Reactive Lesions of Oro-Maxillofacial Region

Oral and Maxillofacial Surgery for the Clinician ◽

10.1007/978-981-15-1346-6_29 ◽

2021 ◽

pp. 599-614

Author(s):

Raja Sekhar Gali

Keyword(s):

Soft Tissues ◽

Correct Diagnosis ◽

Low Grade ◽

Maxillofacial Region ◽

Diagnostic Dilemma ◽

Hormonal Influence ◽

Facial Region ◽

Appropriate Treatment ◽

The Common ◽

Low Grade Inflammation

AbstractA plethora of pathologies occurs in the skeletal and soft tissues of the oro-facial region that are reactive. These arise as a result of chronic low-grade inflammation, trauma, hormonal influence and other causes. Varied types of clinical, radiological and histological presentations are often associated with these lesions that pose a diagnostic dilemma to the clinician. This chapter describes in detail the common reactive lesions of the maxillofacial region with an emphasis on correlating the clinical and investigational findings to arrive at the correct diagnosis and provide appropriate treatment.

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Importance of Laparoscopy to Solve the Diagnostic Dilemma of Abdominal Tuberculosis

KYAMC Journal ◽

10.3329/kyamcj.v12i1.53361 ◽

2021 ◽

Vol 12 (1) ◽

pp. 14-17

Author(s):

Md Saiful Islam ◽

Md Masudar Rahman ◽

M Fardil Hossain Faisal ◽

Md Alamgir Jalil Pramanik ◽

Muhammad Abdur Rouf

Keyword(s):

Minimally Invasive ◽

Diagnostic Laparoscopy ◽

Abdominal Cavity ◽

Correct Diagnosis ◽

Abdominal Tuberculosis ◽

Diagnostic Dilemma ◽

Peritoneal Tissue ◽

Appropriate Treatment ◽

Liver Surface ◽

Minimally Invasive Access

Background: Diagnosis of abdominal tuberculosis as well as histopathological confirmation is difficult because of suboptimal access to the intraperitoneal pathology. Laparoscopy provides minimally invasive access to the peritoneal cavity and materials can be collected for confirmation of diagnosis. Objectives: To study the importance of laparoscopy as a tool for the diagnosis of abdominal tuberculosis and initiation of appropriate treatment without delay. Materials & Methods: In this study 25 patients with suspected abdominal tuberculosis were selected within the period of May, 2014 to October, 2014. Diagnostic laparoscopy performed on all patients with biopsy of tissue from accessible sites. Results: Diagnostic laparoscopy with biopsy confirmed the diagnosis in 24 (96%) patients, 23 of these patients (96%) had nodules at different site of abdominal cavity and 19 of these patients (76%) had ascites. In two cases there were nodules over liver surface; biopsy was taken also from both liver nodules. One nodule revealed fibrosis and another nodule revealed tuberculosis. Conclusion: Imaging and culture of ascitic fluid may fail to confirm or exclude abdominal tuberculosis in clinically suspected cases. Laparoscopy with peritoneal tissue biopsy provided rapid and correct diagnosis of abdominal tuberculosis and should be performed early in suspected cases. KYAMC Journal.2021;12(01): 14-17

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CYTO HISTOLOGIC CORRELATION OF A LOW GRADE FIBROMYXOID SARCOMAAT AN UNUSUAL LOCATION – A CASE REPORT

10.36106/ijsr/9435668 ◽

2021 ◽

pp. 1-3

Author(s):

Pooja Jain ◽

Annu Nanda ◽

Deepak Kumar Singh ◽

Udita Singhal

Keyword(s):

Soft Tissues ◽

Correct Diagnosis ◽

Subcutaneous Fat ◽

Needle Aspiration ◽

Low Grade ◽

Difficult Case ◽

Nuclear Pleomorphism ◽

Rare Tumour ◽

Spindle Cells ◽

High Local Recurrence Rate

BACKGROUND Low grade fibromyxoid sarcoma (LGFMS) is a rare tumour of the deep soft tissues seen in young adults. The histologic features of LGFMS are well established, however the cytologic findings are scantily defined and the distinction from other benign and malignant myxoid soft tissue tumours is difficult. CASE DETAILS A 29 year old male presented with a superficial swelling in the left areolar region for two months. USG revealed a well-defined 2 by 2 cm hyperechoic lesion extending upto the subcutaneous fat. FNA yielded mucoid material and smears showed spindle cells having round to elongated nuclei with mild anisokaryosis, bland chromatin and wispy cytoplasm in a myxoid background. No significant nuclear pleomorphism or mitoses were noted. A diagnosis of myxoid mesenchymal lesion was made. The excised tumour was well circumscribed with grey white cut surface showing myxoid areas. Microscopically, the tumour displayed moderate cellularity with storiform, intersecting and parallel bundles of spindle cells showing mild nuclear pleomorphism. The myxoid areas showed cells in a haphazard fashion floating in abundant mucoid matrix associated with a capillary network. The mitotic index was low. IHC showed tumor cells positive for vimentin and negative for S-100 & SMA. CONCLUSION LGFMS is a rare low-grade malignancy with a high local recurrence rate and late metastasis. The diagnosis of LGFMS can be difficult to render from fine needle aspiration cytology (FNAC) alone because of morphological overlap with other spindle cell and myxoid lesions. Cytohistological correlation and IHC is helpful in arriving at a correct diagnosis.

