scholarly journals An Epidermoid Cyst along the Sensory Branch of Digital Nerve with Focal Neuropathy: A Case Report

2021 ◽  
Author(s):  
Sang Ho Oh ◽  
Su Hyun Choi ◽  
Young Woo Kim
Keyword(s):  
Epidermoid Cyst ◽  
Ring Finger ◽  
Benign Neoplasm ◽  
Excisional Biopsy ◽  
Skin Surface ◽  
Digital Nerve ◽  
Plexus Block ◽  
Slow Growing ◽  
Focal Neuropathy

An epidermoid cyst is a slow-growing benign neoplasm that commonly occurs in the hand. Herein, we report a rare case of an epidermoid cyst with focal neuropathy in the left ring finger of a 38-year-old woman. Preoperatively, the patient complained of erythema, swelling, and paresthesia on her fingertips. On ultrasonography and magnetic resonance imaging, ulnar digital nerve thickening and inflammation around the nerve were observed, and a neurogenic tumor-like schwannoma was expected. An excisional biopsy with neurectomy of the involved sensory branch of the ulnar digital nerve was performed under brachial plexus block. During the operation, there is such an uncommon morphology, yellowish debris under the epineurium of the ulnar digital nerve sensory branch was involved with the epidermoid cyst and seemed to be propagating along the sensory branch from the skin surface. After the operation, the paresthesia and swelling resolved. Over the 6-month follow-up in the outpatient clinic, no complications and recurrences occurred. Thus, we reported a rare intraneural epidermoid cyst (occurred along the digital nerve) in the finger, and we believe that considering the anatomical characteristics and the surrounding structures is important during mass excision.

scholarly journals Hidradenoma papilliferum of the hymen: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ozer Birge ◽  
Mehmet Sait Bakır ◽  
Ceyda Karadag ◽  
Zivar Eldarova ◽  
Tayup Simsek
Keyword(s):  
Benign Neoplasm ◽  
Surgical Removal ◽  
Apocrine Glands ◽  
Sexually Transmitted ◽  
Anogenital Region ◽  
Hidradenoma Papilliferum ◽  
Anogenital Area ◽  
Slow Growing

Abstract Background Hidradenoma papilliferum is a rare benign neoplasm arising from apocrine glands. It occurs commonly on the anogenital region of middle-aged women. It usually presents as a slow growing, solitary asymptomatic, skin colored or red nodule less than 1 cm in diameter. Case presentation The case is a 38-year-old, white woman who presented with a painful nodule occurring within a month in the himenal region of the posterior vaginal introitus. The nodule was excisied and the histology revealed a hidradenoma papilliferum. The diagnosis and treatment of hidradenoma papilliferum is possible with surgical removal and histopathological evaluation of nodules. Conclusion When an adult woman presents with a noduler lesion in the anogenital area, sexually transmitted diseases and other benign and malignant vulvar lesions, as well as malignant transformation is very rare but,should be kept in mind; however because it has been reported and long-term clinical follow-up is suggested

Modified Littler flap for sensory reconstruction of large thumb pulp defects

2018 ◽  
Vol 43 (5) ◽  
pp. 546-553 ◽  
Author(s):  
Hui Wang ◽  
Xiaoxi Yang ◽  
Chao Chen ◽  
Bin Wang ◽  
Wei Wang ◽  
...  
Keyword(s):  
Donor Site ◽  
Ring Finger ◽  
Middle Finger ◽  
Donor Site Morbidity ◽  
Digital Nerve ◽  
Level Of Evidence ◽  
Dorsal Branch ◽  
Ulnar Aspect ◽  
Monofilament Test

