An unusual middle-ear mass

2009 ◽  
Vol 124 (1) ◽  
pp. 108-110 ◽  
Author(s):  
M Muller ◽  
I Zammit-Maempel ◽  
J Hill ◽  
B Wilkins
Keyword(s):  
Case Report ◽  
Papillary Carcinoma ◽  
Middle Ear ◽  
Endolymphatic Sac ◽  
Low Grade ◽  
Complete Replacement ◽  
Glomus Tympanicum ◽  
History Of ◽  
Petrous Temporal Bone ◽  
One Year

AbstractObjective:We describe a case of endolymphatic sac tumour confined to the middle ear, which radiologically mimicked a glomus tympanicum, in a 58-year-old woman with tinnitus.Case report:A 58-year-old woman presented with a one-year history of right-sided tinnitus. The clinical, radiological and surgical features were felt to be in keeping with a glomus tympanicum. However, the histopathological picture was that of a low grade papillary carcinoma of the endolymphatic sac, i.e. an endolymphatic sac tumour.Conclusion:Endolymphatic sac tumours are classically locally aggressive and centred around the petrous temporal bone. Further growth results in complete replacement of the mastoid and petrous pyramid by tumour. To the best of our knowledge, there have been no previous reports of an endolymphatic sac tumour located solely within the hypo- and epitympanum of the middle ear.

Glomus tympanicum chemodectoma: unusual radiological findings

1994 ◽  
Vol 108 (7) ◽  
pp. 607-609 ◽  
Author(s):  
Abduljabbar Alshaikhly ◽  
Abdalla M. Hamid ◽  
Bahram Azadeh
Keyword(s):  
Middle Ear ◽  
Malignant Tumour ◽  
Canal Wall ◽  
Ear Canal ◽  
Radiological Findings ◽  
Glomus Tympanicum ◽  
History Of ◽  
One Year ◽  
The Right ◽  
Temporal Bones

AbstractA 64-year-old Qatari female, with a one-year history of right otorrhoea and deafness, had a reddish-white mass projecting into the right ear canal, through the tympanic membrane, that proved histopathologically to be a paraganglioma. Computerized tomography (CT) of the temporal bones showed extensive destruction of the right mastoid bone, the posterior ear canal wall, and the sinus plate, with total disruption of the ossicles, simulating a malignant tumour, which is unusual for a middle ear paraganglioma.

scholarly journals EP.TH.3Male Breast Cancer: A Series of Three Extremely Rare Cases

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ahmed Latif ◽  
Amna Suliman ◽  
Anupama Nagarajakumar ◽  
Mihir Khan ◽  
Anna Metafa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Papillary Carcinoma ◽  
Ductal Carcinoma ◽  
Case Series ◽  
Mucinous Carcinoma ◽  
Wall Thickening ◽  
Low Grade ◽  
Breast Cancers ◽  
History Of ◽  
One Year

Abstract Aims Male breast cancer (MBC) is rare and accounts for 1% of all breast cancers. We present a case series of three very rare histological subtype MBC within one year in a UK hospital. Methods We retrospectively identified all MBCs from the local breast cancer database. Their presentations, radiology and histopathology were analysed. Results Three MBCs were identified from 2019 to 2020. A healthy 28-year-old presented with a right breast lump. Ultrasound (USS) revealed a partially cystic 15mm U3 lesion. Mammography (MMG) was suggestive of gynaecomastia (M2). Biopsy was inconclusive. Diagnostic excision revealed Papillary Ductal Carcinoma in Situ (DCIS) with involved margin. Mastectomy and Sentinel Node Biopsy (SNB) confirmed low-grade Papillary DCIS. A 48-year-old with background of hyperlipidaemia presented with a 2-year history of left axillary lump. PET CT demonstrated an FDG-avid lesion. USS showed a superficial U3 28mm lesion. MMG showed a 34mm density (M4). Biopsy identified Mucinous Carcinoma. Wide Local Excision and SNB confirmed grade 2 Mucinous Carcinoma. A 75-year-old with history of cardiac disease, COPD and Type 2 Diabetes, presented with a right retro-areolar lump. MMG identified a 47mm mass (M4). USS showed a 41mm cystic lesion with wall thickening (U4). Cytology was inconclusive. Biopsy identified intra-cystic papillary carcinoma. Mastectomy and SNB confirmed intra-cystic papillary carcinoma. All three histological subtypes are extremely rare and account for less than 4% of all MBCs. Conclusions MBC is rare but increasing in incidence. More research and awareness are needed to minimise delays in diagnosis and treatment even in young men.

scholarly journals GLOMUS TYMPANICUM PARAGANGLIOMA IN A 63-YEAR-OLD MALE - A RARE ENTITY IN THE MIDDLE EAR: A CASE REPORT

