scholarly journals Acute presentation of an intraoral dermoid cyst causing airway compromise in a young child

2019 ◽  
Vol 12 (4) ◽  
pp. e228421 ◽  
Author(s):  
Sanjana Bhalla ◽  
Vikas Acharya ◽  
Munira Ally ◽  
Ali Taghi
Keyword(s):  
Oral Cavity ◽  
Dermoid Cyst ◽  
Previous History ◽  
Airway Compromise ◽  
Floor Of Mouth ◽  
First Case ◽  
Swallowing Difficulties ◽  
History Of ◽  
Rare Diagnosis ◽  
Histology Report

A 4-month-old boy presented with a cystic swelling at the floor of the mouth causing acute airway compromise. The only previous history of note, was a tongue tie release at 3 days old. CT scan suggested a dermoid cyst with extensive floor of mouth abscess. He had an excision of the cyst and drainage of the superimposed abscess and made a good recovery. The histology report revealed a dermoid cyst which is a rare diagnosis in a child, particularly within the oral cavity. Early treatment is required to remove these lesions especially when they cause airway compromise or swallowing difficulties. This is the first case to our knowledge which suggests tongue tie release procedures causes a predisposition to the development of dermoid cysts in the oral cavity.

scholarly journals Subsequent Development of Desmoid Tumor after a Resected Gastrointestinal Stromal Tumor

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Areen Abdulelah Murshid ◽  
Hatim Q. Al-Maghraby
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Desmoid Tumor ◽  
Case Reports ◽  
Previous History ◽  
Subsequent Development ◽  
Stromal Tumor ◽  
Desmoid Tumors ◽  
Mesenchymal Tumors ◽  
First Case ◽  
History Of

Desmoid tumors (deep fibromatosis) of the mesentery are rare mesenchymal tumors. They are often misdiagnosed, especially with a previous history of resection for gastrointestinal stromal tumor (GIST). Immunohistochemistry can help differentiate between these two tumors. In this article, we present a case we had encountered: a Desmoid tumor developing in a patient with a history of GIST 3 years ago. It is the first case of GIST with subsequent development of Desmoid tumor to be reported in Saudi Arabia. We discuss the two entities of Desmoid tumor and GIST by comparing their definitions, clinical presentations, histological features, immunohistochemistry stains, molecular pathogenesis, prognosis, and treatment. We also discuss the relationship between GIST and the subsequent development of Desmoid tumors and compare our case with case reports in literature.

scholarly journals Upper Aerodigestive Tract Frostbite from Inhalation of Automotive Nitrous Oxide

2018 ◽  
Vol 97 (9) ◽  
pp. E13-E14
Author(s):  
Stephen A. Chan ◽  
Kristan P. Alfonso ◽  
Brett T. Comer
Keyword(s):  
Nitrous Oxide ◽  
Oral Cavity ◽  
Aerodigestive Tract ◽  
Airway Compromise ◽  
Upper Aerodigestive Tract ◽  
First Case

Nitrous oxide, a cryogenic gas, may be abused as an inhalant for its euphoric properties. If inhaled, nitrous oxide may cause frostbite to the oral cavity and upper aerodigestive tract, with possible airway compromise due to edema. In this article we describe what is, to the best of our knowledge, the first case of intentional inhalation of nitrous oxide from an automotive nitrous oxide canister and discuss the management and mechanism of the patient's injury.

scholarly journals Unexplained Pancytopenia in a Patient with 5q35.2-q35.3 Microduplication Encompassing NSD1: A Case Report

2018 ◽  
Author(s):  
Sungwoo Park ◽  
Gyeong-Won Lee ◽  
Eun-Ha Koh ◽  
Hyun-Young Kim
Keyword(s):  
Mental Retardation ◽  
Chromosomal Abnormality ◽  
Previous History ◽  
Severe Bleeding ◽  
Axillary Lymph ◽  
Periodic Patterns ◽  
Distinctive Features ◽  
Cell Counts ◽  
First Case ◽  
History Of

