scholarly journals Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
David G. Deckey ◽  
Andrea Fernandez ◽  
Nina J. Lara ◽  
Steve Taylor ◽  
Jamal McClendon ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Motor Development ◽  
Clinical Presentation ◽  
Pediatric Population ◽  
Mature Teratoma ◽  
Cord Compression ◽  
Histopathological Analysis ◽  
Paravertebral Space ◽  
Thoracic Spinal ◽  
The Right

Background. Teratomas in the pediatric population are most commonly found in the sacrococcygeal region. Pediatric intraspinal teratomas, however, are an exceedingly rare central nervous system (CNS) neoplasm. The clinical presentation of these intraspinal neoplasms can vary significantly and thus can be difficult to identify in infants less than one year of age where verbal expression and motor development are still lacking. Case Description. A 7-month-old, previously healthy male presented with a thoracic scoliosis and an asymptomatic right midupper thoracic spinal prominence present since birth. MRI revealed an extensive heterogenous mass in the right epidural space from T5-T6 and the right paravertebral space, resulting in severe spinal stenosis. Outcome. Complete resection of the tumor, including a three-level neurotomy, was achieved by posterior decompression/laminectomy. The final tumor was consistent with a mature teratoma. The surgical resection was performed without any immediate complications. Conclusions. Extramedullary epidural teratomas are exceptionally rare tumors in the pediatric population. Clinical presentation can be ambiguous, particularly in an infant. MRI was useful in suggesting a teratoma as a potential diagnosis and for postoperative surveillance for recurrence. However, histopathological analysis remains the gold standard for definitive diagnosis. Surgical resection is the mainstay of treatment, especially in the setting of cord compression and progressive loss of motor function. Close follow-up is crucial to monitor for progressive spinal deformity or recurrence.

A case of successful surgical treatment of patient with adrenal cyst using 3-d modeling

2020 ◽  
Vol 28 (4) ◽  
pp. 530-535
Author(s):  
Ivan Andreev ◽  
Alexander Kolsanov ◽  
Sergey Katorkin ◽  
Evgeniy Shestakov ◽  
Leonid Lichman
Keyword(s):  
Surgical Treatment ◽  
Surgical Resection ◽  
3D Modeling ◽  
Clinical Observation ◽  
Preoperative Planning ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Adrenal Cyst ◽  
The Right ◽  
Medical University

Aim. Demonstration of potentials of preoperative planning and implementation of surgical resection in patients with adrenal cysts. A clinical observation of a successful surgical treatment of a rare pathology cyst of the right adrenal is presented. The choice of surgical treatment tactics is determined by the size of tumor and clinical presentation of the disease. The surgical treatment was accomplished laparoscopically which permitted to reduce the time of recovery and rehabilitation of the patient. In this clinical observation, the benefit of using 3D-modeling of the surgical area was shown for visualization of topographic and anatomic peculiarities and facilitation of the intraoperative navigation with the help of Avtoplan program developed by Samara State Medical University. Conclusion. Preoperative 3D-modeling permits to prepare to surgical intervention taking into account individual anatomic peculiarities of a patient, and to determine the optimal volume of the operation.

Three Cases of Parotid Hemangiomas in Adults

2021 ◽  
pp. 014556132110678
Author(s):  
Yi-Ting Huang ◽  
Chun-Yen Ou ◽  
Wei-Ting Lee ◽  
Heng-Jui Hsu
Keyword(s):  
Surgical Resection ◽  
Clinical Presentation ◽  
Tumor Resection ◽  
Surgical Excision ◽  
Histopathological Analysis ◽  
Imaging Features ◽  
Parotid Tumors ◽  
Accurate Preoperative Diagnosis ◽  
Cavernous Hemangiomas ◽  
Suitable Treatment