2019 ◽  
pp. 97-101
Author(s):  
Filip Petrović ◽  
Dragan Stojanov ◽  
Nikola Živković ◽  
Jovana Zdravković ◽  
Marta Petrović ◽  
...  
Keyword(s):  
Case Report ◽  
Middle Ear ◽  
Rare Entity ◽  
Glomus Tympanicum

scholarly journals Non allergic simple eosinophilic pneumonia: Löffler syndrome: A case report study

2008 ◽  
Vol 61 (11-12) ◽  
pp. 643-646 ◽  
Author(s):  
Ivana Meta-Jevtovic ◽  
Miroslav Tomovic ◽  
Slavica Mojsilovic ◽  
Marina Petrovic
Keyword(s):  
Case Report ◽  
Bronchial Asthma ◽  
Allergic Bronchopulmonary Aspergillosis ◽  
Eosinophilic Pneumonia ◽  
Unknown Etiology ◽  
Caucasian Woman ◽  
Low Grade ◽  
Radiographic Findings ◽  
Therapy Regimen ◽  
History Of

Introduction L?ffler syndrome is an acute, pneumonia of unknown etiology. This disease is not often associated with bronchial asthma. In its asymptomatic form, this disease is reversible, transient, self-limited with no requests for specific therapy regimen. In the symptomatic form, as well as during its progression, treatment with steroids is very effective. Furthermore, in both acute eosinophilic and idiopathic chronic eosinophilic form, this kind of therapy ensures survival. Case report The case of a 53-year-old Caucasian woman was presented with 2-month history of low grade fever, shortness of breath, cough and reduced exercise tolerance. Although she had an allergic accident on insects in history, non allergy reactions as well as an obstructive disease with that kind of origin were not detected on admission. The diagnosis of simple eosinophilic pneumonia (SEP) (L?ffler's syndrome) was confirmed by transbronchial biopsy and by sternal testing. The peripheral blood eosinophilia with pulmonary eosinophilic infiltrates on X ray chest radiography were observed during clinical examination. Biopsy specimen of the lung parenchym showed changes associated with L?ffler's syndrome. The diagnosis was, also, confirmed according to the radiographic findings of unilateral migratory infiltrates consistent pneumonia. Discussion Churg Strauss syndrome (CSS) has to be considered in this differential diagnosis. Frequently, this disease has extrinsic bronchial asthma with eosinophilic pneumonia in history; asthma is often associated with allergic bronchopulmonary aspergillosis. In the reported case, treatment with steroids resulted in a marked clinical improvement compared to nonsteroid therapy.

Atypical incus necrosis: a case report and literature review

2007 ◽  
Vol 122 (10) ◽  
pp. 1124-1126 ◽  
Author(s):  
N Choudhury ◽  
G Kumar ◽  
M Krishnan ◽  
D J Gatland
Keyword(s):  
Case Report ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Conductive Deafness ◽  
Ossicular Replacement ◽  
Stapes Footplate ◽  
History Of ◽  
Serous Otitis Media ◽  
Replacement Prosthesis

AbstractObjective:We report an atypical case of ossicular necrosis affecting the incus, in the absence of any history of chronic serous otitis media. We also discuss the current theories of incus necrosis.Case report:A male patient presented with a history of right unilateral hearing loss and tinnitus. Audiometry confirmed right conductive deafness; tympanometry was normal bilaterally. He underwent a right exploratory tympanotomy, which revealed atypical erosion of the proximal long process of the incus. Middle-ear examination was otherwise normal, with a mobile stapes footplate. The redundant long process of the incus was excised and a partial ossicular replacement prosthesis was inserted, resulting in improved hearing.Conclusion:Ossicular pathologies most commonly affect the incus. The commonest defect is an absent lenticular and distal long process of the incus, which is most commonly associated with chronic otitis media. This is the first reported case of ossicular necrosis, particularly of the proximal long process of the incus, in the absence of chronic middle-ear pathology.

Papillary Neoplasms (Heffner's Tumors) of the Endolymphatic SAC

1993 ◽  
Vol 102 (8) ◽  
pp. 648-651 ◽  
Author(s):  
John G. Batsakis ◽  
Adel K. El-Naggar
Keyword(s):  
Middle Ear ◽  
Endolymphatic Sac ◽  
Low Grade ◽  
Cystic Neoplasms ◽  
Temporal Bones ◽  
Middle Ear Cleft

The sources of adenomatous neoplasms in the temporal bones are usually metastases or direct extensions from extratemporal lesions, or primary from the middle ear cleft. In 1989, Heffner added the endolymphatic sac's epithelium as another possible generative origin. In contrast to the adenomatous tumors of the middle ear or mastoid, the papillary cystic neoplasms of the endolymphatic sac are large and locally aggressive and often involve the middle and posterior cranial fossae and bone. These biologically low-grade adenocarcinomas have not been shown to be able to metastasize.

