Direct comparison of different surgical approaches in a woman with bilateral osteochondrosis dissecans of her knees: a case report

ABSTRACT Shwannoma, better known as neurilemmomas, are benign, slow growing, usually solitary and encapsulated tumor, originating from Schwann cells of the nerve sheath. They are exceedingly rare in the base of tongue and, therefore, not immediately thought of as a differential diagnosis of oropharyngeal tumors. However, the key to the diagnosis lies in the histopathologic examination. A number of surgical approaches have been proposed for tongue base Schwannomas with varying degree of postoperative morbidity. We report a case where a 19-year-old woman presented to us with progressive dysphagia, occasional dysarthria, and was found to have a large tongue base lesion. Diagnosis was confirmed by imaging studies and biopsy. Transoral laser assisted excision of the tumor was done. Histologic identification of Antoni A and B areas along with strong and diffuse staining with S-100 stain confirmed the diagnosis of Schwannoma. How to cite this article Ashish G, Sundereshan RS, Philip A. Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):68-71.

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Glans Resurfacing in Carcinoma in situ of the Penis: A Case Report

Journal of Cancer and Tumor International ◽

10.9734/jcti/2019/v9i430113 ◽

2020 ◽

pp. 1-5

Author(s):

Raquel Catarino ◽

André Cardoso ◽

Carlos Ferreira ◽

Diogo Pereira ◽

Tiago Correia ◽

...

Keyword(s):

Case Report ◽

Carcinoma In Situ ◽

Penile Cancer ◽

Treatment Options ◽

Surgical Techniques ◽

Disease Recurrence ◽

Premalignant Lesions ◽

Surgical Approaches ◽

Aesthetic Result

Aims: Penile cancer is an uncommon malignancy in Western countries. There are known premalignant lesions that can progress to invasive penile cancer, namely carcinoma in situ (CIS) of the glans. Treatment options for this disease include topical chemotherapy and laser ablation, but the published literature demonstrates limited efficacy for these approaches. Surgical techniques with penile-preserving approaches are performed with the goal of removing the entire tumor and preserving as much of penis as possible. There are no large, randomized studies comparing treatment options for these lesions, and reports concerning the surgical approaches are scarce. Presentation of Case: In this study, we present a case report of a patient with CIS of the glans penis surgically treated with glans resurfacing. Discussion and Conclusions: There were no complications during follow-up, and after 20 months, the patient has no evidence of disease recurrence, has preserved urinary and erectile functions and is currently satisfied with the cosmetic appearance. CIS treatment with glans resurfacing allows the maintenance penile length and function with a good aesthetic result without compromising oncologic control. This approach also allows an accurate staging of the disease and assessment of the treatment efficacy.

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BILATERAL MACRODYSTROPHIA LIPOMATOSA WITH SYNDACTYLY: A CASE REPORT AND LITERATURE REVIEW

Hand Surgery ◽

10.1142/s0218810413720180 ◽

2013 ◽

Vol 18 (02) ◽

pp. 267-272 ◽

Cited By ~ 1

Author(s):

Steven B. Albright ◽

Erik M. Wolfswinkel ◽

Kevin J. Caceres ◽

William M. Weathers ◽

Larry H. Hollier

Keyword(s):

Adipose Tissue ◽

Case Report ◽

Literature Review ◽

Upper Extremity ◽

Surgical Approaches ◽

Macrodystrophia Lipomatosa ◽

Mesenchymal Tissue ◽

Difficult Condition

Macrodystrophia lipomatosa is a rare, non-hereditary form of congenital local gigantism characterised by enlargement and hypertrophy of all mesenchymal tissue components with a disproportionate increase in adipose tissue. This form of macrodactyly has been reported in association with other anomalies including polydactyly, brachydactyly, syndactyly, and symphalangism. We describe a previously unreported case of bilateral upper extremity macrodystrophia lipomatosa with syndactyly in a 23-month-old boy. In this report, we emphasise the importance of establishing a diagnosis with imaging and review the described surgical approaches to treating this difficult condition.

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Early separation of omphalopagus conjoined twins: a case report from Syria

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz374 ◽

2020 ◽

Vol 2020 (1) ◽

Author(s):

Ammar Omran ◽

Mhmmad Nassif ◽

Nabila Salhab ◽

Aras Abdo ◽

Mohammad Ahmad Almahmod Alkhalil ◽

...

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Necrotizing Enterocolitis ◽

Hemodynamic Instability ◽

Conjoined Twins ◽

Gastrointestinal System ◽

Surgical Approaches ◽

Early Separation ◽

Life Threatening

Abstract Omphalopagus twins are one of many forms of conjoined twins sharing part of the gastrointestinal system and abdominal wall. This type of twins has the best chance of survival if successfully separated. Surgical approaches in these cases are generally preferably elective, but sometimes separation may be urgently needed due to life-threatening complications, such as hemodynamic instability, death of either twin, necrotizing enterocolitis, among many others. We report a case of successfully separated omphalopagus twins at day two of life.

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Solitary Fibrous Tumor of the Postcricoid Region: A Case Report and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2013/908327 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4

Author(s):

Brian Cervenka ◽

Brenda Villegas ◽

Uttam Sinha

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Solitary Fibrous Tumor ◽

Management Strategies ◽

The Body ◽

Surgical Approaches ◽

Current Management ◽

First Case ◽

Mesenchymal Neoplasm ◽

Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that can present essentially anywhere in the body. Presentations in the hypopharynx are extremely rare with only two previous cases reported. We report the first case of postcricoid SFT occurring in a 58-year-old male requiring a microsuspension laryngoscopy excision following an unsuccessful transoral robotic attempt. The excision was uneventful, and the patient is currently without recurrence. Current management strategies of the hypopharyngeal SFT, the unique differential diagnosis, and challenges in surgical approaches in the postcricoid region are discussed.

