Giant Intradiploic Epidermoid Tumor of the Occipital Bone: Case Report

Neurosurgery ◽  
1990 ◽  
Vol 27 (6) ◽  
pp. 978-981 ◽  
Author(s):  
Jorge Guridi ◽  
Jorge Ollier ◽  
Francisco Aguilera
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
Complete Removal ◽  
Good Prognosis ◽  
Occipital Bone ◽  
Neurological Involvement ◽  
Intracranial Extension ◽  
Total Removal ◽  
Computed Tomographic ◽  
Large Size

Abstract The authors describe a case of a giant intradiploic epidermoid cyst of the occipital bone with an intracranial extension in the posterior fossa and no signs of neurological involvement. The lesion started as a painless lump under the scalp. Roentgenographic and computed tomographic findings led to a correct diagnosis, and the complete removal of the cyst was accomplished, despite its large size. The total removal of these cysts is associated with a good prognosis.

Giant intradiploic epidermoid cysts of the skull

1985 ◽  
Vol 62 (3) ◽  
pp. 445-448 ◽  
Author(s):  
Jean Paul Constans ◽  
Jean François Meder ◽  
Enrico De Divitiis ◽  
Renato Donzelli ◽  
Francesco Maiuri
Keyword(s):  
Correct Diagnosis ◽  
Complete Removal ◽  
Neurological Involvement ◽  
Intracranial Extension ◽  
Total Removal ◽  
Content Type ◽  
Epidermoid Cysts ◽  
Large Size ◽  
Long Term Prognosis

✓ The authors describe two cases of giant intradiploic epidermoid cysts of the cranial vault in which there was massive intracranial extension causing signs of neurological involvement. The very slow growth and the benign histological nature of these tumors explain their long preoperative evolution and the mild neurological signs in some cases. Roentgenographic and computerized tomography findings permit a correct diagnosis. Complete removal of these cysts and their capsules can be easily accomplished, despite their large size. Total removal of these cysts is associated with a very good long-term prognosis.

Completely Thrombosed Giant Aneurysm of the Basilar Artery Trunk: A Case Report

Neurosurgery ◽  
1985 ◽  
Vol 17 (6) ◽  
pp. 968-970 ◽  
Author(s):  
G. H. J. J. Spincemaille ◽  
J. L. Slooff ◽  
L. A. H. Hogenhuis ◽  
J. Lodder
Keyword(s):  
Case Report ◽  
Contrast Enhancement ◽  
Posterior Fossa ◽  
Basilar Artery ◽  
Correct Diagnosis ◽  
Giant Aneurysm ◽  
Vasa Vasorum ◽  
Computed Tomographic ◽  
Aneurysm Wall ◽  
Angiographic Findings

Abstract A patient with a completely thrombosed giant aneurysm arising from the trunk of the basilar artery is described. Although it is difficult to differentiate this anomaly from a posterior fossa tumor, negative angiographic findings combined with certain computed tomographic (CT) signs may point to the correct diagnosis. Our case demonstrates that one of these CT signs (viz. ringlike contrast enhancement) can be explained by the presence of vasa vasorum in the aneurysm wall

Brown-Seéquard Syndrome Associated with Posttraumatic Cervical Epidural Hematoma: Case Report and Review of the Literature

Neurosurgery ◽  
1989 ◽  
Vol 25 (2) ◽  
pp. 278-280 ◽  
Author(s):  
Gerald M. Zupruk ◽  
Zoya Mehta
Keyword(s):  
Case Report ◽  
Epidural Hematoma ◽  
Correct Diagnosis ◽  
Full Recovery ◽  
Review Of The Literature ◽  
Chiropractic Manipulation ◽  
Computed Tomographic ◽  
Surgical Evacuation ◽  
Post Traumatic ◽  
Brown Sequard Syndrome

Abstract Post-traumatic cervical epidural hematoma is an uncommon entity. A case is presented in which such a lesion developed after chiropractic manipulation of the neck. The patient presented with a Brown-Séquard syndrome, which has only rarely been reported in association with cervical epidural hematoma. The correct diagnosis was obtained by computed tomographic scanning. Surgical evacuation of the hematoma was followed by full recovery.

