scholarly journals An Unusual Case of Biatrial Myxoma in a Young Female

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Vikrant Vijan ◽  
Anjith Vupputuri ◽  
Rajiv Chandrasekharan Nair
Keyword(s):  
Transesophageal Echocardiography ◽  
Unusual Case ◽  
Early Recognition ◽  
Surgical Excision ◽  
Young Female ◽  
Atrial Myxoma ◽  
Rare Type ◽  
Intracardiac Tumor ◽  
Single Tumor

Myxoma, a rare type of intracardiac tumor, forms a very small percentage of the cardiac cases. Reports of biatrial myxoma are rarer, with cases of single tumor reaching both atria being more common. Here, we present an unusual case of two independently growing atrial myxoma in a 29-year-old female. We emphasize that early recognition of symptoms, confirmation of diagnosis by transesophageal echocardiography, and prompt surgical excision remain vital in the management of such patients. The patient in the present case was managed successfully with no evidences of recurrence at the last follow-up.

Tuberculosis in Pregnancy with Fatal Congenital Infection

PEDIATRICS ◽  
1981 ◽  
Vol 67 (1) ◽  
pp. 89-94
Author(s):  
Joseph P. Myers ◽  
Paul H. Perlstein ◽  
Irwin J. Light ◽  
Richard B. Towbin ◽  
Hosoon P. Dincsoy ◽  
...  
Keyword(s):  
Premature Infant ◽  
Unusual Case ◽  
Early Recognition ◽  
Miliary Tuberculosis ◽  
Congenital Infection ◽  
Congenital Tuberculosis ◽  
Ovarian Abscess ◽  
In Pregnancy

An unusual case of miliary tuberculosis which presented as fever and a tubo-ovarian abscess in a postpartum patient is described. Fatal congenital tuberculosis was also diagnosed in the mother's premature infant. The difficulties encountered in diagnosing the tuberculosis in these patients are summarized, and the need for early recognition and therapy is emphasized. Epidemiologic follow-up of the premature infant's exposed contacts was thorough and revealed no new cases of tuberculosis among the infants or the personnel who were exposed to the infected baby.

scholarly journals Scar endometriosis-rare and painful entity: a case report

2021 ◽  
Vol 10 (5) ◽  
pp. 2104
Author(s):  
Anita Yadav ◽  
Jyoti Baghel ◽  
Rajneesh Rawat ◽  
Avinash Prakash
Keyword(s):  
Rare Case ◽  
Rectus Sheath ◽  
Surgical Excision ◽  
Tertiary Level ◽  
Rare Entity ◽  
Pelvic Endometriosis ◽  
Rare Type ◽  
Detailed History ◽  
Scar Endometriosis

Scar endometriosis is a rare type of extra-pelvic endometriosis that develops following obstetrical and gynecological surgeries. It is a rare entity, though probably on the rise, due to the increase in caesarean sections performed worldwide. This manuscript reports a rare case of scar endometriosis involving rectus sheath following repeat caesarean section and was managed at a tertiary level centre. The patient required surgical excision of the lesion and was kept on regular follow-up following surgery. The physiopathology of scar endometriosis is complex; its symptomatology is rich and diverse but detailed history, thorough clinical examination along with imaging and histopathological evaluation is usually efficient in diagnosing the condition.

scholarly journals Primary hydatid cyst of soleus muscle : A case report

2014 ◽  
Vol 42 (2) ◽  
pp. 60-62
Author(s):  
MN Nahar ◽  
H Iqbal ◽  
MS Yesmin ◽  
SM Arafat
Keyword(s):  
Hydatid Cyst ◽  
Soleus Muscle ◽  
Unusual Case ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
History Taking ◽  
Tissue Mass ◽  
Primary Hydatid Cyst ◽  
Histopathologic Findings

