A Case of Lipoma Arising in the Eustachian Tube

2016 ◽  
Vol 95 (1) ◽  
pp. E5-E7 ◽  
Author(s):  
Jonathan Dabiri ◽  
Georges Choufani ◽  
Isabelle Delpierre ◽  
Sergio Hassid
Keyword(s):  
Eustachian Tube ◽  
Preoperative Evaluation ◽  
Transnasal Endoscopy ◽  
Radiologic Findings ◽  
Histopathologic Evaluation ◽  
Rare Location ◽  
History Of ◽  
Transnasal Endoscopic Approach ◽  
The Right ◽  
Serous Otitis Media

We report a case of a lipoma inside the eustachian tube, an extremely rare location for this lesion. To the best of our knowledge, this is only the second such case that has been described in the literature. The patient was a 47-year-old man, a fighter pilot, who was referred to our hospital with a 3-year history of (1) fullness in the right ear secondary to recurrent serous otitis media and (2) right ear pain, which was especially acute during fights. Nasopharyngeal endoscopy, computed tomography, and magnetic resonance imaging detected the presence of a well-encapsulated lesion inside the eustachian tube; macroscopic and radiologic findings identified the mass as a lipoma. The lesion was completely removed via transnasal endoscopy. Histopathologic evaluation confirmed the diagnosis of lipoma. The patient's postoperative course was favorable, and he was able to fly again without any ear complaints. Radiologic examination is useful for the diagnosis and preoperative evaluation of this benign tumor. Lesions located in the lower part of the eustachian tube can be easily removed via a transnasal endoscopic approach.

scholarly journals Inflammatory Myofibroblastic Adrenal Tumor: An Extreme Rare Cause of Adrenal Incidentaloma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A138-A138
Author(s):  
Ghada Elshimy ◽  
Anand Gandhi ◽  
Sathya G Jyothinagaram
Keyword(s):  
Adrenal Gland ◽  
Ct Scan ◽  
Complex Disease ◽  
Adrenal Incidentaloma ◽  
Diabetes Type 2 ◽  
Biological Behavior ◽  
Rare Location ◽  
Exact Etiology ◽  
History Of ◽  
The Right

Abstract Introduction: An inflammatory myofibroblastic tumor (IMT) is considered a complex disease with a suggested neoplastic nature. It has a variable histological and clinical presentation. Up to now, the exact etiology is still unknown. Various sites such as the lungs (first site described in 1939), the heart, the gastrointestinal tract, and the genitourinary tract have been reported in the literature. The adrenal glands are considered an extremely rare location with no recurrence reported after surgical management. Up to our knowledge, only 9 cases have been described in the literature. The age of presentation was variable (from newborn to 57 years old). Case Report: A 70 years old female with a past medical history of well-controlled diabetes type 2, and hypertension presented with a progressively increasing chronic right flank pain for the past couple of months, associated with 10 lb weight loss. Workup was done and an incidental right adrenal mass was found on CT scan. The mass was 3.2cm x 3.3 cm partially necrotic with adjacent stranding abutting the right adrenal gland and the liver. The opposite gland was normal and there was no evidence of any other mass lesion in the abdomen. MRI adrenal showed 3.2x2.5x3.6 cm solid heterogeneous mass in the right adrenal gland (Hypointense on T1 and T2 weighted images. She had no sign or symptoms suggestive of Cushing and/or pheochromocytoma. Her hypertension was well controlled on lisinopril 10 mg. Hormonal workup was within normal range except for a mild elevation of DHEAS. Given the size of the mass, the worrisome radiological characteristics, and a family history of pheochromocytoma in her daughter, surgical options were discussed with the patient. Subsequently, the patient underwent the right robotic adrenalectomy. The postoperative course was uneventful. Pathology revealed a 6.5x6x 5 cm IMT of the adrenal. The CT scan done 6 months postoperatively didn’t show any recurrence. Discussion: and conclusion: Adrenal IMTs are extremely rare but they should be considered in the differential diagnosis of adrenal masses. Follow-up is warranted since its behavior still remains uncertain. More cases are needed to unmask the true biological behavior and pathogenesis of adrenal IMTs.

scholarly journals Giant Joints in Association with Chronic Renal Failure

2021 ◽  
Vol 6 (4) ◽  
pp. 01-04
Author(s):  
Berrin Erok
Keyword(s):  
Clinical History ◽  
Underlying Disease ◽  
Left Shoulder ◽  
Mri Findings ◽  
Radiologic Findings ◽  
Shoulder Joints ◽  
History Of ◽  
Uncommon Condition ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Tumoral Calcinosis (TC) is an uncommon benign entitiy characterized by solitary or multiple tumorlike densely calcified periarticular masses located typically in the extensor surfaces of the large joints. TC can be primary or secondary. The primary TC is a rare hereditary familial disorder of phosphate regulation. On the other hand, secondary TC is associated with an underlying disease, most frequently, chronic renal faliure (CRF). Herein, we present a case of 40 year old male patient with CRF and 10 years history of hemodialysis, presenting with swellings around the right hip and left shoulder joints. The diagnosis of secondary TC has been made with typical computed tomography (CT) and magnetic resonance imaging (MRI) findings. Secondary TC is an uncommon condition particularly occuring in association with CRF. Typical radiologic findings and clinical history are leading in the diagnosis and prevent unnecessary further evaluations.