The Littler flap has been widely used to repair large pulp defects of the thumb; however, several complications have occurred frequently. In order to reduce these issues, the modified Littler flap innervated by the dorsal branch of the proper digital nerve and the proper digital nerve from the ulnar aspect of the middle finger or the radial aspect of the ring finger were devised in 16 consecutive cases. At the donor site, the defect of the proper digital nerve was repaired with a nerve graft from the proximal portion of the ipsilateral dorsal branch of the proper digital nerve. At the final follow-up, the scores for the static two-point discrimination test, Semmes–Weinstein monofilament test and total active motions in both recipient and donor fingers were nearly normal. This modified Littler flap provides a simple and reliable alternative for treatment of large defects of the thumb pulp with low donor-site morbidity. Level of Evidence: IV

scholarly journals Recurrence of Ameloblastic Fibro-Odontoma in a Child: A Case Report

2020 ◽  
Vol 5 ◽  
pp. 247275122090484
Author(s):  
Raphael Capelli Guerra ◽  
Pedro Henrique de Azambuja Carvalho ◽  
Florian Markus Thieringer ◽  
Rodrigo Santos Pereira ◽  
Eduardo Hochuli-Vieira
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Bone Lesion ◽  
Benign Neoplasm ◽  
Excisional Biopsy ◽  
Oral And Maxillofacial Surgery ◽  
Local Inflammation ◽  
Long Term Follow Up

Introduction: A young boy presented with mandibular swelling at the Department of Oral and Maxillofacial Surgery in Hospital Leforte, São Paulo, Brazil. Radiography showed a mixed bone lesion. Computed tomography (CT) findings were compatible with ameloblastic fibro-odontoma (AFO). Case Report: An excisional biopsy was performed under general anesthesia. At the 6-year follow-up, local inflammation and mild exudates were found. Local recurrence of the lesion was observed on CT. Therefore, excision and curettage were performed. No signs of recurrence have been detected to date. Ameloblastic fibro-odontoma is a rare benign neoplasm most commonly occurring in the first decade of life, with minimal probability of malignancy. Conclusion: Clinical, radiological, and histopathological findings aid in the diagnosis, and long-term follow-up is necessary as recurrence can develop even after 6 postoperative years.

scholarly journals EPIDERMOID CYST OF THE FOURTH VENTRICLE: AN UNUSUAL LOCATION

2020 ◽  
Vol 8 (12) ◽  
pp. 786-788
Author(s):  
S. Amalik ◽  
◽  
C. Ayadi ◽  
H. Essaber ◽  
J. El Fenni ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Epidermoid Cyst ◽  
Fourth Ventricle ◽  
Cerebellopontine Angle ◽  
Clinical Signs ◽  
Surgical Excision ◽  
Basal Cistern ◽  
Chronic Daily Headaches ◽  
Slow Growing

Epidermoid cysts are slow-growing congenital tumors developed from ectodermal inclusions. They usually sit at the cerebellopontine angle or basal cistern, their location in the fourth ventricle are exceptional.We report the case of a 44-year-old patient admitted to the Neurosurgery department for chronic daily headaches with visual impairment recently aggravated by cerebellar stato-kinetic syndrome.The diagnosis of epidermoid cyst of the fourth ventricle was suspected on MRI especially in diffusion sequence and then confirmed by the anatomopatological studies. Subtotal surgical excision was performed. The evolution was marked by the disappearance of clinical signs. Radiological and clinical follow up were indicated.

scholarly journals Acquired digital fibrokeratoma: A case report and review of the literature

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Su Li ◽  
Xin Li ◽  
Fu-lun Li ◽  
Bin Li
Keyword(s):  
Case Report ◽  
Literature Search ◽  
Case Reports ◽  
Ring Finger ◽  
Differential Diagnoses ◽  
Review Of The Literature ◽  
Patient Demographics ◽  
History Of ◽  
Slow Growing