The 5q35.2-q35.3 duplication phenotype is characterized by growth delay, microcephaly, mental retardation and delayed bone aging. However, there has been no reports on the occurrence of pancytopenia as a consequence of 5q35.2-q35.3 duplication. A 42-year-old male visited the emergency room due to multiple trauma. He had been diagnosed with mental retardation in the past. No previous history of severe bleeding symptom was also reported. Complete blood cell counts were leukocyte 3.51×109/L, neutrophil 0.19×109/L, hemoglobin 8.3 g/dL, hematocrit 25.0%, and platelet 4.0×109/L. There was no relevant history of any medication intake and there were no other haematological parameters leading to the persistent pancytopenia. A bone marrow biopsy revealed hypercellular marrow with increased trilineage hematopoiesis. The uptake of fluorodeoxyglucose was increased in multiple lymph nodes, bone and spleen in positron emission tomography–computed tomography. A biopsy of the right axillary lymph node was performed and histologic findings were unremarkable. The chromosomal microarray revealed a 3.46 Mb microduplication at the 5q35.2-q35.3 site including NSD1. The patient had distinctive features related to atypical pancytopenia. Various managements for pancytopenia had no effect on the patient. However, there were no complications such as massive bleeding or serious infection compared to the severity of pancytopenia during a follow-up of 3 months. In addition, periodic patterns of deterioration and improvement in pancytopenia appeared spontaneously. Since it is rare for these distinctive features of pancytopenia and chromosomal abnormality to coexist, it is important to investigate the association. In the current study, we describe the first case of 5q35.2-q35.3 microduplication encompassing NSD1 with unexplained pancytopenia.  Keywords: Pancytopenia, Chromosomal abnormality, Microarray

Multifocal Intradural Extramedullary Pilocytic Astrocytomas of the Spinal Cord: A Case Report and Review of the Literature

Neurosurgery ◽  
2016 ◽  
Vol 80 (2) ◽  
pp. E178-E184 ◽  
Author(s):  
Azam Basheer ◽  
Richard Rammo ◽  
Steven Kalkanis ◽  
Michelle M. Felicella ◽  
Mokbel Chedid
Keyword(s):  
Spinal Cord ◽  
Pediatric Population ◽  
Previous History ◽  
Ataxic Gait ◽  
First Case ◽  
Pilocytic Astrocytomas ◽  
History Of ◽  
The Central Nervous System ◽  
Intradural Extramedullary ◽  
Brain Involvement

Abstract BACKGROUND AND IMPORTANCE: Pilocytic astrocytoma (PA) is among the most common of the central nervous system gliomas in the pediatric population; however, it is uncommon in adults. PAs of the spinal cord in adults are even rarer, with only a few cases found in the literature. We report here the first case in the literature of multifocal intradural extramedullary spinal cord PAs in an adult. CLINICAL PRESENTATION: Our patient is a 56-yr-old female who presented with loss of balance and an ataxic gait. Multiple extramedullary spinal cord tumors were identified intraoperatively, the lesions completely resected, and all diagnosed as PAs. CONCLUSION: This case illustrates a unique instance of multifocal intradural extramedullary spinal cord PAs in an adult with no previous history of PA during childhood, no known familial syndromes, and no brain involvement.

Gardner-associated fibroma presenting as an unusual floor of mouth mass in a child

2021 ◽  
pp. 201010582110549
Author(s):  
Rosslyn Anicete ◽  
Mei-Yi Low
Keyword(s):  
Vascular Malformations ◽  
Colonic Polyps ◽  
Paediatric Population ◽  
Floor Of Mouth ◽  
Inflammatory Conditions ◽  
First Case ◽  
Increased Risk ◽  
Benign Tumours ◽  
Slow Growing ◽  
Rare Diagnosis

