scholarly journals A case of successful surgical management of primary retroperitoneal mucinous cystadenoma

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Zeeshan Afzal ◽  
Weronika Stupalkowska ◽  
Maria B Mahler-Araujo ◽  
David Bowden ◽  
Richard J Davies
Keyword(s):  
Iliac Fossa ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Mass Effect ◽  
Rare Tumour ◽  
Left Iliac Fossa ◽  
Female Population ◽  
Midline Laparotomy ◽  
Complete Surgical Excision ◽  
Primary Retroperitoneal

Abstract Primary retroperitoneal mucinous cystadenoma (PRMC) is a rare tumour. It was first reported in 1965, and since then, less than 100 cases have been reported. It is cystic in nature and most commonly affects the female population. It becomes symptomatic in later stages due to its mass effect, making the diagnosis challenging in its early asymptomatic stage. We report a case of a 32-year-old female who presented with abdominal pain and a mass in left iliac fossa. Diagnostic imaging revealed a large cystic lesion in retroperitoneum. A midline laparotomy was performed, and a complete surgical excision was accomplished without any spillage. Surgical histology confirmed the diagnosis of PRMC. The patient was discharged on postoperative day 2. There was no evidence of tumour recurrence on repeat imaging at 90-day follow-up. Surgical approach, with complete resection and without any spillage, remains the most effective and appropriate treatment for this tumour.

Mucinous cystadenocarcinoma of the oral tongue: malignant transformation from a mucinous cystadenoma?

2020 ◽  
Vol 13 (10) ◽  
pp. e235932
Author(s):  
Sofia Dutra ◽  
Miguel Rito ◽  
Miguel Vilares ◽  
Alexandra Borges
Keyword(s):  
Salivary Glands ◽  
Histopathological Examination ◽  
English Literature ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Mucinous Cystadenocarcinoma ◽  
Low Grade ◽  
Minor Salivary Glands ◽  
Oral Tongue ◽  
Complete Surgical Excision

Mucinous cystadenocarcinoma of minor salivary glands is an extremely rare entity that has only recently been described, with a few published cases in the English literature. A 42-year-old woman with a history of a surgically excised mucinous cystadenoma of the oral tongue, presented with a painful swelling in the oral tongue slowly growing for 1 month. On clinical examination, there was a firm, relatively well-circumscribed mass in the left posterior border of the mobile tongue. Subsequent MRI scan revealed a heterogeneous lesion composed of multiple cysts separated by contrast enhancing septa, in the posterior two-thirds of the left tongue. Imaging findings were similar to those of the previously resected mass, suggesting local relapse of the primary lesion. A complete surgical excision was performed and the histopathological examination revealed typical features of a low-grade mucinous cystadenocarcinoma of minor salivary glands.

scholarly journals General surgeon’s experience in managing extra pelvic endometriosis

2020 ◽  
Vol 7 (7) ◽  
pp. 2384
Author(s):  
Muhammad Eimaduddin Sapiee ◽  
Roziana Ramli ◽  
Nor Syahaniza Waheeda Alias ◽  
Zailani M.
Keyword(s):  
Histopathological Examination ◽  
Iliac Fossa ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Left Iliac Fossa ◽  
General Surgeons ◽  
Needle Aspiration Cytology ◽  
Extrapelvic Endometriosis ◽  
Wall Mass

Two unusual cases of extrapelvic endometriosis are discussed here. Both presented themselves to the general surgeons. Case 1 presented with cyclical painful abdominal wall mass at the left iliac fossa region. Ultrasound and computed tomography scan showed a solitary mass at the subcutaneous region and fine needle aspiration cytology revealed endometriosis. The patient underwent wide surgical excision and recovered. Case 2 presented with painless swelling at the left inguinal area whilst being pregnant. Surgical exploration was performed for ‘left inguinal hernia’ but an encysted mass was found in the inguinal canal which was excised. Histopathological examination reported endometriosis. Both cases were subsequently under gynaecological follow-up. It is important for the surgeons to include endometriosis as one of the differential diagnosis in the management of their female patients with mass or swelling.

