scholarly journals Atypical localisation of pleomorphic adenoma issue from heterotopic salivary tissue in the supraclavicular region: diagnosis and management

2020 ◽  
Vol 13 (11) ◽  
pp. e237583
Author(s):  
Bassel Hallak ◽  
Mohamed Ehab Kamel ◽  
Salim Bouayed ◽  
Stephane Yerly
Keyword(s):  
Pleomorphic Adenoma ◽  
Histological Analysis ◽  
Final Diagnosis ◽  
Diagnosis And Management ◽  
Diagnostic Pitfall ◽  
Warthin’S Tumour ◽  
Benign Tumours ◽  
Lower Neck ◽  
The Right

Heterotopic salivary tissue (HST) is a normal salivary tissue located outsides the major and minor salivary glands. Multiple sites of localisation of heterotopias have been described, the occurrence of HST in the neck is rare and it may have several clinical manifestation. We report the case of 72-year-old Caucasian man presenting a suspect mass on the left-sided supraclavicular region. He is known for melanoma of the right elbow, surgically treated 11 years ago. The final diagnosis of pleomorphic adenoma of HST was retained. Methods of diagnosis and management are documented. Neoplasms arising from HST are uncommon with approximately 80% of benign tumours. Warthin’s tumour is the most frequent. The localisation of these neoplasms in the lower neck is very rare and often causes a diagnostic pitfall. Histological analysis provides certainty of diagnosis, defines management and follow-up.

scholarly journals Clinical Characteristics of Nodular Fasciitis of Ear in Children

2021 ◽  
Author(s):  
Xiaoxu Wang ◽  
Wei Liu ◽  
Lejian He ◽  
Min Chen ◽  
Jianbo Shao ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Clinical Characteristics ◽  
Clinical Manifestations ◽  
Neck Surgery ◽  
Final Diagnosis ◽  
Diagnosis And Treatment ◽  
Nodular Fasciitis ◽  
Gene Test ◽  
The Right

Abstract Purpose Summarized the clinical characteristics and diagnosis and treatment process of three cases of nodular fasciitis of ear, to provide a basis for clinical diagnosis and treatment. Methods Reviewed the clinical manifestations, images, pathology, treatment and postoperative follow up results of three cases of pediatric nodular fasciitis in the Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University from 2018 to 2020. Results The average age at diagnosis were 24 months, with two girls and a boy. Two lesions were found in the left ear and one in the right ear. All cases had a history of biopsy before surgery. Two of three cases showed a sign of rapid growth after biopsy and three of which were ineffective in anti-inflammatory treatment. FISH test for USP6 were performed in two of the three cases with positive results. Three lesions show a hypointensity or isointensity on T1-weighted MRI and a heterogeneous hyperintensity on T2-weighted MRI. ‘‘Fascial tail’’ sign was found on image of all three cases. All lesions underwent surgical resection. Follow-up showed no recurrence and had an intact ear appearance. Conclusion The early misdiagnosis rate of nodular fasciitis of the ear is high. Combine clinical features with imaging findings may improve the accuracy of preoperative diagnosis. Besides the appearance of pathology, USP6 gene test is also an important tool in the diagnosis. The final diagnosis should be based on comprehensive assessment. Complete surgical resection can prevent recurrence.

scholarly journals Incidental endobronchial hamartoma in a patient with enchondroma

2019 ◽  
Vol 12 (9) ◽  
pp. e229670
Author(s):  
Arun Kadamkulam Syriac ◽  
Amrit Ved Bhaskarla ◽  
Mohamed Elrifai ◽  
Abdul H Alraiyes
Keyword(s):  
Ct Scan ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Mesenchymal Cell ◽  
Middle Lobe ◽  
Endobronchial Lesion ◽  
Right Middle Lobe ◽  
Benign Tumours ◽  
The Right