Floor of mouth lesions in the paediatric population are uncommon. The spectrum of pathology that afflicts the floor of mouth spans inflammatory conditions, developmental anomalies, vascular malformations and benign tumours or malignancies. We report a rare case of Gardner-associated fibroma (GAF) presenting as a slow-growing floor of mouth mass in a 10-year-old boy. GAF is associated with Gardner’s syndrome (GS) and familial adenomatous polyposis (FAP), both of which are associated with multiple colonic polyps and increased risk of colorectal malignancy. To our knowledge, this case report represents the first case in the literature of a GAF presenting in the floor of mouth of a paediatric patient, and discusses the clinical implications of this rare diagnosis.

scholarly journals Sublingual dermoid: an uncommon presentation and review of literature

2020 ◽  
Vol 7 (1) ◽  
pp. 154
Author(s):  
Hubballi Ravi Kishore ◽  
Reshma P. R.
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Histopathological Examination ◽  
Floor Of Mouth ◽  
Intraoral Approach ◽  
Uncommon Presentation ◽  
Ultrasound Computed Tomography ◽  
History Of ◽  
Recent Occurrence

<p>Dermoid cysts are generally seen in the areas of embryonic fusion, in the midline, either following sequestration of ectodermal tissue, or due to failure of separation of the ectoderm from the mesoderm during third to fifth weeks of gestation. Patient information: An eighteen year old female patient presented to department of otorhinolaryngology with a painless swelling in the floor of mouth on right side. Physical examination: the swelling was cystic in consistency, bluish in color, translucent, globular shaped, nontender with a right soft submental swelling. Diagnostic assessment: both ultrasound and computed tomography of the swelling was done which reported as ranula. Interventions; under aseptic precautions and general anesthesia, elective excision of the cyst was done by intraoral approach and specimen was sent for histopathological examination. Postoperative period was uneventful. Follow up and outcome: on follow up the patient was stable and the histopathological report revealed dermoid cyst. A lateral to midline presentation of sublingual dermoid cyst in the floor of mouth with recent occurrence of symptoms and no history of any trauma is rare, hence should be considered as one of the differential diagnosis for floor of the mouth cystic swellings. Ranula and dermoid cysts have similar clinical presentation with similar ultrasound, computed tomography and magnetic resonance imaging findings. The only distinguishable investigation is histopathological examination and all the specimens have to be sent for histopathological examination irrespective of the preoperative investigation reports.</p>

Floor of Mouth Neurofibroma: A Rare Presentation

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Stansfield J ◽  
◽  
Sharma S ◽  
Mirza O ◽  
Jayaram S ◽  
...  
Keyword(s):  
Nervous System ◽  
Oral Cavity ◽  
Peripheral Nervous System ◽  
External Approach ◽  
Rare Presentation ◽  
Floor Of Mouth ◽  
History Of ◽  
Benign Tumours ◽  
Immune Assay

Solitary sporadic neurofibromas are uncommon benign tumours of the neural sheaths of the peripheral nervous system. Solitary sporadic neurofibromas of the oral cavity and floor of mouth are extremely rare. We present the case of a 36-year-old male who presented with a 3-month history of a soft non-tender floor of mouth mass. MRI demonstrated a cystic septated lesion filling the left sublingual space. The lesion was excised via an external approach. Histology and immune assay unexpectedly demonstrated a neurofibroma.

scholarly journals Complete reversal of bilateral optic nerve infiltration from lymphoblastic leukemia using chemotherapy without adjuvant radiotherapy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Douglas Rodrigues da Costa ◽  
Rodrigo Dahia Fernandes ◽  
Fernanda Nicolela Susanna ◽  
Epitácio Dias da Silva Neto ◽  
Mario Luiz Ribeiro Monteiro
Keyword(s):  
Optic Nerve ◽  
Optic Disc ◽  
Adjuvant Radiotherapy ◽  
Case Reports ◽  
Lymphoblastic Leukemia ◽  
Previous History ◽  
Leukemic Cells ◽  
Allogenic Bone ◽  
First Case ◽  
History Of

