Foreign body reaction mimicking a second primary tumour of the oesophagus

2007 ◽  
Vol 122 (12) ◽  
pp. 1401-1403 ◽  
Author(s):  
J Pollock ◽  
N Beasley

AbstractObjective:To present a significant complication of pharyngolaryngeal reconstruction, which resulted in diagnostic confusion as it mimicked a second primary tumour of the head and neck.Methods:Case report and review of the world literature.Case report:A 61-year-old man developed a granulomatous foreign body reaction, mimicking a second primary tumour, at the distal end of a salivary bypass tube, following pharyngolaryngectomy and reconstruction using a tubed anterolateral thigh flap. Clinically and radiologically, this was felt to represent a second primary tumour of the oesophagus, but biopsies revealed full thickness inflammation of the mucosa and granulation tissue. Repeat oesophagoscopy two weeks after removal of the tube showed complete resolution.Conclusion:No record of an oesophageal foreign body reaction to a Montgomery salivary bypass tube has previously been reported in the world literature. This report highlights the potential for such a lesion to cause diagnostic confusion with a second primary tumour.

2021 ◽  
Vol 14 (2) ◽  
pp. e239797
Author(s):  
Fergus Cooper ◽  
Rafael Moleron ◽  
Andrea Chapman ◽  
Muhammad Shakeel

Leiomyosarcomas are soft tissue tumours that rarely occur in the larynx. This case report describes the presentation and management of a 77-year-old man referred to the otolaryngology clinic with hoarseness who was found to have a large supraglottic leiomyosarcoma after panendoscopy and biopsies. He subsequently underwent laryngectomy for treatment of this tumour but, unexpectedly, the histological analysis of the laryngectomy specimen revealed a second primary tumour in the larynx—a squamous cell carcinoma (SCC). The patient had further treatment with neck radiotherapy. Three years after treatment, there are no signs of recurrence of either tumour. This case report discusses the very few similar cases of leiomyosarcoma coexisting with SCC in the larynx, collating the evidence surrounding the treatment of this rare presentation.


ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.


1999 ◽  
Vol 113 (4) ◽  
pp. 355-357 ◽  
Author(s):  
S. M. Iqbal ◽  
J. G. Murthy ◽  
P. K. Banerjee ◽  
K. A. Vishwanathan

AbstractTwo cases of bilateral moderate to severe sensorineural hearing loss due to oral administration of metronidazole are reported. There has been only one case report of deafness following metronidazole therapy in the world literature. The hearing loss recovered gradually in a period of four to six weeks following withdrawal of drug and oral steroid therapy. The possible mechanism of ototoxicity is discussed. Awareness by the treating physician of ototoxicity due to any drug is stressed.


2011 ◽  
Vol 4 (2) ◽  
pp. 107-109 ◽  
Author(s):  
M. Arnadottir ◽  
J. G. Jonasson ◽  
O. S. Indridason

1992 ◽  
Vol 78 (1) ◽  
pp. 49-51 ◽  
Author(s):  
Prakash K. Patil ◽  
Snehal G. Patel ◽  
S. Krishnamurthy ◽  
Rajesh C. Mistry ◽  
Raman K. Deshpande ◽  
...  

A case is presented of dermatofibrosarcoma protuberans of the gluteal region with metastasis to the lung appearing 7 years after wide excision of the primary lesion. The world literature is reviewed. The clinical and pathologic features of dermatofibrosarcoma are reviewed and treatment is discussed, with the aim of emphasizing the need for long-term follow-up examination of lymph nodes and for metastases following wide excision of these lesions.


2019 ◽  
Vol 60 ◽  
pp. 58-62 ◽  
Author(s):  
Gabriela Caovilla Felin ◽  
João Paulo De Carli ◽  
Mateus Ericson Flores ◽  
Jose Luiz Bernardon Pretto ◽  
Letícia Copatti Dogenski ◽  
...  

2012 ◽  
Vol 127 (1) ◽  
pp. 67-69 ◽  
Author(s):  
T Al Balushi ◽  
J Z Naik ◽  
M Al Khabori

AbstractObjective:We present an extremely rare case of congenital cholesteatoma in identical twins.Method:Case report of congenital cholesteatoma in identical twins, and a literature review, are presented.Results:Both cases presented to the ENT out-patient clinic, but with different clinical pictures. Both were managed surgically.Conclusion:Congenital cholesteatoma presents as a whitish mass in the middle ear, with an intact tympanic membrane. It is a rare entity comprising between 3.7 and 24 per cent of total cholesteatoma cases. The key to its diagnosis is the absence of previous ear infection, ear surgery and local trauma. To our best knowledge, this paper represents the first report in the world literature of congenital cholesteatoma in identical twins.


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