scholarly journals Nasolabial cyst: case report and review of management options

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdulhakeem Almutairi ◽  
Abeer Alaglan ◽  
Mazyad Alenezi ◽  
Sultan Alanazy ◽  
Osama Al-Wutayd
Keyword(s):  
Soft Tissue ◽  
Nasal Obstruction ◽  
Surgical Excision ◽  
Mass Effect ◽  
Treatment Modalities ◽  
Open Approach ◽  
Management Options ◽  
Case Presentation ◽  
Complete Surgical Excision

Abstract Background Nasolabial cysts are rare, non-odontogenic, soft-tissue cysts that develop between the upper lip and nasal vestibule with an overall incidence of 0.7% out of all maxillofacial cysts. The predominant presentation of a nasolabial cyst is a painless localized swelling with varying degrees of nasal obstruction. Several treatment modalities have described in the management of the nasolabial cyst. In this paper, we present a case of a nasolabial cyst in a 44 years old man with discussions of the treatment modalities in the lights of the literature. Case presentation We present a case of a nasolabial cyst in a 44-year-old man that slowly increased in size through a period of 3 years, with associated mild pain and nasal obstruction. It had caused a mass effect upon the maxilla, resulting in scalloping. The cyst was excised entirely with no evidence of recurrence at the two months follow up. Conclusions The nasolabial cyst is a rare soft-tissue cyst. Complete surgical excision using an open approach performed to our case, which considered with the complete endoscopic removal of the best treatment for the nasolabial cysts with a rare recurrence rate.

Primary retroperitoneal mucinous cystadenocarcinoma in pregnancy – case report

2021 ◽  
Vol 100 (7) ◽  
Keyword(s):  
Case Report ◽  
Healthy Woman ◽  
Mucinous Cystadenoma ◽  
Mesenteric Cyst ◽  
Cystic Tumor ◽  
Surgical Removal ◽  
Midline Laparotomy ◽  
Cystic Tumors ◽  
The Right ◽  
Primary Retroperitoneal

Introduction: Primary retroperitoneal mucinous cystadenoma (PRMC) and its malignant variant – cystadenocarcinoma are extremely rare tumors known only from case studies and reviews. PRMC is a cystic tumor of the retroperitoneum, which remains asymptomatic for a long time and can reach significant proportions. It occurs mainly in women. Case report: We present the case of a 38-year-old healthy woman with diagnosed resistance in the right mesogastrium during a c-section. The delivery was terminated without a surgical intervention. The above mentioned resistance was examined further by ultrasound, computed tomography and magnetic resonance imaging. All imaging examinations showed a solid – cystic bilocular expansion, which looked like a mesenteric cyst in the right paracolic area. The patient was asymptomatic at all times, with only a palpable resistance of the abdominal wall. In November 2020, the patient underwent an elective surgery – extirpation of the cystic tumor and prophylactic appendectomy. The operation was performed classically, via midline laparotomy without perioperative perforation of the cystic tumor and without complications in the postoperative period. The histopathological examination showed a malignant variant of PRMC. So far, the patient remains free of any problems and is followed at the department of oncology. Conclusion: The goal of treatment is to achieve complete surgical removal of the tumor without its perioperative perforation. Due to the rare occurrence of the disease, there are no guidelines for the diagnosis and treatment of PRMC. Precisely because PRMC is a rare tumor, it should be part of the differential diagnosis of cystic tumors of the retroperitoneum, especially when young women are concerned.

scholarly journals A rare case of primary peritoneal hydatid cyst

2016 ◽  
Vol 6 (1) ◽  
pp. 360
Author(s):  
Sanjay Singh ◽  
Mahesh Reddy
Keyword(s):  
Hydatid Cyst ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Rare Entity ◽  
Pregnant Uterus ◽  
Complete Surgical Excision ◽  
Contrast Enhanced ◽  
Hematoxylin And Eosin ◽  
Cect Scan

