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T Robin Goodman

Publications and source records attributed to T Robin Goodman.

3 recordsLinked to original sources

Resolution of orbitocerebral aspergillosis during combination treatment with voriconazole and amphotericin plus adjunctive cytokine therapy.

Orbitocerebral aspergillosis has a very high fatality rate and cure is unusual. We describe the successful management of a child with cereberal aspergillosis who had a dramatic response to therapy with a combination of liposomal amphotericin and voriconazole with adjunctive cytokine therapy during immunosuppresive chemotherapy for acute lymphoblastic leukaemia.

Amphotericin B↗

How to perform the perfect voiding cystourethrogram.

The voiding cystourethrogram (VCUG) examination is a difficult investigation to perform and is a stressful experience for patients and their parents, as well as for the radiologists, technicians and paediatric radiology nurses involved in the examination. Despite the VCUG being one of the most commonly performed fluoroscopic procedures in paediatric radiology practice, there is no general consensus as to the best way to perform this investigation. This is particularly concerning when one considers the potentially high gonadal radiation dose children may receive. Because of this, we have undertaken a comprehensive literature review of various aspects of the test in order to determine the best way to perform the VCUG in modern paediatric radiology practice.

Child↗

Perinephric cystic mesoblastic nephroma complicated by hepatic metastases: a case report.

Congenital mesoblastic nephroma (CMN) is a well-recognised renal tumour presenting in infancy, which has an excellent prognosis if completely excised. We describe the imaging appearances of an unusual, predominantly perinephric cystic CMN, with relative renal preservation but with retroperitoneal extension and bowel infiltration, which was complicated by hepatic metastases. To our knowledge, neither the appearance of the primary tumour nor the subsequent development of hepatic metastases has previously been reported. This appearance may represent a poor prognostic indicator for outcome. However, following partial hepatectomy, the patient remains disease-free at 1 year.

Diagnosis, Differential↗