scholarly journals Trichophytobezoar Without Gastrointestinal Complaints

1996 ◽  
Vol 2 (3) ◽  
pp. 175-177 ◽  
Author(s):  
G. M. Malik ◽  
M. Mubarik ◽  
A. Nisar ◽  
S. A. Kadla ◽  
M. S. Malik ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Clinical Diagnosis ◽  
Gastrointestinal Complaint ◽  
Cervical Lymph Nodes ◽  
Presenting Symptoms ◽  
Gastrointestinal Complaints ◽  
Tubercular Lymphadenitis

Gastrointestinal complaints may be the presenting symptoms of trichophytobezoar. We report a patient, who had an epigastric lump and enlarged lymph nodes on the left side of the neck, but without any gastrointestinal complaint. The clinical diagnosis suggested lymphoma or gastric cancer with secondary masses in the cervical lymph nodes. The diagnosis ultimately proved to be tubercular lymphadenitis on biopsy and gastric trichophytobezoar on endoscopy and laparotomy.

Kikuchi Disease in Korean Children: Clinical Features and Disease Courses.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 2285-2285 ◽  
Author(s):  
Jun Eun Park ◽  
Hyun Joo Jung ◽  
Chul-Ho Kim ◽  
Jeong Hong ◽  
Jae Ho Han
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Medical Center ◽  
University Hospital ◽  
First Episode ◽  
Excision Biopsy ◽  
Cervical Lymph Nodes ◽  
Korean Children ◽  
Presenting Symptoms

Abstract OBJECTIVES: Kikuchi’s disease (KD) is a benign, self-limiting disorder of unknown origin with lymphadenopathy and fever, and prevalent in young Asian women. The initial presentations mimic malignancies or other serious infections, and the biopsy of lymph nodes affected is the only definite diagnostic tool of KD. We analyzed data from a series of pediatric cases collected at a single medical center and suggest proper guideline of management for patients with KD. METHODS: The medical records of children under 16 years of age, who underwent lymph node biopsies and received histiopathologic diagnosis of KD at Ajou University Hospital, South Korea from January 2000 to June 2007, were retrospectively reviewed. RESULTS: Twenty six pediatric patients with KD included 10 boys and 16 girls. In all cases except two, the cervical lymph nodes were involved. Twenty (76.9%) patients had fever as a presenting symptom, and 5 patients (19.2%) had various skin rash. Leukopenia was noted in 8 cases (30.8%), but there was no case of leukocytosis. The levels of ESR and LDH were slightly elevated, but CRP and liver enzymes were within normal range. No KD patients in this study developed any other autoimmune disorders during follow-up period. Eleven (55%) cases with fever improved immediately after excision biopsy of affected lymph nodes. Eight (30.8%) cases treated with steroid showed dramatic responses. Six patients (23.1%) had resolutions of symptoms simply with symptomatic treatments. The recurrence happened in 6 (23.1%) children within a few weeks from the first episode. CONCLUSIONS: Contrary to previous reports on Asian cases, KD in Korean children is not rare in young boys, and fever is more common presenting symptoms. It’s relationship with autoimmune diseases or infection of EBV is not clear. Symptoms such as fever improved in some cases only by the removal of affected lymph node for excision biopsy. In agreement with previous reports, patients treated with steroid recovered dramatically. Therefore, we suggest an earlier excision biopsy for patients suspicious with KD and an immediate treatment of cases with severe symptoms with steroid. The recurrence rate in this study was higher than that in previous studies, therefore, a spell of follow-up period after disappearance of symptoms is advisable for patients with original diagnosis of KD.

Resection for Internal Jugular Vein Thrombosis and Cervical Lymph Nodes' Involvement from Gastric Cancer

2020 ◽  
Vol 40 (5) ◽  
pp. 2889-2893
Author(s):  
GIULIO ILLUMINATI ◽  
ROCCO PASQUA ◽  
PRISCILLA NARDI ◽  
CHIARA FRATINI ◽  
ANTONIO MINNI ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Vein Thrombosis ◽  
Cervical Lymph Nodes ◽  
Vein Thrombosis ◽  
Internal Jugular Vein Thrombosis

scholarly journals Clinicopathological features and incidence of micrometastases in the bone marrow and peritoneum in advanced carcinoma of stomach in Indian patients