Hamartomas are the most common type of benign tumours of the lung, constituting a small portion of all lung neoplasms. Hamartomas are rare benign tumours composed of multiple mesenchymal cell lines. Two clinical types have been defined according to the location: intraparenchymal and endobronchial, more frequently the former. We present a case of endobronchial hamartoma causing significant blockage of the right middle lobe. The finding was incidental on a CT scan of the chest done for staging purposes for a large mixed lytic and sclerotic lesion that was found within the proximal-mid portion of the tibial diaphysis. The endobronchial lesion was removed by hot electrocautery snare during bronchoscopy and identified as a hamartoma. Argon plasma coagulation was applied to the lesion’s base afterwards and the patient was to follow-up in 3 months for a repeat CT scan.

scholarly journals Primary adrenocortical sarcomatoid carcinoma: Report of a case

2012 ◽  
Vol 6 (5) ◽  
Author(s):  
Jia-jun Yan ◽  
Ai-jing Sun ◽  
Yu Ren ◽  
Chuanlin Hou
Keyword(s):  
Adrenal Gland ◽  
Sarcomatoid Carcinoma ◽  
Final Diagnosis ◽  
Pathologic Examination ◽  
First Case ◽  
Complete Tumour ◽  
One Year ◽  
The One ◽  
The Right

We report the case of a 72-year-old man with a right adrenocortical mass who had undergone complete tumour excision with the adrenal gland and around adipose tissue. Pathologic examination led to a final diagnosis of primary sarcomatoid carcinoma of the right adrenal gland. The patient was without recurrence at the one year follow-up. To our knowledge, this is the first case in China and the second reported case in English published studies.

Delayed forebrain syndrome due to presumptive traumatic intranasal meningoencephalocele in a cat

2019 ◽  
Vol 7 (3) ◽  
pp. e000910
Author(s):  
Theophanes Liatis ◽  
Alberta De Stefani ◽  
Panagiotis Mantis ◽  
Giunio Bruto Cherubini
Keyword(s):  
Epileptic Seizures ◽  
Final Diagnosis ◽  
Neurological Signs ◽  
Fluid Analysis ◽  
Cerebral Mri ◽  
Long Term Follow Up ◽  
Postural Reaction ◽  
History Of ◽  
The Right

A 3-year-old male neutered domestic shorthair cat was referred with 1-month history of three generalised tonic-clonic epileptic seizures and left-sided thoracic limb knuckling. Nine months previously, the cat was bitten on the right upper palpebral region without manifesting neurological signs. On admission, physical and neurological examination revealed left-sided postural reaction deficits and absent menace response. Thus, a right-forebrain neurolocalisation was reached. Haematology, biochemistry, bile acid stimulation test, infectious diseases serology and cerebrospinal fluid analysis were unremarkable. Cerebral MRI revealed extension of brain and meninges into the right frontal sinus. Final diagnosis of a right-sided traumatic frontoethmoidal meningoencephalocele was made. The cat remained seizure free under phenobarbital treatment with residual left-sided postural reaction deficits at 9 months follow-up. This is the first report of presumptive traumatic meningoencephalocele in a cat, which emphasises the importance of complete neurological investigation and regular long-term follow-up checks in patients with historical head trauma despite the absence of initial neurological signs.

Metastatic salivary pleomorphic adenoma

1990 ◽  
Vol 104 (1) ◽  
pp. 45-47 ◽  
Author(s):  
David W. Sim ◽  
Arnold G. D. Maran ◽  
Douglas Harris
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Pulmonary Metastasis ◽  
Pleomorphic Adenomas ◽  
Benign Tumours ◽  
The Right

AbstractPleomorphic adenomas of the salivary gland are usually regarded as benign tumours. We report a case in which a solitary pulmonary metastasis arose from a pleomorphic adenoma of the right parotid gland. The mechanism of metastasis is discussed.

scholarly journals Endometrial stromal sarcoma in a 20-year-old woman

2019 ◽  
Vol 12 (12) ◽  
pp. e228874
Author(s):  
Rubina Sohail ◽  
Shahlla Kanwal ◽  
Adnan Murtaza ◽  
Bushra Haq
Keyword(s):  
Adnexal Mass ◽  
Stage Iv ◽  
Endometrial Stromal Sarcoma ◽  
Final Diagnosis ◽  
Sexually Active ◽  
Uterine Sarcomas ◽  
Stromal Sarcoma ◽  
Pelvic Wall ◽  
The Right