<p>Acquired digital fibrokeratoma (ADFK) has typical characteristics and occurs most frequently on the fingers. The size of the tumor is usually less than 1 cm in diameter. We report a case of a typical ADFK, along with a review of the literature. A 76-year-old man presented with a two-year history of a slow-growing keratotic tumor on the edge aspect of his right hand ring finger. A literature search was conducted to identify published case reports of ADFK. Data on patient demographics, size and location of the lump, treatment, and follow-up were collected from each case report. This case is of interest because of the rarity of ADFK. Additionally, we have emphasized the importance of ruling out other causes of abnormal growths and considering fibrokeratoma during differential diagnoses.</p>

scholarly journals Fibrolipoma em cavidade oral - Relato de caso

2020 ◽  
Vol 61 (2) ◽  
pp. 122-128
Author(s):  
Emerson Lucas da Silva Coimbra ◽  
William Napolitano Corrêa ◽  
Ana Flávia Schueler de Assumpção Leite ◽  
Simone De Queiroz Chaves Lourenço ◽  
Monica Lage da Rocha ◽  
...  
Keyword(s):  
Smooth Surface ◽  
Time Course ◽  
Histopathological Examination ◽  
Benign Lesion ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
The Body ◽  
Slow Growing ◽  
Adipose Cells

Fibrolipoma is a benign neoplasm characterized by the presence of mature adipose cells separated by broad bands of dense fibrous connective tissue. This pathology is a microscopic variant of lipoma and can affect any part of the body. However, its occurrence in the oral cavity is uncommon. It is usually a smooth-surface lesion, asymptomatic, slow-growing, pedicled, asymptomatic, yellowish or pinkish color when deeper, soft on palpation, occurring mainly in the jugal mucosa. Thus, the aim of this paper is to describe the main clinical, histopathological and treatment characteristics of a clinical case of fibrolipoma. A 67-year-old female patient, leukoderma, had a normochromic, asymptomatic, firm palpation nodule, fibrous consistency, and smooth surface, with a time course of approximately two years, located in the left jugal mucosa. The diagnostic hypotheses were lipoma, fibroma, mucus extravasation phenomenon and giant cell fibroma. The patient underwent excisional biopsy and histopathological examination revealed the definitive diagnosis of fibrolipoma. The patient is in preservation, with no sign of relapse. It is concluded that, although fibrolipoma is a benign lesion, its growth can reach large dimensions, reinforcing the need for surgical excision. It should also emphasize the importance of histopathological examination to differentiate histopathological variations of lipoma.

Bilateral ocular surface squamous neoplasia: A study of 25 patients and review of literature

2021 ◽  
pp. 112067212110071
Author(s):  
Vijitha S Vempuluru ◽  
Monalisha Pattnaik ◽  
Neha Ghose ◽  
Swathi Kaliki
Keyword(s):  
Risk Factors ◽  
Ocular Surface ◽  
Histopathological Examination ◽  
Topical Steroid ◽  
Case Series ◽  
Intraepithelial Neoplasia ◽  
Excisional Biopsy ◽  
Ocular Surface Squamous Neoplasia ◽  
Retrospective Case

Purpose: To describe the risk factors, clinical presentation, management, and outcomes of patients with bilateral ocular surface squamous neoplasia (OSSN). Methods: Retrospective case series. Results: Of the 25 patients with bilateral OSSN, the mean age at diagnosis of OSSN was 31 years (median, 24 years; range, 2–60 years). Risk factors for bilateral OSSN included xeroderma pigmentosum ( n = 15, 60%), human immunodeficiency virus infection ( n = 3, 12%), conjunctival xerosis ( n = 1, 4%), and topical steroid use ( n = 1, 4%). There were no identifiable ocular or systemic risk factors in 7 (28%) patients. Presentation was synchronous in 14 (56%) and metachronous in 11 (44%) patients. Tumor morphology was bilaterally similar in 12 (48%) patients. Histopathological examination ( n = 36) revealed conjunctival intraepithelial neoplasia (CIN) grade 1 in 4 (8%); grade 2 in 7 (14%); carcinoma in situ in 5 (10%), and invasive carcinoma in 20 (40%). Primary management of OSSN ( n = 49) included excisional biopsy ( n = 31, 62%), topical immunotherapy (IFN α2B) ( n = 11; 22%), topical Mitomycin C (MMC) ( n = 3, 6%), enucleation ( n = 1, 2%), orbital exenteration ( n = 2, 4%), and plaque brachytherapy (PBT) ( n = 1, 2%). One patient was lost to follow-up after detection of tumor in the second eye. Recurrent tumors were noted in 16 (32%) eyes and binocular globe salvage was achieved in 16 (64%) patients at a mean follow up of 41 months (median 30 months; range, 1–164 months). Conclusion: OSSN occurrence can be synchronous or metachronous. Meticulous examination of the fellow eye is important for an early diagnosis of OSSN.

