scholarly journals Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Francisco Antonio Rodríguez-García ◽  
Cuauhtly Gallegos-Sierra ◽  
José Luis Villarreal-Salgado ◽  
Karla Jimenez-Pavon ◽  
Karen Morfin-Meza ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Functional Results ◽  
Skin Lesions ◽  
Lymphatic Malformation ◽  
Definitive Treatment ◽  
Diagnostic Tools ◽  
Therapeutic Success ◽  
Surgical Extraction ◽  
Fascia Lata Graft ◽  
The Right

Abstract Background Macrocystic lymphatic malformation is a rare benign skin disorder, especially the anogenital area, which covers less than .5% of the reported cases. It can cause vesicular and papular lesions on the face, trunk, extremities, and, less frequently, anogenital areas. Although there are currently several therapeutic options, surgical excision is the most widely used, considering the lowest recurrence rate. Case presentation In this article, we describe the case of a 15-year-old male patient who presented with herpetiform skin lesions, corresponding to the diagnosis of macrocystic lymphatic malformation, in the lower region of the right buttock. After confirmation of the diagnosis by histopathology, surgical excision was performed with a tensor fascia lata graft, with successful aesthetic and functional results. Conclusions Considering the diagnosis of macrocystic lymphatic malformation is of utmost importance, although its presence is unusual, to differentiate it from other herpetiform lesions. Despite the existence of multiple approaches today, definitive treatment with surgical extraction is necessary, both to improve the cosmetic aspect and to prevent associated complications. It is suggested that histopathological and imaging diagnostic tools be used as a routine element, in order to increase therapeutic success, as well as decrease the risk of recurrences. Evidence-based medicine ranking Level IV

scholarly journals Giant acquired acral fibrokeratoma: A case report

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Hend M. Al-Atif
Keyword(s):  
Dorsal Surface ◽  
Surgical Excision ◽  
Skin Lesions ◽  
Skin Tumor ◽  
Central Hospital ◽  
First Line ◽  
Fibrous Tumor ◽  
The Right ◽  
Histopathology Examination ◽  
Saudi Male

Acquired acral fibrokeratoma (AAF) is a rare benign fibrous tumor. Its size is usually small (i.e., <0.5 cm). However, few cases with giant lesions (i.e., >1 cm) have been reported. A 17-year-old Saudi male presented to the Dermatology Outpatient Clinic of Aseer Central Hospital, Aseer Region, Saudi Arabia, with a painless rounded skin-colored exophytic nodule arising from the dorsal surface of the right middle toe, 1.7 cm in diameter. The tumor was surgically excised. Histopathology examination revealed a giant polyploid lesion, composed of massive hyperkeratosis, acanthosis, a core of thick collagen bundles and vertically oriented small dermal blood vessels. The diagnosis was giant AAF. There was no evidence of recurrence after surgical excision. AAF is a rare benign skin tumor which should be differentiated from other similar skin lesions. Surgical excision is the first line for treatment.

scholarly journals Dermoscopy Case of the Month Combined Nevus - a Case Report

2017 ◽  
Vol 9 (2) ◽  
pp. 63-65
Author(s):  
Andrija Jović ◽  
Nataša Vidović ◽  
Danijela Popović ◽  
Zorana Zlatanović ◽  
Slađana Cekić ◽  
...  
Keyword(s):  
Case Report ◽  
Skin Lesion ◽  
Female Patient ◽  
Surgical Excision ◽  
Skin Lesions ◽  
Lumbar Region ◽  
Dermoepidermal Junction ◽  
Melanocytic Lesions ◽  
Different Types ◽  
The Right

Abstract Combined nevi are melanocytic lesions composed of two or more distinct types of melanocytic populations within the same lesion. Different types of combined nevi may form bizarrely shaped, multicolored skin lesions, making them one of the greatest melanoma mimickers. We report a 48-year-old female patient with suspicious skin lesion in the left lumbar region. Clinically, there was an oval, slightly asymmetrical lesion measuring 6 x 4 mm, showing multiple colors and shades of brown and black. A dermoscopic examination revealed a brown-bluish coloration in the right part of the lesion, while a fine pigment network with perifollicular halo was found in the left part of the lesion, suggesting the diagnosis of a combined nevus. Histological examination showed a poorly circumscribed proliferation of dendritic melanocytes in the superficial and deep dermis and proliferation of melanocytes in the dermoepidermal junction. A surgical excision of the tumor was performed, in order to confirm the dermoscopic findings. In conclusion, dermoscopy is useful in differentiating combined nevi from other melanocytic lesions.

