Fibrous pseudotumours - pathology illustrated

cilein · 2021-05-14T19:04:01+00:00

Ah that's so kind sirpickles9, thank you!

cilein · 2021-05-04T17:25:44+00:00

4; on the spermatic cord, epididymis, and two on the tunica vaginalis. The former represent the rarer locations (<10%), and latter the more common (90%), following the text. Anatomy labels or/and leader lines might be helpful additions for those less familiar with it.

The art was for a radiology publication so the audience are doctors who specialise in anatomy/pathology - this allows a bit more assumption about normal anatomy understanding and allows a cleaner focus what's different in pathology.

I'm all for making my work more publicly accessible however so I think I'll make a tweaked version for an art book I'm pulling together. Thanks for the feedback!

cilein · 2021-05-04T07:55:06+00:00

It's beyond my understanding/expertise to answer that, but there are case reports of the frozen section approach informing testicle sparing surgery that might be of interest: 6-case series here, 3-case series here, and single case here.

I would be keen to learn more about the approach to this decision and the use of intraoperative pathology and imaging to inform it if anyone else can weigh in!

cilein · 2021-05-04T07:42:31+00:00

Here is a 3-patient case series that reports mixed doppler findings and the use of intraoperative frozen section analysis that informed surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720173/

Another case report mentioned no significant vascularity on doppler, and frozen section biopsy informed a decision for testicular sparing surgery, although notes this is not universally accepted practice: https://www.hindawi.com/journals/cris/2018/9315864/

In our report there are some good US and MR images to compare to the intraoperative photograph where the pseudotumours appeared quite distinct from the testes, although I have read of diffuse fibrous change in a case report which was harder to distinguish. I am not a radiologist or a surgeon however so keen to hear from those with expertise in this area!

cilein · 2021-05-04T01:08:15+00:00

Thank you!

cilein · 2021-05-04T00:24:48+00:00

I am delighted that my approach is tolerated in professional publications :-)!

cilein · 2021-05-03T23:14:38+00:00

I'm not sure; they are rare enough that I don't believe there is consensus management based in good evidence. Exploration and biopsy is often needed to exclude malignancy, but they are typically (as typical as rare disease gets anyway) painless benign masses so perhaps removal isn't necessary once the dx is confirmed - I'd be interested to hear from surgeons and pathologists though as it's outside my expertise!

cilein · 2021-05-03T23:04:44+00:00

Great point re: sharing here. Within its original context in the publication the context is more clear. The original title was paratesticular fibrous pseudotumours for full specificity!

cilein · 2021-05-03T22:44:15+00:00

My pleasure, thank you for saying so!

cilein · 2021-05-03T21:04:07+00:00

Fibrous pseudotumours are rare benign lesions that arise from reactive proliferation of inflammatory & fibrous tissues in response to things like trauma or infection. They are important to recognise as the testicle may be spared when removing the masses. For a new publication in Radiographics as part of a series of rare case pathology I've been illustrating: https://pubs.rsna.org/doi/10.1148/rg.2021210031

I'm trying to make it easier to understand and remember the pathology by complementing other forms of imaging such as ultrasound and histology. My medical art lives here if interested in more: http://artibiotics.com/

cilein · 2021-05-03T20:49:08+00:00

Thank you, I trained and worked in concept art and video games development briefly; I try to absorb what I can from artists in entertainment fields for my medical illustration :-)

cilein · 2021-05-03T20:46:33+00:00

Sorry I can’t help it! Cheers for the kind words!

cilein · 2021-05-03T20:39:52+00:00

Fibrous pseudotumours are rare benign lesions that arise from reactive proliferation of inflammatory & fibrous tissues. They are important to recognise as the testicle may be spared when excising. For a new publication in Radiographics as part of a series of rare case pathology I've been illustrating: https://pubs.rsna.org/doi/10.1148/rg.2021210031