scholarly journals Myopericytoma in the Antitragus of the Auricle: A Rare Tumor

2020 ◽  
pp. 014556132098457
Author(s):  
Tae Seong Eo ◽  
Jeong Hae Kie ◽  
Hyun Seung Choi ◽  
Junhui Jeong
Keyword(s):  
Large Firm ◽  
Rare Tumor ◽  
Long Term Follow Up ◽  
Slow Growing ◽  
Rule Out

A myopericytoma in the auricle is rare. If an auricle contains a large, firm, red-brown mass, excision should be considered because the mass may be a myopericytoma. After excision, histopathological and immunohistochemical diagnoses are essential to rule out malignancy. Long-term follow-up is required because the tumor is slow-growing.

scholarly journals Giant Parotid Pleomorphic Adenoma with Atypical Histological Presentation and Long-Term Recurrence-Free Follow-Up after Surgery: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-18
Author(s):  
Mohammed AlKindi ◽  
Sundar Ramalingam ◽  
Lujain Abdulmajeed Hakeem ◽  
Manal A. AlSheddi
Keyword(s):  
Pleomorphic Adenoma ◽  
Surgical Management ◽  
Early Stage ◽  
English Literature ◽  
Benign Tumors ◽  
Adjuvant Radiation ◽  
Extracapsular Dissection ◽  
Slow Growing

Salivary gland tumors (SGT) comprise 3% of all head and neck tumors, are mostly benign, and arise frequently in the parotid gland. Pleomorphic adenoma (PA) is the commonest SGT, representing 60-70% of all benign parotid tumors. Clinically, parotid PA presents as irregular, lobulated, asymptomatic, slow-growing preauricular mass, involving both superficial and deep lobes, and could grow to gigantic proportions. Histologically, PA has epithelial and mesenchymal elements in chondromyxoid matrix and is managed surgically. Based on a review of 43 cases reported in English literature since 1995, giant parotid PA is reported as large as 35 cm (diameter) and 7.3 kg (resected weight). Although rare, 10 cases of malignant transformation were reported in the review. Surgical management included extracapsular dissection (ECD), superficial parotidectomy, and total parotidectomy for benign tumors, and adjuvant radiation or chemotherapy for malignant tumors. We further present the case of a 36-year-old healthy male with slow-growing and asymptomatic giant parotid PA, of 4-year duration. The patient presented with firm, lobulated preauricular swelling, provisionally diagnosed as PA based on radiographic and cytological findings. The tumor was resected through ECD, and the patient had uneventful postoperative recovery and a 7-year recurrence-free follow-up period. Histological examination revealed epimyoepithelial proliferation punctuated by chondromyxoid areas, with extensive squamous metaplasia and keratin cysts. To the best of knowledge from indexed literature, giant parotid PA is rarely reported in Saudi Arabia. In addition to its rarity, this case is reported for its benign nature despite atypical histological presentation, successful surgical management without complications, and long-term recurrence-free follow-up. Based on this report, clinicians must be aware of atypical histological presentations associated with PA and plan suitable surgical management and follow-up to avoid morbidity. Nevertheless, attempts must be made to diagnose and manage these lesions at an early stage and before they reach gigantic proportions.

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