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Article: Percutaneous biopsy of small renal mass: can diagnostic accuracy be affected by hospital volume?

Ferrari, Matteo / Cartolari, Roberto / Barizzi, Jessica / Pereira Mestre, Ricardo / D'Antonio, Eugenia / Renard, Julien

2021 Volume 74, Issue 3, Page(s) 334–340

Abstract: Introduction: High diagnostic performance and low morbidity for renal tumor biopsy (RTB) have been described in highly experienced centers. Here we present the five-year experience of our institute in performing RTB. The protocol used, the safety ... ...

Abstract	Introduction: High diagnostic performance and low morbidity for renal tumor biopsy (RTB) have been described in highly experienced centers. Here we present the five-year experience of our institute in performing RTB. The protocol used, the safety profile and the diagnostic accuracy obtained were analyzed. Material and methods: The study is a retrospective single-institution clinical data review of 84 consecutive RTB of small renal masses. Post-biopsy complications were reported using the Clavien-Dindo system. To measure the concordance between biopsy and nephrectomy specimens regarding histological subtype and International Society of Urological Pathology/World Health Organization (ISUP/WHO) renal cell carcinoma grade, the kappa coefficient of Cohen was used. Results: Median (IQR) follow-up time was 44 (29-58) months. In total, 94% of RTB procedures were free of complications; when complications did occur, 80% were grade I and 20% were grade II. No cases of tumor seeding were observed. Combining the first and repeated biopsies the overall diagnostic rate was 85.8%. Overall, 79.1% of diagnostic RTB were malignant. In 42 surgically treated patients, the concordance between the histological results of biopsies and surgical specimens was very good for histological subtypes (k = 0.87) and moderate for tumor grade (k = 0.51). Conclusions: RTB resulted in a high safety profile. The overall diagnostic rate was 85% and an unnecessary intervention was avoided in 21% of patients. RTB showed a very good accuracy in determining the histological subtype of renal cancer while it was moderate for the tumor grade. These results are similar to those reported in larger series and support feasibility of this procedure in low-volume centers.
Language	English
Publishing date	2021-07-07
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2672528-9
ISSN	2080-4873 ; 2080-4806
ISSN (online)	2080-4873
ISSN	2080-4806
DOI	10.5173/ceju.2021.3.0104
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: An unexpected blood thief: the subacute presentation of a spontaneous Ilio-iliac arterio-venous fistula.

Caranzano, Leonardo / Colombo, Jacopo / Cartolari, Roberto / Perren, Andreas

Intensive care medicine

2018 Volume 44, Issue 11, Page(s) 1953–1954

MeSH term(s)	Aged ; Aneurysm, Ruptured/diagnostic imaging ; Aneurysm, Ruptured/etiology ; Arteriovenous Fistula/complications ; Arteriovenous Fistula/diagnosis ; Humans ; Iliac Artery/abnormalities ; Iliac Vein/abnormalities ; Male ; Tomography, X-Ray Computed
Language	English
Publishing date	2018-06-12
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	80387-x
ISSN	1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
ISSN (online)	1432-1238
ISSN	0340-0964 ; 0342-4642 ; 0935-1701
DOI	10.1007/s00134-018-5246-1
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Article: A Rare Case of Glossopharyngeal Neuralgia due to Neurovascular Conflict.

Vecchi, Marc / Pereira Mestre, Ricardo / Thiekalamuriyil, S Luciamma / Cartolari, Roberto

Case reports in neurology

2018 Volume 9, Issue 3, Page(s) 309–315

Abstract: In the context of painful cranial neuropathies, a very rare cause is represented by the irritation of the glossopharyngeal nerve due to various aetiologic factors. Here, we present a case of neuralgia of the ninth right cranial nerve due to a compression ...

Abstract	In the context of painful cranial neuropathies, a very rare cause is represented by the irritation of the glossopharyngeal nerve due to various aetiologic factors. Here, we present a case of neuralgia of the ninth right cranial nerve due to a compression of its nerve root upon the kinking of the homolateral vertebral artery, resulting in a disabling clinical overview for the patient. Our objective was to focus the reader's attention on the clinical manifestation, which alone could lead to an immediate diagnosis. The imaging and laboratory studies proved to be fundamental in diagnosing the causes, yet the knowledge of the symptoms and the signs of this rare clinical entity can prevent misdiagnosis, mismanagement and consequent economic expenditure as occurred in the case described here.
Language	English
Publishing date	2018-01-04
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2505302-4
ISSN	1662-680X
ISSN	1662-680X
DOI	10.1159/000485421
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Article: Symptomatic schwannoma of the abdominal wall: A case report and review of the literature.