Muscle hydatidosis is rare, accounting only for 3–5% of all cases. We present an unusual case of a primary hydatid cyst found in the soleus muscle of a 42-year-old woman, presenting as an enlarging soft-tissue mass for 6 months associated with pain. The hydatid cyst was confined into muscle, without affecting the bone. En block surgical excision of the cyst was undertaken. Histopathologic findings confirmed the diagnosis. No recurrence occurred during the follow-up period of 8 months. Skeletal muscle echinococcosis should be considered in the differential diagnosis of limb masses, especially in endemic countries. A meticulous history taking and MR imaging is essential, while pericystectomy is an effective method of treatment. DOI: http://dx.doi.org/10.3329/bmj.v42i2.18988 Bangladesh Med J. 2013 May; 42 (2): 60-62

scholarly journals Lingual Focal Hyperplastic Lesion in a Pediatric Patient: Report of an Unusual Case

2020 ◽  
pp. 155-160
Author(s):  
Denisse A. Herrera B. ◽  
Joselin Flores V. ◽  
Francisco J. Tejeda N. ◽  
Victor Fierro S. ◽  
Amaury J. Pozos G. ◽  
...  
Keyword(s):  
Unusual Case ◽  
Dorsal Surface ◽  
Surgical Excision ◽  
Laser Device ◽  
Initial Examination ◽  
Appropriate Treatment ◽  
History Of ◽  
Pedunculated Tumor ◽  
Fibrotic Lesion

Focal fibrous hyperplasia (FFH) is an oral mucosal localized non-neoplastic enlargement representing a reaction to chronic local irritations or injuries. The purpose of this report is to describe the management of an asymptomatic fibrotic lesion located in the tongue, in a preschooler boy. A 7-year-6-month old boy attended our clinic for the evaluation of an exophytic pedunculated tumor-like round mass located in the dorsal surface of the tongue. Based on the initial examination and the natural history of the lesion, the presumptive clinical diagnosis determined an irritation FFH. The lesion was surgically excised with a diode laser device, and the postoperative period evolution occurred without any complication. The appropriate treatment of FFH in children initially consists of the removal of local irritant factors. Excellent oral hygiene maintenance and close follow-up care are strongly suggested. Surgical excision is the most frequent modality for persistent lesions. Early diagnosis and proper management of FFH can reduce the risk of future recurrences or complications.

scholarly journals Primary Cardiac Tumours: Our Experience

2013 ◽  
Vol 8 (1) ◽  
pp. 8-11
Author(s):  
J Sharma ◽  
S Sherchan ◽  
S Pradhan ◽  
B Rajbanshi ◽  
R Koirala ◽  
...  
Keyword(s):  
Operative Mortality ◽  
Surgical Intervention ◽  
Surgical Excision ◽  
Atrial Myxoma ◽  
Malignant Tumours ◽  
Complete Excision ◽  
Cardiac Tumours ◽  
Primary Cardiac Tumour ◽  
Disseminated Disease

Introduction Primary cardiac tumours are rare with autopsy incidence of less than 0.1 percent. We present our experience on surgical treatment of such tumours. Methods Since 2001, fifteen patients underwent surgical intervention for primary cardiac tumour at our centre. Mean age was 46.5 ± 17.5 years (range 20 to 73 years). There were eight female patients. Thirteen patients had atrial myxoma and the remaining two had primary malignant tumours. Surgical excision of the tumour was done under cardiopulmonary bypass and cardioplegic cardiac arrest. Results Complete excision was possible in all benign cardiac tumours where as excision was possible in only one of the two malignant tumours. One patient with suspected angiosarcoma had biopsy taken from the heart. There was no operative mortality. All the patients with atrial myxoma were symptom free and free of recurrence on follow-up echocardiography. The patient with suspected angiosarcoma (histopathology was reported as hemangioma only) presented with disseminated disease and metastasis to thoracic spine with paraplegia three months postoperatively. The other patient with rhabdomyosarcoma who had complete excision of tumour followed by repair of the defect is currently on adjuvant chemotherapy. Conclusion Surgical excision of primary benign cardiac tumours is possible with excellent surgical outcome where as outcome is guarded in primary malignant cardiac tumours. DOI: http://dx.doi.org/10.3126/njh.v8i1.8329 Nepalese Heart Journal Vol.8(1) 2011 pp.8-11

scholarly journals Liposarcoma of the paratesticular tissue and spermatic cord: A case report

