Large Left Ventricular Fibroma: Case Report and Literature Review

2020 ◽  
Vol 15 (3) ◽  
pp. 283-285
Author(s):  
Ahmed S. Anwar ◽  
Mahmoud I. Salem ◽  
Ragab Beltagy ◽  
Karim Madi ◽  
Ahmed M. F. Elwatidy
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Lateral Wall ◽  
Large Mass ◽  
Postoperative Recovery ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Shortness Of Breath ◽  
Resonance Imaging ◽  
Cardiac Fibroma

Benign cardiac tumors are rare and fibroma is second to rhabdomyoma in frequency in pediatric cardiac tumors. We report a case of a 14-year-old male patient, who presented with shortness of breath for 2 years. Echocardiogram and cardiac magnetic resonance imaging indicated a large mass located in the left ventricular lateral wall. The patient underwent surgical excision of the tumor, and histopathological examination confirmed the diagnosis of a cardiac fibroma. The patient had a good postoperative recovery and was discharged on sixth postoperative day.

Atypical Left Ventricular Myxoma: Unusual Echocardiographic and Histopathological Features

2018 ◽  
Vol 11 (4) ◽  
pp. NP129-NP131
Author(s):  
Sushil Azad ◽  
Nilanjan Dutta ◽  
Kuntal Roy Chowdhuri ◽  
Tarun Raina Ramman ◽  
Nishit Chandra ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Histopathological Examination ◽  
Cardiac Myxoma ◽  
Surgical Excision ◽  
Interatrial Septum ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Complete Surgical Excision ◽  
Vascular Proliferation ◽  
Cardiac Myxomas

Cardiac myxomas are the most common primary cardiac tumors and are typically attached to the interatrial septum. Left ventricular myxomas are exceedingly rare and presentation in children is all the more uncommon. We report a case of left ventricular myxoma with very atypical cystic appearance raising an initial suspicion of a hydatid cyst. Subsequently, cardiac magnetic resonance imaging was done, which ruled out the diagnosis of hydatid cyst. Complete surgical excision was done through transaortic and transmitral route. Histopathological examination revealed it to be a cardiac myxoma with vascular proliferation, which on echocardiography had appeared as a polycystic lesion. This is a very unusual histopathological presentation of cardiac myxoma.

scholarly journals Vulvar Lipoma: A Case Report

2018 ◽  
Vol 40 (10) ◽  
pp. 647-649
Author(s):  
Ahmed Reda ◽  
Ihab Gomaa
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Imaging Modalities ◽  
Resonance Imaging ◽  
Rare Site ◽  
Magnetic Resonance Imaging Mri ◽  
Vulvar Mass

AbstractThe present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.

scholarly journals Aortic coarctation with cardiac fibroma in a young patient: a case report

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Linghong Shen ◽  
Ke Xu ◽  
Ye Kong ◽  
Ben He
Keyword(s):  
Left Ventricular Mass ◽  
Stent Implantation ◽  
Aortic Coarctation ◽  
Lateral Wall ◽  
Left Ventricular ◽  
Hybrid Surgery ◽  
Cardiac Fibroma ◽  
Ventricular Mass ◽  
First Case ◽  
Hyperintense Signal

Abstract Background Cardiac fibroma and aortic coarctation are rarely observed concomitantly in the same patient. We report a case of cardiac fibroma with aortic coarctation treated with a hybrid surgical procedure. To the best of our knowledge, this is the first case of these two abnormalities existing in one patient. Case summary A 22-year-old female patient visited the clinic with a 10-year history of hypertension. Physical examination revealed blood pressure of the upper extremities 50 mmHg higher than that of the lower extremities. Computed tomography angiography revealed a post-ductal-type aortic coarctation at the beginning segment of the descending aorta along with a 7.7 cm × 5.1 cm left ventricular mass. Transthoracic echocardiogram showed a mass at the middle segments of the lateral wall and apex and posterior wall of the left ventricle. Cardiac magnetic resonance imaging also showed the mass with hypointense signal on T1, hyperintense signal on T2, and intense signal on late gadolinium enhancement. No evidences of metastatic lesions were observed on 18F-fluorodeoxyglucose positron emission tomography. The patient underwent a hybrid surgery involving aortic stent implantation and complete left ventricular mass removal. The gradient between stenosis returned to <10 mmHg after the procedure. Pathologic findings revealed cardiac fibroma. Discussion It is rare to encounter a patient suffering from both cardiac fibroma and aortic coarctation. No evidences indicated a single cause or syndrome resulting in the coexistence of these two abnormalities. A hybrid surgery involving aortic stent implantation and complete cardiac mass resection could optimize the treatment in such cases.