Balzarotti, Ruben / Rondelli, Fabio / Barizzi, Jessica / Cartolari, Roberto

Oncology letters

2015 Volume 9, Issue 3, Page(s) 1095–1098

Abstract: Schwannoma is a rare, benign tumor that arises from the nerve sheath. This tumor usually involves the extremities, but can also be found in the head and neck, trunk, pelvis, retroperitoneum, mediastinum and gastrointestinal tract. In numerous cases, the ... ...

Abstract	Schwannoma is a rare, benign tumor that arises from the nerve sheath. This tumor usually involves the extremities, but can also be found in the head and neck, trunk, pelvis, retroperitoneum, mediastinum and gastrointestinal tract. In numerous cases, the tumors are asymptomatic and are identified incidentally on physical examination or imaging. Occasionally, schwannoma is symptomatic due to compression of surrounding large nerves. In the present study, a 57-year-old female presented to the surgical outpatient's department due to a well-localized parietal pain in the left lower quadrant. The onset of the pain occurred three years prior to presentation, without apparent cause and in the absence of other symptoms. Ultrasound and a computed tomography scan revealed a small solid tumor in the anterior abdominal wall, which was dimensionally stable over time, but was not noted in a preliminary analysis by a radiologist. The lesion was surgically removed using an anterior surgical approach. Histopathology revealed the tumor to be benign schwannoma. The painful symptoms completely disappeared. To the best of our knowledge, this is the third case of an abdominal wall benign schwannoma in the medical literature, and the first symptomatic case.
Language	English
Publishing date	2015-01-12
Publishing country	Greece
Document type	Journal Article
ZDB-ID	2573196-8
ISSN	1792-1082 ; 1792-1074
ISSN (online)	1792-1082
ISSN	1792-1074
DOI	10.3892/ol.2015.2866
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Article: Spiral wire localization of lung nodules: procedure effectiveness and oncological usefulness.

Patella, Miriam / Bartolucci, Dario Alberto / Mongelli, Francesco / Cartolari, Roberto / Minerva, Eleonora Maddalena / Inderbitzi, Rolf / Cafarotti, Stefano

Journal of thoracic disease

2020 Volume 11, Issue 12, Page(s) 5237–5246

Abstract: Background: In the last years, a large number of techniques and devices for localizing small pulmonary nodules prior to resection have been developed with the aim of facilitating minimally invasive surgery (VATS). However, each device presents pros and ... ...

Abstract	Background: In the last years, a large number of techniques and devices for localizing small pulmonary nodules prior to resection have been developed with the aim of facilitating minimally invasive surgery (VATS). However, each device presents pros and cons and there is no unanimous consensus. We report our experience with an uncommon wire system with spiral shape for percutaneous marking. Methods: We recorded 102 consecutive CT-guided spiral wire localizations in our Institution, and we evaluated the efficacy of the method according to 4 success rates (SR): (I) successful targeting rate (SR-1): number of successful targeting procedures/number of all localizations; (II) successful localization in operative field (SR-2): (number of successful targeting procedures -number of dislodgements in operative field)/number of all localizations; (III) successful VATS rate (SR-3): number of successful VATS procedures/(number of localizations-number of thoracotomies not due to wire dislocation); (IV) successful curative rate (SR-4): number of neoplastic nodules resected with curative intent with free margins (R0) on definitive tissue diagnosis/number of neoplastic nodules resected with curative intent. Complications rate was recorded as well. Results: SR-1: 100%, SR-2: 97.1%, SR-3: 100%, SR-4: 100%. Asymptomatic pneumothorax and minimal parenchymal hemorrhage were observed in 5 (4.9%) and 19 (18.6%) cases, respectively. Conclusions: Spiral wire localization showed very good results in terms of feasibility, stability in operative field and contributed to effective use of VATS during wedge resection performed for malignant nodules. In the era of widespread radiological investigations (as it is happening in lung cancer screening) and evolutions in cancer treatments, this appears to be clinically relevant.
Language	English
Publishing date	2020-01-22
Publishing country	China
Document type	Journal Article
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd.2019.11.74
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Article: A Rare Case of Glossopharyngeal Neuralgia due to Neurovascular Conflict