Primary peritoneal hydatid cyst is a rare entity. A 42 yr old parous female presented with painless lower abdominal lump since 6 months. On clinical examination an immobile abdominopelvic lump of the size of 18-20 weeks pregnant uterus with bosselated surface was noted. Ultrasound Sonography Test (USG) and Contrast Enhanced Computerized Tomography Scan (CECT scan) of abdomen and pelvis revealed large multilocular abdominopelvic cystic mass in continuity with RT ovary. Radiologically a differential diagnosis of hydatid cyst and mucinous cystadenoma was made. All relevant ovarian tumor markers were normal. Serology confirmed increased Echinococcus IgG antibodies (196.60 U/ml, ELISA). The patient underwent complete surgical excision of the lump. Histopathology and Hematoxylin and Eosin (H and E) staining of the aspirate from the cyst confirmed the diagnosis of hydatid cyst. Since no other organs were involved it was diagnosed as a case of primary peritoneal hydatid cyst. The hydatid cyst may mimic an ovarian cyst, thus it is important to keep this rare entity in mind as a differential in ultrasonographically diagnosed pelvic cystic lesions.

scholarly journals Primary Pulmonary Malignant Melanoma Found While Evaluating New Onset Cough: A Case Presentation and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Fernando Figueroa Rodriguez ◽  
Ahsan Uddin ◽  
Justine Nasr
Keyword(s):  
Malignant Melanoma ◽  
English Literature ◽  
Surgical Excision ◽  
Mass Effect ◽  
Tumor Location ◽  
Treatment Modalities ◽  
High Yield ◽  
Complete Surgical Excision ◽  
Lung Malignancies ◽  
New Onset

Malignant melanoma is a nonepithelial neoplasm of melanocytes. It is tremendously rare for this condition to primarily involve the respiratory tract, accounting only for 0.01% of the lung malignancies. It often presents as a solitary nodule provoking mass effect and/or obstructive symptom. It most commonly affects patients 50 years old and older, with no gender predilection. Complete surgical excision is the treatment of choice; nevertheless, chemotherapy or radiation might be necessary depending on tumor location and/or metastasis status. Recently, biochemotherapy and immunotherapy have emerged as promising treatment modalities. We present a case of Primary Pulmonary Malignant Melanoma (PPMM) in a 76-year-old male with no previous personal or family history of cancer who presented with new onset nonproductive cough. We also present an analysis with high yield points summarizing clinical features, diagnostic workup, and management of PPMM. Finally, we post a table summarizing all the cases ever reported in English literature.

scholarly journals A rare case of jelly belly (pseudomyxomaperitonnei)

2017 ◽  
Vol 4 (5) ◽  
pp. 1806
Author(s):  
Uday Kiran Mokati ◽  
Kalandi Barik ◽  
L. Hari Prasada Rao ◽  
P. Vijaya ◽  
P. Avinash
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Iliac Fossa ◽  
Treatment Options ◽  
Mucinous Cystadenoma ◽  
Treatment Modalities ◽  
Neoplastic Disease ◽  
Current Standard ◽  
Rare Presentation ◽  
Left Iliac Fossa

Pseudo myxomaperitonnei (PMP) is a rare case with progressive dissemination of mucinous tumours and mucinous ascites in the abdomen and pelvis with an estimated incidence of 1 to 2 out of a million. Psedomyxomaperitonnei is a neoplastic disease originating from a primary mucinous tumor of appendix, mucinous cystadenoma of ovary with a distinctive pattern of the peritoneal spread. Computed tomography and histopathology are the most reliable diagnostic modalities. We present a case of pseudomyxomaperitonnei in a 55 year old male presented with pain abdomen and abdominal distension with ascites. Ultrasonography localized collection noted in right iliac fossa and left iliac fossa and ascites present. Computed tomography showed localized collection noted in right iliac fossa and left iliac fossa which is arising from appendix and ascites present. Exploratory laparotomy peritoneal cavity filled with mucinous substance along with ruptured cyst wall in right iliac fossa was found. The mucinous substance drained and the ruptured cyst was resected with appendix at base. In conclusion, pseudomyxomaperitonnei is a rare presentation. Despite the current standard of treatment modalities as extensive surgical resection combined with chemotherapy, PMP frequently recurs with treatment options being limited at recurrence and with severe impact on quality of life.