scholarly journals Dermoid cyst with a congenital sinus tract over the left sternoclavicular joint: a case report and literature review

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093498
Author(s):  
Wenli Chang ◽  
Yang Ding ◽  
Ying Yan ◽  
Ning Wei ◽  
Huijie Li ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Dermoid Cyst ◽  
Histopathological Examination ◽  
Early Stage ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Sternoclavicular Joint ◽  
Common Type ◽  
Benign Tumors ◽  
Resonance Imaging

Dermoid cysts are rare benign tumors that arise from ectopic epiblastic inclusions and account for 0.4% to 1.5% of all tumors. They are usually 1 to 5 cm in size and composed of a pasty semisolid material. The orbital dermoid cyst is the most common type. Dermoid cysts can also occur in the spinal cord, ovaries, and pancreas. We encountered a 24-year-old man with a dermoid cyst over the left sternoclavicular joint. He reported intermittent secretion of a white tofu-like exudate from an underlying congenital sinus tract since birth. The secretion had turned hemorrhagic for the last month and had been accompanied by progressive swelling and pruritus for 1 week. Ultrasonography and magnetic resonance imaging revealed characteristics of a dermoid cyst, and histopathological examination confirmed the diagnosis. The patient underwent surgical excision of the cyst under local anesthesia. The incision healed well with no postoperative complications. Considering that a dermoid cyst has the potential to become infected or progress into squamous cell carcinoma, its removal at an early stage is suggested. Few reports in the literature have described a dermoid cyst that secretes hemorrhagic contents from a congenital sinus tract. We present this case to provide a reference for clinicians.

scholarly journals Intracranial subdural osteoma

2020 ◽  
Vol 18 ◽  
pp. 205873922092685
Author(s):  
Yunna Yang ◽  
Zheng Gu ◽  
Yinglun Song
Keyword(s):  
Dura Mater ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Benign Neoplasms ◽  
Resonance Imaging ◽  
Inner Surface ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
T1 Hyperintensity ◽  
The Right

Subdural osteomas are extremely rare benign neoplasms. Here, we report the case of a 35-year-old female patient with a right frontal and parietal subdural osteoma. The patient presented with a 2-year history of intermittent headache and fatigue. Computerized tomography (CT) scan showed a high-density lesion attached to the inner surface of the right frontal and parietal skull. Magnetic resonance imaging (MRI) demonstrated T1 hyperintensity and T2 hypointensity of the lesion. Intraoperatively, the hard mass was located in subdural space and attached to the dura mater. Histopathological examination revealed lamellated bony trabeculae lined by osteoblasts and the intertrabecular marrow spaces occupied by adipose tissue. The patient underwent neurosurgical resection and recovered without complication. Surgical excision is recommended to extract the symptomatic lesions with overlying dura mater.