Endometrial stromal sarcoma (ESS) is an uncommon and challenging condition comprising 10% of all uterine sarcomas and found in women 42–58 years of age. ESS is difficult to diagnose in young women as it masquerades as a leiomyoma. We report this tumour in a 20-year-old woman presenting with heavy and prolonged menses and urinary retention. She was not sexually active and did not give consent for pelvic examination. A preoperative diagnosis of a submucous leiomyoma with an adnexal mass was made. At laparotomy, the leiomyoma was found to be wedged between the cervix and the vagina, and was removed vaginally. A 5–6 cm retroperitoneal mass was adherent to the right pelvic wall, which was also removed. Histopathology of both specimens revealed ESS. The final diagnosis according to the International Federation of Gynaecology and Obstetrics classification was stage IV ESS. After oncology consult, she was referred for chemotherapy. She is now on follow-up.

scholarly journals Case Report: Concurrent primary CNS lymphoma and meningothelial meningioma - nuances of diagnosis and management

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 103
Author(s):  
Samir Kashyap ◽  
Jacob Bernstein ◽  
Ira Bowen ◽  
Rosalinda Menoni ◽  
Dan Miulli
Keyword(s):  
Vasogenic Edema ◽  
Traumatic Injury ◽  
Primary Cns Lymphoma ◽  
B Cell Lymphoma ◽  
Final Diagnosis ◽  
Subtotal Resection ◽  
Cns Lymphoma ◽  
Diagnosis And Management ◽  
Deep Lesion ◽  
The Right

Background: The incidence of two distinct primary intracranial pathologies is an exceedingly rare phenomenon. Although meningiomas are well known to coexist with other primary intracranial malignancies there are only nine reported cases of a meningioma occurring simultaneously with primary CNS lymphoma in the literature. We report a case of a woman who sustained multiple injuries due to two distinct intracranial pathologies, however, lateralizing signs were unrecognized for two weeks prior to her final diagnosis. Case Description: A 64-year-old female with history of diabetes mellitus type 2 initially presented to the Emergency Department, two weeks prior, following a mechanical fall at home resulting in a left bimalleolar fracture. CT imaging revealed a right occipital mass with significant vasogenic edema causing 12mm of midline shift. MRI revealed two distinct homogeneously contrast-enhancing lesions: a right occipital mass with dural-based attachment, as well as a homogenously contrast-enhancing lesion adjacent to the right posterolateral ventricle. FLAIR signal changes were also appreciated and were noted to extend across the corpus callosum, raising concerns for a high-grade glial process. She underwent a right occipital craniotomy with gross total resection of the right occipital mass as well as subtotal resection and biopsy of the second lesion. Final pathology of the extra-axial lesion was found to be meningothelial meningioma and the deep lesion was found to be diffuse large B-cell lymphoma. Discussion: We describe a rare instance of simultaneous meningioma and primary CNS lymphoma that was found to be the underlying cause of a traumatic injury several weeks after the incident. We review the current diagnosis and management nuances in the setting of multiple intracranial oncologic processes.

scholarly journals Case Report: Concurrent primary CNS lymphoma and meningothelial meningioma - nuances of diagnosis and management

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 103
Author(s):  
Samir Kashyap ◽  
Jacob Bernstein ◽  
Ira Bowen ◽  
Rosalinda Menoni ◽  
Dan Miulli
Keyword(s):  
Vasogenic Edema ◽  
Traumatic Injury ◽  
Primary Cns Lymphoma ◽  
B Cell Lymphoma ◽  
Final Diagnosis ◽  
Subtotal Resection ◽  
Cns Lymphoma ◽  
Diagnosis And Management ◽  
Deep Lesion ◽  
The Right

