-ID	2365426-0
ISSN	1876-7931 ; 1971-3495
ISSN (online)	1876-7931
ISSN	1971-3495
DOI	10.1007/s40477-017-0259-0
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Article ; Online: Wandering Fibroid

Nilu Malpani Dhoot / Gobindo Pramanick / Manash Saha / J Kishor Gupta / Milan Chetry / Chandrashish Chakraborty / Nipanjan Ghosh / Arpita Sutradhar

Journal of Gastrointestinal and Abdominal Radiology, Vol 01, Iss 01, Pp 065-

An Unusual Complication Arising from an Unusual Location

2018 Volume 068

Abstract: Wandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an ... ...

Abstract	Wandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an apparently unrelated solid mass adherent to the anterior abdominal wall. Guided biopsy resulted in the unusual complication of an inferior epigastric artery branch injury for which embolization was done. Post embolization, the size of the mass reduced. Iatrogenic inferior epigastric artery injury is rare and can result in a large rectus sheath hematoma. Active bleeding is life threatening and warrants immediate intervention.
Keywords	keywords ; parasitic fibroid ; inferior epigastric artery embolization ; wandering fibroids ; Internal medicine ; RC31-1245 ; Diseases of the digestive system. Gastroenterology ; RC799-869
Language	English
Publishing date	2018-12-01T00:00:00Z
Publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A rare peritoneal egg

Nilu Malpani Dhoot, MD / Shivaraj Afzalpurkar, MD / Usha Goenka, MD, FACG / Vinay Mahendra, DNB / Enam Murshed Khan, MD / Arpita Sutradhar, MD / Mahesh Goenka, DM

Radiology Case Reports, Vol 15, Iss 10, Pp 1895-

Case report with literature review

2020 Volume 1900

Abstract: The occurrence of peritoneal loose bodies has been known for hundreds of years. Although rarely, they attain a diameter of more than 5 cm and are then named “giant” peritoneal bodies (gPLBs). Even these huge peritoneal bodies are generally symptom free, ... ...

Abstract	The occurrence of peritoneal loose bodies has been known for hundreds of years. Although rarely, they attain a diameter of more than 5 cm and are then named “giant” peritoneal bodies (gPLBs). Even these huge peritoneal bodies are generally symptom free, but may be linked with chronic symptoms like abdominal pain or discomfort. Many a times, these gPLBs are misinterpreted as intraabdominal tumors or foreign bodies and unnecessary surgical interventions are carried out. We report a rare case of a 75-year-old male, who presented to our tertiary care center emergency department with history of chronic intermittent abdominal discomfort with acute diarrhea and peri-anal pain. Contrast enhanced computed tomography of the abdomen and pelvis revealed round to oval mass in the pelvis measuring 6.2 cm × 5.8 cm. On laparoscopy, a hard, free floating object with the appearance of a boiled egg could just be scooped out from the pelvis. The postoperative pathological examination revealed laminated strands of hyalinized fibro collagenous tissue with central fat necrosis confirming the diagnosis of gPLB. Postoperative period was uneventful. Peritoneal bodies are rare intraabdominal bodies which are either detected incidentally or present with vague symptoms and require interdisciplinary management.
Keywords	Peritoneal body ; Giant ; Free floating ; Boiled egg ; Fibro collagenous tissue ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of Tongue Cancer Using High-Resolution Sonography: Comparison With Magnetic Resonance Imaging.

Dhoot, Nilu Malpani / Hazarika, Suman / Choudhury, Binoy / Kataki, Amal C / Baruah, Ranjan / Goswami, Hridaynanda

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

2015 Volume 34, Issue 9, Page(s) 1537–1546

Abstract: Objectives: To evaluate the role of sonography in assessing tongue cancer compared with magnetic resonance imaging (MRI).: Methods: A randomized prospective study was performed on 40 cases of tongue cancer. Magnetic resonance imaging and sonography ... ...

Abstract	Objectives: To evaluate the role of sonography in assessing tongue cancer compared with magnetic resonance imaging (MRI). Methods: A randomized prospective study was performed on 40 cases of tongue cancer. Magnetic resonance imaging and sonography of the tongue were performed, tumor spreading to particular sites was recorded in all cases. Sonographic and MRI findings were correlated with histopathologic findings in 18 operable cases. In 22 inoperable cases, sonography was compared only with MRI. Results: In operable patients, sonography achieved sensitivity of 61.1%, whereas MRI achieved sensitivity of 94.4%. The difference was statistically significant (P < .05). The results for detection of individual site involvement on sonography and MRI were as follows: intrinsic muscles only, 0 and 6, respectively; tongue base, 5 and 5; genioglossus muscle, 34 and 34; mylohyoid muscle, 9 and 8; sublingual space, 12 and 14; sublingual neurovascular bundle, 12 and 12; submandibular gland, 3 and 3; spread across the lingual septum, 17 and 17; and alveolar involvement, 0 and 1. There was no significant difference (P> .05) between sonography and MRI in detecting involvement of the above-mentioned sites except for cases with only intrinsic muscles and alveolar involvement. Tumors involving intrinsic tongue muscles only were not visualized on sonography. They all underwent surgery, resulting in reduced sensitivity of sonography in operable cases. Conclusions: Even though small tumors were difficult to visualize, sonography can play an important role in assessment of tumor extension in large growths, especially when MRI is unavailable, contraindicated, or unaffordable, and for posttreatment follow-up.
MeSH term(s)	Adult ; Aged ; Algorithms ; Female ; Humans ; Image Enhancement/methods ; Image Interpretation, Computer-Assisted/methods ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Observer Variation ; Reproducibility of Results ; Sensitivity and Specificity ; Tongue Neoplasms/diagnosis ; Ultrasonography/methods
Language	English
Publishing date	2015-09
Publishing country	England
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial
ZDB-ID	604829-8
ISSN	1550-9613 ; 0278-4297
ISSN (online)	1550-9613
ISSN	0278-4297
DOI	10.7863/ultra.15.14.09001
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Article: Wandering Fibroid: An Unusual Complication Arising from an Unusual Location

