Recurrent Neck Lymphangioma in a Young Adult: Twenty-Three Years After Successful Treatment

2018 ◽  
Vol 53 (2) ◽  
pp. 170-176 ◽  
Author(s):  
Thomas Kotsis ◽  
Georgios Exarchos ◽  
Linda Metaxa ◽  
Stylianos Triantos
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Young Adult ◽  
Head And Neck ◽  
Lymphatic System ◽  
Clinical Manifestations ◽  
Cervical Region ◽  
Neck Area ◽  
Life Threatening ◽  
New Onset

Lymphangiomas are rare benign malformations of the lymphatic system, commonly present in children, over the head and neck area. Occasionally, they can grow significantly in size and especially those located over the cervical region can cause airway obstruction and become life-threatening. Recurrent lymphangiomas usually occur during the early postsurgical period and 80% of them within the first 3 to 5 years. However, in a new onset of clinical manifestations affecting the head and neck, even many years after the successful surgical treatment, a recurrent lymphangioma should be considered in the differential diagnosis. We present herein the second reported case, to our knowledge, of a recurrent left-sided neck lymphangioma in a young man, 23 years after a successful surgical treatment that initially took place 6 weeks after his birth.

scholarly journals A Case of Myxoid Liposarcoma of Neck

2021 ◽  
Vol 37 (2) ◽  
pp. 71-75
Author(s):  
Kyuin Lee ◽  
Jeong Hae Kie ◽  
Hyang-Ae Shin ◽  
Ji-Hoon Kim
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Head And Neck ◽  
Malignant Tumor ◽  
Rare Case ◽  
Myxoid Liposarcoma ◽  
Neck Area ◽  
Life Threatening ◽  
Posterior Neck

Liposarcoma is a very rare malignant tumor affecting the head and neck area. Since it is an invasive and life-threatening disease, active treatments is necessary. However, differential it from lipoma, its corresponding benign counterpart, may be difficult. Herein, we report a rare case of posterior neck myxoid liposarcoma in a 72-year-old man who was initially misdiagnosed with lipoma, including a literature review of differential diagnosis between lipoma and liposarcoma.

Systemic lupus erythematosus—clinical features and aetiopathogenesis

2013 ◽  
pp. 923-937
Author(s):  
Caroline Gordon
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Differential Diagnosis ◽  
Autoimmune Disease ◽  
Clinical Features ◽  
Lupus Erythematosus ◽  
Immune Complexes ◽  
Clinical Manifestations ◽  
Systemic Lupus ◽  
Life Threatening ◽  
Symptoms And Signs

Systemic lupus erythematosus (SLE or lupus) is a multisystem, autoimmune disease associated with the formation of autoantibodies that form pathological immune complexes and activate a number of inflammatory pathways. The disease is characterized by remissions and relapses (flares) that can present with a variety of clinical manifestations. The symptoms and signs may range from mild features that can be treated easily to organ and even life threatening manifestations requiring potent immunosuppression. This chapter will review the epidemiology and pathology of lupus, then the clinical features including differential diagnosis and investigation of adult patients with SLE. Finally the classification, diagnosis, monitoring and outcome of lupus patients will be discussed.

Infectious Mononucleosis: Etiological Factors, Diagnosis and Treatment Problems

10.12737/5932 ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Тюняева ◽  
N. Tyunyaeva ◽  
Софронова ◽  
L. Sofronova
Keyword(s):  
Differential Diagnosis ◽  
Infectious Mononucleosis ◽  
Clinical Manifestations ◽  
Pediatric Practice ◽  
Laboratory Methods ◽  
Etiological Factors ◽  
Single Opinion ◽  
Laboratory Features ◽  
Life Threatening ◽  
Chronic Course

The present review examines the modern view on the problem of infectious mononucleosis. It is noted that this disease is a polyetiological entity and is usually caused by various lymphotropic infections that are often representatives of the Негреsviridae family. Etiological factors, pathogenesis, and the most typical clinical manifestations are described. Clinical and laboratory features depending on the type of pathogen are presented. Differential diagnosis complications are discussed. The authors present comparative analysis of different approaches to this issue reported by other investigators. The authors have made the following conclusions: 1. Infectious mononucleosis presents a variety of clinical manifestations, from asymptomatic to life-threatening, can have a chronic course and form a contingent of sickly children. 2. On the basis of using only routine clinical and laboratory methods of examination, it doesn’t always possible to diagnose the disease. 3. Today there is no single opinion about the treatment infectious mononucleosis, are clearly not designed clinical examination doesn’t clearly developed. 4. Currently, there is no doubt as to the urgency of the threat of infectious mononucleosis in pediatric practice and the need for more detailed study.

