scholarly journals Sternal cavernous hemangioma and reconstruction of the anterior chest wall: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Liliana Fernández-Trujillo ◽  
Saveria Sangiovanni ◽  
Eliana I. Morales ◽  
Valeria Marin ◽  
Luz F. Sua ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Bone Structure ◽  
Malignant Lesion ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Lytic Lesion ◽  
Prosthetic Material ◽  
Palpable Mass ◽  
Sternal Reconstruction ◽  
Posterior Reconstruction

Abstract Background The sternum is considered an unusual tumor site, corresponding to 15% of all thoracic wall tumors. Primary sternal tumors are even rarer and most commonly malignant. We present the case of a young man who consulted with a painful sternal mass, which after its resection is confirmed to be a cavernous hemangioma. Case presentation A 39-year-old man, with unremarkable medical history besides a 2-year-long sternal pain, non-irradiated, which worsens over the last few months and is accompanied by the appearance of a sternal palpable mass. On physical exam, there was a bulging of the sternal manubrium, with no inflammatory changes. Thoracic CT scan shows an expansive and lytic lesion of the sternum, compromising the manubrium and extending to the third sternocostal joint, without intrathoracic compromise nor cleavage plane with mediastinal vascular structures. The patient is taken to resection of the mass and sternal reconstruction using prosthetic material and pectoral and fasciocutaneous muscular flaps. Histopathological findings: cavernous hemangioma with negative borders and no other malignant findings. Conclusions Sternal hemangiomas can cause defects in the bone structure and show an expansive growth, challenging the differentiation between a benign or malignant lesion. Therefore, they should be considered malignant until shown otherwise. Management involves radical surgery with curative purposes and posterior reconstruction to improve quality of life, as shown with our patient.

scholarly journals QUISTE ÓSEO SIMPLE EN EL CALCÁNEO: REPORTE DE UN CASO.

2021 ◽  
Vol 31 (2) ◽  
pp. 101-106
Author(s):  
Fabián Guillermo Cevallos Peñaherrera ◽  
Luis Francisco Llerena Freire ◽  
Karen Estefanía Benavides Vargas ◽  
Daniel Alejandro Álvarez Guerrero ◽  
Cristina Elizabeth Heredia Montenegro ◽  
...  
Keyword(s):  
Bone Structure ◽  
Bone Cyst ◽  
Surgical Techniques ◽  
Metastatic Tumor ◽  
Moderate Intensity ◽  
Lytic Lesion ◽  
Solitary Bone Cyst ◽  
Standardized Treatment ◽  
Passive Mobilization ◽  
Bone Autograft

Bone tumors are pathologies resulting from modifications in the bone structure and its content, they can present as benign or malignant, primitive or metastatic tumor lesions, depending on various factors: age of presentation, location, growth rate, periosteal reaction and infiltration to neighboring structures. The publications show that small, asymptomatic and small bone cysts do not require treatment, up to 25% are spontaneous resolution after a pathological fracture; while larger cysts with thin bark require some type of intervention.The case of a 17-year-old female patient is presented, who presents for presenting moderate intensity pain in the left heel that intensifies on ambulation, with a time of 2 months of evolution, after a blunt trauma in this region. On physical examination, pain from the pressure digit and active-passive mobilization maneuvers were evidenced on the external lateral aspect at the calcaneus level of the left foot. A simple lateral radiograph of the left calcaneus was performed, showing a 3 by 3 cm circular lytic lesion involving the anteroinferior region of the calcaneus.In conclusion, simple or solitary bone cyst is a benign pathology that, although it does not endanger the person’s life, can seriously affect the functionality of the foot. Currently, there is no standardized treatment for the management of this pathology, current surgical techniques, especially curettage and bone autograft are very promising.

scholarly journals Radical resection of giant chondrosarcoma of the anterior chest wall

2008 ◽  
Vol 65 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Marjan Novakovic ◽  
Aleksandar Ristanovic ◽  
Davor Stamenovic ◽  
...  
Keyword(s):  
Chest Wall ◽  
Respiratory Function ◽  
Soft Tissues ◽  
Myocutaneous Flap ◽  
Good Method ◽  
Radical Resection ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Wide Resection ◽  
Parietal Pleura