scholarly journals Localized Bilateral Superior and Inferior Orbital Neurofibroma in the Absence of Neurofibromatosis

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Daniela Rojas-Correa ◽  
Álvaro Bengoa-González ◽  
Enrique Mencía-Gutiérrez ◽  
Aurelio Hernández-Laín ◽  
Elena Salvador ◽  
...  
Keyword(s):  
Incidental Finding ◽  
Surgical Excision ◽  
Progressive Increase ◽  
Sensory Nerves ◽  
Definitive Treatment ◽  
Surgical Removal ◽  
Orbital Mass ◽  
Peripheral Nerve Sheath Tumors ◽  
Ocular Symptoms ◽  
The Right

Localized or isolated neurofibromas are peripheral nerve sheath tumors. They are rare in the orbit and occur without a systemic neurofibromatosis. There are few cases of bilateral tumors reported but none affecting both supraorbital and infraorbital nerves. We report a 45-year-old female who presented an extraconal mass in the right orbit as an incidental finding in a head computer tomography, without ocular symptoms. Magnetic resonance image showed a well-defined oval mass in the right supraorbital and infraorbital nerves, of similar characteristics, as well as smaller masses in the left supraorbital and infraorbital nerves. A progressive increase in size of the left supraorbital and infraorbital tumor motivated their surgical excision. The histological result was compatible with a neurofibroma. These uncommon orbital tumors are slow growing and affect the sensory nerves of the trigeminal nerve. Neurofibromas usually present progressive symptoms due to the orbital mass, proptosis, or visual changes although not in this case. Surgical removal is the only definitive treatment.

scholarly journals Hemangioma of First Extensor Compartment of the Wrist– A Rare Case Report

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Madhan Jeyaraman ◽  
Sandip Biswas ◽  
Akhilesh Kumar ◽  
...  
Keyword(s):  
Case Report ◽  
Articular Surface ◽  
Functional Results ◽  
Vascular Tumor ◽  
Low Flow ◽  
Definitive Treatment ◽  
Excision Biopsy ◽  
Musculotendinous Junction ◽  
Intramuscular Hemangioma ◽  
The Right

Introduction: Although upper extremity intramuscular hemangioma is a rare clinical entity, it poses considerable morbidity in the functional needs of an individual. The diagnosis of intramuscular hemangioma poses a diagnostic glitch. The combined radiological and histopathological assessment provides a complete understanding and diagnosis for the same. Every tumor follows an individualized protocol for its management. Case Report: A 15-year-old female presented with swelling over dorsal aspect of distal 1/3rd right forearm, which was 3 cm away from the articular surface of the right wrist from the past 5 years. There was no history of trauma or infection over the right wrist. Finkelstein’s test was negative, which rule out de Quervain’s tenosynovitis. The movements of the right wrist were unrestricted without any distal neurovascular deficit. MRI of her right wrist and hand suggested the presence of low flow vascular malformation within the musculotendinous junction of APL and EPB muscles. The patient underwent excision biopsy of the hemangiomatous lesion in toto without any neurological complications. No recurrence was noted in the follow-up period for 6 months. Conclusion: Being a benign vascular tumor, MRI provides the gateway to diagnose intramuscular hemangioma for early intervention to provide better functional results. The choice of definitive treatment for APL and EPB hemangioma was excision biopsy in toto which provided better functional results in our patient. Keywords: Hemangioma, intramuscular, abductor pollicis longus, extensor pollicis brevis, MRI, excision biopsy.

scholarly journals Idiopathic Pulmonary Arteriovenous Malformation - A Rare Entity

2021 ◽  
Vol 10 (41) ◽  
pp. 3604-3606
Author(s):  
Sanyukta Hepat ◽  
Ruchita Kabra ◽  
Abhijit Wadekar ◽  
Sourya Acharya ◽  
Samarth Shukla ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Pulmonary Veins ◽  
Pulmonary Arteries ◽  
Surgical Excision ◽  
Transcatheter Embolization ◽  
Pulmonary Angiography ◽  
Pulmonary Arteriovenous Malformation ◽  
Diagnostic Tools ◽  
Delay Of Treatment ◽  
The Right

