scholarly journals Rare case of a liposarcoma in the brachial plexus

2016 ◽  
Vol 98 (7) ◽  
pp. e106-e108 ◽  
Author(s):  
D Kosutic ◽  
K Gajanan
Keyword(s):  
Brachial Plexus ◽  
Low Grade ◽  
Connective Tissues ◽  
Adequate Treatment ◽  
Long Term Follow Up ◽  
History Of ◽  
Axillary Mass ◽  
Painless Mass ◽  
The Right ◽  
Slow Growing

Introduction A liposarcoma is a rare cancer of connective tissues that resemble fat cells under light microscopy. Case History A 73-year old female patient presented to our tertiary cancer centre with an eight-year history of a large, slow-growing painless mass in the right axilla. Magnetic resonance imaging showed a lipomatous, well-circumscribed mass of dimension 30 × 16 × 10cm extending towards the right clavicle and causing deformation to the right chest wall and right breast. Surgery revealed a large tumour that had stretched all three cords of the brachial plexus. Histopathology was consistent with a diagnosis of a low-grade liposarcoma. After a period of neuropraxia, the patient returned to normal activities 4 months after surgery. Conclusions Although extremely rare, low-grade liposarcomas of the brachial plexus should be considered in the differential diagnosis of a slow-growing axillary mass. Referral to a tertiary sarcoma centre is essential for an appropriate diagnosis, adequate treatment, and long-term follow-up.

scholarly journals A Palpable Painless Axillary Mass as the Clinical Manifestation of Castleman’s Disease in a Patient with Hepatitis C Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Athanasia K. Papazafiropoulou ◽  
Angeliki M. Angelidi ◽  
Antonis A. Kousoulis ◽  
Georgios Christofilidis ◽  
Chariklia Sagia ◽  
...  
Keyword(s):  
Hepatitis C ◽  
White Male ◽  
Castleman’S Disease ◽  
Young Patients ◽  
Low Grade ◽  
Castleman's Disease ◽  
Complete Excision ◽  
Axillary Mass ◽  
Painless Mass ◽  
The Right

Introduction. Castleman’s disease (CD) is a rare lymphoproliferative disorder. CD is divided into two clinical subtypes: the most common unicentric and the less usual multicentric subtype. The majority of unicentric CD affects the mediastinum, while neck, abdomen, and axilla are less common locations.Case Presentation. Herein, we describe a rare case of unicentric CD in the right axilla in a 36-year-old white male with a medical history of hepatitis C virus infection admitted to our hospital due to palpation of a painless mass in the right axilla. Complete excision of the lesion was performed and, one year after the diagnosis, patient was free of the disease.Conclusions. Although infrequent, it is important to include CD in the differential diagnosis when evaluating axillary lymphadenopathy particularly in young patients with a low-grade inflammation process and chronic disease even in the absence of an abnormal blood picture or organomegaly.

scholarly journals Case report of fibrous dysplasia in a pediatric patient: importance of adequate treatment to avoid malignization

2021 ◽  
Author(s):  
João Victor Bezerra Ramos ◽  
João Lucas Pordeus de Menezes ◽  
Louyse Jerônimo de Morais ◽  
Maurus Marques de Almeida Holanda
Keyword(s):  
Fibrous Dysplasia ◽  
Malignant Transformation ◽  
Adequate Treatment ◽  
Long Term Follow Up ◽  
History Of ◽  
Daily Headache ◽  
The Right ◽  
Temporal Bones

Background: Fibrous dysplasia is a congenital and benign bone tumor. There may be malignant transformation in some cases, with a mortality rate of 53.6%. Objectives and Methods: To describe a patient with fibrous dysplasia in childhood in the parietal and temporal bones, and to report the importance of surgical correction to prevent malignant transformation. The case was studied and came from a referral hospital – João Pesssoa, PB. Results: History of daily headache and bulging in the temporal and parietal regions on the right. Computed tomography revealed lesions in the aspect of “ground glass”. Surgery was performed with exposure of two lesions, with craniectomy, followed by cranioplasty. Such an approach should be recommended, since malignant transformation occurs in up to 1% of cases, but after radiotherapy this rate can reach 44% of cases, mainly osteosarcoma. In this case, the anatomopathological study revealed a diagnosis of fibrous dysplasia and the patient has been followed up for 20 years without recurrences, which are common in adolescence. Conclusions: It is important to make a differential diagnosis with malignant diseases, in addition to contraindicating radiotherapy to prevent malignant transformation; long-term follow-up is essential to avoid relapses and / or complications resulting from the disease.