2017 ◽  
Vol 4 (9) ◽  
pp. 2967
Author(s):  
Anita Samraj ◽  
George Mathew ◽  
Aravindan Nair
Keyword(s):  
Risk Factors ◽  
Gastric Cancer ◽  
Bone Marrow ◽  
Gastric Carcinoma ◽  
Lymph Nodes ◽  
Peritoneal Fluid ◽  
Significant Risk ◽  
Peritoneal Cytology ◽  
Malignant Cells ◽  
Presenting Symptoms

Background: Gastric cancer is associated with high mortality. The current five-year survival rate is less than 20%. Preventing the development of gastric cancer or finding it at the earliest possible stage is a far more cost-effective way of dealing with this tumour than the treatment of patients with advanced local regional or metastatic disease. The introduction of immunocytological methods that using monoclonal antibodies, sensitive enough to identify even single tumour cells can now be used to detect secondary metastatic sites. The objective of this study was to evaluate the patients with advanced gastric carcinoma using various factors such as presenting symptoms, predisposing risk factors and evidence of micro metastases by analysis of bone marrow and peritoneal cytology and also to identify any specific risk factors in a group of patients and if there were evidence of early micro metastases in these patients.Methods: Around 30 patients with histologically and endoscopically diagnosed gastric carcinoma, admitted in CMCH, surgery unit I was included in the study. All patients with gastric carcinoma had bone marrow smear and biopsy prior to surgery.Results: In all 30 patients, the periperal bone marrow smears and the bone marrow biopsy was negative for malignant cells. Only 1 patient had evidence of atypical cells on examination of the peritoneal fluid for cytology. 14 patients had less than 3 lymph nodes positive. In 7 patients, more than 3 lymph nodes were positive. 23.3% of the patients had H.Pylori associated gastritis.Conclusions: Smoking and alcohol were found to be significant risk factor. There was a significant association of H.pylori infection in the group. There was only one patient detected to have malignant cells in the peritoneal washings analyzed cytologically. In this study, no significant incidence of micro metastases in the bone marrow or elevated CEA levels in the peritoneal fluid were found.

Clinico-pathological evaluation of cervical lymphadenopathy

2019 ◽  
Vol 22 (2) ◽  
pp. 23-36
Author(s):  
Rupesh Mukhia ◽  
Sushama Bhatta ◽  
Ganesh Simkhada ◽  
Abishek Thapa ◽  
Rupashia Mukhia
Keyword(s):  
Lymph Nodes ◽  
Cervical Lymphadenopathy ◽  
Needle Aspiration ◽  
Cervical Lymph Nodes ◽  
Delay In Diagnosis ◽  
Delayed Treatment ◽  
Medical College ◽  
Posterior Triangle ◽  
Pathological Evaluation ◽  
Tubercular Lymphadenitis

Introduction: Cervical lymph nodes are peripheral lymphoid organs distributed in the neck.  The term lymphadenopathy refers to nodes that are palpable and abnormal in size, consistency or numbers. Diagnosis of cervical lymphadenopathy can vary from neoplasm to various kinds of infection. Accurate diagnosis of the cause of lymphadenopathy can sometimes be challenging and can lead to delay in diagnosis causing delayed treatment and subsequent health issues. Methods: A prospective observational study was carried out on 78 patients of cervical lymphadenopathy who presented in the surgical outpatient department of KIST Medical College. Detailed history, physical examination and necessary investigations including fine needle aspiration cytology were done in all patients Results: Most patients were between 21 to 40 years of age. The commonest cause for cervical lymphadenopathy was reactive lymphadenitis (53.84%) followed by Tuberculosis (34.61%). Secondary metastasis was seen in 7 patients (8.97%). In tubercular lymphadenitis, the anterior triangle group was the most commonly involved group of cervical lymph nodes (74 %), followed by the posterior triangle and supraclavicular equally (11.11%).   Conclusions: Reactive Lymphadenopathy is the commonest cause of cervical lymphadenopathy. However, variable diagnosis can be possible from non-neoplastic to neoplastic condition.

