Multiple symmetrical lipomatosis: case report and literature review

2012 ◽  
Vol 126 (7) ◽  
pp. 756-758 ◽  
Author(s):  
K J Sia ◽  
I P Tang ◽  
T Y Tan
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Clinical Examination ◽  
Surgical Excision ◽  
Neck Mass ◽  
Disease Extent ◽  
Treatment Methods ◽  
Surgical Options ◽  
Symmetrical Lipomatosis

AbstractObjective:To discuss the pathophysiology and various treatment methods of multiple symmetrical lipomatosis.Case report:We report a case of multiple symmetrical lipomatosis in a middle-aged man. He presented to us with an extensive, disfiguring neck mass. Clinical examination and computed tomography suggested a lipomatous mass without compression of vital neck structures. The proximity of the lipomatous mass to the carotid sheaths attracted our interest. We performed surgical excision in this case, because of the deep infiltrative behaviour of the lipoma. The benefits and drawbacks of liposuction and surgical excision of extensive neck lipomatosis are discussed.Conclusion:Surgical excision and liposuction are complementary treatments in the management of multiple symmetrical lipomatosis. Patients should be aware of the limitations of both surgical options, and the risk of lipoma recurrence, before surgery. The decision on the mode of surgery relies upon the disease extent, the patient's expectations and the surgeon's experience.

scholarly journals Multiple pilomatrixomas: Case report and literature review

2008 ◽  
Vol 87 (4) ◽  
pp. 230-233 ◽  
Author(s):  
Shashidhar Sadda Reddy ◽  
Swarupa A. Gadre ◽  
Patrick Adegboyega ◽  
Arun K. Gadre
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Lymph Nodes ◽  
Black Woman ◽  
Clinical Examination ◽  
Surgical Excision ◽  
Hair Matrix ◽  
The Masses ◽  
Epithelial Neoplasm

Pilomatrixoma is a rare, benign, circumscribed, calcifying epithelial neoplasm that is derived from hair matrix cells. Multiple pilomatrixomas are uncommon. We describe a case of multiple pilomatrixomas in a 23-year-old black woman who presented with lesions on her face and back. Based on the results of the clinical examination, she was provisionally diagnosed with either calcified sebaceous cysts or calcified lymph nodes. She underwent surgical excision of the masses. On histopathology, the lesions were identified as pilomatrixomas. We attribute our original failure to diagnose this condition to our lack of familiarity with it. We discuss the presentation, differential diagnosis, and other characteristics of pilomatrixomas.

Ectopic cervical thymus: case report and review of pathogenesis and management

2009 ◽  
Vol 124 (6) ◽  
pp. 694-697 ◽  
Author(s):  
F Ahsan ◽  
R Allison ◽  
J White
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Condition ◽  
Surgical Excision ◽  
Neck Mass ◽  
Rare Anomaly ◽  
Neck Lump

AbstractObjective:Ectopic cervical thymus is a rare anomaly, and 50 per cent of cases occur in children. The aim of this report was to remind clinicians of this rare condition, which is part of the differential diagnosis of a paediatric neck lump.Method:Case report together with literature review of the pathogenesis and management of ectopic cervical thymus.Results:The ectopic cervical thymus is a rare cause of a benign neck mass, and is thus usually misdiagnosed as lymphadenopathy or neoplasia. We discuss its embryology, aetiology, presentation, histopathology, radiology and management, with reference to the reported case.Conclusion:Ectopic cervical thymus should always be considered in the differential diagnosis of a paediatric neck lump. The diagnosis can often be confirmed by cytology and radiology prior to surgical excision.

scholarly journals Bilateral Pulmonary Langerhans's Cell Histiocytosis is Surgical Challenge in Children: A Case Report

2019 ◽  
Vol 07 (01) ◽  
pp. e8-e11
Author(s):  
Tutku Soyer ◽  
Gül Özyüksel ◽  
Özlem Boybeyi Türer ◽  
Kübra Çakmakkaya ◽  
Sinan Yavuz ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Distress ◽  
Treatment Options ◽  
Surgical Excision ◽  
Neck Mass ◽  
Treatment Alternative ◽  
Lethal Outcome ◽  
Talc Pleurodesis ◽  
Severe Respiratory Distress ◽  
Surgical Options

Background Pulmonary Langerhans's cell histiocytosis (PLCH) is a rare cause of interstitial lung disease in children and more than half of the cases are bilateral. Persistent respiratory distress due to spontaneous pneumothorax (SP) in bilateral PLCH may refractory to conservative treatment and posed a great challenge to surgical modalities. A 3-year-old boy with SP due to bilateral PLCH is presented to discuss the surgical options of recurrent and refractory PLCH cases in children. Case Report The patient was admitted to the emergency department with severe respiratory distress and SP. After chest tube insertion, biopsy from neck mass revealed Langerhans's cell histiocytosis. Chemotherapy including vinblastine and prednisone was initiated. Due to persistent respiratory difficulty and air leaks, talc pleurodesis and thoracoscopic bullae excision with pleural decortication were performed. Two months after the admission, due to nosocomial infection and severe respiratory distress, extracorporeal membranous oxygenation (ECMO) support was initiated. The patient was died of ECMO complications on 24th day of ECMO. Conclusion Despite the use of chemotherapy and surgical excision of cystic lesions, bilateral PLCH in children may have lethal outcome. Other treatment options including respiratory support with ECMO and lung transplantation should be considered as last resort of treatment alternative in persistent cases.

Cervical Thymic Cysts

1996 ◽  
Vol 75 (10) ◽  
pp. 678-680 ◽  
Author(s):  
Jacqueline E. Jones ◽  
Brian Hession
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Clinical Picture ◽  
Neck Mass ◽  
Cystic Mass ◽  
Pathologic Examination ◽  
Neck Masses ◽  
History Of ◽  
Surgical Options ◽  
Thymic Cysts

Cervical thymic cysts are a rare cause of neck masses in children. This case report describes a three-year-old child with a several-month history of an enlarging neck mass, who was emergently admitted due to airway obstruction. Computed tomography revealed a large cystic mass extending from the oropharynx to the level of the mediastinum. Excision of the mass with pathologic examination revealed a thymic cyst. The clinical picture, the theories regarding development of these cysts, as well as surgical options for treatment, are discussed.

scholarly journals Histoplasmosis neck mass – Case report and literature review a diagnostic dilemma

2021 ◽  
Vol 18 ◽  
pp. 100261
Author(s):  
A.G. Thangirala ◽  
D. Chelius ◽  
G. Holzmann-Pazgal ◽  
E.M. Lambert
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Neck Mass ◽  
Diagnostic Dilemma ◽  
Mass Case

scholarly journals Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110106
Author(s):  
Wenrui Li ◽  
Saisai Cao ◽  
Renming Zhu ◽  
Xueming Chen
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Vein Thrombosis ◽  
Medical Disorder ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

scholarly journals A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review

2021 ◽  
pp. 115-120
Author(s):  
Melanie Ribau ◽  
Mário Baptista ◽  
Nuno Oliveira ◽  
Bruno Direito Santos ◽  
Pedro Varanda ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Short Stature ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Limb Length Discrepancy ◽  
Complete Excision ◽  
Physeal Bar ◽  
Surgical Options ◽  
The Ideal

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.

Sign in / Sign up

Export Citation Format

Share Document