Vecchi, Marc / Pereira Mestre, Ricardo / Thiekalamuriyil, S. Luciamma / Cartolari, Roberto

Case Reports in Neurology

2018 Volume 9, Issue 3, Page(s) 309–315

Institution	Centro Medico, Chiasso, Switzerland Casa St. Lucia, Arzo, Switzerland Department of Internal Medicine, Ospedale San Giovanni – EOC, Bellinzona, Switzerland Diagnostic and Interventional Radiology Service, Ospedale San Giovanni – EOC, Bellinzona, Switzerland
Abstract	In the context of painful cranial neuropathies, a very rare cause is represented by the irritation of the glossopharyngeal nerve due to various aetiologic factors. Here, we present a case of neuralgia of the ninth right cranial nerve due to a compression of its nerve root upon the kinking of the homolateral vertebral artery, resulting in a disabling clinical overview for the patient. Our objective was to focus the reader’s attention on the clinical manifestation, which alone could lead to an immediate diagnosis. The imaging and laboratory studies proved to be fundamental in diagnosing the causes, yet the knowledge of the symptoms and the signs of this rare clinical entity can prevent misdiagnosis, mismanagement and consequent economic expenditure as occurred in the case described here.
Keywords	Neurovascular conflict ; Neuralgia ; Glossopharyngeal nerve ; Facial pain ; Pregabalin
Language	English
Publishing date	2018-01-04
Publisher	S. Karger AG
Publishing place	Basel, Switzerland
Document type	Article
Note	Case Report ; This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).
ZDB-ID	2505302-4
ISSN	1662-680X ; 1662-680X
ISSN (online)	1662-680X
ISSN	1662-680X
DOI	10.1159/000485421
Database	Karger publisher's database

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Article: Arthroscopically-assisted Latarjet: an easy and reproducible technique for improving the accuracy of graft and screw placement.

Taverna, Ettore / Guarrella, Vincenzo / Cartolari, Roberto / Ufenast, Henri / Broffoni, Laura / Barea, Christophe / Garavaglia, Guido

Shoulder & elbow

2017 Volume 10, Issue 2, Page(s) 99–106

Abstract: Background: The effectiveness of the Latarjet largely depends on accurate graft placement, as well as on proper position and direction of the screws. We present our technique for an arthroscopically-assisted Latarjet comparing radiological results with ... ...

Abstract	Background: The effectiveness of the Latarjet largely depends on accurate graft placement, as well as on proper position and direction of the screws. We present our technique for an arthroscopically-assisted Latarjet comparing radiological results with the open technique. Methods: We retrospectively reviewed the postoperative computed tomography scans of 38 patients who underwent a Latarjet procedure. For 16 patients, the procedure was performed with the open technique and, for 22 patients, it was performed using an arthroscopically-assisted technique. An independent radiologist evaluated graft and hardware position, as well as graft integration or resorption. Postoperative complications were also documented. Results: The graft was correctly placed in only 18.8% of cases in the open group and 72.7% of cases in the arthroscopically-assisted group. There were no postoperative complications in the arthroscopically-assisted group, whereas one patient had a recurrence and two required hardware removal in the open group. Conclusions: The Latarjet procedure is a challenging procedure for which a key point is the correct placement of the coracoid graft onto the glenoid neck and correct position of the screws. The present study substantiates a clear benefit for the use of a guide with an arthroscopically-assisted technique in terms of graft and hardware placement. At short-term follow-up, there appears to be a benefit for graft integration and avoidance of resorption.
Language	English
Publishing date	2017-05-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2503275-6
ISSN	1758-5732
ISSN	1758-5732
DOI	10.1177/1758573217706701
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Article ; Online: Pulmonary hypertension diagnosed by echocardiography during idiopathic myelofibrosis. A case report and a brief review of the literature

Perrone Claudio / Cartolari Roberto / Lupi Beatrice / Morelli Sergio

Multidisciplinary Respiratory Medicine, Vol 5, Iss 4, Pp 267-

2010 Volume 270

Abstract: Abstract Idiopathic myelofibrosis is a rare chronic myeloproliferative disease leading to extramedullary hematopoiesis (myeloid metaplasia) with splenomegaly. The liver and less frequently other organs including the lung can be involved, therefore portal ...