scholarly journals An Uncommon, Life-Threatening, Traumatic Hematoma in the Neck Area

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Michalis Peroulis ◽  
Georgios D. Lianos ◽  
Vasilios Nousias ◽  
Zoi Anastasiadi ◽  
Aikaterini Lianou ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Penetrating Injury ◽  
Medical Attention ◽  
Caucasian Woman ◽  
Neck Trauma ◽  
Direct Evaluation ◽  
Blunt Neck Trauma ◽  
Neck Area ◽  
Life Threatening ◽  
Anatomical Area

It is well known that blunt neck trauma, when compared to a penetrating injury in the same anatomical area, is very rare. We report a case of an 81-year-old Caucasian woman with a blunt life-threatening neck trauma due to a bully goat. Although rare, direct evaluation should always be done in these cases because any misinterpretation may result in unfavorable outcomes. We have to highlight that close medical attention and prompt surgical treatment should be always considered in order to avoid dramatic consequences.

scholarly journals Atlantoaxial Instability in Down Syndrome

PEDIATRICS ◽  
1984 ◽  
Vol 74 (1) ◽  
pp. 152-154
Author(s):  
Keyword(s):  
Down Syndrome ◽  
Head And Neck ◽  
Cervical Vertebrae ◽  
Clinical Manifestations ◽  
Odontoid Process ◽  
Cervical Vertebra ◽  
Cervical Region ◽  
Atlantoaxial Instability ◽  
Atlantoaxial Joint ◽  
Special Olympics

Some issues related to participation in certain sports by persons with Down syndrome require clarification. Since 1965 there have been occasional reports about a condition described at various times as instability, subluxation, or dislocation of the articulation of the first and second cervical vertebrae (atlantoaxial joint) among persons with Down syndrome.1-15 This condition has also been found in patients with rheumatoid arthritis,16,17 abnormalities of the odontoid process of the second cervical vertebra,4,5,12,13,15 and various forms of dwarfism.18 Atlantoaxial (C-1, C-2) instability has not attracted general attention because clinical manifestations are rare and the condition is limited to a small portion of the population. The incidence of atlantoaxial instability among persons with Down syndrome has been reported by various observers to be 10% to 20%.2,9,15 When atlantoaxial instability results in subluxation or dislocation of C-1 and C-2, the spinal cord also may be injured. This is a rare but serious complication. In March 1983, the Special Olympics, Inc, sponsors of a nationwide competitive athletic program for developmentally disabled persons, without prior announcement, mandated for participants with Down syndrome special precautions to prevent serious neurologic consequences from stress on the head and neck in sports competition.19 Although thousands of persons with Down syndrome have taken part in sports events during the 15-year history of the Special Olympics without a known occurrence of neurologic complications due to participation, the new directive requires all persons with Down syndrome who wish to participate in certain sports that might involve stress on the head and neck (gymnastics, diving, pentathlon, butterfly stroke in swimming, diving start in swimming, high jump, soccer, and warm-up exercises that place undue stress on the head and neck muscles) to have a medical examination, lateral-view roentgenograms of the upper cervical region in full flexion and extension, and certification by a physician that the examination did not reveal atlantoaxial instability or neurologic disorder.

ANALYSIS OF CASES OF THROMBOSIS OF THE GREAT SACRET VEIN HIPS IDENTIFIED SPONTANEOUSLY IN THE CONDITIONS OF THE RECEPTION DEPARTMENT OF A MULTI-PROFILE HOSPITAL

2020 ◽  
pp. 24-33
Author(s):  
Дмитрий Валериевич Судаков ◽  
Евгений Владимирович Белов ◽  
Артём Николаевич Шевцов ◽  
Елена Васильевна Богачева ◽  
Данаил Красимирович Назлиев
Keyword(s):  
Surgical Treatment ◽  
Primary Care Physicians ◽  
Clinical Manifestations ◽  
Venous System ◽  
Coagulation System ◽  
Minimally Invasive Surgical ◽  
The World ◽  
Life Threatening ◽  
D Dimer ◽  
Group 1