Recurrent and Progressive Facial Baroparesis on Flying Relieved by Eustachian Tube Dilation

2019 ◽  
Vol 128 (8) ◽  
pp. 778-781
Author(s):  
Tracy Z. Cheng ◽  
David M. Kaylie
Keyword(s):  
Facial Paralysis ◽  
Eustachian Tube ◽  
Balloon Dilation ◽  
Work Related ◽  
Seventh Cranial Nerve ◽  
Commercial Airline ◽  
Appropriate Treatment ◽  
The Face ◽  
History Of ◽  
The Right

Objectives: Facial baroparesis is a rare phenomenon of seventh cranial nerve palsy traditionally reported in divers, with only 11 cases reported in aviation so far. It is important to correctly diagnose facial baroparesis given the differential diagnosis of stroke and decompression disease and offer appropriate treatment for recurrent cases. Methods: The authors present the case of a patient with recurrent and progressive facial baroparesis treated with Eustachian tube balloon dilation. Institutional medical records were reviewed, and analysis of the current literature was performed. Results: A 37-year-old woman experienced recurrent and progressive left facial paralysis on descent from altitude on commercial airline flights, with resolution between flights. The patient flew frequently for work-related trips and for the past 7 years had noted facial paralysis that began with mild asymmetry of the face and progressed to an inability to close her left eye. She denied any otologic symptoms other than ear fullness and pressure causing left otalgia. The right side was not involved. After treatment with Eustachian tube dilation, the patient has been on numerous flights with complete resolution of symptoms. Conclusions: This study presents a rare case of facial baroparesis on commercial flight descent that resolved after left Eustachian tube dilation. Although unilateral facial palsy can be concerning for stroke, a history of ear fullness and pressure may suggest facial baroparesis instead. For recurrent and progressive cases, Eustachian tube dilation should be considered for treatment.

Nasopharyngeal cylindrical cell papilloma

2010 ◽  
Vol 125 (1) ◽  
pp. 86-88 ◽  
Author(s):  
A Chrysovergis ◽  
J Paschalidis ◽  
L Michaels ◽  
A Bibas
Keyword(s):  
Hearing Loss ◽  
Eustachian Tube ◽  
Cylindrical Cell ◽  
Tube Obstruction ◽  
Endoscopic Excision ◽  
Rare Tumours ◽  
History Of ◽  
Cylindrical Cell Papilloma ◽  
The Right ◽  
Possible Cause

AbstractIntroduction:Cylindrical cell papillomas are rare tumours which usually arise in the sinonasal region.Case report:We report a case of a nasopharyngeal cylindrical cell papilloma in a 56-year-old man who presented with a four-month history of right-sided hearing loss, otalgia, vertigo and tinnitus. Investigation revealed a soft, nodular lesion obstructing the pharyngeal opening of the right eustachian tube; this was treated by wide endoscopic excision.Conclusion:Cylindrical cell papilloma is a possible cause of eustachian tube obstruction in adults. Effective treatment of these lesions usually requires wide endoscopic excision, in order not to miss coexistent carcinoma.

scholarly journals Multiple High Grade Rhabdoid Papillary Meningiomas Mimicking Choroid Plexus Carcinoma: A Case Report

2019 ◽  
Vol 14 (4) ◽  
pp. 338-341
Author(s):  
Arezoo Eftekhar-Javadi ◽  
Dorna Motevalli ◽  
Ahmad Pourrashidi Boshrabadi ◽  
Hedieh Moradi Tabriz ◽  
Hoda Asefi
Keyword(s):  
Tumor Cells ◽  
Temporal Lobe ◽  
Cerebellopontine Angle ◽  
High Grade ◽  
Papillary Meningioma ◽  
Radiologic Findings ◽  
Eosinophilic Cytoplasm ◽  
History Of ◽  
The Right ◽  
The Brain