Hemangiomas account for only 0.4% to 0.6% of all parotid tumors, making them extremely rare in adults. Unlike pediatric parotid hemangiomas, those in adults typically present as asymptomatic swellings of the parotid, have no skin discoloration, and usually do not regress spontaneously. Therefore, an accurate diagnosis of parotid hemangiomas in adults before surgical excision is generally challenging. Herein, we present 3 cases of adult parotid hemangiomas. The patients all received parotidectomies with tumor resection. Histopathological analysis of the resected specimens revealed numerous dilated, thin- or thick-walled (small, large, or variably sized) vessels lined with flattened endothelial cells. A diagnosis of cavernous hemangioma of the parotid gland was established only after the histopathological analysis. Parotid cavernous hemangiomas in adults are rare and often misdiagnosed before surgical resection. Clinical presentation and imaging features on ultrasonography, computed tomography, magnetic resonance imaging, and angiography may support an accurate preoperative diagnosis. Surgical resection proved a suitable treatment approach for our 3 cases.

A rare intraosseous arteriovenous malformation of the spine

2011 ◽  
Vol 15 (3) ◽  
pp. 336-339 ◽  
Author(s):  
Robert G. Louis ◽  
Chun Po Yen ◽  
Carrie A. Mohila ◽  
James W. Mandell ◽  
Jason Sheehan
Keyword(s):  
Arteriovenous Malformation ◽  
Spinous Process ◽  
Transverse Process ◽  
Cord Compression ◽  
Mass Lesion ◽  
Histopathological Analysis ◽  
Spinal Arteriovenous Malformation ◽  
Vascular Proliferation ◽  
The Right ◽  
Spinal Avm

The authors report the case of a patient with an intraosseous spinal arteriovenous malformation (AVM) presenting as an epidural mass lesion that was causing spinal cord compression. The 59-year-old woman had bilateral numbness, weakness, and hyperreflexia of both legs. Magnetic resonance imaging revealed intermediate T1 signal and hyperintense T2 signal involving the right transverse process, bilateral pedicles, and T-5 spinous process; the lesion's epidural extension was causing severe canal compromise and cord displacement. Coil embolization was performed, and the patient underwent resection, after which preoperative symptoms improved. Histopathological analysis revealed a benign vascular proliferation consistent with an intraosseous spinal AVM. On review of the literature, the authors found this case to be the second intraosseous spinal AVM, and the first in a patient whose clinical presentation was consistent with that of a mass lesion of the bone.

scholarly journals Clinical Presentation, Diagnosis, and Management of Idiopathic Enlargement of the Right Atrium: An Analysis Based on Systematic Review of 153 Reported Cases

Cardiology ◽  
2020 ◽  
pp. 1-10
Author(s):  
Jing Zhang ◽  
Li Zhang ◽  
Lin He ◽  
He Li ◽  
Yuman Li ◽  
...  
Keyword(s):  
Sudden Cardiac Death ◽  
Surgical Resection ◽  
Right Atrium ◽  
Cardiac Death ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Diagnosis And Management ◽  
Presenting Symptoms ◽  
Life Threatening ◽  
The Right

Idiopathic enlargement of the right atrium (IERA) is a rare cardiac anomaly, and only sporadic cases have been reported. Little is known about its clinical relevance, and inconsistencies in medical and surgical management remain among different settings. In this paper, we systematically reviewed the published cases of the IERA in terms of clinical presentation, diagnosis, and management. A total of 153 cases of IERA were covered. Arrhythmia, dyspnea, and palpitation were found to be the most common clinical manifestations. It tends to be associated with life-threatening complications and sudden cardiac death. Diagnosis was mostly established by using echocardiography. Presenting symptoms, abnormal ECG findings, and therapeutic modalities were significantly related to the prognosis of IERA. Symptomatic patients were significantly more likely to have poor outcomes than asymptomatic patients (<i>p</i> = 0.044), and conservative treatment was more associated with adverse outcomes compared to surgical resection (<i>p</i> = 0.016). In conclusion, IERA, although rare, tends to be associated with potential life-threatening complications and sudden cardiac death. Echocardiography is the most common diagnostic modality. Surgical resection is indicated for symptomatic patients.