Cyst of the Choroid Plexus in the Lateral Ventricle: Case Report and Review of the Literature

Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 470-476 ◽  
Author(s):  
Genya Odake ◽  
Hiroshi Tenjin ◽  
Nobukuni Murakami
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Choroid Plexus ◽  
Cyst Wall ◽  
Lateral Ventricle ◽  
Magnetic Resonance Images ◽  
Review Of The Literature ◽  
Total Removal ◽  
Computed Tomographic ◽  
Intraventricular Cyst

Abstract We report an intraventricular cyst in a 2-year-old boy who had myoclonic jerks of the extremities. The cyst had no communication with the ventricular system or subarachnoid space. Total removal of the cyst adhering to the choroid plexus was accomplished. The glial cyst wall was lined in part by flattened or cuboidal epithelium. The preoperative and postoperative computed tomographic scans and magnetic resonance images are presented, and congenital benign cysts in the lateral ventricle are reviewed and discussed.

scholarly journals Large Retroperitoneal Perivascular Epithelioid Cell Neoplasm (PEComa): A Case Report and a Brief Review

2021 ◽  
pp. 1-6
Author(s):  
Giorgio Lucandri ◽  
Giorgio Lucandri ◽  
Marco Maria Lirici ◽  
Alessia Fassari ◽  
Vito Pende ◽  
...  
Keyword(s):  
Case Report ◽  
Immunohistochemical Staining ◽  
Correct Diagnosis ◽  
Distant Metastases ◽  
Complete Removal ◽  
En Bloc Resection ◽  
Epithelioid Cell ◽  
Bloc Resection ◽  
En Bloc ◽  
Perivascular Epithelioid Cell

Objective: To describe a case of retroperitoneal perivascular epithelioid cell tumor (PEComa) and to discuss the main features of this rare pathology. Introduction: PEComas represent a rare cluster of neoplasms with uncertain origin; their precursor cells are spindle-shaped and characterized by a myomelanocytic phenotype, so only immunohistochemical staining makes a definitive diagnosis possible. To date, less than three hundred cases are reported in Literature and retroperitoneal site accounts for 7-8% of overall locations. Case Report: Middle-aged female has visited for abdominal pain and urinary complaints; physical findings and imaging demonstrated a huge inhomogeneous mass occupying right abdomen and arising from renal capsule. After multidisciplinary evaluation, patient has been addressed to open surgery and an en-bloc resection of the mass, with right nephrectomy and adrenalectomy. Immunohistochemical staining made a diagnosis of PEComa possible. After an uneventful postoperative stay, the patient entered a follow up protocol, without signs of local recurrence and distant metastases. Conclusion: Retroperitoneal PEComa often presents as a bulky mass with renal and adrenal involvement. Surgical resection should be aimed to obtain a complete removal with negative margins; this makes compartment surgery and en-bloc resection mandatory. Immunostaining is the key methods for a correct diagnosis.

A case report of aneurysmal bone cyst in involving occipital bone

1974 ◽  
Vol 10 (2) ◽  
pp. 242
Author(s):  
HS Chang ◽  
SY Yoo ◽  
WH Lee ◽  
MC Han
Keyword(s):  
Case Report ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Occipital Bone

scholarly journals Ovarian mature cystic teratoma with malignant transformation: two case reports

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Afsaneh Tehranian ◽  
Akram Ghahghaei-Nezamabadi ◽  
Akram Seifollahi ◽  
Sara Kasraei ◽  
Hamideh Dehghani-Nejad ◽  
...  
Keyword(s):  
Malignant Transformation ◽  
Case Reports ◽  
Cystic Teratoma ◽  
Good Prognosis ◽  
Mature Cystic Teratoma ◽  
Treatment Protocols ◽  
Large Size ◽  
Stage Ia ◽  
Loss Of Appetite ◽  
Case Number

Abstract Background Mature Cystic Teratoma (MCT) is a benign tumor that can lead to malignant transformation (MT) in 1–3% of cases. Management of MT is a big challenge for gynecologic oncologists due to the lack of specific diagnostic and treatment protocols. Case presentation We reported two Iranian cases of MT of MCT with two different stages and prognosis. Our both cases presented the same symptoms, including chronic abdominal pain and distention, loss of appetite, and weight loss. In case number 1, despite the large size of the tumor, the disease was at stage Ia and had a good prognosis; while, case number 2 was at stage IIIc of the disease with a poor prognosis. Conclusion The stage of the disease is the most important prognostic factor, and early diagnosis and treatment are very critical for better survival.