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Clear cell chondrosarcoma of proximal femur: a rare entity with diagnostic dilemma

BMJ Case Reports ◽

10.1136/bcr-2020-236389 ◽

2020 ◽

Vol 13 (10) ◽

pp. e236389

Author(s):

Manish Pruthi ◽

Jagandeep Singh Virk ◽

Anila Sharma ◽

Vivek Mahawar

Keyword(s):

Femoral Head ◽

Clear Cell ◽

Correct Diagnosis ◽

Malignant Neoplasm ◽

Diagnostic Dilemma ◽

Clear Cell Chondrosarcoma ◽

High Local Recurrence Rate ◽

Appropriate Treatment ◽

Slow Growing

Clear cell chondrosarcoma is an extremely rare malignant neoplasm. The rarity and slow-growing nature of this tumour often lead to prolonged symptoms and also initial misdiagnosis with benign lesions such as chondroblastoma. It can also be confused with avascular necrosis of the femoral head when the lesion is located in the femoral head, as was in the case we report. The patient was kept on observation and conservative treatment for almost 9 years before the correct diagnosis and appropriate treatment. Wide local resection with negative margins forms the mainstay of treatment since intralesional procedures predispose to high local recurrence rate. A prolonged follow-up is recommended since late local recurrences and metastases are common.

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Difficulties in diagnosing tuberculous spondylitis against the background of liver echinococcosis

MedAlliance ◽

10.36422/23076348-2020-8-4-88-92 ◽

2020 ◽

Vol 8 (4) ◽

pp. 88-92

Keyword(s):

Neurological Disorders ◽

Soft Tissues ◽

Correct Diagnosis ◽

Molecular Genetic ◽

Treatment Algorithm ◽

Definite Diagnosis ◽

Tuberculous Spondylitis ◽

Treat Ment ◽

Appropriate Treatment ◽

Logical Study

Difficulties in diagnosing tuberculous spondylitis are caused by the rarity of the pathology, and blurred clinical and laboratory presentation. The correct diagnosis can take several months, since pain is often interpreted as a degenerative process. Spondylitis should be assumed in patients with back pain resistant to conservative treat-ment methods, it may be accompanied by neurological disorders, fever, and increased laboratory indicators of inflammation. Radiodiagnostic methods can reveal the presence of destruction, its localization, distribution, and the degree of involvement of the surrounding soft tissues. To confirm the etiology of the process, morpho-logical study of the biopsy or surgical samples is needed, as well as pathogen verification by bacteriological and/or molecular genetic methods. Only after making a definite diagnosis, it is possible to choose the most appropriate treatment algorithm for the patient

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Aggressive or conventional osteoblastoma: a diagnostic dilemma

Clinical Dentistry ◽

10.33882/clinicaldent.13.24700 ◽

2019 ◽

pp. 32-37

Author(s):

N Lavanya

Keyword(s):

Differential Diagnosis ◽

Nasal Cavity ◽

Maxillary Sinus ◽

Clinical Features ◽

Correct Diagnosis ◽

Diagnostic Dilemma ◽

Facial Region

Osteoblastomas are primary benign bone forming tumours which are not common in the cranio - facial region. Here, we present a case of recurrent osteoblastoma in a 25 year old male which involved the maxilla and extended into the adjacent maxillary sinus and nasal cavity. The involvement of maxilla with destruction of paranasal air sinuses is quite rare. We also discuss the histological differential diagnosis, along with clinical features helped to arrive at the correct diagnosis.

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Inflammatory Myofibroblastic Tumor of Common Bile Duct in a Girl

APSP Journal of Case Reports ◽

10.21699/ajcr.v7i4.445 ◽

2016 ◽

Vol 7 (4) ◽

pp. 28 ◽

Cited By ~ 2

Author(s):

Aureen Ruby DCunha ◽

Susan Jehangir Homi ◽

Reju Joseph Thomas

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Inflammatory Myofibroblastic Tumor ◽

Soft Tissues ◽

Tumor Resection ◽

Malignant Lesion ◽

The Body ◽

Low Grade ◽

Diagnostic Dilemma ◽

Oral Steroids

Inflammatory myofibroblastic tumor (IMT) is a rare, low grade malignant lesion which can occur anywhere in the body. It children it is usually found in the visceral soft tissues with a potential for local invasion and recurrence, and rarely distant metastasis. We report the diagnostic dilemma faced in the management of a 12-year old girl who presented with obstructive jaundice with a mass lesion at the distal end of the common bile duct. She underwent a tumor resection with a bilio-enteric bypass followed by a course of oral steroids and celecoxib.

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