Abstract Background Leukemic involvement of the eyes is rare, therefore, treatment relies on previous case reports. The treatment of ocular complications poses additional difficulties, because the eye is considered as a pharmacological “sanctuary” for patients with acute lymphoblastic leukemia (ALL). Therefore, radiotherapy is the main therapeutic choice; however, it might lead to many important side effects. To the best of our knowledge, this is the first case report of a bilateral leukemic optic nerve infiltration that remitted with chemotherapy without adjuvant radiotherapy. Case presentation A 30-year-old female patient with previous history of remitted ALL presented with a one-week history of floaters in her right eye. Her ophthalmological exam showed remarkable optic disc swelling, in both eyes. She was diagnosed with ALL relapse presenting as a bilateral optic nerve leukemic infiltration. Local radiotherapy was planned for both eyes, however, due to efficient recovery with chemotherapy, it was cancelled. Allogenic bone marrow transplantation was subsequently performed. The patient is being followed up and ALL remitted. Conclusion Leukemia relapse on central nervous system, despite rare, is a sign of poor prognosis and requires prompt treatment. Its occurrence on ocular tissues is even rarer. It is hypothesized that the blood-brain barrier limits the delivery of chemotherapeutic drugs to the eye and infiltration of the optic nerve by leukemic cells might prejudice the flow of cerebrospinal fluid between the cranial space and the optic disc.

scholarly journals Omohyoid muscle syndrome

2020 ◽  
Vol 8 (3) ◽  
pp. 1127
Author(s):  
Fika Amanda Maengkom ◽  
Putu Anda Tusta Adiputra
Keyword(s):  
Cosmetic Surgery ◽  
Previous History ◽  
Rare Condition ◽  
Surgical Oncology ◽  
Neck Mass ◽  
Medical Illness ◽  
Lateral Neck ◽  
First Case ◽  
History Of ◽  
Omohyoid Muscle

Omohyoid muscle syndrome is a rare cause of a bulging lateral neck mass that occurs on swallowing that often a worrisome observation because of the concern of malignancy and cosmetic deformity. The first case has been documented on 1969. A 12 years old male came to Surgical Oncology Outpatient Clinic with chief complaint a protruding right lateral neck mass during swallowing. He noticed this complaint since three months prior. He had no previous history of medical illness. He had history of multiple chokehold trauma when playing with his friend 6 months ago. He had no symptoms besides the mass occurring on his right neck. The patient went through the cervical radiograph and neck ultrasonography examination. There were inconclusive results. The patient was informed that the implication of these findings was strictly cosmetic and did not pose any risk of long-term consequence. Corrective cosmetic surgery was recommended as an option if he was concerned about the cosmetic appearance and conservative management was recommended to observe any pain or dysphagia he might experience in the near future. He denied surgery and did not seek further care for his condition. Omohyoid muscle syndrome is a rare condition that might occur after trauma such as chokehold to the neck. Imaging on this syndrome quite challenging especially when there were no other symptoms experienced. If it is proven to be strictly cosmetic, most patients will choose to have a conservative therapy.

Dermoid cyst in the middle ear

1993 ◽  
Vol 107 (4) ◽  
pp. 335-338 ◽  
Author(s):  
Toru Minatogawa ◽  
Michiko Nakamura Node ◽  
Ikuo Fukuda ◽  
Takeo Kumoi
Keyword(s):  
Hearing Loss ◽  
Dermoid Cyst ◽  
Conductive Hearing Loss ◽  
Previous History ◽  
Pathological Examination ◽  
Tympanic Cavity ◽  
Secretory Otitis Media ◽  
History Of ◽  
Low Tone ◽  
Conductive Hearing

A case of a moderate essentially low tone unilateral conductive hearing loss without a previous history of secretory otitis media in a six-year-old female patient is described. The condition was found to be due to a dermoid cyst in the tympanic cavity, which was confirmed by pathological examination of the surgically removed specimen. This is the sixth documented case of dermoid cyst in the tympanic cavity.

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