Aerodigestive tract obstruction as a late complication of radiotherapy

1995 ◽  
Vol 109 (1) ◽  
pp. 68-69 ◽  
Author(s):  
Benny Nageris ◽  
Joseph Elidan ◽  
Jean-Yves Sichel

AbstractOedema, fibrosis, and stenosis of the hypopharynx and the oesophageal inlet are described in a few publications as a complication of post-laryngectomy irradiation treatment.In this paper a case of laryngeal carcinoma, treated exclusively by irradiation, where severe laryngeal and hypopharyngeal stenosis with complete occlusion of the oesophageal inlet were manifested as a late complication is described. We have found no similar case described in the English literature.

2022 ◽  
Author(s):  
Thayalan Rao Appalasamy ◽  
Fahrol Fahmy ◽  
Tan Jih Huei ◽  
Aina Shafiza ◽  
Tuan Nur Azmah

Abstract Hollow viscus herniation through a defect between vesicouterine pouch following previous pelvis surgery is exceedingly rare. There was only 1 similar case reported in the English literature. In this current report, we describe a 84-year-old woman presented with lower abdominal pain. She had a history of previous gynecology surgery. Computed tomography of abdomen showed small bowel obstruction with transition zone at the pelvis. Laparotomy revealed small bowel loops trapped in the vesico-uterine space via a narrow defect about 1.5cm. The detailed clinical summary and operative management are described in the report.


1985 ◽  
Vol 10 (2) ◽  
pp. 239-242
Author(s):  
A. L. H. MOSS ◽  
NASSIF B. N. IBRAHIM

Lymphangioma is an uncommon lesion which is widely believed not to undergo malignant change. Lymphangiosarcoma is even rarer and most of the cases reported in the literature were encountered in the setting of chronic lymphoedema, although occasional cases have been reported in irradiated lymphangiomata. This brief communication describes a case of multifocal lymphangiosarcoma arising in a non-irradiated, long standing lymphangioma of the hand. To our knowledge no similar case has been reported previously in the English literature, which is briefly reviewed.


2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Tashinga Musonza ◽  
Jose Antonio Tschen

Abstract Appendiceal malakoplakia masquerading as a cecal mass is uniquely rare. The presence of an infiltrate of granular eosinophilic macrophages containing Michaelis–Gutmann bodies on histopathology is pathognomonic of malakoplakia. Cutaneous, gastrointestinal and most commonly urogenital malakoplakia is reported in association with an immunocompromised state, infectious, inflammatory and neoplastic processes. Presentation varies from microscopic disease to plaques, nodules, polypoid lesions and small masses. However, a cecal mass postea proven appendiceal malakoplakia deserves special attention. We could not find similar case reports in the English literature. The pathogenesis of malakoplakia is poorly understood, and it is unclear if it is a harbinger of malignancy, a precursor lesion or an inflammatory marker. In the setting of a dominant appendiceal mass, post-treatment endoscopic and tumor marker surveillance is paramount but, however, undefined in contemporary literature.


1998 ◽  
Vol 107 (8) ◽  
pp. 703-707 ◽  
Author(s):  
Xavier Carrat ◽  
Jean-Marc François ◽  
François Devars ◽  
Dominique Carles ◽  
Louis Traissac

We report an unusual case of laryngomucocele occurring after subtotal laryngectomy. Laryngoceles generally have a congenital origin in a long-preexisting saccule, and their association with laryngeal carcinoma is well known. Laryngocele is usually favored by the increase of intraglottic pressure caused by the laryngeal carcinoma. However, an iatrogenic secondary laryngomucocele occurring after a surgical procedure is uncommon. We report in detail the physiopathologic conditions leading to the creation of this lesion.


2011 ◽  
Vol 3 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Rauf Ahmad ◽  
Syed Majid Hussain ◽  
Mukhtar Ahmad

ABSTRACT Objective Intracranial metastases from primary laryngeal carcinoma are extremely rare and to present as diminution of vision has not been reported in published English literature. We present a case of advanced laryngeal carcinoma, who after treatment with surgery and chemo radiation, presented with decreased vision and weakness of lower limbs secondary to brain metastases. Case report A 35-year-old male presented with dysphonia and L upper neck swelling. Endoscopy revealed a left supraglottic mass with fixed vocal cord and pathology of primary site and neck swelling reported it as moderately differentiated squamous cell carcinoma. Clinical and radiological assessment staged the tumor as T3N2bM0. Patient underwent combined standard surgical and medical treatment. Eight months after completion of treatment patient presented as decreased visual acuity (R > L) and gradually progressing weakness of lower limbs. Evidence of papilloedema on fundus exam prompted an urgent CT brain which showed multiple metastatic deposits in brain. There was no evidence of metastases in lungs, bones or liver. Conclusion Brain metastases are a known entity in Head and Neck cancer. Larynx as a primary site for the same should be kept in consideration with an atypical presentation as in present case.


