Life-Threatening Presentations of Fibrovascular Esophageal and Hypopharyngeal Polyps

Giant fibrovascular polyps of the esophagus and hypopharynx are benign tumors of the upper digestive tract Although a rare cause of asphyxiation, laryngeal impaction by a regurgitated polyp of the esophagus may be the initial symptom that brings the patient to request medical attention. Two new cases of giant fibrovascular polyps with dramatic and potentially life-threatening presentations illustrate the unpredictable behavior of these unusual tumors. Both patients presented to the emergency center with a history of coughing and eructation followed by temporary airway obstruction that was relieved by clenching a regurgitated fleshy mass between the teeth. Diagnostic and therapeutic intervention requires aggressive airway management, radiographic and endoscopic evaluation, and definitive surgical treatment. Tracheotomy was required in one patient, and successful endotracheal intubation provided satisfactory airway control in the second. Esophagoscopy revealed the origin of both tumors to be near the cricopharyngeal muscle. Complete surgical excision was curative in both cases.

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INTRAOSSEOUS ANGIOLIPOMA OF THE CRANIUM

Neurosurgery ◽

10.1227/01.neu.0000335785.12401.8c ◽

2009 ◽

Vol 64 (1) ◽

pp. E189-E190 ◽

Cited By ~ 4

Author(s):

Kenny Yu ◽

James Van Dellen ◽

Philip Idaewor ◽

Federico Roncaroli

Keyword(s):

Clinical Presentation ◽

Subcutaneous Tissue ◽

Rare Condition ◽

Surgical Excision ◽

Benign Tumors ◽

Complete Surgical Excision ◽

History Of ◽

Titanium Cranioplasty ◽

Intraosseous Lesion ◽

Slow Growing

Abstract OBJECTIVE We describe an intraosseous angiolipoma of the cranium and discuss the outcome. Angiolipomas are benign tumors that consist of mature adipose tissue and abnormal vessels. They occur predominantly in the subcutaneous tissue of the trunk and upper limbs. Only 4 examples of intraosseous angiolipomas have been reported in the literature, all of which involved the mandible and ribs. CLINICAL PRESENTATION A 39-year-old man presented with a right parietal swelling. The patient initially refused surgery; thus it was possible to follow this case for 11 years, allowing us to evaluate the natural history of this rare condition. INTERVENTION Complete surgical excision of the intraosseous lesion was achieved with a titanium cranioplasty performed at intervals. Fifteen months after surgery, no recurrence was seen. CONCLUSION This is the first known report of intraosseous angiolipoma of the cranium. Angiolipomas are rare, benign, slow-growing tumors with an excellent prognosis. On preoperative neuroimaging, they may mimic intraosseous angiomas, lipomas, or intraosseous meningiomas. Total resection is curative.

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Neonatal oncology: Diagnostics and management

Archive of oncology ◽

10.2298/aoo1304125d ◽

2013 ◽

Vol 21 (3-4) ◽

pp. 125-130

Author(s):

Dusanka Dobanovacki ◽

Nada Vuckovic ◽

Smiljana Marinkovic ◽

Jovanka Kolarovic ◽

Svetlana Bukarica

Keyword(s):

Retrospective Study ◽

Adjuvant Chemotherapy ◽

Natural History ◽

Liver Tumors ◽

Surgical Excision ◽

Response To Treatment ◽

Benign Tumors ◽

Older Children ◽

Complete Surgical Excision ◽

History Of

Tumors are rarely diagnosed in newborns. Natural history of such tumors, their type, and response to treatment differ from those seen in older children. The etiology is still unclear. In this paper, a retrospective study is presented of diagnostics and management of neonatal tumors from 2008 to 2012. Out of 518 neonatal admissions in that period, tumors were diagnosed in 15 patients (2.8%), in only 3 of them (20.0%) prenatally. The diagnosed tumors were teratomas (4), retroperitoneal (4), and liver tumors (7). Ten of them (66.6%) had a natural history of benign tumors. Complete surgical excision was the treatment of choice in 10 (66.6%) cases and there was no need for adjuvant chemotherapy.

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Transperitoneal laparoscopic treatment for recurrence of a giant multilocular prostatic cystadenoma: A case report and review of the literature

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2016.1.66 ◽

2016 ◽

Vol 88 (1) ◽

pp. 66 ◽

Cited By ~ 5

Author(s):

Davide Abed El Rahman ◽

Tiziano Zago ◽

Giuseppe Verduci ◽

Gianpaolo Baroni ◽

Marco Lorenzo Berardinelli ◽

...

