Cutaneous Metastases in Pediatric Patients: A Rare Case of Metastatic Choriocarcinoma

AbstractTraumatic spondylolisthesis of C2 occurs when the mechanical event at the base of the trauma is a compression force on the vertex. Management of this is well defined in literature, and both surgical and conservative treatments have been proposed in adults. In contrast, the principles of treatment are somewhat more uncertain and less well defined in children. One of the most frequently suggested treatments is the early reduction of the fracture, with immobilization in halo. Other types of cervical orthoses are not recommended. This article reports on a rare case of an inveterate hangman’s fracture in a 12-year-old girl that is healing completely through immobilization in a SOMI brace that was applied 4 months after the trauma. In our experience, hangman’s fracture is poorly defined with regard to the treatment of pediatric patients, and there are currently no established guidelines. If dynamic X-ray scans show complete reduction of the fracture, conservative treatment is an efficient, effective, and noninvasive solution, even in case of inveterate fractures. Halo vest and SOMI brace are good solutions. SOMI brace is an available option because it is less traumatic for the patient.

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Atypical Presentation of Congenital Yellow Nail Syndrome in a 2-Year-Old Female

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2012.12015 ◽

2013 ◽

Vol 17 (1) ◽

pp. 66-68 ◽

Cited By ~ 8

Author(s):

Michael Cecchini ◽

Joseph Doumit ◽

Nordau Kanigsberg

Keyword(s):

Rare Case ◽

Pediatric Patients ◽

Clinical Presentation ◽

Positive Family History ◽

Clinical Manifestations ◽

Clinical Entity ◽

Unknown Etiology ◽

Close Monitoring ◽

Yellow Nail Syndrome ◽

Atypical Clinical Presentation

Background: Yellow nail syndrome (YNS) is a rare clinical entity of unknown etiology that is characterized by a triad of yellow nails, respiratory manifestations, and lymphedema. The condition appears in the mid- to later years of life and only rarely in childhood. We describe a rare case of YNS with an atypical clinical presentation consisting of only yellow and dystrophic nails in a 2- year-old female since birth. Objective: A case of congenital YNS with only dystrophic and yellow nails is reported. Methods and Results: A 2-year-old female presented with yellow nails since birth. There was no positive family history. Physical examination revealed 20 thickened, dystrophic, yellow nails with onycholysis. There was no evidence of respiratory manifestations or lymphedema. Conclusion: Although rare, YNS can present as a congenital clinical entity and persist after birth. Pediatric patients with YNS show different clinical manifestations than the classic adult patient. The presence of yellow and dystrophic nails in the absence of respiratory and lymphatic manifestations may be the only sign of pathology and warrants close monitoring as progression to more serious complications can occur.

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A Rare Case of Zosteriform Cutaneous Metastases from a Nasopharyngeal Carcinoma

Case Reports in Dermatological Medicine ◽

10.1155/2015/415393 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Andrés González García ◽

Emiliano Grillo Fernández ◽

Ignacio Barbolla Díaz ◽

Asunción Ballester ◽

Héctor Pian ◽

...

Keyword(s):

Differential Diagnosis ◽

Herpes Zoster ◽

Nasopharyngeal Carcinoma ◽

Metastatic Disease ◽

Alopecia Areata ◽

Rare Case ◽

Point Of View ◽

Cutaneous Metastases ◽

Clinical Point ◽

Scalp Lesions

From a clinical point of view, the most common presentations of cutaneous metastatic disease are papules and nodules. However, a wide morphological spectrum of lesions has been described, including erythematous patches or plaques, inflammatory erysipelas-like lesions, diffuse sclerodermiform lesions with induration of the skin, telangiectatic papulovesicles, purpuric plaques mimicking vasculitis, and alopecia areata like scalp lesions. The so-called zosteriform pattern has been described to be in few cases and to the best of our knowledge has never been described associated with a metastasis of a nasopharyngeal carcinoma. This case highlights the relevance of including cutaneous metastases in the differential diagnosis of patients with nonhealing herpes zoster-like lesions, especially in those with underlying neoplasm recently diagnosed.