Background. Chondrosarcomas represent approximately 30% of primary malignant bone tumors, the most frequent of which is on anterior thoracic wall. Case report. We presented a case of 50-year-old man suffering from a slowgrowing, painless giant chondrosarcoma of the anterior chest wall. A wide resection was performed to excise the tumor including attached skin, right breast, ribs, sternum, soft tissues and parietal pleura. Mediastinum was not affected by the tumor. After resecting a 26 ? 20 ? 22 cm segment, the chest wall defect was reconstructed with a Marlex mesh and extensive latissimus dorsi myocutaneous flap pedicled on the right thoracodorsal vessels. Histopatology diagnosis was chondrosarcoma G 2?3. The mechanics of ventilation was not altered and respiratory function was normal from the immediate postoperative period. Three years after the operation postoperative results showed no local recurrence and excellent functional and aesthetic results were evident. Respiratory function remained unaltered. Conclusion. According to the results it can be concluded that the use of Marlex mash and myocutaneous flap is good method for stabilization of the chest wall and enough to avoid paradoxical respiratory movements in managing giant chondrosarcoma of the anterior chest wall.

Thoracic ranula: an extremely rare case

2005 ◽  
Vol 119 (3) ◽  
pp. 233-234 ◽  
Author(s):  
Claudine Elizabeth Pang ◽  
Tee Sin Lee ◽  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
History Of Surgery ◽  
Transcervical Approach ◽  
First Case ◽  
History Of

We present the first case of a thoracic ranula which originated from the left submandibular area extending into the subcutaneous tissue planes of the anterior chest wall. The patient had a history of surgery for a previous benign left salivary gland cyst, and presented with an enlarging mass in the anterior chest wall. This was a recurrence of a ranula, with an extension into the anterior thoracic wall. The thoracic ranula was excised, together with ipsilateral sublingual and submandibular glands, via a transcervical approach. No recurrence was detected over a 3-year post-operative follow up.

scholarly journals P2.18 Sternal Cavernous Hemangioma and Anterior Thoracic Wall Reconstruction: Case Report

2019 ◽  
Vol 14 (11) ◽  
pp. S1192-S1193
Author(s):  
L. Fernandez-Trujillo ◽  
M.B. Iriarte ◽  
E.I. Morales ◽  
M. Velasquez ◽  
L. Sua ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Hemangioma ◽  
Thoracic Wall ◽  
Thoracic Wall Reconstruction

scholarly journals Case Report: A New Tool for Anterior Chest Wall Reconstruction After Sternal Resection for Primary Or Secondary Tumors

2021 ◽  
Vol 8 ◽  
Author(s):  
Duilio Divisi ◽  
Davide Tosi ◽  
Gino Zaccagna ◽  
Andrea De Vico ◽  
Cristina Diotti ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Ewing's Sarcoma ◽  
Anterior Chest Wall ◽  
Chest Wall Reconstruction ◽  
Titanium Mesh ◽  
Palpable Mass ◽  
Secondary Tumors ◽  
Innovative Method ◽  
First Case

Sternal resection and anterior chest wall reconstruction techniques for malignant processes are not always standardized. We report an innovative method of sternal osteosynthesis in two patients, 65-year-old and 41-year-old women, with Ewing's sarcoma, and infiltrating thymoma, respectively. The first case manifested itself as a voluminous palpable mass while the second case was characterized for a paramediastinal mass widely extended to the anterior chest wall. Reconstruction with titanium mesh allowed the quick restoration of parietal stability, facilitating respiratory dynamic and recovery of patients.

scholarly journals Unusual Subcutaneous Presentation of Cavernous Hemangioma in the Lower Eyelid

2020 ◽  
Author(s):  
Abbas Bagheri ◽  
Mohaddeseh Feizi ◽  
Mehdi Tavakoli
Keyword(s):  
Cavernous Hemangioma ◽  
Excisional Biopsy ◽  
Lower Eyelid ◽  
Palpable Mass ◽  
Orbital Space ◽  
Lateral Portion ◽  
The Right ◽  
Histopathologic Findings ◽  
Tomography Scan ◽  
Orbital Area

