scholarly journals Pericardial pseudocyst along atrioventricular groove

2020 ◽  
pp. 20200122
Author(s):  
Ajay Alex ◽  
Anoop Ayyappan ◽  
Jineesh Valakkada ◽  
Vivek V Pillai ◽  
Renjith Sreekantan ◽  
...  
Keyword(s):  
Medical History ◽  
Open Surgery ◽  
Histopathological Diagnosis ◽  
Cystic Lesions ◽  
Middle Aged ◽  
Aged Subject ◽  
Congenital Lesion ◽  
Atrioventricular Groove ◽  
Pericardial Cysts

Cystic lesions in relation to the pericardium are a rare congenital lesion with an estimated incidence of 1 per 100,,000. Pericardial cysts may be classified as congenital or acquired. Here, we present a case of a pericardial pseudocyst having a horseshoe configuration along the atrioventricular groove in a middle-aged subject with no previous relevant medical history. The patient underwent open surgery for the same with histopathological diagnosis being established. This paper highlights the differentials for a cystic pericardial lesion in imaging in addition to the histopathological entity of a pericardial pseudocyst.

scholarly journals A Reliable Surgical Procedure for Sinus Floor Augmentation with Antral Pseudocysts

2021 ◽  
Vol 9 (10) ◽  
pp. 122
Author(s):  
Yasuhiro Nosaka ◽  
Hitomi Nosaka ◽  
Yasushi Nakajima ◽  
Tadasuke Tanioka ◽  
Daniele Botticelli ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Correct Diagnosis ◽  
Inflammatory Cells ◽  
Histological Evaluation ◽  
Histopathological Diagnosis ◽  
Cystic Lesions ◽  
Two Stage ◽  
Asymptomatic Patients ◽  
Sinus Floor Augmentation ◽  
Sinus Floor

An antral pseudocyst (AP) is a common well-defined ‘dome-shaped’ faintly radiopaque lesion of the maxillary sinus, and usually does not require treatment in asymptomatic patients. However, when sinus floor augmentation is required to increase bone volume for implant installation, the elevation of the sinus mucosa might drive the AP against the ostium. This might cause its obstruction and, as possible consequence, sinusitis. The purpose of this study was to investigate the clinical and tomographic conditions of APs to identify a predictable cyst removal that might allow a safety sinus floor augmentation. A total of 52 maxillary sinuses in 46 patients (mean age 55.1 years) presenting AP were examined by cone beam computed tomographies (CBCTs). A two-stage approach was applied. At the first surgery, the cystic lesions were further inspected by an endoscope through the antrostomy, and histopathological diagnosis of the removed tissues was carried out. After the confirmation of decrease of the swelling of sinus membrane by CBCT, the sinus floor augmentation was performed, at least four months after cyst removal. The color and transparency of the 86 cystic lesions were classified into 4 types. The whitish transparent cysts were 34 (39.5%), the yellowish transparent cysts were 18 (20.9%), the dark purple transparent cysts were 8 (9.3%) and the milky-white opaque cysts were 26 (30.2%). The contents of the 60 (69.8%) transparent cysts were serous fluid, but those of milky-white cysts were composed of viscous or elastic soft tissues, and the aspiration of the contents was unsuccessful. The analysis of the preoperative CBCT did not provide certainty on the contents of the cystic lesions. All cystic lesions were diagnosed as AP, and an infection was identified in one AP, presenting marked infiltration of the inflammatory cells. Considering the difficulties of performing a correct diagnosis of the AP content by a CBCT analysis, the risk of failure of the surgery that creates severe afflictions to the patients, and the necessity of a histological evaluation of the cyst, a two-stage surgery appeared to be the most reliable procedure.

