Great auricular nerve schwannoma: a rare presentation and literature review

Head and neck schwannomas are a rare form of tumour arising from the nerve sheath. They are often slow growing and asymptomatic, posing a diagnostic challenge for clinicians. The great auricular nerve (GAN) provides cutaneous innervation to the lower pinna, ear lobule and the inferior periauricular area. Hence, surgical management of GAN schwannomas can have sensory and functional dysfunction postoperatively, necessitating good counselling and communication with the patient. We present the first documented case of GAN schwannoma in the West, with literature review and considerations for surgical management.

Download Full-text

A rare form of congenital high airway obstruction syndrome and a literature review of ex utero intrapartum treatment

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2017-0036 ◽

2018 ◽

Vol 7 (1) ◽

Author(s):

Seifeldin Sadek ◽

Hajoon Chun

Keyword(s):

Literature Review ◽

Airway Obstruction ◽

Mainstem Bronchus ◽

Viable Option ◽

Rare Form ◽

Rare Presentation ◽

Exit Procedure ◽

Ex Utero Intrapartum Treatment ◽

Rare Malformation

Abstract Objective This is a rare presentation of a fetus with a right mainstem bronchus occlusion leading to congenital high airway obstruction syndrome (CHAOS). Methods A review of 15 articles reporting on the use of the ex utero intrapartum treatment (EXIT) procedure. Results A total of 22 reported cases of CHAOS had undergone the EXIT procedure from 1994 to 2016. Seventy-seven percent of fetuses that underwent EXIT were alive at the last point of follow-up, but only 36% were alive without any sequelae. Conclusion CHAOS is a rare malformation, but after the development of EXIT, survival is a viable option. It is associated with other malformations, but its etiology is entirely unknown.

Download Full-text

Low grade fibromyxoid sarcoma of the perineum: a surgical challenge

International Surgery Journal ◽

10.18203/2349-2902.isj20164486 ◽

2016 ◽

Vol 4 (1) ◽

pp. 429

Author(s):

Afzal Anees ◽

Kaushal D. Singh ◽

Shehtaj Khan

Keyword(s):

Local Recurrence ◽

Surgical Management ◽

Surgical Excision ◽

Low Grade ◽

Rare Presentation ◽

Desmoid Fibromatosis ◽

Fibromyxoid Sarcoma ◽

Slow Growing ◽

Late Metastasis

Low-grade fibromyxoid sarcoma is a rare, slow growing and deceptively benign-appearing neoplasm. It is presently diagnosed on the basis of histopathology (typical fibro-myxoid appearance), immunohistochemistry (vimentin staining) and cytogenetics [chimeric FUS/CREB3L2 gene produced by t (7;16), (q33;p11)]. This tumour should be differentiated from other resembling tumours like myxofibrosarcoma, sclerosing epitheloid fibrosarcoma, desmoid fibromatosis and others. It has the potential for local recurrence and late metastasis, if not treated adequately. Although surgical excision is the only hope for treatment, reporting of details of surgical management have often been neglected for this primarily pathological entity. We report a case of a 30-year female who had a perineal mass which was managed by wide surgical excision. It was diagnosed as low-grade fibromyxoid sarcoma on the basis of histopathology and immunohistochemistry. This extremely rare presentation is, thus, discussed in context of challenging nature of its surgical excision. Patient is in follow-up and has no recurrence even after 5 years.

Download Full-text

Primary hyperparathyroidism with rare presentation as multiple brown tumours

Clinics and Practice ◽

10.4081/cp.2012.e48 ◽

2012 ◽

Vol 2 (2) ◽

pp. 48 ◽

Cited By ~ 2

Author(s):

Smit Doshi ◽

Arti Vadi ◽

Amit Mahajan ◽

Tapan Nagpal

Keyword(s):

Literature Review ◽

Primary Hyperparathyroidism ◽

Surgical Management ◽

Bone Neoplasm ◽

Rare Presentation ◽

Uncommon Presentation ◽

Primary Bone

We present a case of primary hyperparathyroidism with an uncommon presentation as multiple brown tumours, which may easily be mistaken for a primary bone neoplasm. A brief literature review and its clinical and surgical management are also discussed here.

Download Full-text

Auricular schwannoma– A rare presentation

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v6i3.19829 ◽

2018 ◽

Vol 6 (3) ◽

pp. 123-125

Author(s):

Sujan Singh Chhetri ◽

Bipin Koirala

Keyword(s):

Schwann Cells ◽

Internal Auditory Canal ◽

Vestibular Nerve ◽

External Ear ◽

Rare Occurrence ◽

Rare Presentation ◽

Nerve Sheath ◽

Slow Growing

Schwannoma or neurilemmoma is a benign, slow growing tumour that arises from the nerve sheath consisting of schwann cells. Histologically, it shows encapsulated, well circumscribed lesions composed of different cellular patterns and arrangement. It usually arises from superior vestibular nerve in the internal auditory canal. Here, we report a case of schwannoma that was located on the external ear which is of rare occurrence. Only a handful of such findings has been reported in the literature so far.