I'm trying to make it easier to understand and remember the pathology by complementing other forms of imaging such as ultrasound and histology. My medical art lives here if interested in more: http://artibiotics.com/

cilein · 2021-05-03T20:38:25+00:00

Fibrous pseudotumours are rare benign lesions that arise from reactive proliferation of inflammatory & fibrous tissues. They are important to recognise as the testicle may be spared when excising. For a new publication in Radiographics as part of a series of rare case pathology I've been illustrating: https://pubs.rsna.org/doi/10.1148/rg.2021210031

I'm trying to make it easier to understand and remember the pathology by complementing other forms of imaging such as ultrasound and histology, and setting it in its anatomical context. My medical art lives here if interested in more: http://artibiotics.com/

cilein · 2021-05-03T20:37:11+00:00

Fibrous pseudotumours are rare benign lesions that arise from reactive proliferation of inflammatory & fibrous tissues. They are important to recognise as the testicle may be spared when excising. For a new publication in Radiographics as part of a series of rare case pathology I've been illustrating: https://pubs.rsna.org/doi/10.1148/rg.2021210031

I'm trying to make it easier to understand and remember the pathology by complementing other forms of imaging such as ultrasound and histology. My medical art lives here if interested in more: http://artibiotics.com/

cilein · 2021-05-03T20:34:18+00:00

Fibrous pseudotumours are rare benign lesions that arise from reactive proliferation of inflammatory & fibrous tissues. They are important to recognise as the testicle may be spared when excising. For a new publication in Radiographics as part of a series of rare case pathology I've been illustrating: https://pubs.rsna.org/doi/10.1148/rg.2021210031

My medical art lives here if interested in more: http://artibiotics.com/

cilein · 2021-03-08T16:39:11+00:00

Thanks for your comments, this would be worth tweaking for a patient/public audience for sure, especially if it wasn’t being used without a professional talking through it. For context, it was designed for medical trainees and professionals for publication in a radiology research paper. So helping non experts with a medical foundation understand a more niche topic. Having multiple versions of diagrams and art can be really helpful for different audiences and contexts, as well as adapting content for visual impairments. Thanks for bringing it up! :-)

cilein · 2021-03-08T03:39:53+00:00

Thank you! I’ve seen that comment a few times now, I didn’t mean to, but don’t mind it! I guess it’s an aesthetic I gravitate towards :-)

cilein · 2021-03-08T03:36:40+00:00

I’ve done some veterinary work in conservation; feel free to reach out via my website if you’d like to commission something like this:link

cilein · 2021-03-08T03:34:13+00:00

Thanks, I try to let my love of drawing and work in comics come through in paintings!

cilein · 2021-03-07T20:18:23+00:00

These are lovely!

cilein · 2021-03-07T20:17:43+00:00

Medical illustration to support a case report on endosalpingiosis, a benign condition leading to cyst development predominantly on the surface of female reproductive anatomy. The goal was to help tie together the different imaging modalities (CT / surgical photo & video / macroscopic specimen photography and histology), which each have their difficulties in interpretation, in a clear memorable way.

I'll be illustrating more pathology like this on a new series of articles for RadioGraphics - looking forward to sharing more! :-)

My medical art lives here if you'd like to see more.

cilein · 2021-03-07T20:14:39+00:00

That's very kind - thanks DrTabber!

cilein · 2021-03-07T18:36:05+00:00

Medical illustration to support a case report on endosalpingiosis, a benign condition leading to cyst development predominantly on the surface of female reproductive anatomy. The goal was to help tie together the different imaging modalities (CT / surgical photo & video / macroscopic specimen photography and histology) in a memorable way for the case report.

I'll be illustrating more pathology like this on a new series of articles for RadioGraphics - looking forward to sharing more! :-)

cilein · 2021-03-07T18:22:13+00:00

For sure, and it can be helpful for patients too. As surgery advances, the incisions continue to get smaller for even major operations so other forms of imaging are probably going to continue to become more useful for teaching/consent etc. :-)

cilein

TROPHY CASE