Keyword(s):

Abdominal Mass ◽

Laparoscopic Approach ◽

Surgical Excision ◽

Benign Tumors ◽

Pelvic Cavity ◽

Invasive Approach ◽

First Case ◽

Complete Surgical Excision ◽

Adjacent Structures ◽

History Of

Giant multilocular prostatic cystadenomas (GMPC) are very rare benign tumors that originate from the prostate with extensive spread into the pelvis. The lesion may present as large abdominal mass causing obstructive voiding dysfunction and usually not invading adjacent structures. All of the previously reported patients with GMPC underwent open surgery. Although the natural history of prostatic cystadenoma remains unknown, complete surgical excision may not always be necessary. We report the case of a 74-year-old male who presented a retrovesical recurrence of prostatic cystoadenoma after 16 years, treated with a laparoscopic approach. To our knowledge this is the first case of laparoscopic management of GMPC. In this article we review the current literature about this rare tumor and discuss the diagnostic and management dilemmas posed by this rare pathologic condition. We believe that physicians should at least be aware of the existence of this disease in the differential diagnosis of pelvic cavity tumours and, considering the benignity of GMPC, they should propose -as first- a minimally invasive approach.

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Pleomorphic adenoma of dorsum of the nose: a rare occurrence

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204204 ◽

2020 ◽

Vol 6 (10) ◽

pp. 1919

Author(s):

Rajiv Kumar Jain ◽

Chultim D. Bhutia ◽

Deepak Kumar Gupta ◽

Ashvanee Kumar Chaudhary ◽

Gagan Rangari ◽

...

Keyword(s):

Pleomorphic Adenoma ◽

Surgical Excision ◽

Histological Evaluation ◽

Prior History ◽

Salivary Gland Tumours ◽

Complete Surgical Excision ◽

Complete Surgical Resection ◽

Long Term Follow Up ◽

History Of ◽

Benign Salivary Gland Tumours

<p class="abstract">Pleomorphic adenoma are common benign salivary gland tumours, which are found in majority in major salivary glands such as parotids and submandibular glands. However, Pleomorphic adenoma to originate from dorsum of the nose is a rare entity. In rare cases, it can be found in unusual sites such as upper aero digestive tracts, palate and lacrimal glands. Complete surgical resection is the treatment of choice. Though, the evolution to malignancy and recurrence is not usually encountered, still a long-term follow-up is recommended. Here, we report a 53 year old female , complained of swelling in the left side of dorsum of nose for 10 years with a feeling of heaviness over the left side of face and difficulty in vision on the side of swelling due to the enlarged size of the swelling which gave a feeling of vision disruption , also had a prior history of incision and drainage 4 years ,done elsewhere. On clinical examination, nodular mass was palpated on left side dorsum of nose which was freely mobile, and Skin over the swelling had blackish pigmentation. Anterior rhinoscopy revealed no abnormalities. Complete surgical excision via a lateral rhinotomy incision was performed. Cytological and histological evaluation revealed the presence of pleomorphic adenoma. We observed a decent cosmetic outcome with no evidence of recurrence.</p>

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Diagnosis and management of a case of retroperitoneal eosinophilic sclerosing fibroplasia in a cat

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116919867178 ◽

2019 ◽

Vol 5 (2) ◽

pp. 205511691986717

Author(s):

Maureen E Thieme ◽

Anastasia M Olsen ◽

Andrew D Woolcock ◽

Margaret A Miller ◽

Micha C Simons

Keyword(s):

