The first case report of primary thyroid teratocarcinosarcoma: An analog to sinonasal teratocarcinosarcoma

Teratocarcinosarcoma is a rare and aggressive tumor usually affecting the sinonasal tract. It arises primarily from the nasal cavity, paranasal sinuses with some reported cases arising from the nasopharynx and oral cavity and commonly referred to as Sinonasal Teratocarcinosarcoma (SNTC). We present the first case of teratocarcinosarcoma as a primary thyroid cancer in a 17-year-old male patient who presented with a rapidly growing anterior neck mass with no symptoms. Physical examination revealed circa 4 cm × 5 cm slightly right sided, non-tender, firm anterior neck swelling. A thyroid ultrasound revealed an enlarged thyroid gland with multiple thyroid nodes. Magnetic Resonance Imaging (MRI) of the head and neck showed no sinonasal tract tumor. Thyroidectomy and surgical resection of the tumor was performed. Histological examination revealed teratocarcinosarcoma of the thyroid gland, an analog to SNTC with no primary sinonasal tissue involvement. This implies that, teratocarcinosarcoma can occur in primary tissues other than sinonasal origin contrary to conventional knowledge.

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Epileptic Seizures Induced by a Spontaneous Carotid Cavernous Fistula

Case Reports in Medicine ◽

10.1155/2016/9396014 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Güner Koyuncu Çelik ◽

Erkan Yildirim

Keyword(s):

Present Report ◽

Epileptic Seizures ◽

Digital Subtraction ◽

Resonance Imaging ◽

Carotid Cavernous Fistula ◽

Cavernous Fistula ◽

The Past ◽

First Case ◽

Eye Symptoms ◽

Magnetic Resonance Imaging Mri

A 79-year-old woman was admitted to our emergency department with complaints of fainting and loss of consciousness three times during the past month. She was diagnosed with epilepsy and started to be treated with antiepileptic drug. Physical examination showed, in the left eye, chemosis, limited eye movements in all directions, and minimal exophthalmos as unexisting symptoms on admission developed on the sixth day. Orbital magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) imaging revealed a carotid cavernous fistula (CCF). Epileptic attacks and ophthalmic findings previously present but diagnosed during our examinations were determined to ameliorate completely after performing the coil embolization. Based on literature, we present the first case with nontraumatic CCF manifesting with epileptic seizures and intermittent eye symptoms in the present report.

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Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy – first reported paediatric case

The Journal of Laryngology & Otology ◽

10.1017/s0022215119000021 ◽

2019 ◽

Vol 133 (2) ◽

pp. 161-163 ◽

Cited By ~ 2

Author(s):

C C Holm-Hansen ◽

E Thisted ◽

M Kaltoft

Keyword(s):

Paediatric Population ◽

Neck Swelling ◽

Resonance Imaging ◽

Thoracic Pain ◽

Intravenous Antibiotic ◽

Parapharyngeal Abscess ◽

First Case ◽

Operative Complications ◽

Paediatric Case ◽

Life Threatening

AbstractBackgroundParapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.ConclusionDiagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.

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Dysphagia Caused by Spindle Cell Lipoma of Hypopharynx: Presentation of Clinical Case and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2012/107383 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Alberto Peña-Valenzuela ◽

Nathalia García León

Keyword(s):

Spindle Cell ◽

Rare Entity ◽

Resonance Imaging ◽

Spindle Cell Lipoma ◽

First Case ◽

Magnetic Resonance Imaging Mri ◽

Long Term Behavior ◽

Mri Evaluation ◽

Progressive Dysphagia

Spindle cell lipoma of the hypopharynx is an extremely rare entity. Here, we present the first case of this lesion originated in the cricopharyngeal region, with symptoms of chronic progressive dysphagia, which can be confused with other pathologies; endoscopic and magnetic resonance imaging (MRI) evaluation are the methods of choice for its diagnostic approach. The best therapeutic approach is endoscopic resection with rapid recovery and few complications. Long-term followup is recommended, either endoscopic or imaging, given that it can be confused with an undiagnosed liposarcoma; additionally, its long-term behavior is unknown.