Ectopic lacrimal gland in the lacrimal sac mimicking tumour: literature review

2020 ◽  
Vol 13 (7) ◽  
pp. e235187
Author(s):  
Athanasios Saratziotis ◽  
Claudia Zanotti ◽  
Maria Baldovin ◽  
Enzo Emanuelli
Keyword(s):  
Lacrimal Gland ◽  
Histopathological Examination ◽  
Drainage System ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Postoperative Recovery ◽  
Endoscopic Approach ◽  
Lacrimal Sac ◽  
Chronic Dacryocystitis ◽  
Mri Scans

An 80-year-old man referred with repeated episode of dacryocystitis from the left lacrimal drainage system and palpable swelling. For many years, he has being presented with epiphora unilaterally with chronic dacryocystitis. Investigations with dye-test revealed subocclusion of the natural passage of the tears, and CT and MRI scans revealed solid mass in the lacrimal sac. The lacrimal sac was opened by endonasal endoscopic approach, the sacral mass was identified and completely removed. The histopathological examination showed lacrimal gland in ectopic position. Patient followed for 18 months with complete recovery of symptoms. In our differential diagnosis, the ectopic lacrimal gland is also identified, when a mass in the lacrimal sac and duct is present. Successful surgical excision required considerable multidisciplinary teamwork between ophtalmologist–ENT (Otolaryngologist) and radiologist. Endonasal endoscopic approach is perfectly safe with direct control and ensures a smooth postoperative recovery.

Case report: tricuspid valve myxoma: an uncommon presentation of a common tumor

2021 ◽  
Vol 71 (11) ◽  
pp. 2669-2671
Author(s):  
Abdul Wajid Khan Faisal ◽  
Waseem Riaz ◽  
Tahir Naveed ◽  
Muhammad Hassan Iqbal ◽  
Asif Hassan ◽  
...  
Keyword(s):  
Case Report ◽  
Tricuspid Valve ◽  
Cardiac Myxoma ◽  
Right Heart Failure ◽  
Surgical Excision ◽  
Cardiac Tumors ◽  
Shortness Of Breath ◽  
Right Heart ◽  
Uncommon Presentation ◽  
Rare Tumours

Amongst the benign cardiac tumors atrial Myxomas are commonest.  Tricuspid valve attachment is an uncommon site for cardiac Myxoma. We present a case of an 18 years old girl who presented to us with history of shortness of breath, abdominal distension, leg swelling, palpitations and dizziness for two months. On Echocardiography there was a large pedunculated mass attached to tricuspid valve. She underwent surgical excision of the mass. Biopsy confirmed the Myxoma. In conclusion, Myxoma originating from tricuspid valve are rare tumours which can cause tricuspid valve obstruction and right heart failure symptoms due to their location. In these cases shortness of breath, embolisation and symptoms of venous congestion are commonly observed. Key Words: Case report, Myxoma, right heart, cardiac CT, tricuspid valve. Continuous...

scholarly journals Galactocele in a Male Infant with Transient Hyperprolactinaemia: An Extremely Rare Cause of Breast Enlargement in Children

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
C. T. Lau ◽  
K. K. Y. Wong ◽  
P. Tam
Keyword(s):  
Histopathological Examination ◽  
Male Infant ◽  
Surgical Excision ◽  
Left Breast ◽  
Resonance Imaging ◽  
Breast Enlargement ◽  
Complete Surgical Excision ◽  
Breast Condition ◽  
Hormonal Assay

Galactocele is a rare breast condition in infants. Here, we report a 16-month-old boy who developed progressive left breast enlargement. Ultrasonography and magnetic resonance imaging revealed a 4 cm cystic lesion at left breast. Hormonal assay showed transient hyperprolactinaemia with no known cause identified. Subsequently, galactocele was confirmed on histopathological examination after complete surgical excision. No recurrence was observed on regular follow-up.

scholarly journals Cervicovaginal cellular angiofibroma

2020 ◽  
Vol 13 (7) ◽  
pp. e235241
Author(s):  
Sarah Van Mulders ◽  
Ellen Faes ◽  
Glenn Broeckx ◽  
Yves Jacquemyn
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Large Mass ◽  
Malignant Neoplasms ◽  
Middle Aged ◽  
Rare Type ◽  
Cellular Angiofibroma ◽  
First Case ◽  
Pouch Of Douglas ◽  
Mesenchymal Tumours