В статье проводится анализ случаев тромбоза большой подкожной вены (БПВ) при случайном их выявлении в условиях приемного отделения многопрофильного стационара. Данная тематика является весьма актуальной, так как в России и в мире наблюдается ежегодный рост заболеваний венозной системы и тромбозов в частности. Также во всем мире отмечается определенная тенденция - омоложение патологии сердечно-сосудистой системы. Это в полной мере касается и тромбозов. Малоподвижный образ жизни, вредные привычки, ожирение и многие другие факторы приводят к тому, что венозные тромбозы встречаются уже в молодом возрасте. Целью работы стала попытка проанализировать различные варианты случаев тромбоза БПВ, включая спонтанно выявленные на уровне приемного отделения областного стационара. Объектами исследования послужили 90 пациентов, мужчин и женщин, с диагнозом «тромбоз БПВ». Все пациенты были разделены на 3 группы по 30 пациентов. В первую группу вошли пациенты, у которых «тромбоз БПВ» выявлялся случайно. Вторую группу составили пациенты с уже выявленным тромбозом, не угрожающим жизни, направленные на плановое оперативное лечение. В третью группу вошли пациентки, уже имеющие в анамнезе опыт малоинвазивного хирургического лечения венозной системы. В исследовании проводился подробный сравнительный анализ показателей общего анализа крови, включая свертывающую систему и уровень Д-Димера. Было установлено, что для пациентов 1 группы был характерен более выраженный воспалительный процесс с более высоким показателем Д-Димера. Также в работе изучались основные клинические проявления и определялось наличие факторов риска развития тромбоза БПВ. Было замечено, что среди пациентов 1 группы, в отличии от 2 и 3, большинство симптомов были слабее выражены и встречались реже. Были определены и некоторые закономерности в уровне поражения, в зависимости от исследуемой группы. Данная работа представляет определенный интерес для врачей практического звена - хирургов и сосудистых хирургов, а также для врачей первичного звена - участковых терапевтов The article analyzes the cases of thrombosis of the great saphenous vein (BPV) in case of their accidental detection in the emergency department of a multidisciplinary hospital. This topic is very relevant, since in Russia and in the world there is an annual increase in diseases of the venous system and thrombosis in particular. Also, around the world there is a certain trend-rejuvenation of the pathology of the cardiovascular system. This fully applies to thrombosis. A sedentary lifestyle, bad habits, obesity and many other factors lead to the fact that venous thrombosis occurs even at a young age. The aim of the work was an attempt to analyze various variants of cases of BPV thrombosis, including spontaneously detected at the level of the admission department of the regional hospital. The objects of the study were 90 patients, men and women, with a diagnosis of “thrombosis of BPV”. All patients were divided into 3 groups of 30 patients. The first group included patients in whom "BPV thrombosis" was detected by chance. The second group consisted of patients with already identified life-threatening thrombosis, aimed at planned surgical treatment. The third group included patients who already had a history of minimally invasive surgical treatment of the venous system. The study conducted a detailed comparative analysis of the parameters of a general blood test, including the coagulation system and the level of D-dimer. It was found that patients of group 1 were characterized by a more pronounced inflammatory process with a higher D-Dimer score. Also, the main clinical manifestations were studied and the presence of risk factors for the development of thrombosis of BPV was determined. It was noted that among patients of group 1, in contrast to 2 and 3, most of the symptoms were weaker and less common. Some patterns were also determined in the level of damage, depending on the study group. This work is of particular interest for practitioners - surgeons and vascular surgeons, as well as for primary care physicians - district physicians

Accidents from Doors

PEDIATRICS ◽  
1961 ◽  
Vol 27 (5) ◽  
pp. 842-842
Author(s):  
LEE W. BASS
Keyword(s):  
Young Child ◽  
Head And Neck ◽  
Thin Glass ◽  
Neck Area ◽  
Life Threatening ◽  
The Doors

The screen door shown in the Figure is the cause of frequent preventable accidents occurring especially during the summer months. The accident usually involves a young child who is running out the doorway and as the door slams shut, puts a hand out to stop it. If enough force is exerted, the hand, arm or possibly head and neck will crash through the thin glass. The results may be either mild or severe lacerations of the arm; most of the trauma may be incurred when the child withdraws the arm back across the jagged glass. Laceration of the neck area may be life threatening. The doors are built with two or three sections and the sections are filled with either glass or screen fillers.