Download Full-text

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

Journal of Pediatric Intensive Care ◽

10.1055/s-0040-1716857 ◽

2020 ◽

Author(s):

Adam Lee ◽

Adam Bajinting ◽

Abby Lunneen ◽

Colleen M. Fitzpatrick ◽

Gustavo A. Villalona

Keyword(s):

Literature Review ◽

Retrospective Review ◽

Review Of The Literature ◽

Rare Presentation ◽

Spontaneous Pneumomediastinum ◽

Nonaccidental Trauma ◽

Comprehensive Literature Review ◽

Healthy Infants ◽

History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

Download Full-text

Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

New Emirates Medical Journal ◽

10.2174/025068xx02666200227171615 ◽

2020 ◽

Vol 02 ◽

Author(s):

Masood Ghori ◽

Nadya O. Al Matrooshi ◽

Samir Al Jabbari ◽

Ahmed Bafadel ◽

Gopal Bhatnagar

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Literature Review ◽

Enterococcus Faecalis ◽

Surgical Management ◽

Burkholderia Cepacia ◽

Clinical Presentation ◽

Complicated Course ◽

Healthcare Associated ◽

Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

Download Full-text

Systematic Review Comparing Open versus Endoscopic Surgery in Clival Chordomas and a 10-Year Single-Center Experience

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0041-1722933 ◽

2021 ◽

Author(s):

Ravindran Visagan ◽

Asfand Baig Mirza ◽

Mohamed Okasha ◽

Timothy Martyn Boardman ◽

Eleni Maratos ◽

...

Keyword(s):

Systematic Review ◽

Surgical Management ◽

Open Surgery ◽

Literature Search ◽

Optimal Management ◽

Total Resection ◽

Single Center Experience ◽

Institutional Experience ◽

Open Versus ◽

Slow Growing

Abstract Objectives Chordomas are rare, slow-growing, and osteo-destructive tumors of the primitive notochord. There is still contention in the literature as to the optimal management of chordoma. We conducted a systematic review of the surgical management of chordoma along with our 10-year institutional experience. Design A systematic search of the literature was performed in October 2020 by using MEDLINE and EMBASE for articles relating to the surgical management of clival chordomas. We also searched for all adult patients surgically treated for primary clival chordomas at our institute between 2009 and 2019. Participants Only articles describing chordomas arising from the clivus were included in the analysis. For our institution experience, only adult primary clival chordoma cases were included. Main Outcome Measures Patients were divided into endoscopic or open surgery. Rate of gross total resection (GTR), recurrence, and complications were measured. Results Our literature search yielded 24 articles to include in the study. Mean GTR rate among endoscopic cases was 51.9% versus 41.7% for open surgery. Among the eight cases in our institutional experience, we found similar GTR rates between endoscopic and open surgery. Conclusion Although there is clear evidence in the literature that endoscopic approaches provide better rates of GTR with fewer overall complications compared to open surgery. However, there are still situations where endoscopy is not viable, and thus, open surgery should still be considered if required.

Download Full-text

Surgical management of ovarian teratomas in childhood: a multicentric study on 110 cases and a literature review

Gynecological Endocrinology ◽

10.1080/09513590.2021.1948527 ◽

2021 ◽

pp. 1-5

Author(s):

Claudio Spinelli ◽

Silvia Strambi ◽

Benedetta Masoni ◽

Marco Ghionzoli ◽

Alessia Bertocchini ◽

...

Keyword(s):

Literature Review ◽

Surgical Management ◽

Multicentric Study ◽

Ovarian Teratomas

Download Full-text

Case Report and Literature Review of Nodular Hidradenoma, a Rare Adnexal Tumor That Mimics Breast Carcinoma, in a 20-Year-Old Woman

Laboratory Medicine ◽

10.1093/labmed/lmy084 ◽

2019 ◽

Vol 50 (3) ◽

pp. 320-325

Author(s):

Vanya Jaitly ◽

Richard Jahan-Tigh ◽

Tatiana Belousova ◽

Hui Zhu ◽

Robert Brown ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Breast Carcinoma ◽

Literature Review ◽

Sweat Glands ◽

Rare Presentation ◽

Adnexal Tumor ◽

Nodular Hidradenoma ◽

Growing Mass ◽

Uncommon Tumor

Abstract Nodular hidradenoma is an uncommon cutaneous adnexal tumor arising from sweat glands. In the skin, it usually presents as a solitary dermal nodule; excision is curative in most cases. In rare instances, it may present as a breast mass and can mimic breast carcinoma clinically and radiologically, causing diagnostic dilemmas for the treating physician and pathologist. Herein, we discuss a case of nodular hidradenoma in a 20-year-old Hispanic woman as a rapidly growing mass in the breast that mimicked breast carcinoma. We discuss the rare presentation of this uncommon tumor and the differential diagnosis of this entity, as well as the results of our literature review on the topic.

Download Full-text