scholarly journals The giant resectable carcinoma of gall bladder—a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lovenish Bains ◽  
Haraesh Maranna ◽  
Pawan Lal ◽  
Ronal Kori ◽  
Daljit Kaur ◽  
...  
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Lymph Node Involvement ◽  
Chronic Cholecystitis ◽  
Large Size ◽  
Node Involvement ◽  
Uncommon Condition ◽  
Well Differentiated ◽  
Vague Abdominal Pain ◽  
Common Malignancy

Abstract Background Gall bladder cancer (GBC) is the fifth most common malignancy in the gastrointestinal system and the most common malignancy of the biliary system. GBC is a very aggressive malignancy having a 5 year survival rate of 19%. Giant Gall Bladder (GGB) is an uncommon condition that can result from cholelithiasis or chronic cholecystitis and rarely with malignancy. Case report A 65 year old lady presented with vague abdominal pain for 12 years and right abdominal lump of size 20 × 8 cms was found on examination. CT scan showed a circumferentially irregularly thickened wall (2.5 cm) of gall bladder indicative of malignancy. Per-operatively a GB of size 24 × 9 cm was noted and patient underwent radical cholecystectomy. It was surprise to find such a giant malignant GB with preserved planes. Histopathology, it was well differentiated adenocarcinoma of gall bladder of Stage II (T2a N0 M0). Discussion It is known that mucocoele of GB can attain large size, however chronic cholecystitis will lead to a shrunken gall bladder rather than an enlarged one. A malignant GB of such size and resectable is rare without any lymph node involvement or liver infiltration. Few cases of giant benign gall bladder have been reported in literature, however this appears to be the largest resectable gall bladder carcinoma reported till date as per indexed literature. Conclusion Giant GB is an uncommon finding. They are mostly benign, however malignant cases can occur. Radiological findings may suggest features of malignancy and define extent of disease. Prognosis depends on stage of disease and resectability, irrespective of size.

scholarly journals Evaluation of surgical outcome of giant intracranial meningiomas

2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Ramy Teama ◽  
Mohamed Adawy ◽  
Mohamed Emara
Keyword(s):  
Surgical Outcome ◽  
Intraoperative Complications ◽  
Intracranial Meningioma ◽  
Surgical Removal ◽  
Study Group ◽  
Main Body ◽  
Total Removal ◽  
Large Size ◽  
Intracranial Meningiomas

Abstract Background The surgery of giant intracranial meningiomas (GIM) is difficult due to its large size, prominent vascularity, including and limiting visualization of various neurovascular structures, and severe cerebral edema. In this study, we will evaluate the surgical outcome of giant meningiomas according to our experience at our hospital in management of giant intracranial meningioma. Main body A retrospective analysis of 48 patients with histologically proven meningioma (≥ 6-cm diameter) who underwent surgical treatment at Benha University hospitals over a period of 5 years (June 2014/June 2019) is presented. Details regarding clinical presentation, imaging findings, surgical results and complications, and follow-up status were collected. The study group was composed of 41 females and 7 males. The age of the study group ranged from 38 to 69 years with an average of 49 years. The mean follow-up period was 36 months. Different approaches were used according to tumor location with the aim of gross total removal. Gross total removal was achieved in 90% of cases (43 cases). There were 2 cases with intraoperative complications not related to surgery. Recurrence was present in 4 cases. Mortality in this series was 4% (2 cases) with no reported intraoperative mortality. Conclusion Management of giant intracranial meningioma is a relatively common practice in neurosurgical centers in developing countries with the aim of radical total surgical removal being the first and most optimum option. Large size makes surgery difficult, but young age, meticulous surgical techniques, proper localization, trying to minimize operative time, and Simpson grade are of special value. Interdisciplinary cooperation is essential to avoid the common complications like pulmonary embolism (PE), postoperative hematoma in tumor bed that leads to bad surgical outcome.

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