2013 ◽  
Vol 70 (7) ◽  
pp. 693-696 ◽  
Author(s):  
Filip Vukmirovic ◽  
Nihad Zejnilovic ◽  
Jovan Ivovic
Keyword(s):  
Case Report ◽  
Spermatic Cord ◽  
Malignant Tumors ◽  
Testicular Tumor ◽  
Surgical Excision ◽  
Local Relapse ◽  
Adjuvant Radiation ◽  
Rare Type ◽  
Rare Case Report

Introduction. Liposarcomas are malignant tumors derived from fat tissues. Liposarcoma of the paratesticular tissue is rare. Case report. We presented a 51-year-old man with liposarcoma of paratesticular tissue and the spermatic cord, mimicking a testicular tumor. Ultrasound examination of this scrotal mass was hyperechogenic and homogeneous and separated from the testis and epididymis. The patient was operated, and the orchidectomy was performed. Histology revealed well-differentiated lipoma-like liposarcoma of the paratesticular tissue and spermatic cord. After a 6 month follow-up the patient did not show any evidence of tumor-progression or recurrence. Conclusion. Liposarcomas of the paratesticular tissue and seminal cord represent a rare type of tumors, often misdiagnosed preoperatively. Therapy should include radical surgical excision, usually radical inguinal orchiectomy. If the margin status is in doubt, adjuvant radiation should be performed. Local relapse is common and may occur after several years, so follow- up period has to be sufficiently long.

scholarly journals Rare Cardiac Myxoma with A Hard Texture: A Case Report

2020 ◽  
Author(s):  
Hongfei Xu ◽  
Yanjia Gu ◽  
Liang Ma ◽  
Yiming Ni ◽  
Weidong Li
Keyword(s):  
Elective Surgery ◽  
Cardiac Myxoma ◽  
Clinical Manifestations ◽  
Surgical Excision ◽  
Cardiac Tumors ◽  
Rare Type ◽  
Primary Tumors ◽  
Case Presentation ◽  
Preoperative Examination

Abstract Background: Primary tumors of the heart are uncommon but not rare. Myxoma comprises 50% of all benign cardiac tumors in adults and 15% of such tumors in children. Cardiac myxoma is usually soft in texture and has a friable or villous surface, which tends to be associated with embolic events. It is also rare for myxoma to be full of calcium and metastatic bone deposits.Case presentation: We herein present a 58-year-old female patient with cardiac space-occupying lesion within the left atrium, and the lesion is lubricous and hard. Her only symptoms were hypertension, dizziness, and chest stuffiness. After surgical resection, we confirmed that the lesion was atrial myxoma by histopathology examination. The patient recovered uneventfully and was discharged. A 2-year follow-up exam showed no evidence of tumor recurrence.Conclusions: Cardiac myxoma is rare and has various clinical manifestations. It is usually friable and has an irregular surface, making embolic manifestations one of the most common complications. Consequently, immediate surgical excision is suggested upon diagnosis. In our case, the patient had a rare type of cardiac myxoma, which had a hard texture and lubricous surface. In our opinion, this case has a low risk of embolism. We prefer elective surgery rather than emergency surgery to perfect the preoperative examination for this kind of patient.

scholarly journals Congenital multiple giant lipomas of the back: A case report with a 24-year follow-up

2020 ◽  
pp. 36-40
Keyword(s):  
Flank Region ◽  
Surgical Excision ◽  
Young Female ◽  
Chief Complaint ◽  
Benign Tumors ◽  
Indication For Surgery ◽  
Physical Discomfort ◽  
Giant Size ◽  
Different Parts