Mesothelial Cysts

2020 ◽  
Author(s):  
Georgia Karpathiou ◽  
Francois Casteillo ◽  
Maroa Dridi ◽  
Michel Peoc’h
Keyword(s):  
Older Patients ◽  
Clinical Course ◽  
Case Reports ◽  
Cystic Lesions ◽  
Younger Patients ◽  
Multiple Lesions ◽  
Clinicopathologic Findings ◽  
Collagenous Stroma ◽  
Pericardial Cysts ◽  
Cystic Mesothelioma

Abstract Objectives Peritoneal mesothelial cysts have been reported under various terms, including benign cystic mesothelioma, usually in the form of case reports/series, whereas extraperitoneal cases are rarely reported. Our objective was to report the detailed characteristics of cystic lesions of the serosal cavities. Methods We retrospectively examined the clinicopathologic findings of a series of mesothelial cystic lesions (n = 79). Results Most cases (n = 68, 86%) concerned the peritoneum, whereas 11 (14%) concerned the pericardium. No pleural cases were found. A total of 51 (64.5%) lesions were solitary, whereas 28 (35.5%) were multiple. Peritoneal lesions harbored a plump eosinophilic mesothelium and a loose connective stroma, whereas pericardial lesions showed a cuboidal/flattened mesothelium, collagenous stroma, intense inflammation, and other tissue types, like adipose and muscle tissue. Solitary peritoneal lesions are usually extrapelvic and found in older patients incidentally during other surgeries, whereas multiple lesions are found in younger patients and usually in the pelvis. The lesions show a benign clinical course with rare recurrences but no malignant transformation. Conclusions Most mesothelial cysts are peritoneal and rarely pericardial. Peritoneal cysts differ from pericardial cysts. Peritoneal solitary lesions differ from multiple lesions, also suggesting their pathogenetic differences.

Neurenteric cyst of the craniocervical junction

2001 ◽  
Vol 94 (1) ◽  
pp. 129-132 ◽  
Author(s):  
Flavio Leitao Filho ◽  
Marcos Tatagiba ◽  
Gustavo A. Carvalho ◽  
Wiebke Weichhold ◽  
Jörg Klekamp ◽  
...  
Keyword(s):  
Craniocervical Junction ◽  
Complete Resection ◽  
Neurenteric Cyst ◽  
Surgical Removal ◽  
Histopathological Diagnosis ◽  
Cystic Lesions ◽  
Content Type ◽  
The Subject ◽  
Fine Print

✓ Neurenteric cysts of the craniocervical junction (CCJ) are very rare lesions. Their origin is the subject of long-standing controversy, but a failure during the embryogenic phase may be responsible for their formation. Accurate histopathological diagnosis may be difficult due to the similarity they share with other cystic lesions such as colloidal cysts, Rathke cysts, and cystic teratomas. Surgical removal is the treatment of choice for intracranial neurenteric cysts, but in some cases, infiltration of the surrounding structures may hinder complete resection. Three cases of neurenteric cysts located at the CCJ are reported.

scholarly journals Orbital Epidermoid Cysts: A Diagnosis to Consider

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Rania A. Ahmed ◽  
Rasha M. Eltanamly
Keyword(s):  
Clinical Signs ◽  
Histopathological Diagnosis ◽  
Ocular Motility ◽  
Cystic Lesions ◽  
Separate Entity ◽  
Radiological Findings ◽  
Interventional Study ◽  
Epidermoid Cysts ◽  
Symptoms And Signs

Background. Orbital epidermoids form a rare pathological entity that is separate from dermoid cysts. They have variable clinical and radiological presentations and they should be considered in the differential diagnosis of orbital cystic lesions. This work describes the various clinical and radiological presentations of 17 cases of epidermoid cysts and the surgical outcome.Method. A prospective interventional study was conducted on 17 patients diagnosed with epidermoid cysts. Patients’ symptoms and signs were recorded; CT scan was done for all patients. All lesions were removed through anterior orbitotomy and histopathological diagnosis confirmed.Results. Mean age of patients was 16.3 years±  10.54. Main complaints were lid swelling, masses, ocular dissimilarity, chronic pain, and ocular protrusion. Clinical signs varied from lid swelling and masses in all cases to proptosis, globe displacement, limitation of ocular motility, and scars. Radiological findings ranged from homogenous hypodense masses (58.8%) to homogenous radiolucent (17.6%) and heterogenous masses (23.5%). No recurrences following surgeries were reported throughout the follow-up (mean 18.8 months±  0.72).Conclusion. Deep orbital epidemoid cysts are a separate entity that can behave like deep orbital epidermoid; however, they usually present at a relatively older age. They can be associated with increased orbital volume but not necessarily related to bony sutures.