Background: The incidence of two distinct primary intracranial pathologies is an exceedingly rare phenomenon. Although meningiomas are well known to coexist with other primary intracranial malignancies there are only nine reported cases of a meningioma occurring simultaneously with primary CNS lymphoma in the literature. We report a case of a woman who sustained multiple injuries due to two distinct intracranial pathologies, however, lateralizing signs were unrecognized for two weeks prior to her final diagnosis. Case Description: A 64-year-old female with history of diabetes mellitus type 2 initially presented to the Emergency Department, two weeks prior, following a mechanical fall at home resulting in a left bimalleolar fracture. CT imaging revealed a right occipital mass with significant vasogenic edema causing 12mm of midline shift. MRI revealed two distinct homogeneously contrast-enhancing lesions: a right occipital mass with dural-based attachment, as well as a homogenously contrast-enhancing lesion adjacent to the right posterolateral ventricle. FLAIR signal changes were also appreciated and were noted to extend across the corpus callosum, raising concerns for a high-grade glial process. She underwent a right occipital craniotomy with gross total resection of the right occipital mass as well as subtotal resection and biopsy of the second lesion. Final pathology of the extra-axial lesion was found to be meningothelial meningioma and the deep lesion was found to be diffuse large B-cell lymphoma. Discussion: We describe a rare instance of simultaneous meningioma and primary CNS lymphoma that was found to be the underlying cause of a traumatic injury several weeks after the incident. We review the current diagnosis and management nuances in the setting of multiple intracranial oncologic processes.

scholarly journals Schwannoma of the extracranial portion of the accessory nerve presenting as spinal adenopathy

2019 ◽  
Vol 12 (5) ◽  
pp. e228647
Author(s):  
Mohamed Mehdi El Fakiri ◽  
Meryem Lahjaouj ◽  
Mohammed Roubal ◽  
Mohammed Mahtar
Keyword(s):  
Sternocleidomastoid Muscle ◽  
Accessory Nerve ◽  
Histopathological Analysis ◽  
Rare Entity ◽  
Transcervical Approach ◽  
Benign Tumours ◽  
The Right ◽  
Slow Growing ◽  
Growing Mass

Schwannomas are benign tumours arising from Schwann cells in the peripheral nerve. The schwannoma of the accessory nerve is a very rare entity. We report a case of Schwannoma of the extracranial accessory nerve. A 22-year-old man presented with a slow-growing mass, located on the right upper neck. The patient did not have any neurological deficit. CT scan showed a hypodense mass behind sternocleidomastoid muscle. The suspected diagnosis was an adenopathy of the accessory spinal chain. Surgery was done via transcervical approach. The histopathological analysis concluded with a diagnosis of schwannoma. No recurrence was noted at the follow-up examination 29 months after surgery.

scholarly journals Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report

2021 ◽  
pp. 014556132110405
Author(s):  
Jyun-Yi Liao ◽  
Chien-Yu Huang ◽  
Wei-Chuan Liao ◽  
Bor-Hwang Kang ◽  
Kuo-Ping Chang
Keyword(s):  
Cervical Spine ◽  
Complete Recovery ◽  
Final Diagnosis ◽  
Swallowing Function ◽  
Her Family ◽  
Solitary Osteochondroma ◽  
Reliable Model ◽  
3D Printed ◽  
The Right

A 73-year-old woman having a throat lump sensation and dysphagia for the past several months presented at our otorhinolaryngology outpatient clinic. A physical examination disclosed a protruding subepithelial mass over the right tonsil fossa. The mass was not tender and had no mucosal lesions or signs of active infection. Therefore, we arranged face and neck computed tomography scans, which reported a solitary osseous lesion over the anterior-right aspect of the C1-2 joint. Considering the rarity and unfamiliar anatomy of this disease, we built a 3D-printed model to assist with the surgical rehearsal of the procedure as well as with a preoperation discussion with the patient and her family. We arranged a combined Otolaryngology-Neurosurgery department approach after discussion with the neurosurgeon and successfully removed the lesion without sacrificing the overlying longus capitis muscle. The pathology examination revealed no evidence of malignancy. The final diagnosis was cervical spine solitary osteochondroma. The patient had a complete recovery of both oral cavity and normal swallowing function. No tumor recurred during the 3-year follow-up. On the basis of this case, in-house 3D-printing technology can offer a rapid, reliable model for an interdisciplinary team to use to enhance personalized presurgical planning, thus providing better patient engagement during hospitalization.

Sign in / Sign up

Export Citation Format

Share Document