scholarly journals Giant tonsillolith: a case report and review of literature

2015 ◽  
Vol 1 (1) ◽  
pp. 89
Author(s):  
Hitesh Verma ◽  
Arjun Dass ◽  
Surinder K. Singhal ◽  
Nitin Gupta
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Oral Cavity ◽  
Rare Clinical Entity ◽  
Review Of Literature ◽  
Tonsillar Fossa ◽  
Body Sensation ◽  
The World ◽  
History Of ◽  
One Year

<p class="abstract">We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. </p><strong>Keywords:</strong> Tonsillolith, Oral cavity<strong></strong>

scholarly journals Hydatid disease with Aspergilloma: A unique case report

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Sandeep Sharma ◽  
Parikshit Thakare ◽  
Ketaki Utpat ◽  
Unnati Desai
Keyword(s):  
Case Report ◽  
Hydatid Disease ◽  
Past History ◽  
Case Reports ◽  
Unique Case ◽  
Rare Finding ◽  
History Of ◽  
One Year

The coexisting presence of hydatid disease with aspergillus colonization is a rare finding. The 20-year-old presented with symptoms of hemoptysis with past history of tuberculosis. On further evaluation, the patient was diagnosed as a case of aspergilloma and managed conservatively. After one year of presenting with similar complaints, the patient was turned out to be hydatid disease with aspergillus colonization on the basis of clinic-radiological and bronchoscopic evaluation. Till now only a few case reports have been reported. We report a unique case report of a similar presentation.

scholarly journals Intra orbital Schwanoma of the supraorbital nerve

2018 ◽  
Vol 22 (4) ◽  
pp. 179-182
Author(s):  
Apio Antunes ◽  
Mateus F. L. Beck ◽  
Andre C. Franciscatto ◽  
Mateus Franzoi ◽  
Atahualpa C. P. Strapassom
Keyword(s):  
Case Report ◽  
Cranial Nerves ◽  
Signs And Symptoms ◽  
Surgical Approaches ◽  
Total Removal ◽  
Combined Surgery ◽  
Supraorbital Nerve ◽  
History Of ◽  
One Year ◽  
Orbital Region

Background: The orbital region can be occupied by various lesions including both neoplastic or non-neoplastic. Schwannomas of the supraorbital nerve are very rare tumors. Case Report: A case of a 15 years-old female patient with a one year history of progressive proptosis and no visual symptoms is presented with. This patient underwent a combined surgery with total removal of the tumor. Discussion: Intraorbital schwannomas are usually associated with neurofibromatosis and different structures can originate these tumours, including peripheral and cranial nerves. The signs and symptoms usually follow a chronic process. Surgical treatment is necessary, with various reported surgical approaches. Conclusion: We report, to the best of our knowledge, the eleventh case of schwannoma of the supraorbital nerve, describing the main features of this pathology. 

scholarly journals First Autochthonous Infection of a Cat with Dirofilaria immitis in Austria

Pathogens ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1104 ◽  
Author(s):  
Lisa-Maria Kulmer ◽  
Maria Sophia Unterköfler ◽  
Hans-Peter Fuehrer ◽  
Varvara Janovska ◽  
Matus Pagac ◽  
...  
Keyword(s):  
Case Report ◽  
Dirofilaria Immitis ◽  
Complete Blood Count ◽  
Clinical Signs ◽  
Surgical Removal ◽  
Negative Results ◽  
Heartworm Disease ◽  
History Of ◽  
One Year ◽  
The Right

This case report is about a seven-year-old male neutered European Shorthair cat infected by Dirofilaria immitis as the first reported autochthonous Dirofilaria immitis infection in Austria. There was no history of periods abroad. Echocardiography showed suspected D. immitis in the right cardiac chamber with increased pulmonary pressure and ascites. Surgical removal of the heartworms was performed. Twenty adult heartworms were removed by transvenous jugular approach under general anesthesia and stored in 4% formalin. Five out of 20 specimens were examined via light and stereomicroscopy and feline heartworm infection was confirmed. Amplification of a 203 bp or 724 bp fragment of the cytochrome c oxidase subunit I gene was unsuccessful. After surgery the cat developed acute renal failure but recovered quickly. One year later, the cat underwent a control examination including echocardiography and blood work. There were no more D. immitis detectable at echocardiography. Lung pressure was mildly increased. Complete blood count and creatinine were unremarkable. The Knott’s test and Dirofilaria-Antigen-test produced negative results. The cat did not show any clinical signs during the follow-up period. The aim of this case report is to highlight the growing risk of acquiring infection with D. immitis not only for Austrian dogs, but also for cats. This case report represents the first report of autochthonous D. immitis infection in Austria. Moreover, even if the prognosis in cats with caval syndrome due to feline heartworm disease is guarded to poor, surgical removal of the filariae can be a successful treatment option.

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