Pulmonary arteriovenous malformation (PAVM) is one of the rare pulmonary vascular anomalies. Pulmonary arteriovenous malformation results in right to left shunt due to the abnormal communications between the pulmonary arteries and the pulmonary veins bypassing the normal capillary bed.1 This condition being rare could be easily missed, hence, it is essential for clinicians to suspect it based on the classical clinical features. This helps in early diagnosis and deciding further appropriate treatment option. Here we report the case of a patient affected by a large idiopathic pulmonary arteriovenous malformation in the right lung. Most patients with pulmonary arteriovenous malformation are asymptomatic. This is due to the chronic compensation and secondary erythrocytic response. Dyspnoea due to PAVMs are a result of right-to-left shunt. Initial diagnostic tools include chest radiography and contrast enhanced computed tomography but the gold standard is pulmonary angiography.2 Because AVM has substantial morbidity rates associated with it, all patients with PAVMs who can undergo embolization should be treated with transcatheter embolization. In rest of the patients, surgical excision should be considered. The main objective of this study was to highlight the early suspicion and diagnosis of pulmonary arteriovenous malformation as this is easily missed and leads to undue delay of treatment.

scholarly journals Recurrent collaural fistula: a challenge

2019 ◽  
Vol 5 (5) ◽  
pp. 1404
Author(s):  
Shashikant Anil Pol ◽  
Surinder K. Singhal ◽  
Nitin Gupta ◽  
Shalima Pulpra Sivanandan
Keyword(s):  
External Auditory Canal ◽  
Skin Grafting ◽  
Surgical Excision ◽  
Definitive Treatment ◽  
Diagnostic Tools ◽  
Superficial Parotidectomy ◽  
Complete Excision ◽  
Split Skin Grafting ◽  
Branchial Cleft ◽  
Complication Of Surgery

Collaural fistula or cervico-aural fistula is a rare anomaly accounting for less than 8% of first branchial cleft anomaly. Aberrant development of first branchial cleft may lead to formation of a cervical cyst or sinus in the region of ear. We reported a case of a 4 year old girl who presented with recurrent swelling in right infra-auricular region from 6 months of age. She had undergone incision and drainage of the swelling three times at various peripheral hospitals over past 3.5 years. On examination two sinuses were noticed surrounding lobule of right pinna of which one was present posterior to the lobule and second was present just above lobule at lateral most part of conchal cartilage. Diagnosis of recurrent infected collaural fistula requires detailed clinical examination for presence of multiple sinuses surrounding the lobule and external auditory canal. In case of non visibility of sinus in external auditory canal, microscopic examination should be done. CT sonogram and MRI are useful diagnostic tools for recurrent infected fistulas. Surgical excision of whole tract is the definitive treatment but superficial parotidectomy along with it can reduce chances of recurrence significantly. If more than 30% of the circumference of external auditory canal is involved then split skin grafting is required for the coverage. Diagnosis of collaural fistula should be kept in mind whenever there is recurrent postaural or infra-aural swelling mainly in paediatric patients. Superficial parotidectomy along with complete excision reduces the recurrence rate. Facial nerve palsy can be a devastating complication of surgery.

scholarly journals Cystic mass of the right iliac fossa: don't forget about lymphatic malformation

2020 ◽  
pp. 20200165
Author(s):  
Habib Bellamlih ◽  
Ayman El Farouki ◽  
Rahal Mssrouri ◽  
Sabrine Derqaoui ◽  
Ahmed Jahid ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Lymphatic Vessels ◽  
Surgical Excision ◽  
Cystic Lymphangioma ◽  
Lymphatic Malformation ◽  
Benign Tumour ◽  
Cystic Tumor ◽  
Palpable Mass ◽  
Complete Surgical Excision ◽  
The Right