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Extramedullary Myxopapillary Ependymoma of the Filum Terminale Associated With Syringomyelia: A Case Report

Romanian Neurosurgery ◽

10.2478/romneu-2013-0023 ◽

2013 ◽

Vol 20 (4) ◽

pp. 395-398

Author(s):

Yavuz Samanci ◽

Suat Erol Celik

Keyword(s):

Magnetic Resonance Imaging ◽

Myxopapillary Ependymoma ◽

Filum Terminale ◽

Resonance Imaging ◽

Spinal Lesions ◽

First Case ◽

Contrast Enhanced ◽

Leg Weakness ◽

Additional Procedure ◽

Magnetic Resonance Imaging Mri

Abstract Aim: Ependymomas compose the majority of all intradural intramedullary spinal lesions. Filum terminale lesions are rarely associated with syringomyelia. Here we describe a case of extramedullary myxopapillary ependymoma associated with extensive syringomyelia located in the filum terminale. Material and Methods: A 34-year-old man admitted to our clinic with complaints of bilateral leg weakness, back pain and urinary dysfunction. The magnetic resonance imaging (MRI) of the patient showed us a contrast enhanced intraspinal mass at the level of L2 with a syringomyelia extending from L2 level to Th7 level. Results: The patient was operated via lumbar laminoplasty and tumor was totally resected. Conclusion: The removal of tumor is also sufficient for the resolution of syringomyelia and no additional procedure is essential for the treatment of syringomyelia in such cases. This is the first case of extramedullary tumors of the cauda equine with extensive syringomyelia.

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Pleural-Based Intrathoracic Cystic Lymphangioma in an Infant Mimicking a Pneumonia

Case Reports in Pediatrics ◽

10.1155/2019/7920591 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Zev Frimer ◽

Daniel Fink ◽

Ruth Cytter-Kuint ◽

Victoria Doviner ◽

Elie Picard

Keyword(s):

Benign Tumor ◽

Histopathological Examination ◽

Cystic Lymphangioma ◽

Cervical Region ◽

Resonance Imaging ◽

Mri Scan ◽

Radiographic Findings ◽

First Case ◽

Magnetic Resonance Imaging Mri ◽

One Year

Cystic lymphangioma is an uncommon benign tumor that occurs primarily in children in the cervical region. We report the first case of a pleural-based cystic lymphangioma in an infant. The patient was admitted for RUL pneumonia. Because of the persistence of the radiographic findings despite clinical improvement, a computed tomography (CT) and a magnetic resonance imaging (MRI) scan were performed. They showed a multiloculated cystic lesion in the superior posterior right hemithorax. A surgical procedure was performed with complete resection of the tumor. Histopathological examination showed a pleural-based intrathoracic multicystic lymphangioma. One year after the surgery, the patient feels well without any sign of recurrence.

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Rare presentation of subglottic soft-tissue swelling following FOLFOX therapy in a patient with metastatic oesophageal cancer

BMJ Case Reports ◽

10.1136/bcr-2020-240938 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240938

Author(s):

Siva Naga S Yarrarapu ◽

Austin B Govero ◽

Faeq R Kukhon ◽

Devang K Sanghavi

Keyword(s):

Soft Tissue ◽

Oesophageal Cancer ◽

Hyoid Bone ◽

Bone Tumour ◽

Sudden Onset ◽

Neck Swelling ◽

Anterior Neck ◽

Rare Presentation ◽

First Case ◽

Soft Tissue Swelling

Oesophageal cancer is categorised among the most fatal cancers across the world with a mortality ranking of sixth position. Chemotherapy with FOLFOX—a regimen of fluorouracil, leucovorin, and oxaliplatin—has been approved in the treatment of oesophageal cancer owing to its lower toxicity compared with the previous regimens. We report the first case of a patient with oesophageal cancer metastatic to the hyoid presenting with sudden-onset shortness of breath and anterior neck swelling secondary to treatment with FOLFOX-6. CT was notable for subglottic soft-tissue swelling and cystic necrosis of the hyoid bone tumour, and the patient subsequently required placement of a definitive airway via tracheostomy. This case illustrates the importance of anticipating the need for pre-emptive tracheostomy in patients with hyoid bone tumours receiving treatment with FOLFOX.

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Diffusion-weighted Magnetic Resonance Imaging in the Early Diagnosis of Neonatal Adrenoleukodystrophy

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.78530 ◽

2011 ◽

Vol 1 ◽

pp. 20 ◽

Cited By ~ 2

Author(s):

R Nuri Sener ◽

Mehmet H Atalar

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Diffusion Mri ◽

Resonance Imaging ◽

Baby Girl ◽

Laboratory Findings ◽

Neonatal Adrenoleukodystrophy ◽

First Case ◽

Weighted Magnetic Resonance Imaging ◽

Magnetic Resonance Imaging Mri

A newborn baby girl developed seizures right after birth. On the fourth day, the baby was examined using diffusion sequence magnetic resonance imaging (MRI) and diagnosed to have neonatal adrenoleukodystrophy. Laboratory findings confirmed the diagnosis. This is the first case of neonatal adrenoleukodystrophy (NALD) where diffusion MRI sequence helped in the diagnosis. We find association of NALD with seizures at birth is an extremely rare occurrence, and so far, only one case has been mentioned in the literature.