Cellular angiofibroma is a rare type of benign mesenchymal tumour that arises mostly in middle-aged women. It needs to be distinguished from other neoplasms and has a predilection for the vulvovaginal region. To our knowledge, this is the first case of a cervical cellular angiofibroma. A 34-year-old nulligravid woman was referred with a large mass bulging in the fornix posterior. Ultrasound scanning and MRI showed a large solid mass projecting in the pouch of Douglas. Laparoscopic surgical excision was performed. Histopathological examination showed a well-demarcated, unencapsulated tumour, consisting of short fascicles of spindle cells in-between thick-walled medium-sized vessels. On immunohistochemistry, there was strong reactivity with antibodies against CD34 and oestrogen receptor. Angiofibromas are benign mesenchymal tumours mostly occurring in middle-aged women. They can cause abnormal swelling and uterine bleeding and need to be distinguished from other (malignant) neoplasms.

Abstract 2122: Head-to-head Comparison Between Tissue Doppler Imaging And Velocity Encoded Magnetic Resonance Imaging For The Measurement Of Myocardial Velocities And The Assessment Of Left Ventricular Dyssynchrony And Diastolic Function.

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Nina Ajmone Marsan ◽  
Jos Westenberg ◽  
Claudia Ypenburg ◽  
Eduard R Holman ◽  
Ernst E van der Wall ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Diastolic Function ◽  
Excellent Agreement ◽  
Lateral Wall ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Resonance Imaging ◽  
Lv Dyssynchrony ◽  
Lv Diastolic Function

Aim of the study. To compare echocardiographic tissue Doppler imaging (TDI) and velocity encoded (VE) magnetic resonance imaging (MRI) for the measurement of myocardial velocities and the assessment of left ventricular (LV) dyssynchrony and diastolic function. Methods. Ten healthy volounteers (5 men, 31±5 yrs) and 25 heart failure (HF) pts (17 men, 58±11 yrs) underwent both cardiac MRI and TDI. Longitudinal myocardial peak systolic (PSV) and diastolic (PDV) velocities and time to PSV (Ts) and to PDV (Td) were measured at basal and mid level of LV septum and lateral wall. To quantify LV dyssynchrony, delay in Ts between basal septum and lateral wall was calculated (SLD) and pts were categorized in 3 groups according to the extent of LV dyssynchrony by TDI: minimal (SLD<30 ms), intermediate (30 – 60 ms) and extensive (>60 ms) LV dyssynchrony. As a measure of LV diastolic function, the ratio of transmitral E wave velocity and mitral annulus septal early velocity (E/E′) was also calculated and pts were classified in 3 groups: normal LV diastolic function (E/E′ <8), abnormal LV diastolic function (E/E′= 8 –15) and severe LV diastolic dysfunction (E/E′>15). Results. PSV measured with VE-MRI showed excellent correlation with PSV measured with TDI (r=0.94, P<0.001) in both normals and HF pts and Bland-Altman analysis revealed a small bias (MRI-TDI) of 1±1 cm/s (P< 0.001) between both techniques. A strong correlation was also observed between Ts measured with TDI and VE-MRI (r=0.97, P<0.001) without significant bias. Excellent agreement between TDI and VE-MRI was found for LV dyssynchrony classification with a weighted κ=0.96. e′ and A′ PDV measured with VE-MRI correlated very well with PDV measured with TDI (r=0.95, P<0.001) with a small bias of 0.4±1 cm/s (P<0.001) between the 2 techniques. Excellent agreement between TDI and VE-MRI was also observed in classifying LV diastolic function with a weighted k=0.91. A very good correlation has been observed also for Td of E′(r=0.96, P<0.001) and Td of A′ (r=0.88, P<0.001) measured with both techniques. Conclusions. TDI and VE-MRI can be used interchangeably to measure LV myocardial systolic and diastolic velocities and excellent agreement exists between the 2 techniques for LV dyssynchrony and diastolic function classification.

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