Congenital cholesteatoma of occipital bone or intradiploic epidermoid cyst? One and the same disease

2008 ◽  
Vol 123 (6) ◽  
pp. 673-675 ◽  
Author(s):  
M P A Clark ◽  
P M Pretorius ◽  
D Beaumont ◽  
C A Milford

AbstractObjective:We report an extremely rare case of congenital cholesteatoma affecting the occipital bone.Methods:We present a case report, plus a review of the world literature on similar lesions.Results:This case report describes the presentation and treatment of a congenital cholesteatoma arising in an apparently unique location within the occipital bone, with no effect on middle-ear structure or function. The different imaging characteristics of this lesion are described and illustrated. The discussion centres on the differentiation of this lesion from intradiploic epidermoid cysts, more commonly described in the neurosurgical literature. The possible methods of pathogenesis are discussed, along with treatment suggestions.Conclusion:Congenital cholesteatomas and intradiploic epidermoid cysts are indistinguishable both histologically and radiologically, and would appear to be the same disease.

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.


2012 ◽  
Vol 126 (12) ◽  
pp. 1276-1277
Author(s):  
A R Kakeri ◽  
A H Patel

AbstractObjective:We report an extremely rare case of primary otoscleroma.Method:We present a case report and a review of the world literature concerning otoscleroma.Results:An adult woman presented with chronic suppurative otitis media with tubotympanic disease and conductive hearing loss. On mastoid exploration, dark granulations were seen, which were identified as otoscleroma on histopathological examination. The patient responded well to streptomycin.Conclusion:To the best of our knowledge, this is the first report of primary otoscleroma in the world literature. This case indicates that Frisch's bacillus can also spread to the middle ear.


2012 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
S Malla ◽  
SB Rawal ◽  
NK Giri

Gastrointestinal Stromal Tumor (GIST) is a rare soft tissue tumor and a GIST arising from the mesocolon is even rarer and sparsely reported in the world literature. Herein we report one such case that we encountered in our clinical practice and review the literature on the management of such a rare case. DOI: http://dx.doi.org/10.3126/mjsbh.v10i1.6448 Medical Journal of Shree Birendra Hospital Jan-June 2011 10(1) 37-39


2008 ◽  
Vol 122 (9) ◽  
Author(s):  
H E Ozel ◽  
G Ergul ◽  
O E Gur ◽  
S Kulacoglu ◽  
C Ozdem

AbstractObjective:We report a rare case of sialadenoma papilliferum.Method:A case report of sialadenoma papilliferum is presented.Results:A 67-year-old woman presented with recurrent epistaxis. She was found to have an exophytic, well circumscribed mass on the nasal septum mucosa. The lesion was completely excised. A diagnosis of sialadenoma papilliferum was made based on the characteristic histological pattern. Follow up showed no evidence of recurrence. Subsequently, the patient remained well without complaint of epistaxis.Conclusion:To our knowledge, this is the first report in the world literature of sialadenoma papilliferum of the nasal cavity. This case indicates that this rare tumour can present with epistaxis, and can be resolved by means of total excision.


Folia Medica ◽  
2021 ◽  
Vol 63 (2) ◽  
pp. 277-281
Author(s):  
Serghei Covantev ◽  
Varvara Afanaseva ◽  
Alexandru Corlateanu

Thymic cysts are a rare abnormality accounting for 1%–3% of all mediastinal masses. In most cases, they are asymptomatic and localized in the anterior mediastinum. Despite their benign nature, the presence of a mass is an indication for surgery to obtain a histological conclusion and reliably exclude an oncological process. Epidermoid cysts are rare and only a few cases are described in the literature. In our case report, we present a rare case of examination and treatment of a patient with a large anterior mediastinum mass, which, according to the results of histology, was an epidermoid cyst of the thymus.


2007 ◽  
Vol 122 (12) ◽  
pp. 1386-1388 ◽  
Author(s):  
A George ◽  
W K Smith ◽  
S Kumar ◽  
A G Pfleiderer

AbstractObjective:We report an extremely rare case of bilateral posterior nasal septal abscess in an otherwise healthy adult patient.Method:Case report and a review of the world literature concerning atraumatic nasal septal abscess and its management.Results:The development of an atraumatic nasal septal abscess is rare, but it has been reported in association with acute sinusitis, in patients with poor immunity and in children. The presentation, clinical course and treatment are discussed in the presented patient.Conclusion:To our knowledge, this is the first report in the world literature of a bilateral posterior septal abscess associated with acute sinusitis in an otherwise healthy adult.


2010 ◽  
Vol 1 (2) ◽  
pp. 125-127
Author(s):  
Vikram Kulkarni ◽  
Vidisha Athanikar ◽  
Trupti Katti

Abstract Objective To report a rare case of angioleiomyoma with regard to size, type (variant) and location. Case report 45 years old male presented with painless swelling on the right side of the face since 2 years. On examination, the swelling was 4 cm × 3 cm in size, firm in consistency with well-defined margins. It was not adhering to overlying skin and underlying structures. The swelling was excised and sent for histopathological diagnosis. It was reported as solid variant of angioleiomyoma based on microscopic features. Conclusion According to the world literature, large angioleiomyoma on face is rare or not reported yet (usually less than 2 cm) and location (usually externar ear, tip of nose, lip). This case is presented for its uniqueness in size —large (4 cm x 3 cm); painlessness; variant; and location.


2009 ◽  
Vol 124 (5) ◽  
pp. 572-574 ◽  
Author(s):  
M George ◽  
C Ikonomidis ◽  
M Pusztaszeri ◽  
P Monnier

AbstractObjective:To report a rare case of primary meningioma of the middle ear.Method:We describe the case of a 55-year-old woman who presented with decreased hearing and fullness in the left ear, with a middle-ear mass. We also review the world literature regarding primary extracranial meningioma of the middle ear and its management.Results:Primary middle-ear meningioma, a rare clinical entity, was diagnosed in this patient based on an initial transmastoid biopsy. Magnetic resonance imaging with gadolinium enhancement excluded the presence of an intracranial component. Complete excision of the tumour was achieved using a combined approach tympanoplasty. The patient had an uneventful post-operative course.Conclusion:Meningiomas, although rare in the middle ear, need to be included in the differential diagnosis of middle-ear lesions presenting to the otolaryngologist. This case emphasises the management strategy required when dealing with a middle-ear mass.


2020 ◽  
pp. 014556132096924
Author(s):  
Hong Chan Kim ◽  
Hyung Chae Yang ◽  
Hyong-Ho Cho

Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.


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