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Spondylolisthesis and posterior instability

Acta Radiologica ◽

10.1080/02841850902755278 ◽

2009 ◽

Vol 50 (3) ◽

pp. 301-305 ◽

Cited By ~ 5

Author(s):

P. Niggemann ◽

P. Simons ◽

J. Kuchta ◽

H. K. Beyer ◽

H. Frey ◽

...

Keyword(s):

Nerve Root ◽

Clinical Implications ◽

Anterior Instability ◽

Functional Magnetic Resonance ◽

Resonance Imaging ◽

Posterior Instability ◽

Upright Mri ◽

First Case ◽

Magnetic Resonance Imaging Mri ◽

Bilateral Contact

We present the case of a patient with a spondylolisthesis of L5 on S1 due to spondylolysis at the level L5/S1. The vertebral slip was fixed and no anterior instability was found. Using functional magnetic resonance imaging (MRI) in an upright MRI scanner, posterior instability at the level of the spondylolytic defect of L5 was demonstrated. A structure, probably the hypertrophic ligament flava, arising from the spondylolytic defect was displaced toward the L5 nerve root, and a bilateral contact of the displaced structure with the L5 nerve root was shown in extension of the spine. To our knowledge, this is the first case described of posterior instability in patients with spondylolisthesis. The clinical implications of posterior instability are unknown; however, it is thought that this disorder is common and that it can only be diagnosed using upright MRI.

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Papillary Thyroid Carcinoma Within Thyroglossal Duct Cyst

Journal of the Endocrine Society ◽

10.1210/jendso/bvab048.1828 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. A895-A896

Author(s):

Raghda Al Anbari ◽

Majlinda Xhikola ◽

Sushma Kadiyala

Keyword(s):

Thyroid Gland ◽

Total Thyroidectomy ◽

Thyroid Cartilage ◽

Thyroid Tissue ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Papillary Thyroid ◽

Anterior Neck ◽

Duct Cyst ◽

Thyroglossal Duct

Abstract A 55-year-old female with medical history of hypothyroidism and fibrocystic disease of the breast presented with complains of a painful anterior neck mass, difficulty swallowing and hoarseness of the voice. Symptoms had progressed over a period of 5 months. CT neck with contrast indicated the presence of an ectopic thyroid tissue anterior to the thyroid cartilage measuring approximately 1.7 x 1.2 x 3.1 cm, with indistinct inferior margins and internal calcifications. The hyoid bone or thyroid cartilage had no irregularities. The thyroid gland itself was unremarkable except for small complex thyroid nodules in both lobes. No masses within the pharynx or larynx were noted. Family history was significant for lymphoma in her father. On physical exam, a hard, mobile right anterior neck mass was appreciated. Labs showed normal TSH of 1.05 uIU/mL and normal free T4 of 1.2 ng/dL. Further evaluation with a dedicated neck US showed a right submandibular mass, superior to the thyroid, lobulated and heterogeneous measuring 2.0 x 1.0 x 2.3 cm with multiple areas of calcifications and internal Doppler flow. The thyroid gland had normal size and texture with bilateral sub centimeter non-concerning nodules. After ENT evaluation and an unremarkable flexible fiberoptic nasolaryngoscope, patient underwent surgical excisional biopsy of the neck mass. Pathology was consistent with thyroglossal duct cyst with the presence of thyroid follicles. An incidental finding of a 0.9 cm papillary microcarcinoma was noted, which was encapsulated with focal extracapsular follicular structures showing papillary nuclear features with no perineural or lymphovascular invasion. The tumor cells were immunoreactive for TTF-1 and PAX8. Development of papillary thyroid cancer within the thyroglossal duct cyst is a rare event, reportedly occurring in 1% of thyroglossal duct cysts. There are no well-established management guidelines. Current management strategies consist of monitoring with serial neck ultrasound versus total thyroidectomy with consideration of postsurgical I-131 treatment, based on pathology results. Our patient opted for undergoing total thyroidectomy.

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Isolated tuberculous thyroiditis

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v22i1.45087 ◽

2020 ◽

Vol 22 (1) ◽

pp. 62-64

Author(s):

SM Sarwar ◽

Masroor Rahman

Keyword(s):

Infectious Disease ◽

Thyroid Gland ◽

Rare Condition ◽

Needle Aspiration ◽

The Body ◽

Neck Swelling ◽

Anterior Neck ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

Tuberculosis is a widespread infectious disease caused by various strains of Mycobacteria, usually Mycobacterium tuberculosis1.Tuberculosis generally affects the lungs ,but can also affect other parts of the body. Tuberculosis of the thyroid gland is an extremely rare condition. We report a case of a 35 years old female patient with isolated Tuberculous Thyroiditis presented as diffuse tenderness and pain in lower part of anterior neck with no visible neck swelling. Fine needle aspiration cytology (FNAC) from the thyroid gland revealed caseatingepitheloid granulomas consistent with tuberculosis. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 62-64

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