Abdominal Mass ◽

Clinical Signs ◽

Surgical Excision ◽

Clinical Findings ◽

Peripheral Eosinophilia ◽

Aerobic Culture ◽

Complete Surgical Excision ◽

History Of ◽

Amoxicillin Clavulanic Acid ◽

The Masses

Case summary A 4-year-old neutered male cat was presented with a 2-month history of intermittent constipation that progressed to obstipation. Primary clinical findings included a large, multi lobulated mass in the caudodorsal abdomen, peripheral eosinophilia and hyperglobulinemia. Abdominal imaging revealed a multilobulated, cavitated mass in the sublumbar region. Exploratory celiotomy revealed multiple firm masses in the sublumbar retroperitoneal space causing ventral displacement and compression of the descending colon with extension of the masses into the pelvic canal. Histopathology was consistent with feline gastrointestinal eosinophilic sclerosing fibroplasia (FGESF). Aerobic culture was positive for Staphylococcus aureus. The cat was treated with prednisolone (2 mg/kg PO q24h), lactulose (0.5 g/kg PO q8h), amoxicillin/clavulanic acid (62.5 mg/cat PO q12h for 1 month) and fenbendazole (50 mg/kg PO q24h for 5 days). Six months postoperatively, the cat had no recurrence of clinical signs. Repeat evaluation and imaging at day 732 postoperatively revealed marked improvement of the abdominal mass, resolution of peripheral eosinophilia and no clinical signs with continued prednisolone therapy (0.5 mg/kg PO q24h). Relevance and novel information This is a report of a primary extramural FGESF lesion, and the first description of characteristics of FGESF on CT. Previous evidence suggests that the most favorable outcomes require immunosuppressive therapy and complete surgical excision; however, this case demonstrates a favorable outcome with medical management alone.

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Extraosseous Intra-Articular Osteochondroma

Case Reports in Orthopedics ◽

10.1155/2013/181862 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5

Author(s):

Pragash Mohanen ◽

Kumaresan Palania Pillai ◽

Kanagasabai Rangasamy

Keyword(s):

Surgical Excision ◽

Left Knee ◽

Bone Lesions ◽

Excision Biopsy ◽

Anatomic Site ◽

Anterior Portion ◽

Tissue Mass ◽

Complete Surgical Excision ◽

Biological Potential ◽

History Of

Background. Conventional osteochondromas are common bone lesions developing in the metaphyseal region of growing skeleton. Marginal excision is the treatment of choice for such tumours. Extraosseous cartilaginous tumours are rare and their biological potential is poorly characterized.Case Presentation. A-52-year old woman presented with 3-year history of fullness and dull pain and inability to flex her left knee, sit cross-legged, or squat. Clinical and imaging studies revealed a nodular mineralised mass in the anterior portion of the knee displacing the patellar tendon laterally. Excision biopsy confirmed the diagnosis of extraosseous osteochondroma-like soft tissue mass. There is no recurrence at two-year followup.Conclusion. An integrated clinicopathological diagnosis helps to clarify the nature of extraosseous cartilaginous tumour that can arise at an unusual anatomic site. Complete surgical excision is the treatment of choice.

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Colossal Malignant Nonteratoid Medulloepithelioma of the Eye with Unusual Metastases: The Natural History

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1008 ◽

2010 ◽

Vol 1 (1) ◽

pp. 39-42 ◽

Cited By ~ 2

Author(s):

Qureshi Sajid

Keyword(s):

Natural History ◽

Regional Lymph Node ◽

Postoperative Radiotherapy ◽

Distant Metastases ◽

Surgical Excision ◽

Facial Soft Tissue ◽

Cervical Lymph Nodes ◽

Complete Surgical Excision ◽

Aggressive Surgical Approach ◽

History Of

Abstract Background Medulloepithelioma is rare intraocular tumor seen predominantly in children, and arising mainly from undifferentiated nonpigmented epithelium of the ciliary body. Methods We present a typical neglected case of malignant nonteratoid medulloepithelioma of the eye with extensive metastases to the facial soft tissue parotid and cervical lymph nodes. Results An aggressive surgical approach with orbital exenteration and comprehensive disease clearance with total parotidectomy and neck dissection augmented by postoperative radiotherapy was utilized after initial unsuccessful chemotherapy. Conclusions The present case highlights the natural history of untreated medulloepithelioma of the eye. Colossal growth at the primary site with extensive regional lymph node metastases develops without distant metastases. Complete surgical excision supplemented with postoperative radiotherapy should be considered even in the setting of advanced locoregional disease.

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Clear cell sarcoma of the nuchal region with metastasis in stomach

Archive of oncology ◽

10.2298/aoo1104076t ◽

2011 ◽

Vol 19 (3-4) ◽

pp. 76-78

Author(s):

Dragana Tegeltija ◽

Aleksandra Lovrenski ◽

Milana Panjkovic ◽

Slavica Knezevic-Usaj ◽

Zivka Eri ◽

...