Abstract	Abstract Idiopathic myelofibrosis is a rare chronic myeloproliferative disease leading to extramedullary hematopoiesis (myeloid metaplasia) with splenomegaly. The liver and less frequently other organs including the lung can be involved, therefore portal hypertension is relatively common. Pulmonary hypertension (PH) is only occasionally reported, although recent studies have suggested an association between PH and myeloproliferative disorders. We present a case of PH diagnosis by echocardiography in a patient affected by idiopathic myelofibrosis with portal hypertension.
Keywords	Echocardiography ; idiopathic myelofibrosis ; portal hypertension ; pulmonary hypertension ; Diseases of the respiratory system ; RC705-779 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Subject code	610
Language	English
Publishing date	2010-08-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Pulmonary hypertension diagnosed by echocardiography during idiopathic myelofibrosis. A case report and a brief review of the literature.

Perrone, Claudio / Cartolari, Roberto / Lupi, Beatrice / Morelli, Sergio

Multidisciplinary respiratory medicine

2010 Volume 5, Issue 4, Page(s) 267–270

Abstract: Idiopathic myelofibrosis is a rare chronic myeloproliferative disease leading to extramedullary hematopoiesis (myeloid metaplasia) with splenomegaly. The liver and less frequently other organs including the lung can be involved, therefore portal ... ...

Abstract	Idiopathic myelofibrosis is a rare chronic myeloproliferative disease leading to extramedullary hematopoiesis (myeloid metaplasia) with splenomegaly. The liver and less frequently other organs including the lung can be involved, therefore portal hypertension is relatively common. Pulmonary hypertension (PH) is only occasionally reported, although recent studies have suggested an association between PH and myeloproliferative disorders.We present a case of PH diagnosis by echocardiography in a patient affected by idiopathic myelofibrosis with portal hypertension.
Language	English
Publishing date	2010-08-31
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2677839-7
ISSN	2049-6958 ; 1828-695X
ISSN (online)	2049-6958
ISSN	1828-695X
DOI	10.1186/2049-6958-5-4-267
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Article: An unusually-wide human bregmatic Wormian bone: anatomy, tomographic description, and possible significance.

Barberini, Fabrizio / Bruner, Emiliano / Cartolari, Roberto / Franchitto, Gianfranco / Heyn, Rosemarie / Ricci, Francesca / Manzi, Giorgio

Surgical and radiologic anatomy : SRA

2008 Volume 30, Issue 8, Page(s) 683–687

Abstract: Supernumerary ossicles (or Wormian bones) of the cranial vault are formations associated with insufficient rate of suture closure, and regarded as "epigenetic" and "hypostotic" traits. These bones rest along sutures and/or fill fontanelles of the ... ...

Abstract	Supernumerary ossicles (or Wormian bones) of the cranial vault are formations associated with insufficient rate of suture closure, and regarded as "epigenetic" and "hypostotic" traits. These bones rest along sutures and/or fill fontanelles of the neonatal skull. In this autoptic report of a 66-year-old Caucasian woman, a peculiar supernumerary bone is described, unusual size and shape, filling completely the bregmatic fontanelle. The skull was CT-scanned through coronal sections at 80 kV and 60 mA, with a slice thickness of 1.0 mm and a resolution of 0.35 mm/pixel. Segmentation and 3D rendering were computed using MIMICS 7.0 (digital endocast). The bone was pentagonal and remarkably large, more on the exocranial surface than on the endocranial one, involving both tables and diploe of the vault. This feature might represent a wedge to completion of the vault architecture. Considering the functional and structural matrix of cranial morphogenesis, this case displays the possibility of discrete diversification of the ossification centres, as well as the relative stability of the structural skull matrix in response to discrete changes.
MeSH term(s)	Aged ; Cranial Sutures/abnormalities ; Cranial Sutures/diagnostic imaging ; Female ; Humans ; Imaging, Three-Dimensional ; Skull/abnormalities ; Skull/diagnostic imaging ; Tomography, X-Ray Computed
Language	English
Publishing date	2008-06-04
Publishing country	Germany
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632839-8
ISSN	1279-8517 ; 0930-1038 ; 0930-312X
ISSN (online)	1279-8517
ISSN	0930-1038 ; 0930-312X
DOI	10.1007/s00276-008-0371-0
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