Lipomas are the most common benign tumors of connective tissue which can be found in different parts of the human body. In rare cases, their size may be so giant which could be an indication for surgery. Here, we present a case of congenital multiple asymmetrical giant lipomas of the back in a young female. She presented with a chief complaint of physical discomfort due to the giant size and weight of the lipomas. Apart from that, she was in total health. She was born with 5 small lipomas in the back and flank region which had become giant lipomas with estimated weigh around 16 kg in total by the age of 24. The patient underwent seven operations to remove or debulk the mass over a 24-year period since the recurrence of the growths was inevitable. Considering the size of the mass and differential diagnosis, such as liposarcoma, and since no risk factor or underlying etiology was detected for the patient`s condition, surgical excision was the preferred technique for this case.

scholarly journals Complete Surgical Excision Is Essential for the Management of Patients With Breast Implant–Associated Anaplastic Large-Cell Lymphoma

2016 ◽  
Vol 34 (2) ◽  
pp. 160-168 ◽  
Author(s):  
Mark W. Clemens ◽  
L. Jeffrey Medeiros ◽  
Charles E. Butler ◽  
Kelly K. Hunt ◽  
Michelle A. Fanale ◽  
...  
Keyword(s):  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Breast Implants ◽  
Surgical Excision ◽  
Large Cell ◽  
Rare Type ◽  
Complete Surgical Excision ◽  
Large Cell Lymphoma

Purpose Breast implant–associated anaplastic large-cell lymphoma (BI-ALCL) is a rare type of T-cell lymphoma that arises around breast implants. The optimal management of this disease has not been established. The goal of this study is to evaluate the efficacy of different therapies used in patients with BI-ALCL to determine an optimal treatment approach. Patients and Methods In this study, we applied strict criteria to pathologic findings, assessed therapies used, and conducted a clinical follow-up of 87 patients with BI-ALCL, including 50 previously reported in the literature and 37 unreported. A Prentice, Williams, and Peterson model was used to assess the rate of events for each therapeutic intervention. Results The median and mean follow-up times were 45 and 30 months, respectively (range, 3 to 217 months). The median overall survival (OS) time after diagnosis of BI-ALCL was 13 years, and the OS rate was 93% and 89% at 3 and 5 years, respectively. Patients with lymphoma confined by the fibrous capsule surrounding the implant had better event-free survival (EFS) and OS than did patients with lymphoma that had spread beyond the capsule (P = .03). Patients who underwent a complete surgical excision that consisted of total capsulectomy with breast implant removal had better OS (P = .022) and EFS (P = .014) than did patients who received partial capsulectomy, systemic chemotherapy, or radiation therapy. Conclusion Surgical management with complete surgical excision is essential to achieve optimal EFS in patients with BI-ALCL.

scholarly journals Giant multinodular infantile fibrosarcoma: a case report

2018 ◽  
Vol 6 (2) ◽  
pp. 701
Author(s):  
Aliyi M. Usman ◽  
Okuofo C. Ehiosa ◽  
Okwonna O. Charles ◽  
Abdullahi Adamu
Keyword(s):  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Soft Tissue ◽  
Neoadjuvant Chemotherapy ◽  
Rare Case ◽  
Surgical Excision ◽  
Good Prognosis ◽  
Rare Type ◽  
Infantile Fibrosarcoma

Infantile fibrosarcoma is a rare type of soft tissue sarcoma seen in children usually less than 2years of age. Few cases of giant infantile fibrosarcoma have been reported in literature. We report a rare case of a giant multi-nodular infantile fibrosarcoma in the left anterolateral chest wall in a 7-year-old boy. The tumour was said to have been recurrent twice for about 6 years. At presentation patient was evaluated and was commenced on 6 cycles of neoadjuvant chemotherapy with vincristine, adriamycin and cyclophosphamide (VAC) regimen to alternate with Ifosfamide/Etoposide (IE) regimen with very good response. Thereafter, had a wide local excision of the tumour and then had 4 more cycles of adjuvant chemotherapy. His 6months follow up showed no evidence of tumour recurrence. Infantile fibrosarcoma is said to be chemo-sensitive tumour with very good response, though surgical excision is the main treatment of choice and overall it is said to have a good prognosis.

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