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A Rare Case of Ulceronodular Cutaneous Metastases from Nasopharyngeal Carcinoma

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2017/32832.11016 ◽

2017 ◽

Cited By ~ 1

Author(s):

Richa Chauhan ◽

Naveen Kuna ◽

Vinita Trivedi ◽

Rita Rani ◽

Usha Singh ◽

...

Keyword(s):

Nasopharyngeal Carcinoma ◽

Rare Case ◽

Cutaneous Metastases

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Ameloblastic Carcinoma in a 2-Year-Old Child: A Case Report and Review of the Literature

Case Reports in Dentistry ◽

10.1155/2020/4072890 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Ngoc Bao Vu ◽

Ngoc Tuyen Le ◽

Risa Chaisuparat ◽

Pasutha Thunyakitpisal ◽

Ngoc Minh Tran

Keyword(s):

Rare Case ◽

Pediatric Patients ◽

Root Resorption ◽

Immunohistochemical Analysis ◽

Incisional Biopsy ◽

Review Of The Literature ◽

Ameloblastic Carcinoma ◽

Valuable Contribution ◽

Radiographic Findings ◽

The Right

Ameloblastic carcinoma (AC) is a rare malignant odontogenic tumor in pediatric patients, only 22 cases have been reported in literature since 1932. We present an extremely rare case in which AC occurred in a 2-year-old girl, who had a tumor in the right mandible. Radiographic findings showed a multilocular, poorly defined, and mixed radiolucent-radiopaque lesion in the region of teeth #84 to #85, with bone and tooth root resorption. Computed tomography revealed buccal cortex destruction, tumor infiltration of soft tissue, and enlarged nodes. Incisional biopsy showed histomorphological features of AC. Immunohistochemical analysis exhibited a positive result for Cytokeratin (CK) 19 and overexpression of p53 and Ki67. The patient underwent right hemimandibulectomy and neck dissection. The final pathology was consistent with the initial diagnosis of AC. The patient did not exhibit signs of recurrence or metastasis within 2 years postoperatively. Given the rarity of this disease and the age of the patient, this report constitutes a valuable contribution to the current literature.

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A rare case of isolated cutaneous metastases of colonic adenocarcinoma

British Journal of Hospital Medicine ◽

10.12968/hmed.2013.74.8.472 ◽

2013 ◽

Vol 74 (8) ◽

pp. 472-473

Author(s):

Sridhar Dharamavaram ◽

Emmanouil Psaltis ◽

Achyuth Menon

Keyword(s):

Rare Case ◽

Colonic Adenocarcinoma ◽

Cutaneous Metastases

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Aggressive Neuroblastoma in a Pediatric Patient with Severe Hemophilia A

Pediatric Reports ◽

10.3390/pediatric13010018 ◽

2021 ◽

Vol 13 (1) ◽

pp. 125-130

Author(s):

Lidia Costa ◽

Maria Eduarda Couto ◽

Juliana Moutinho ◽

Ana Maia Ferreira ◽

Emilia Costa ◽

...

Keyword(s):

Pediatric Patient ◽

Rare Case ◽

Pediatric Patients ◽

Hemophilia A ◽

Negative Impact ◽

Severe Hemophilia ◽

Hemorrhagic Complications ◽

Extensive Information

Despite the extensive information regarding hemophilia’s hemorrhagic complications, the literature on cancer in hemophilia is scarce, especially in pediatric patients. Many uncertainties remain concerning diagnosis and workup. We report a rare case of two severe diseases (neuroblastoma and hemophilia A (HA)) concomitantly present in the same pediatric patient. We highlight that the diagnosis of severe HA did not have a negative impact on the patient’s oncologic course. This case also illustrates the significance of the cooperation among different specialties and hospitals when caring for the same patient.

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