scholarly journals Parachordoma of Soft Tissues of the Arm: A Very Rare Tumour

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Vicente Estrems Díaz ◽  
Francesc Xavier Bertó Martí ◽  
Víctor Zarzuela Sánchez ◽  
Maria Isabel Cabanes Ferrer ◽  
Antonio Bru Pomer
Keyword(s):  
Soft Tissues ◽  
Imaging Techniques ◽  
Benign Lesion ◽  
Rare Tumour ◽  
Fourth Decade ◽  
History Of ◽  
English Speaking ◽  
Painless Mass ◽  
The Right ◽  
Slow Growing

Parachordoma is an infrequent neoplasm that bears some histologic resemblance to chordoma. It affects both sexes, occurs typically during the fourth decade of life, and tends to present as a slow-growing painless mass at the level of the soft tissues of the extremities. Diagnosis should be based on immunohistochemical and cytogenetic studies, as the findings of imaging techniques are often unspecific. Although it is considered a benign lesion, its behavior tends to be locally aggressive, with reports of a recurrence rate of up to 20% and of several cases of metastasis. Fewer than 60 cases have been published in the English-speaking literature. In this paper we present the case of a 32-year-old male with a two-year history of parachordoma in the right wrist.

scholarly journals Low-Grade Fibromyxoid Sarcoma of the Lateral Skull Base: Presentation of Two Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Evgenia Chetverikova ◽  
Priit Kasenõmm
Keyword(s):  
Malignant Tumour ◽  
Low Grade ◽  
Loss Of Consciousness ◽  
First Case ◽  
Clinical Presentations ◽  
Lateral Skull Base ◽  
Fibromyxoid Sarcoma ◽  
Gag Reflex ◽  
The Right ◽  
Slow Growing

Low-grade fibromyxoid sarcoma (LGFMS) is a rare slow-growing malignant tumour with a deceptively benign histologic appearance. Herein, we report two cases of LGFMS with variable clinical presentations. The first case was a 17-year-old female who referred to our department due to deaf ear on the right together with ipsilateral gag reflex impairment and globus sensation in the pharynx. The second case was a 35-year-old female with recurrent LGFMS, suffering from headaches, vertigo, and episodes of loss of consciousness. LGFMS of the temporal bone is a rare pathology, and to the best of our knowledge, no such cases have been reported before.

scholarly journals Oncocytic cyst of the larynx: a rare finding

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227214 ◽  
Author(s):  
Samantha Baird ◽  
Halina Mann ◽  
Cesar M Salinas-La Rosa ◽  
Halil Ozdemir
Keyword(s):  
Social History ◽  
Granular Eosinophilic Cytoplasm ◽  
Eosinophilic Cytoplasm ◽  
Long Term Follow Up ◽  
History Of ◽  
The Right ◽  
False Vocal ◽  
Columnar Cells

A 75-year-old woman presented with an 18-month history of severe, slowly worsening dysphonia. She was a smoker and known to have multiple benign cystic thyroid lesions. She reported no associated symptoms and other medical and social history was unremarkable. Fibreoptic nasendoscopy revealed a right-sided supraglottic cyst appearing to arise from the right false vocal cord. Further bedside examination was unremarkable. She underwent microlaryngoscopy and biopsy which showed a cyst originating from the right anterior ventricle, successfully removed without rupture using cold steel. Formal histopathology revealed a 14×10×7 mm unilocular, completely excised cyst lined by oncocytic epithelium and composed of columnar cells with darkly stained nuclei and abundant granular, eosinophilic cytoplasm. Three weeks postoperatively the patient’s voice had returned to normal. To date, 11 months postoperatively, there is no evidence of recurrence, and she will continue long-term follow-up.

scholarly journals Long term follow-up in a patient with papillary glioneuronal tumor

2004 ◽  
Vol 62 (3b) ◽  
pp. 869-872 ◽  
Author(s):  
Guilherme Borges ◽  
Leonardo Bonilha ◽  
Ana Silvia Menezes ◽  
Luciano de Souza Queiroz ◽  
Edmur Franco Carelli ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Young Female ◽  
Cystic Mass ◽  
Glioneuronal Tumor ◽  
Surgical Specimen ◽  
Papillary Glioneuronal Tumor ◽  
Parietal Lobes ◽  
Long Term Follow Up ◽  
History Of ◽  
The Right