Purpose: To report a patient with cavernous hemangioma (CH) presenting as a “subcutaneous” lower eyelid mass. Case report: A 37-year-old man presented with a painless and palpable mass over the right lower eyelid for two years prior to referral. Computed tomography scan revealed a well-defined, lobulated mass located in the mid and lateral portion of the lower eyelid that extended posteriorly to the anterior orbital space. A transcutaneous excisional biopsy was performed. Histopathologic findings of the tumor confirmed CH. Most CHs are intraconal lesions, making our case an unusual presentation for this condition. Conclusion: CH may present superficially in the eyelid and anterior orbital area and thus, although this location is not common, it should be kept in mind as a differential diagnosis for any well-defined eyelid tumor.

scholarly journals Clinical examination of brachial and pelvic plexus tumors

2007 ◽  
Vol 22 (6) ◽  
pp. 1-5 ◽  
Author(s):  
Shelly Lwu ◽  
Rajiv Midha
Keyword(s):  
Physical Examination ◽  
Malignant Lesion ◽  
Clinical Information ◽  
Pathological Process ◽  
Motor Deficits ◽  
Pelvic Plexus ◽  
Palpable Mass ◽  
Presenting Symptoms ◽  
Anatomical Localization ◽  
Symptoms And Signs

✓A thorough history and physical examination are fundamental to the assessment of patients with brachial and pelvic plexus tumors. Typical of most peripheral nerve tumors, the presenting symptoms and signs are few, and if present, can be subtle. Presenting complaints may include a palpable mass lesion, either symptomatic or asymptomatic; sensory alterations; pain; motor deficits; visceral symptoms; or autonomic dysfunction. Motor deficits are usually a late feature in the pathogenesis of this lesion, and a progressive course of pain and significant sensory and motor deficits suggests a malignant pathological process. A detailed family history may reveal familial syndromes and neurocutaneous disorders that predispose the patient to neoplasia, such as neurofibromatosis. The physical examination should be conducted in a systematic fashion, looking for any cutaneous features and motor and sensory deficits. The mass should also be examined for form, consistency, and mobility. An irregular, firm, and immobile mass suggests a malignant lesion. Complete and accurate clinical information must be gathered to pinpoint the anatomical localization of the lesion and formulate a differential diagnosis.

scholarly journals A Cadaveric study on Rectus Sternalis muscle and its clinical significance in Western part of Tamilnadu state (Kongunadu region)

2021 ◽  
Vol 9 (2.1) ◽  
pp. 7942-7947
Author(s):  
Vijaianand M ◽  
◽  
Sakthivel M ◽  
Sheela Grace Jeevamani ◽  
Geeta Anasuya D ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Human Beings ◽  
Cadaver Dissection ◽  
Pedicle Flap ◽  
Pectoral Region ◽  
False Diagnosis ◽  
Supernumerary Muscle ◽  
Sternalis Muscle

Background: Rectus sternalis is considered as an unusual accessory or supernumerary muscle which appears either unilateral or bilateral in the anterior thoracic wall of human beings. It varies in length, breadth, thickness and incidence among different races and in both sexes. Regarding its origin and insertion still a clear conclusion has not been reached because some authors says it originates and ascends for insertion while some of them opines it originates and descends for insertion. Clinically, its presence also leads to false diagnosis such as Breast tumours, lipoma etc. Aim of the study: To find out the presence of Rectus sternalis muscle in the anterior chest wall during routine dissection. Materials and Methods: 37 well embalmed and preserved cadavers of both sexes which is used for routine dissection to Phase-I MBBS students were taken into condideration. The pectoral region on either side of sternum was dissected in layers and visualised for the presence of Rectus sternalis. Results: Among 37 cadavers dissected, Rectus sternalis was found in the pectoral region of a male and a female cadaver. In male it appeared bilateral, whereas in female it is unilateral. In both the cases it lie superficial to pectoralis major. Conclusion: The incidence of Rectus sternalis reported from our study was 5.4%. In the earlier days it lead to misdiagnosis and made great challenge to radiologists and surgeons, but now-a days with advancement in imaging techniques its presence can be detected clearly thus avoiding unnecessary expenditure and invitro techniques. Clinically it is also used as pedicle flap in breast reconstructive surgeries. KEY WORDS: Cadaver, Dissection, Pectoral region, Rectus sternalis, sternocleidomastoid.

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