1980 ◽  
Vol 88 (2) ◽  
pp. 142-145 ◽  
Author(s):  
Robert H. Ossoff ◽  
Gabriel F. Tucker ◽  
Charles M. Norris

An 11-year-old boy with laryngeal carcinoma underwent a partial laryngectomy. Subsequently, a cervical metastatic node developed eight months following a tonsillectomy; a radical neck dissection was performed. The patient has remained free of disease over a ten-year follow-up period. In our review of the English literature, no similar case report was found. The potential relationship of tonsillectomy to alterations in local T cell-mediated immune response is discussed.


2011 ◽  
Vol 2 (1) ◽  
pp. 71-74 ◽  
Author(s):  
M Manjunath ◽  
P Sharada ◽  
T Smitha ◽  
N Rakesh

ABSTRACT The designation 'sialolipoma’ is given to a recently described histologic variant of lipoma characterized by well-demarcated proliferation of mature adipocytes with secondary entrapment of salivary gland elements. Nagao et al from Japan first described this new variant. These tumors have been observed in both the major and minor salivary glands with around 35 cases being reported in the English literature. The most common site for the tumor is the parotid (17 cases, 60.7%) followed by the hard palate (four cases, 14.2%). We report a similar case of sialolipoma arising in the hard palate presenting in a 45-year-old male. Diagnosed as an ordinary lipoma of the hard palate, complete surgical removal of the tumor was done. The histopathological features showed a well-encapsulated lesion exhibiting both adipose tissue and glandular epithelium, and based on the recent criteria of histological findings of sialolipoma, the tumor was diagnosed as sialolipoma of the hard palate. Because of its rarity, it was fitting to report this entity.


2008 ◽  
Vol 123 (6) ◽  
pp. 689-691 ◽  
Author(s):  
D Biswas ◽  
S K Ross ◽  
A Sama ◽  
A Thomas

AbstractObjective:We present a rare and clinically relevant anomaly of the sphenopalatine artery in relation to its blood supply of the nasal mucosa, with implications for the management of epistaxis.Method:Case report and review of the world literature, using Medline through Pub Med (1950–2005), EMBASE (1980–2005) and Ovid (1958–2005), searching for papers using a combination of terms including ‘spheno-palatine artery’, ‘anterior ethmoidal artery’ and ‘epistaxis’.Results:In the presented case of refractory epistaxis, endoscopic and subsequent endovascular management failed to identify a significant supply from the sphenopalatine arteries bilaterally. The main supply was found to be from the anterior ethmoidal arteries.Conclusion:After a detailed search, the authors failed to locate any similar case in the English literature.


1996 ◽  
Vol 110 (6) ◽  
pp. 613-615 ◽  
Author(s):  
Manuel López Amado ◽  
María José Lorenzo Patiño ◽  
Gonzalo López Blanco ◽  
Francisco Arnal Monreal

AbstractA case of giant amyloidoma in the left tonsil with extensive osseous metaplasia and a scanty and patchy monoclonal population of IgG Kappa plasma cells, is presented.Localized tumoral amyloidosis is a rare, benign tumour of the upper aerodigestive tract. Organ-limited amyloidosis has been shown to be confined to various systems but, since the lesion was first described, only four cases situated in the tonsils have been reported in the English literature, and none of these had either osseous metaplasia or a monoclonal population of IgG Kappaplasma cells.


2011 ◽  
Vol 125 (5) ◽  
pp. 533-535
Author(s):  
T Galm ◽  
A Kulkarni ◽  
I Ahmad

AbstractObjective:We present the first report in the all English literature of a case of laryngeal squamous cell carcinoma metastasis to the orbit.Method:Case report of orbital metastasis from laryngeal carcinoma; clinical, radiological and pathological findings are discussed.Result:A 75-year-old man presented to the ENT department with a five-week history of left orbital pain, swelling and reduced vision. Past medical history included laryngectomy, bilateral neck dissection and post-operative radiotherapy for T4 N2c M0 squamous cell carcinoma of the supraglottis, 10 months earlier. Imaging showed an orbital mass extending along the roof and lateral aspect of the orbit into the optic canal and superior orbital fissure, and further posteriorly into the left cavernous sinus with meningeal enhancement in the left anterior cranial fossa. Histopathological analysis after biopsy showed the mass to be consistent with metastatic poorly differentiated squamous cell carcinoma.Conclusion:After searching the all English literature, we report what is, to our best knowledge, the first case of laryngeal carcinoma metastasis to the orbit. Despite its rarity and poor prognosis, such a metastasis should be considered as part of the differential diagnosis of an orbital mass, as timely recognition can improve the patient's quality of life.


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