scholarly journals Vitamin D deficiency osteomalacia triggered by long-term social withdrawal and unbalanced diet in a Japanese middle-aged subject

Medicine ◽  
2022 ◽  
Vol 101 (2) ◽  
pp. e28589
Author(s):  
Yuichiro Iwamoto ◽  
Fuminori Tatsumi ◽  
Kazunori Dan ◽  
Yukino Katakura ◽  
Masashi Shimoda ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Social Withdrawal ◽  
Middle Aged ◽  
Aged Subject ◽  
Unbalanced Diet

scholarly journals Focal, Extranodal Primary Polymorph Hemangioendothelioma Treated With Endovascular Embolization Plus Open Surgery Resection: Rare Case Report and Review

2021 ◽  
Author(s):  
Esteban Ramirez-Ferrer ◽  
Francisco Javier Perez-Pinto ◽  
William Mauricio Riveros-Castilla ◽  
Samuel David Morales-Naranjo ◽  
Luis Alejandro Osorio-Bohorquez
Keyword(s):  
Case Report ◽  
Open Surgery ◽  
Rare Case ◽  
Tumor Resection ◽  
Vascular Tumor ◽  
Endovascular Embolization ◽  
High Rate ◽  
Endovascular Coiling ◽  
Histopathological Diagnosis ◽  
Surgery Resection

Abstract Background: We report the rare case of an adult with a primary extranodal polymorphous hemangioendothelioma at dorsum, treated with endovascular coiling followed by open surgery resection. Clinical history, findings of spinal arteriography, histopathological findings and combined surgical procedure are reported.Case report: A 22-year-old male patient complained of a dorsal mass that has been increasing in size, painful, soft, no mobile and without neurological symptoms. A vascular tumor was suspected and an endovascular followed by an open surgical approach was performed. Histopathological diagnosis of an extranodal polymorph hemangioendothelioma was documented and a total resection was confirmed by free-tumor resection margin. The postoperative course was uneventful. Conclusion: Polymorph hemangioendothelioma is a rare vascular tumor. given the high vascular features of the lesion and, therefore, the high rate of bleeding during surgery.

scholarly journals Diagnostic value of echocardiography in paracardiac cystic lesions: 43 cases from one single medical center

2021 ◽  
Author(s):  
Jinfeng Liu ◽  
Qing LV ◽  
Jing Wang ◽  
Li Zhang ◽  
Mingxing Xie ◽  
...  
Keyword(s):  
Medical Center ◽  
Diagnostic Value ◽  
Cystic Lesions ◽  
Benign Lesions ◽  
Union Hospital ◽  
Great Vessels ◽  
Thymic Cysts ◽  
Echocardiographic Images ◽  
Pericardial Cysts ◽  
Bronchogenic Cysts

AbstractParacardial cystic lesions (PCLs) are rare, benign lesions and may occur in any part surrounding the heart. It covers a variety of pathological types, including pericardial cysts, thymic cysts, bronchogenic cysts and so on. The aim of this study was to summarize the diagnostic value of echocardiography in different pathological types of the PCLs. Echocardiographic features of 43 consecutive PCL patients treated at the Union Hospital from January 2002 to December 2017 were compared and analyzed with their surgical and pathological findings retrospectively. The PCLs included 19 pericardial cysts, 12 thymic cysts, 7 bronchogenic cysts, 3 cystic teratomas, 1 enteric cyst and 1 lymphangioma. Among them, 29 cases (67.4%) were accurately diagnosed by echocardiography and 14 cases (32.6%) were missed the diagnosis. All diagnosed cysts were showed as thin-walled, monolocular, echo-free structures without blood flow signals in echocardiographic images. 4 patients had compression of the heart and great vessels caused by cysts. In addition, 4 intracardiac lesions were diagnosed by echocardiography and the results were further confirmed in surgery. Echocardiography is of great value in the diagnosis of paracardiac cystic lesions as well as combined intracardiac lesions. Differential diagnosis could be mainly made based on the location of the lesions.