scholarly journals Mediastinal Benign Mature Teratoma in Young Girl, Catastrophic Delayed and Complications of Surgery: A Case Report

2020 ◽  
Vol 8 (C) ◽  
pp. 201-204
Author(s):  
Ketut Putu Yasa ◽  
A.A. Christ Tedy Permana ◽  
Sri Mahendra Dewi
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Mature Teratoma ◽  
Young Girl ◽  
Compression Effect ◽  
Mediastinal Teratoma ◽  
Operative Complications ◽  
Complications Of Surgery ◽  
The Right ◽  
Post Operative Complications

BACKGROUND: Teratomas are the most common of germ cell tumor and have different epidemiology, histology, and biology than the others. These tumors occur equally in men and women are generally benign, occur in the mediastinum and compromise approximately 20% of anterior mediastinal masses. All forms of these tumors have a peak incidence in young adults. CASE REPORT: A huge mediastinal teratoma present in young girl 15 years old, a tumor located in the right chest with mass compression effect to spine, heart, and lung, produce prolong symptoms of dyspnea and chest pain. Delayed clinical presentation influences to post-operative complications such as prolong atelectasis, rupture of tumor mass which spoiled of tumor contents, empyema, and sepsis. CONCLUSION: Mediastinal mature teratoma with the delayed clinical presentation will give technical difficulties for resection and increase the risk of post-operative complications.

scholarly journals Ruptured mediastinal mature teratoma causing severe mediastinitis: report of a surgically resected case and a literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Eri Nakajima ◽  
Yujin Kudo ◽  
Sachio Maehara ◽  
Hideyuki Furumoto ◽  
Jun Matsubayashi ◽  
...  
Keyword(s):  
Literature Review ◽  
Surgical Resection ◽  
Mature Teratoma ◽  
Median Sternotomy ◽  
Surgical Margin ◽  
Emergency Admission ◽  
Anterior Mediastinum ◽  
Cystic Mass ◽  
Mediastinal Teratoma ◽  
The Right

Abstract Background Mediastinal teratomas occasionally rupture into the thoracic cavity, which induces mediastinitis or various other severe complications. Surgical treatment is crucial for ruptured teratomas; however, few literature reviews to date have addressed the characteristics of ruptured mediastinal teratomas. Case presentation We report a 29-year-old woman with severe mediastinitis owing to a mediastinal mature teratoma that ruptured into the mediastinum and right pleural cavity. Surgical resection by median sternotomy was performed within 24 hours after emergency admission. Intraoperative findings demonstrated the ruptured wall of the tumor with exposure of its white contents, which appeared similar to skin and fat, and necrotic tissue in the anterior mediastinum. The tumor was adhered to the right upper lobe, the ascending aorta, and pericardium. Owing to the severe adhesion of the tumor caused by inflammation in the surrounding tissues, a small portion of the tumor could not be removed, and hence complete resection with a sufficient surgical margin was not achieved. Pathologically, the tumor consisted of a solid mass and a cystic mass with severe adhesion to the resected portion of the lung, which included skin and lipid tissue. The tumor was concluded to be a mature teratoma as neither an immature component nor malignant transformation was observed. The patient had an uneventful postoperative course. Conclusions To our knowledge, this is the report of successful surgical resection of a ruptured mediastinal teratoma causing severe mediastinitis, with the first literature review of ruptured mediastinal teratomas. We also discuss relevant findings from reports in the literature.

scholarly journals Intracranial Mature Teratoma in an Adult Patient: A Case Report