scholarly journals Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Teruya Komatsu ◽  
Yutaka Takahashi
Keyword(s):  
Head And Neck ◽  
Situs Inversus ◽  
Lymphatic System ◽  
Situs Inversus Totalis ◽  
Cystic Lymphangioma ◽  
Cystic Tumor ◽  
Thoracoscopic Resection ◽  
Cystic Lymphangiomas ◽  
Neck Area

We present a case of cystic lymphangioma of the mediastinum complicated with situs inversus totalis. The 70-year-old man underwent thoracoscopic resection of a mediastinal cystic tumor, which was diagnosed as cystic lymphangioma. Cystic lymphangiomas are congenital cystic abnormalities of the lymphatic system. The head and neck area is often involved while the mediastinum is rarely affected. The rarity of this case is further attributed to the coexistence of situs inversus totalis.

scholarly journals Laryngeal Papillary Cystadenoma: A Case Report

2021 ◽  
Vol 32 (3) ◽  
pp. 146-149
Author(s):  
Min-Kyung Kim ◽  
Jiwon Koh ◽  
Kyeong Cheon Jung ◽  
Seong Keun Kwon
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Case Report ◽  
Head And Neck ◽  
Chief Complaint ◽  
Salivary Gland Neoplasm ◽  
Minor Salivary Glands ◽  
Neck Area ◽  
Papillary Cystadenoma ◽  
Hoarse Voice

Papillary cystadenoma is a rare, benign salivary gland neoplasm containing cystic cavities with intraluminal papillary projections. In the head and neck area, it occurs mainly in major and intraoral minor salivary glands, but rarely in the larynx. We report a case of a 67-year-old female with a chief complaint of hoarse voice diagnosed as laryngeal papillary cystadenoma. This paper emphasizes the need to consider papillary cystadenoma as one of differential diagnosis when benign looking lesions are observed in the larynx, where it uncommonly occurs.

scholarly journals Epidemiological and clinical features of lymphoproliferative diseases in the head and neck region

2021 ◽  
Vol 16 (3) ◽  
pp. 105-117
Author(s):  
F. Sh. Kamolova ◽  
A. M. Mudunov ◽  
P. A. Zeynalova ◽  
L. Yu. Grivtsova ◽  
G. F. Allakhverdieva ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Head And Neck ◽  
Clinical Features ◽  
Clinical Manifestations ◽  
World Health ◽  
Lymphoproliferative Diseases ◽  
Diagnostic Quality ◽  
Detection Frequency ◽  
Neck Area ◽  
Hodgkin's Lymphomas

Background. Lymphomas are a heterogeneous group of the lymphoid and hematopoietic system tumors. Neoplastic process often develops in head and neck area, including the integumentary tissues, orbit, nasal cavity, paranasal sinuses, oral cavity, pharynx, salivary glands, thyroid gland, as well as neck lymph nodes. The difficulties of head and neck lymphomas diagnosis are significant, since very often there is a combined non-tumor pathology. The high heterogeneity of lymphomas in the head and neck area requires structuring knowledge about their epidemiology and clinical manifestations.Objective: to study the epidemiological and clinical features of the head and neck lymphoproliferative diseases, which will lead to an improvement in diagnostic quality of this nosology’s.Materials and methods. The frequency of head and neck lymphoproliferative diseases detection was estimated based on the study of epicrisis and clinical data of 174 patients hospitalized at the N.N. Blokhin National Medical Research Center of Oncology in the period from 2000 to 2020.Results. Taking into account the modern clinical and morphological classification of lymphomas of the World Health Organization (2017), information about the features of localization, characteristic signs of extranodal foci and lymph nodes is presented. Detection frequency of various subtypes non-Hodgkin’s and Hodgkin’s lymphomas were determined on a sufficient cohort of patients.Conclusion. Based on the analysis of clinical and morphological features of head and neck lymphomas, epidemiological and clinical features are described in detail, and differences in the symptoms and clinical manifestations of non-Hodgkin’s and Hodgkin’s lymphomas with a predominant head and neck involvement are revealed.

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