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Pneumobilia: A case report and literature review on its surgical approaches

Journal of Surgical Technique and Case Report ◽

10.4103/2006-8808.118616 ◽

2013 ◽

Vol 5 (1) ◽

pp. 27 ◽

Cited By ~ 5

Author(s):

CheeSiong Wong ◽

JamesMaurice Crotty ◽

SyedAltaf Naqvi

Keyword(s):

Case Report ◽

Literature Review ◽

Surgical Approaches

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Giant hamartoma of the nasopharynx – case report

Polish Annals of Medicine ◽

10.29089/2019.19.00087 ◽

2019 ◽

Author(s):

Katarzyna Zasadzińska ◽

Natalia Jarmołowicz-Aniołkowska ◽

Andrzej Kukwa

Keyword(s):

Case Report ◽

Parotid Gland ◽

Head And Neck ◽

Developmental Disorder ◽

Parapharyngeal Space ◽

University Hospital ◽

Surgical Approaches ◽

Benign Lesions ◽

Head And Neck Tumours

Introduction: Hamartoma is a developmental disorder. Aim: The aim of this study is to present a case of hamartoma of naso- and oropharynx and discuss the possible surgical approaches. Case study: A a 55-year-old male patient, who had undergone a tracheotomy due to increasing breathing difficulties was admitted to Head and Neck Diseases Clinic in the Clinical University Hospital in Olsztyn with the aim of proceeding further. Results and discussion: The parapharyngeal space is divided into the prestyloid and the retrostyloid compartment.Tumours of parapharyngeal space are responsible for 1% of head and neck tumours; 80% of these tumours are benign lesions, most often originating from the parotid gland (50% of all the cases). Conclusions: The treatment of choice for benign lesions like the hamartoma is a surgical resection. It is important to choose a suitable surgical approach considering morphotic parameters of a tumour, anatomic and topographic conditions.

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Intra orbital Schwanoma of the supraorbital nerve

JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA ◽

10.22290/jbnc.v22i4.1045 ◽

2018 ◽

Vol 22 (4) ◽

pp. 179-182

Author(s):

Apio Antunes ◽

Mateus F. L. Beck ◽

Andre C. Franciscatto ◽

Mateus Franzoi ◽

Atahualpa C. P. Strapassom

Keyword(s):

Case Report ◽

Cranial Nerves ◽

Signs And Symptoms ◽

Surgical Approaches ◽

Total Removal ◽

Combined Surgery ◽

Supraorbital Nerve ◽

History Of ◽

One Year ◽

Orbital Region

Background: The orbital region can be occupied by various lesions including both neoplastic or non-neoplastic. Schwannomas of the supraorbital nerve are very rare tumors. Case Report: A case of a 15 years-old female patient with a one year history of progressive proptosis and no visual symptoms is presented with. This patient underwent a combined surgery with total removal of the tumor. Discussion: Intraorbital schwannomas are usually associated with neurofibromatosis and different structures can originate these tumours, including peripheral and cranial nerves. The signs and symptoms usually follow a chronic process. Surgical treatment is necessary, with various reported surgical approaches. Conclusion: We report, to the best of our knowledge, the eleventh case of schwannoma of the supraorbital nerve, describing the main features of this pathology.

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Endovascular management of a large renal artery aneurysm: a case report and review of the literature

BMC Urology ◽

10.1186/s12894-021-00877-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alec Zhu ◽

Peter Connolly ◽

A. Ari Hakimi

Keyword(s):

Interventional Radiology ◽

Case Report ◽

Renal Artery ◽

Renal Mass ◽

Artery Aneurysm ◽

Endovascular Embolization ◽

Surgical Approaches ◽

Renal Artery Aneurysm ◽

Artery Pseudoaneurysm ◽

Renal Artery Pseudoaneurysm

Abstract Background A renal artery aneurysm is a rare clinical presentation that can be found incidentally on imaging or during workup for refractory hypertension. Its presentation can be similar to that of a renal artery pseudoaneurysm, but the etiologies of the two vascular lesions differ. We present a patient who had an incidental finding of a large renal artery aneurysm that was managed with endovascular embolization. We also describe the literature surrounding the etiology, presentation and management of both renal artery aneurysms and renal artery pseudoaneurysms. Case presentation A 62-year-old man was referred to a urologic oncologist for workup of a newly found renal mass. Initial imaging with computed tomography showed a homogenous, well-circumscribed mass arising from the right kidney. Further evaluation with Doppler ultrasonography demonstrated pulsatile flow within the renal mass that was concerning for a renal artery pseudoaneurysm. The patient initially underwent a diagnostic angiogram by interventional radiology and was found to have a true renal artery aneurysm. Interventional radiology considered placement of a covered stent or angioembolization, but treatment was deferred due to concern for compromising the patient’s renal function. Patient was subsequently transferred to a neighboring hospital for management by vascular surgery. After considering both open surgical and endovascular approaches, the patient ultimately underwent angioembolization of the renal artery aneurysm. Short-term follow-up showed successful exclusion of the aneurysm with minimal adverse effects to the patient. Conclusions Our case report documents a unique case of an incidentally found large renal artery aneurysm that was successfully managed with endovascular embolization. Renal artery aneurysms and renal artery pseudoaneurysms, which can present similarly on imaging, are important diagnostic considerations in a patient presenting with a new renal mass. While open surgical approaches can be used to repair aneurysms, endovascular approaches using stenting or angioembolization are safe and effective options for treating renal aneurysms and renal pseudoaneurysms.

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