Keyword(s):

Malignant Melanoma ◽

Soft Tissues ◽

Clear Cell ◽

Neck Region ◽

Surgical Excision ◽

Clear Cell Sarcoma ◽

Lower Limbs ◽

Medical Attention ◽

Cell Sarcoma ◽

Complete Surgical Excision

Clear cell sarcoma/malignant melanoma of soft parts is a rare malignant tumor that originates from the neural crest. It is most common in young men in the lower limbs, grows slowly in the form of deep localized nodes around the tendons, fascia, and aponeurosis. Prognosis is poor, local recurrences and metastases are common. We present a case of a 53-year-old patient who sought medical attention due to the presence of a tumefaction in the nuchal neck region, followed by pain, heightened sensitivity, and numbness in his right hand. After excision, histological examination, and application of immunohistochemical and histochemical methods, malignant melanoma of soft tissues was diagnosed. Fourteen months after the excision of the neck tumor, a metastatic stomach disease was diagnosed. Larger tumors with necrosis, expressed pleomorphisam, and increased mitotic activity give metastases before local recurrence. Diagnosis is set using immunohistochemical methods after surgical excision of the tumor and the prognosis of the disease depends on the size of tumor and complete surgical excision.

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Falx cerebri tuberculoma mimicking en plaque meningioma – case report

Romanian Neurosurgery ◽

10.1515/romneu-2016-0032 ◽

2016 ◽

Vol 30 (2) ◽

pp. 209-213

Author(s):

A.I. Cucu ◽

Dana Mihaela Turliuc ◽

Anca Sava ◽

Gabriela Florenţa Dumitrescu ◽

Ş. Turliuc ◽

...

Keyword(s):

Surgical Intervention ◽

Histopathological Examination ◽

Surgical Excision ◽

Antituberculous Therapy ◽

Falx Cerebri ◽

Clinical Imaging ◽

Complete Surgical Excision ◽

Histopathologic Diagnosis ◽

History Of ◽

Cerebral Tuberculosis

Abstract Background: The involvement of falx cerebri in tuberculosis is extremely rare, with only three cases reported so far in the literature. The diagnosis is most often difficult to establish, given the location of the lesion, making surgical intervention necessary for a definite histopathologic diagnosis. Methods: We present the case of a 49-year old female patient who was admitted for a right jacksonian seizure, followed by a right crural monoparesis, without a history of tuberculosis. The lesion mimicked a falx cerebri en plaque meningioma in the imaging tests. Results: A complete surgical excision was performed through a left fronto-parietal parasagittal approach. The histopathological examination revealed a case of cerebral tuberculosis. The surgical treatment was complemented postoperatively with antituberculous therapy. Conclusion: In this article, we emphasize the rarity of the lesion at this level and also presenting similar cases from the literature. Moreover, we also discuss epidemiological, clinical, imaging, therapeutic as well as pathological aspects of en-plaque dural tuberculoma.

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Pleomorphic Adenoma of the Ala Nasi: A Case Report

Clinical Medicine Insights Ear Nose and Throat ◽

10.1177/1179550619886561 ◽

2019 ◽

Vol 12 ◽

pp. 117955061988656

Author(s):

Amina Mouzali ◽

Samia Lameche ◽

Assia Slimani ◽

Omar Zemirli

Keyword(s):

Pleomorphic Adenoma ◽

Minor Salivary Gland ◽

Surgical Excision ◽

Myoepithelial Cells ◽

Benign Tumors ◽

Complete Surgical Excision ◽

External Nose ◽

Pleomorphic Adenomas ◽

Long Term Follow Up ◽

The Right

Objectives: Pleomorphic adenomas are benign tumors that rarely involve nonsalivary glands. We report an uncommon case of ala nasi pleomorphic adenoma. We discuss the clinical and histopathologic characteristics, and review the literature on nasal pleomorphic adenoma. Method: A 20-year-old man presented with a painless slow growing lobulated mass located on the right ala nasi extending into the nasal vestibule. Results: Complete surgical excision was performed. Histologic examination found a mixed cellular component: epithelial and myoepithelial cells with chondromyxoid stroma. This was consistent with the diagnosis of a typical pleomorphic adenoma. There was no evidence of recurrence at 18 months after the surgery. Conclusions: Pleomorphic adenomas located in the external nose are extremely rare. In such case, pleomorphic adenoma could originate from ectopic minor salivary gland. Complete surgical excision with long-term follow-up is recommended due to the potential risk of recurrence and malignant transformation.

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