scholarly journals Conversion surgery for metastatic gastric cancer at 2 years after initial diagnosis of cancer of unknown primary with metastasis of cervical lymph nodes and ovary: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Masaki Suzuki ◽  
Hisashi Hosaka ◽  
Yasuyuki Fukai ◽  
Yasushi Mochida ◽  
Daigo Ozawa ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Cervical Lymphadenopathy ◽  
Stage Iv ◽  
Metastatic Gastric Cancer ◽  
Initial Diagnosis ◽  
Unknown Primary ◽  
Conversion Surgery ◽  
Cervical Lymph Nodes ◽  
Stage Iv Gastric Cancer

Abstract Background Patients with stage IV gastric cancer have a poor prognosis despite improvements in intensive treatment regimens, including chemotherapy. Recently, conversion surgery has received much attention as it can provide long-term survival in stage IV gastric cancer patients who are responsive to chemotherapy. Herein, we describe the case of a patient who underwent conversion surgery for metastatic gastric cancer that was performed over 2 years after an initial diagnosis of cancer of unknown primary (CUP) with metastasis of the cervical lymph nodes and the ovary. Case presentation A 67-year-old woman with cervical lymphadenopathy was referred to our hospital. Computed tomography showed left cervical lymphadenopathy and bilateral ovarian enlargement. Endoscopic survey revealed no signs of malignancy in the upper or the lower gastrointestinal tract. Pathological findings after cervical lymphadenectomy revealed a signet-ring cell carcinoma and were suggestive of gastric cancer metastases. However, multiple evaluations yielded no evidence of gastric cancer and the patient was diagnosed with CUP. She was prescribed chemotherapy for gastric cancer and underwent bilateral oophorectomy after undergoing chemotherapy for 18 months. Pathologic analysis of oophorectomy tissue revealed findings identical to those seen in the cervical lymph nodes. At about 2 years after the initial diagnosis, an esophagogastroduodenoscopy revealed evidence of gastric cancer. We performed a distal gastrectomy with D2 lymphadenectomy. Her postoperative course was uneventful and she remains alive with no signs of disease recurrence at 3 months post-surgery. Conclusions To the best of our knowledge, this is the first report describing successful conversion surgery for stage IV gastric cancer in a patient whose cancer was definitively diagnosed 2 years after an initial diagnosis of CUP.

Benign thyroid inclusions in cervical lymph nodes

JAMA ◽  
1965 ◽  
Vol 194 (1) ◽  
pp. 1-4 ◽  
Author(s):  
A. D. Nicastri
Keyword(s):  
Lymph Nodes ◽  
Cervical Lymph Nodes ◽  
Benign Thyroid

Role of Clinical Palpation in Evaluation of Cervical Lymph Node in Oral Squamous Cell Carcinoma

2013 ◽  
Vol 1 (2) ◽  
pp. 02-06
Author(s):  
SM Anwar Sadat ◽  
Sufia Nasrin Rita ◽  
Shoma Banik ◽  
Md Nazmul Hasan Khandker ◽  
Md Mahfuz Hossain ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Lymph Node ◽  
Oral Squamous Cell Carcinoma ◽  
Lymph Nodes ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Predictive Value ◽  
Cervical Lymph Node ◽  
Betel Quid ◽  
Cervical Lymph Nodes

A cross sectional study of 29 cases of oral squamous cell carcinoma with or without  cervical lymph node metastasis was done among Bangladeshi patients from January 2006 to December 2007. Majority of the study subjects (34.5%) belonged to the age group of 40-49 years. 58.6% of the study subjects were male, while remaining 41.4% of them were female. 51.7% of the lesions were located in the alveolar ridge where the other common sites were buccal mucosa (27.6%) and retro molar area (13.8%). Half of the study subjects (51.7%) were habituated to betel quid chewing followed by 37.9% and 10.3% were habituated to smoking and betel quid-smoking respectively. Grade I lesions was most prevalent (75.9%) in the study subjects.  Majority of cases presented with Stage IV lesions (55.2%). The sensitivity, specificity, positive predictive value, negative predictive value & accuracy of clinical palpation method for determining metastatic cervical lymph nodes were 93.33%, 64.29%, 73.68%, 90% and 79.3% respectively. Careful and repeated clinical palpation plays important role in evaluation of cervical lymph nodes though several modern techniques may help additionally in the management of oral cancer.DOI: http://dx.doi.org/10.3329/updcj.v1i2.13978 Update Dent. Coll. j. 2011: 1(2): 02-06

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