Dhoot, Nilu Malpani / Pramanick, Gobindo / Saha, Manash / Gupta, J Kishor / Chetry, Milan / Chakraborty, Chandrashish / Ghosh, Nipanjan / Sutradhar, Arpita

Journal of Gastrointestinal and Abdominal Radiology

2018 Volume 01, Issue 01, Page(s) 65–68

Abstract	Wandering fibroids are exceedingly uncommon extrauterine neoplasms. They occur in unusual locations that can confound imaging and diagnosis. We present a case of a woman, with a lump in the abdomen, whose imaging revealed uterine fibroids and an apparently unrelated solid mass adherent to the anterior abdominal wall. Guided biopsy resulted in the unusual complication of an inferior epigastric artery branch injury for which embolization was done. Post embolization, the size of the mass reduced. Iatrogenic inferior epigastric artery injury is rare and can result in a large rectus sheath hematoma. Active bleeding is life threatening and warrants immediate intervention.
Keywords	Keywords ; parasitic fibroid ; inferior epigastric artery embolization ; wandering fibroids
Language	English
Publishing date	2018-12-01
Publisher	Thieme Medical and Scientific Publishers Private Ltd.
Publishing place	Stuttgart ; New York
Document type	Article
ISSN	2581-9178
ISSN (online)	2581-9178
DOI	10.1055/s-0038-1675324
Database	Thieme publisher's database

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Article ; Online: Evaluation of carcinoma cervix using magnetic resonance imaging: correlation with clinical FIGO staging and impact on management.

Dhoot, Nilu Malpani / Kumar, Vinay / Shinagare, Atul / Kataki, Amal Chandra / Barmon, Debabrata / Bhuyan, Utpal

Journal of medical imaging and radiation oncology

2012 Volume 56, Issue 1, Page(s) 58–65

Abstract: Aim: To evaluate carcinoma of the cervix using magnetic resonance imaging (MRI), correlate with clinical approach of International Federation of Gynecology and Obstetrics (FIGO) staging system and to study the impact of MRI findings on patient ... ...

Abstract	Aim: To evaluate carcinoma of the cervix using magnetic resonance imaging (MRI), correlate with clinical approach of International Federation of Gynecology and Obstetrics (FIGO) staging system and to study the impact of MRI findings on patient management. Method and material: Pathologically confirmed, 75 cases of carcinoma cervix referred to our institute from April 2007 to March 2008 were prospectively studied. Clinical FIGO stage was assigned to each patient by gynaecologists blinded to MRI findings. MRI stage (based on FIGO and TNM) was allotted by radiologists blinded to clinicopathological details. For patients who were operated, histopathological stage was taken as gold standard. For patients who were not operated, gynaecologists decided on a gold standard stage based on all available clinical and imaging data. MR staging was correlated with FIGO staging, with focus on significant alterations in treatment strategy caused due to MRI findings. Results: MRI staging had an accuracy of 89.3% (67/75), while clinical FIGO staging had 61.3% (46/75) accuracy. MRI staging and FIGO staging concurred in 65.6% of the patients and differed in 34.4% of the patients. In about 30.6% (23/75) of the patients, there were relevant additional MRI findings not suspected clinically. The common significant MRI findings were detection of pelvic lymphadenopathy and clinically unsuspected bowel/bladder invasion. The management protocol was significantly altered in 86.9% (20/23) of the patients with additional MRI findings constituting 26.6% (20/75) of the total population. Conclusion: MRI is highly accurate in evaluating carcinoma of the cervix. MRI findings significantly altered therapeutic decisions in 26.6% of the patients. MRI should be considered prior to treatment planning in every patient.
MeSH term(s)	Adult ; Aged ; Biopsy ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Prospective Studies ; Uterine Cervical Neoplasms/pathology ; Uterine Cervical Neoplasms/therapy
Language	English
Publishing date	2012-02
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2389687-5
ISSN	1754-9485 ; 1440-1673 ; 1754-9477 ; 0004-8461
ISSN (online)	1754-9485 ; 1440-1673
ISSN	1754-9477 ; 0004-8461
DOI	10.1111/j.1754-9485.2011.02333.x
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