scholarly journals Inflammatory Myofibroblastic Tumor: A Rare Presentation and an Effective Treatment with Crizotinib

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sumaira Khalil ◽  
Tariq Ghafoor ◽  
Amna Kaneez Fatima Raja
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Residual Disease ◽  
Iliac Fossa ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Temporal Region ◽  
Rare Presentation ◽  
Complete Surgical Excision ◽  
Alk Positive ◽  
The Right

Inflammatory myofibroblastic tumor (IMT) is a rare entity of neoplastic origin. It usually occurs in children and adolescents and most commonly involves pulmonary and gastrointestinal sites. Here, the authors present two cases; one is the nine months old boy with a subcutaneous IMT in the left temporal region that was treated successfully with surgical resection. To the best of our knowledge, this is the first reported case of a subcutaneous IMT in this particular region. The second is an eight years old girl with an IMT of the right hemi-pelvis. The mass had complete surgical excision with clear margins and no residual disease. She was kept on regular follow-up with ultrasound abdomen. However, her disease relapsed with the appearance of lesions in right iliac fossa, right ovary, and liver. Biopsy of the relapsed abdominal mass confirmed ALK-positive IMT. She was treated with ALK inhibitor Crizotinib. She was monitored with regular blood complete picture, hepatic and renal function test, and ultrasound abdomen. Her lesions started regressing within one month, and she achieved complete remission after 6 months of treatment.

A rare presentation of abdominal pain as cloacal cyst: A case report

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Fakhr-o-sadat Anaraki ◽  
◽  
Mehdi Tavallaei ◽  
Hasti Zarfeshani ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Surgical Excision ◽  
Tailgut Cyst ◽  
Congenital Disease ◽  
Rare Presentation ◽  
Complete Excision ◽  
Retrorectal Space ◽  
Midline Laparotomy ◽  
Complete Surgical Excision

Retrorectal hamartoma or tailgut cyst is an uncommon congenital disease of presacral and retrorectal space and is embryologically part of some forms of enteric cysts. The rarity of this disease leads to difficulty in diagnosis and surgical management. Complete surgical excision is the treatment of choice for tailgut cysts. We present a case of a 40-year-old man, who presented to us with abdominal pain for four months, which had become more prominent while defecation and after eating. Abdominal computed tomography demonstrated a cyst in the lower interperitoneal cavity. Surgical complete excision of the mass was done with midline laparotomy. Histopathology confirmed cloacal cyst.

scholarly journals Cystic mass of the right iliac fossa: don't forget about lymphatic malformation

2020 ◽  
pp. 20200165
Author(s):  
Habib Bellamlih ◽  
Ayman El Farouki ◽  
Rahal Mssrouri ◽  
Sabrine Derqaoui ◽  
Ahmed Jahid ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Lymphatic Vessels ◽  
Surgical Excision ◽  
Cystic Lymphangioma ◽  
Lymphatic Malformation ◽  
Benign Tumour ◽  
Cystic Tumor ◽  
Palpable Mass ◽  
Complete Surgical Excision ◽  
The Right

Lymphatic malformation or cystic lymphangioma is a benign tumour of the lymphatic vessels. It is more commonly reported among children and has polymorphic clinical presentations. The diagnosis is based on imaging but requires histological confirmation. The treatment of choice is surgical excision for the abdominal and symptomatic localization. We report the case of a 30-year-old female who consulted for right iliac fossa pain mimicking an acute appendicitis. The physical examination revealed a slight tenderness in the right iliac fossa without fever or palpable mass. Though the biological screening was normal, the imaging exploration has revealed the presence of a multiloculated cyst located in the right iliac fossa at the ascending colon and measuring 15 cm. The mass matches with lymphatic malformation. Therefore, a laparoscopy was performed, and complete resection of the cystic tumor was accomplished with right hemicolectomy. The histologic exam has confirmed the diagnosis. Colonic lymphatic malformation is a rare and benign tumour, requiring a complete surgical excision to minimise any recidivism. The definitive diagnosis remains histological.

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