Rhabdoid papillary meningioma is an uncommon aggressive variant of meningioma which has the potential to metastasize and spread throughout the brain and even out of the cranium. Herein, we present recurrence of the brain tumor in a 26-year-old woman. The patient had history of the surgery for two lesions in the right temporal lobe and the left cerebellopontine angle. Imaging showed three lesions in the right temporal lobe, the right occipital horn wall, and the left cerebellopontine angle. These radiologic findings were mostly suggestive of atypical meningioma. In the surgical view, the mass was solid-cystic reddish Cauliflower-shaped in the right temporal lobe attaching to the temporal horn. The microscopic examination showed a cellular neoplasm with the sheet-like and papillary growth pattern. Individual cells had vesicular nuclei some with prominent nucleoli and eosinophilic cytoplasm. The areas of the tumor cells showed round eccentric nuclei and prominent nucleoli with eosinophilic cytoplasm. Immunohistochemistry studies showed diffuse positivity of tumor cells with Vimentin, EMA, and S100. The overall clinical, radiological and histopathological examinations were compatible with high grade rhabdoid-papillary meningiomas. In the present case study, we discuss imaging and histomorphological features of this rare entity of meningiomas.

Z-line degradation and phagocytosis of sarcomeric fragments in myonecrosis

1983 ◽  
Vol 41 ◽  
pp. 790-791
Author(s):  
Melinda L. Estes ◽  
Samuel M. Chou
Keyword(s):  
Vastus Lateralis ◽  
Inflammatory Myopathy ◽  
Muscle Disease ◽  
White Female ◽  
Inflammatory Cell Infiltrate ◽  
Limb Weakness ◽  
Muscle Diseases ◽  
History Of ◽  
The Right ◽  
Mononuclear Inflammatory Cell

Many muscle diseases show common pathological features although their etiology is different. In primary muscle diseases a characteristic finding is myofiber necrosis. The mechanism of myonecrosis is unknown. Polymyositis is a primary muscle disease characterized by acute and subacute degeneration as well as regeneration of muscle fibers coupled with an inflammatory infiltrate. We present a case of polymyositis with unusual ultrastructural features indicative of the basic pathogenetic process involved in myonecrosis.The patient is a 63-year-old white female with a one history of proximal limb weakness, weight loss and fatigue. Examination revealed mild proximal weakness and diminished deep tendon reflexes. Her creatine kinase was 1800 mU/ml (normal < 140 mU/ml) and electromyography was consistent with an inflammatory myopathy which was verified by light microscopy on biopsy muscle. Ultrastructural study of necrotizing myofiber, from the right vastus lateralis, showed: (1) degradation of the Z-lines with preservation of the adjacent Abands including M-lines and H-bands, (Fig. 1), (2) fracture of the sarcomeres at the I-bands with disappearance of the Z-lines, (Fig. 2), (3) fragmented sarcomeres without I-bands, engulfed by invading phagocytes, (Fig. 3, a & b ), and (4) mononuclear inflammatory cell infiltrate in the endomysium.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

COMMONWEALTH Forum: The Politics of Science or the Science of Politics

Commonwealth ◽  
2017 ◽  
Vol 19 (1) ◽  
Author(s):  
John Arway
Keyword(s):  
Public Policy ◽  
Natural Resource ◽  
Factual Information ◽  
The Past ◽  
Difference Of Opinion ◽  
History Of ◽  
The Right ◽  
Scientific Facts ◽  
Environmental Agency ◽  
Laws And Regulations

The challenges of including factual information in public policy and political discussions are many. The difficulties of including scientific facts in these debates can often be frustrating for scientists, politicians and policymakers alike. At times it seems that discussions involve different languages or dialects such that it becomes a challenge to even understand one another’s position. Oftentimes difference of opinion leads to laws and regulations that are tilted to the left or the right. The collaborative balancing to insure public and natural resource interests are protected ends up being accomplished through extensive litigation in the courts. In this article, the author discusses the history of environmental balancing during the past three decades from the perspective of a field biologist who has used the strength of our policies, laws and regulations to fight for the protection of our Commonwealth’s aquatic resources. For the past 7 years, the author has taken over the reins of “the most powerful environmental agency in Pennsylvania” and charted a course using science to properly represent natural resource interests in public policy and political deliberations.

Multiple subluxations and comminuted fracture of the cervical spine in a sheep

2015 ◽  
Vol 43 (01) ◽  
pp. 44-38
Author(s):  
C.-C. Lin ◽  
K.-S. Chen ◽  
Y.-L. Lin ◽  
J. P.-W. Chan
Keyword(s):  
Cervical Spine ◽  
Pain Perception ◽  
Cervical Vertebrae ◽  
Traumatic Injury ◽  
Spinal Reflexes ◽  
Spine Trauma ◽  
Blunt Force Trauma ◽  
Comminuted Fracture ◽  
History Of ◽  
The Right

SummaryA 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1–C2 and C2–C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

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