Large, solitary angiokeratoma in the posterior third and base of the tongue: case report

2011 ◽  
Vol 125 (10) ◽  
pp. 1083-1086 ◽  
Author(s):  
M Dutta ◽  
S Ghatak ◽  
G Biswas ◽  
R Sinha

AbstractObjective:We present an extremely rare case of isolated angiokeratoma of the tongue.Method:Case report and review of related literature.Results:An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.Conclusion:We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.


2021 ◽  
Vol 14 (1) ◽  
pp. 121-124
Author(s):  
Razvan Chirila ◽  
◽  
Elena Raluca Cristea ◽  
Monica Roxana Purcarea ◽  
Laura Carina Tribus ◽  
...  

This case report describes a rare case of progressive muscle weakness in a patient treated for eosinophilic fasciitis (EF) for many years before being diagnosed with a second autoimmune disease: dermatomyositis. Our case is a report of a 65-year-old male diagnosed with eosinophilic fasciitis 7 years before being evaluated in our service at Mayo Clinic in Jacksonville, Florida, due to progressive muscle weakness despite the chronic treatment with methotrexate. Contrast-enhanced magnetic resonance imaging of the lower extremity showed enhancement throughout the thigh musculature, which led us to pursue biopsies of the fascia and muscle in order to confirm the diagnosis of EF associated with myopathy. This case illustrates the need to consider the possibility of myopathy in patients diagnosed with EF whenever muscle weakness is more prominent than expected.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Khaled Khamassi ◽  
Habib Jaafoura ◽  
Fahmi Masmoudi ◽  
Rim Lahiani ◽  
Lobna Bougacha ◽  
...  

Ectopy of the thyroid gland is an abnormal embryological development. Its occurrence in children is rare. In this study, we report the case of a 12-year-old girl that presented with dysphagia and nocturnal dyspnea. Magnetic resonance imaging confirmed the presence of a lingual thyroid. Thyroid scintigraphy showed intense and elective uptake of radiotracer at the base of the tongue. Hormonal tests revealed hypothyroidism. Treatment consisted of opotherapy based on levothyroxine. Evolution has been favourable and the patient showed significant improvement with reduction of the dyspnea and the dysphagia and normalization of thyroid hormone tests.


2018 ◽  
Vol 71 (11-12) ◽  
pp. 409-412
Author(s):  
Milovan Dimitrijevic ◽  
Ana Dimitrijevic ◽  
Ivan Boricic ◽  
Petar Djurkovic

Introduction. Dermoid cysts are benign developmental skin growths that can occur in any part of the body. Dermoid cysts of the head and neck account for 7% of all cysts, and are most frequently located near the lateral aspect of the eyebrow. They are rarely found in the oral cavity, accounting for 0.01% of all oral cavity cysts. Case Report. A 15-years-old patient was referred to our Clinic due to a growth in the mouth. Clinical examination and magnetic resonance imaging showed a clearly demarcated, oval, cystic growth in the midline sublingual region. Intraoral incision, typical for frenectomy, with cyst excision was performed. Histopathological findings suggested a dermoid cyst. Conclusion. Dermoid cysts of the oral cavity are very rare; they grow slowly and when they reach certain dimensions, they interfere with chewing, swallowing, and lead to progressive breathing difficulty. Dermoid cysts should be included in the differential diagnosis of sublingual mass. Magnetic resonance imaging provides complete information about the localization, size, and content of the growth and contributes significantly to the decision on the surgical approach.


Neurosurgery ◽  
1991 ◽  
Vol 29 (5) ◽  
pp. 776-778 ◽  
Author(s):  
Yasushi Shibata ◽  
Yoshihiko Yoshii ◽  
Atsuro Tsukada ◽  
Tadao Nose

Abstract A rare case of a radiolucent osteoma of the skull is reported. The radiological and pathological findings of this lesion, including magnetic resonance imaging findings, are presented, and the efficacy of magnetic resonance imaging for the diagnosis of this skull tumor is evaluated. The differential diagnosis of radiolucent bone tumors is discussed.


2017 ◽  
Vol 4 (2) ◽  
pp. 780 ◽  
Author(s):  
Hua-Feng Jiang ◽  
Xiao-Jiang Ying

Liposarcoma is a common soft tissue sarcoma. However, its occurrence in pancreas or stomach is extremely rare. In the present study, a rare case of a 55-year-old female with sclerosing liposarcoma in pancreas and stomach is presented.  Ultrasound, magnetic resonance imaging and computed tomography examinations were performed, which revealed a pancreatic mass. Subsequently, the patient underwent surgical resection of the tail of the pancreas and spleen and partial resection of stomach following the identification of a second mass. After surgery, the patient received no adjuvant treatment. Subsequent to 3 years of clinical follow up, the patient remains alive without recurrence or distant metastasis so far. As far as we know, this is the first reported case of sclerosing liposarcoma involving pancreas and stomach.


2005 ◽  
Vol 63 (3b) ◽  
pp. 870-873 ◽  
Author(s):  
José Alberto Gonçalves da Silva ◽  
Maurus Marques de Almeida Holanda ◽  
Cristiana Borges Pereira ◽  
Maria do Desterro Leiros ◽  
Antônio Fernandes de Araújo ◽  
...  

We describe a rare case of a 30 year-old woman with intense vertiginous sensation, lack of body balance and a tendency to fall backwards, making it necessary for two people to sustain her. The magnetic resonance imaging of the craniocervical junction evidenced tonsilar herniation at the inferior level of C1, and during the operation performed in sitting position, we observed crowding of the cerebellar tonsils at the level of C3. After the osteo-dural-neural decompression, the symptomatology remitted on the same day of the operation.


Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 612-616 ◽  
Author(s):  
Shuichi Takaki ◽  
Kuratsu Jun-Ichi ◽  
Yosuke Mihara ◽  
Akira Takada ◽  
Hiroshi Seto ◽  
...  

Abstract A rare case of a lymphoproliferative lesion in the hypoglossal nerve is reported. The patient, a 52-year-old woman, had symptoms identical with those of hypoglossal neurinoma. Computed tomography and magnetic resonance imaging revealed a lesion at the left cerebellomedullary angle. The tumor was removed, and histopathological studies revealed that the tumor consisted predominantly of lymphocytes.


2017 ◽  
Vol 11 (1) ◽  
pp. 19-22
Author(s):  
A Singh ◽  
Kundendu A Bishen ◽  
M Limaye ◽  
K Mishra

ABSTRACT Plunging ranulas are pseudocysts in which mucous have extravasated either around or through the mylohyoid muscle to escape the confines of sublingual space to involve the submandibular and inferior aspect of parapharyngeal spaces. We describe a rare case of extensive bilateral plunging ranula in which involvement of multiple tissue spaces was well illustrated by magnetic resonance imaging. Clinical and histologic features and pathogenesis have been concisely discussed. The ranulas mostly occur unilaterally and to the best of our knowledge, the development of two discrete ranulas/bilateral presentations in the same patient is especially rare and very few cases have been reported until now. Although the cause of extravasations remains unclear, this case report is significant because of its characteristic possible habit-related etiology. How to cite this article Bishen KA, Singh A, Limaye M, Mishra K. Bilateral Plunging Ranula due to Habitual Etiology. J Oral Health Comm Dent 2017;11(1):19-22.


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