scholarly journals Case report of a posterior vaginal wall Mullerian cyst

2019 ◽  
Vol 8 (4) ◽  
pp. 1672
Author(s):  
Spyridoula P. Kasioni ◽  
Panagiotis N. Thesalokinefs ◽  
Ioannis V. Gialelis
Keyword(s):  
Differential Diagnosis ◽  
Open Surgery ◽  
Cystic Lesion ◽  
Vaginal Wall ◽  
Cystic Lesions ◽  
Posterior Vaginal Wall ◽  
Complete Excision ◽  
Ovarian Endometrioma ◽  
Gynaecological Examination ◽  
Congenital Cysts

Mullerian cysts are common types of vaginal cysts, which are small and mainly asymptomatic. Sometimes they present as large symptomatic cystic lesions arising issues of differential diagnosis. They are congenital cysts found anywhere along the length of development of Mullerian duct, occurring typically during the conventional gynaecological examination. Authors report of a premenopausal woman presenting with a small asymptomatic, palpable cystic lesion in the posterior vaginal wall, found during the gynaecological re-examination one month after an open surgery for an ovarian endometrioma excision. The whole lesion was 0.4cm and surgically excised under general anesthesia. Postoperative period was completely uncomplicated. Pathology affirmed a benign Mullerian cyst. Although the majority of vaginal cysts may be asymptomatic, a complete excision is required especially in cases of suspected malignancy or other pathology. Clinical examination and imaging are not enough for determining the pathology and a histopathology confirmation is always necessary.

scholarly journals Innocuous Lesions and Not so Innocuous Lesions of the Skin and Soft Tissue

2021 ◽  
pp. 1-7
Author(s):  
Nayantara Srikanth ◽  
K. Nithin Diwagar ◽  
B. S. Padmapriya ◽  
Ganthimathy Sekhar
Keyword(s):  
Soft Tissue ◽  
Histopathological Examination ◽  
Histopathological Diagnosis ◽  
Cystic Lesions ◽  
Histopathological Features ◽  
Medical College ◽  
Trichilemmal Cyst ◽  
Mucous Retention Cyst ◽  
Appropriate Therapy ◽  
One Year

Background: Cystic lesions of the skin and soft tissue are often neglected and thought to be innocuous or harmless. These lesions need to be excised to exclude malignancy. The lesions may present in unusual sites and may also be of infective origin. Thus, there is an urgent need to determine the prevalence and identify the histopathological features of the cystic lesions as the innocuous appearing lesions may actually not be so innocuous. In addition, it is the histopathological features that determine the treatment modality. Aim: To determine the features and prevalence of the types of cysts in skin and soft tissue. Materials and Methods: A retrospective study of the cystic lesions of the skin and soft tissue was conducted. The records from the Department of Pathology, Saveetha Medical College were retrieved and reviewed for patients with cystic lesions of the skin and soft tissue over a one year period extending between January 2019 and December 2019. The records were examined for the following data : age, sex, type of lesion, clinical and histopathological diagnosis. Results: In all 109 cases with skin and soft tissue swellings were analyzed. Among these 53 were males and 56 were more females reported (51 %) of cystic swellings as compared to males (48%). Cystic lesions were most commonly encountered in the age group of 18 to 40 years, which suggests that there may be a role for trauma or occupation related occurrence. A variety of cysts were encountered such as epidermoid cysts (70%), Trichilemmal cyst (7%), and Ganglion (7%).Phaeohyphomycotic cyst, mucous retention cyst, hemangioma and pilomatrixoma. Epidermal cysts were more frequently encountered in males (54%) than females (46%).Most lesions occurred in the back. Conclusion: Epidermal cysts may frequently be associated certain syndromes, hence it is important to evaluate these cysts. In addition phaeohyphomycotic cysts may be mistaken for Ganglion, so histopathological examination is necessary to initiate appropriate therapy.

scholarly journals Extensive Tissue Necrosis in Snake Bite

JMS SKIMS ◽  
2010 ◽  
Vol 13 (1) ◽  
pp. 34
Author(s):  
Ajaz Nabi Koul
Keyword(s):  
Medical History ◽  
Snake Bite ◽  
Past Medical History ◽  
Tissue Necrosis ◽  
Middle Aged ◽  
History Of

Middle aged Egyptian worker with no past medical history presented to ER with history of snake bite of two days duration presenting with extensive tissue Necrosis. J Med Sci 2010:13(1):34

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