We report and discuss a case of primary hydatidosis of the pelvic cavity in a woman who presented with severe weight loss and abdominal pain. This unusual presentation was initially considered as a tumor process until surgical exploration and microscopic studies confirmed the diagnosis. The gynecologists should be aware of possibility of primary hydatid cyst of the pelvic cavity and should be considered in the differential diagnosis of cystic pelvic masses, especially in areas where the disease is endemic.
Primary hydatid cyst of the parotid gland is extremely rare, even in the endemic areas. A 23-year-old woman presented with slowly progressive swelling in the right periauricular region. Computed tomography (CT) scan of the head and neck revealed a round, well-demarcated water-density mass in the right parotid gland. At the operation, the cystic mass replacing most of the superficial part of right parotid gland was demonstrated. Superficial parotidectomy was carried out. Histopathological examination confirmed the diagnosis of hydatid disease. CT scan is a valuable imaging method for diagnosis of parotid cystic lesions; however, other acquired and congenital cystic lesions of parotid gland may have similar appearance and should be differentiated. Where the incidence of the disease is high, hydatid cyst of parotid gland should be considered in the differential diagnosis of lesions causing swelling of the parotid area.
Background: To compare the dosimetric coverage of the planning target volume (PTV) and the dose delivered to the main Organs at Risk (OARs) in 5 and 7-field techniques of Intensity Modulated Radia%on Therapy (IMRT) in pa%ents with local prostate cancer. Materials and Methods: Twelve pa%ents with local prostate cancer underwent 5 and 7-field IMRT planning. The delivery of IMRT was carried out using the sliding technique. The dose coverage for PTV was designated to ≥98% of the PTV covered by 95% of the prescribed dose. Dose conformity was evaluated by comparing the volume of nontarget %ssue receiving maximum, and average of the prescribed dose and the dose of 33%, 50%, and 66% of the volumes on both planning sets. For target, this evalua%on was made with comparing the Conformity Index (CI) and Inhomogeneity Index (HI). In addi%on, we compared the monitor units used for dose delivery in both planning techniques. Results: All the 5 and 7field IMRT plans differed slightly in the measured parameters, and none of them have sta%s%cally significant differences with each other except for the monitor units where significant differences were observed in favor of the 5field IMRT plans (p=0.000). In all of the 5-field IMRT plans the mean dose delivered to OARs were very similar or less than that of the 7-field plans. Conclusion: In comparison to the 7-field technique, the 5-field IMRT technique has resulted in improved IMRT dose conformity, homogeneity, and lesser MUs used for radia%on therapy. However, this difference was not significant.
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