2019 ◽  
Vol 80 (01) ◽  
pp. e14-e17
Author(s):  
Dominik Romić ◽  
Marina Raguž ◽  
Petar Marčinković ◽  
Patricija Sesar ◽  
Martina Špero ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mature Teratoma ◽  
Germ Cell Tumors ◽  
Radical Resection ◽  
Brain Parenchyma ◽  
Surgical Removal ◽  
Histopathological Analysis ◽  
Intracranial Teratoma ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Introduction: Primary intracranial teratoma is a subtype of germ cell tumors, classified into three subtypes. They occur very rarely, with only several reported individual cases in adults. Case Description We present a patient with an intermittent headache in the right frontal region. Magnetic resonance imaging (MRI) revealed a right sided high frontal parasagittal mass that compressed the falx, the right lateral ventricle, as well as the brain parenchyma. Patient underwent surgical treatment. Histopathological analysis described mature teratoma. Four months after the surgical treatment there were no signs of residual intracranial mass or relapse. Discussion Primary intracranial teratoma in adults has a nonspecific clinical presentation. MRI reveals a solitary irregular mass with multilocularity and mixed signals derived from different tissues. The patients age, biochemical markers, and patohistological analysis are necessary to confirm the diagnosis. Conclusion Teratoma treatment strategy still remains controversial. It includes radical resection whenever possible. Since the residual portion of mature teratoma may contain part of immature or malignant tissue, tumor recurrence after surgical removal is possible. Also, new tumor mass could occur at other sites intracranial after the initial one was removed. Thus, although patients usually recover, they should be followed-up for a long period of time.

scholarly journals Elbow Cystic Lymphangioma in an 8-Month-Old Boy

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Mohammad Jawad H. Rahal ◽  
Morad R. Abou Al Ezz ◽  
Rabab A. El Hajj ◽  
Jad Z. Chokor ◽  
Selim M. Nasser ◽  
...  
Keyword(s):  
Head And Neck ◽  
Surgical Resection ◽  
Rare Case ◽  
Pediatric Population ◽  
Cystic Lymphangioma ◽  
Benign Tumors ◽  
Cystic Lymphangiomas ◽  
Complete Surgical Resection ◽  
The Right

Cystic lymphangiomas are benign tumors originating mainly in the head and neck of the pediatric population. The authors report a rare case of cystic lymphangioma in the right elbow of an 8-month-old baby treated successfully by complete surgical resection.

scholarly journals Resection of primary cardiac angiosarcoma infiltrating the right atrioventricular junction and tricuspid valve: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lubna Bakr ◽  
Hussam AlKhalaf ◽  
Ahmad Takriti
Keyword(s):  
Surgical Resection ◽  
Tricuspid Valve ◽  
Right Atrium ◽  
Large Mass ◽  
Small Mass ◽  
Malignant Tumours ◽  
Atrioventricular Junction ◽  
Cardiac Angiosarcoma ◽  
Complete Surgical Resection ◽  
The Right

Abstract Background Primary cardiac tumours are extremely rare. Most of them are benign. Sarcomas account for 95% of the malignant tumours. Prognosis of primary cardiac angiosarcoma remains poor. Complete surgical resection is oftentimes hampered when there is extensive tumour involvement into important cardiac apparatus. We report a case of cardiac angiosarcoma of the right atrium and ventricle, infiltrating the right atrioventricular junction and tricuspid valve. Case presentation Initially, a 22-year-old man presented with dyspnoea. One year later, he had recurrent pericardial effusion. Afterwards, echocardiography revealed a large mass in the right atrium, expanding from the roof of the right atrium to the tricuspid valve. The mass was causing compression on the tricuspid valve, and another mass was seen in the right ventricle. Complete resection of the tumour was impossible. The mass was resected with the biggest possible margins. The right atrium was reconstructed using heterologous pericardium. The patient’s postoperative course was uneventful. Postoperative echocardiography showed a small mass remaining in the right side of the heart. Histopathology and immunohistochemistry confirmed the diagnosis of angiosarcoma. The patient underwent adjuvant chemotherapy and radiotherapy later on. He survived for 1 year and 5 days after the surgery. After a diagnosis of lung and brain metastases, he ended up on mechanical ventilation for 48 h and died. Conclusions Surgical resection combined with postoperative chemotherapy and radiotherapy is feasible even in patients with an advanced stage of cardiac angiosarcoma when it is impossible to perform complete surgical resection.

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