Lymphatic malformation or cystic lymphangioma is a benign tumour of the lymphatic vessels. It is more commonly reported among children and has polymorphic clinical presentations. The diagnosis is based on imaging but requires histological confirmation. The treatment of choice is surgical excision for the abdominal and symptomatic localization. We report the case of a 30-year-old female who consulted for right iliac fossa pain mimicking an acute appendicitis. The physical examination revealed a slight tenderness in the right iliac fossa without fever or palpable mass. Though the biological screening was normal, the imaging exploration has revealed the presence of a multiloculated cyst located in the right iliac fossa at the ascending colon and measuring 15 cm. The mass matches with lymphatic malformation. Therefore, a laparoscopy was performed, and complete resection of the cystic tumor was accomplished with right hemicolectomy. The histologic exam has confirmed the diagnosis. Colonic lymphatic malformation is a rare and benign tumour, requiring a complete surgical excision to minimise any recidivism. The definitive diagnosis remains histological.

Giant-Cell Lesion in a Sesamoid Bone of the Thumb

1998 ◽  
Vol 23 (2) ◽  
pp. 279-280 ◽  
Author(s):  
E. P. CLARKE ◽  
J. W. PRITCHETT
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
Surgical Excision ◽  
Normal Function ◽  
Definitive Treatment ◽  
Sesamoid Bone ◽  
Giant Cell Reparative Granuloma ◽  
Giant Cell Lesion ◽  
Bony Mass ◽  
The Right

We treated a 72-year-old woman by excision of the right thumb sesamoid which contained a giant-cell lesion. Nine years later she had normal function and no evidence of other lesions, recurrence or metastasis. We recommend that the diagnosis of giant-cell reparative granuloma and giant-cell tumour be considered when a bony mass in a sesamoid bone is discovered. Surgical excision at least in our one case was definitive treatment.

Multidisciplinary Approach of a Very Rare Infected Verrucous Carcinoma of the Scrotum

2019 ◽  
Vol 70 (4) ◽  
pp. 1476-1478
Author(s):  
Laura Raducu ◽  
Adelaida Avino ◽  
Cristina-Nicoleta Cozma ◽  
Sorin Nedelea ◽  
Andra-Elena Balcangiu-Stroescu ◽  
...  
Keyword(s):  
Adjuvant Therapy ◽  
Rare Disease ◽  
Chronic Inflammation ◽  
Male Patient ◽  
Multidisciplinary Approach ◽  
Verrucous Carcinoma ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Wide Surgical Excision ◽  
The Right

Verrucous carcinoma of the scrotum is an extremely rare disease and most cases are thought to result from poor hygiene and chronic inflammation. Currently, it has not been well characterized, the etiology, diagnosis and treatment remaining poorly understood. We present the case of a 50-year-old male patient diagnosed with verrucous carcinoma of the right hemiscrotum. Wide surgical excision was performed. Favorable outcomes can be achieved by surgery, even without any adjuvant therapy, but patients should be carefully followed up.

Hepatic brucelloma: a rare complication of a common zoonotic disease

2020 ◽  
Vol 13 (12) ◽  
pp. e237076
Author(s):  
George Vatidis ◽  
Eirini I Rigopoulou ◽  
Konstantinos Tepetes ◽  
George N Dalekos
Keyword(s):  
Rare Complication ◽  
Surgical Excision ◽  
Coombs Test ◽  
Inflammation Markers ◽  
Laboratory Findings ◽  
Ct Guided ◽  
Rare Manifestation ◽  
Bone Marrow Cultures ◽  
History Of ◽  
The Right

Hepatic brucelloma (HB), a rare manifestation of brucellosis, refers to liver involvement in the form of abscess. A 35-year-old woman stockbreeder was admitted due to 1-month history of evening fever, sweating and weight loss, while she was on 3-week course of rifampicin/doxycycline for suspected brucellosis. On admission, she had hepatosplenomegaly and a systolic murmur, while cholestasis, increased inflammation markers and a strong-positive Wright-Coombs test were the main laboratory findings. As blood and bone marrow cultures were unrevealing, further investigation with CT imaging showed a central liver calcification surrounded by heterogeneous hypodense area being compatible with HB. Material from CT-guided drainage tested negative for Brucella spp. After failure to improve on a 10-week triple regiment, surgical excision was decided and Brucella spp were identified by PCR. Our case highlights challenges in establishing HB diagnosis, which should be considered on the right epidemiological context and when serological and radiological evidence favour its diagnosis.

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