We report a case of a young female patient with a rare and recently described form of brain tumor. This patient had a history of headache, hemiparesis and motor simple partial seizures. Her investigation revealed a brain tumor involving the left frontal and parietal lobes. The radiological images showed a cystic mass with multiple nodular masses and a rim of contrast enhancement extending from the right parietal cortex to the ipsilateral ventricle and corpus callosum. The patient underwent gross resection of the lesion and the histological analysis of the surgical specimen revealed a pseudopapillary structure formed by delicate vessels intermixed with a fibrillary pattern and bordered by intense astrocytic reaction with Rosenthal fibers. These features correspond to the recently described mixed neuronal-glial neoplasm, the papillary glioneuronal tumor. The patient has been followed for five years since the surgical treatment, without evidence of tumor recurrence, confirming the indolent behavior of this type of tumor.

scholarly journals Thirteen-year follow-up of parasellar intravascular papillary endothelial hyperplasia successfully treated by surgical excision: case report

2015 ◽  
Vol 15 (4) ◽  
pp. 384-391 ◽  
Author(s):  
Sook Young Sim ◽  
Yong Cheol Lim ◽  
Keun Soo Won ◽  
Kyung Gi Cho
Keyword(s):  
Surgical Excision ◽  
Subtotal Resection ◽  
Intravascular Papillary Endothelial Hyperplasia ◽  
Long Term Follow Up ◽  
History Of ◽  
Papillary Endothelial Hyperplasia ◽  
The Right ◽  
Frontal Skull Base

Intracranial intravascular papillary endothelial hyperplasia (IPEH) is very rare, and to our knowledge long-term follow-up results have not been previously published. An 11-year-old boy presented with a 6-month history of progressive visual impairment in the right eye. Magnetic resonance imaging revealed a well-enhanced, large parasellar mass involving the cavernous sinus, right frontal skull base, and ethmoid and sphenoid sinuses. Frontotemporal craniotomy and subtotal resection were performed, and the diagnosis of IPEH was confirmed. The mass increased in size during the following 3 months. A second operation was performed via frontotemporal craniotomy combined with a transsphenoidal approach, and gross-total resection of the tumor was achieved. Adjuvant radiotherapy (5040 cGy) and chemotherapy with interferon were administered. The patient's visual symptoms improved, and there was no recurrence during a 13-year follow-up period. The results of this case indicate that intracranial IPEH can recur with subtotal resection; however, optimal resection with multimodal adjuvant treatment can control the disease for many years, if not permanently.

scholarly journals Benign cemento-ossifying fibroma: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 585
Author(s):  
Gurbax Singh ◽  
Jasmine Kaur ◽  
Jai Lal Davessar ◽  
Latika Kansal ◽  
Ajay Singh
Keyword(s):  
Sphenoid Sinus ◽  
Rare Case ◽  
Surgical Excision ◽  
Ossifying Fibroma ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Slow Growing ◽  
Tomography Scan

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>

scholarly journals Gigantinė retroperitoninio tarpo lipoma: klinikinis atvejis ir literatūros apžvalga

2012 ◽  
Vol 10 (1-2) ◽  
pp. 0-0
Author(s):  
Edgaras Kulikauskas ◽  
Eligijus Poškus ◽  
Dileta Rutkauskaitė ◽  
Kęstutis Strupas
Keyword(s):  
Large Mass ◽  
University Hospital ◽  
Pathological Examination ◽  
Low Grade ◽  
Vilnius University ◽  
Grade Malignancy ◽  
The Right ◽  
E Mail ◽  
Slow Growing ◽  
Primary Retroperitoneal

Edgaras Kulikauskas1, Eligijus Poškus1, Dileta Rutkauskaitė2, Kęstutis Strupas1 1Vilniaus universiteto ligoninės Santariškių klinikų Gastroenterologijos, nefrologijos, urologijos ir abdominalinės chirurgijos klinika, Santariškių g. 2, LT-08661 Vilnius2Vilniaus universiteto Medicinos fakulteto Krūtinės ligų, alergologijos ir radiologijos klinika, Santariškių g. 2, LT-08661 Vilnius El. paštas: [email protected] Pirminiai retroperitoniniai navikai yra reti, pasižymintys didele histologine įvairove. Apie 80 proc. pirminių retroperitoninio tarpo navikų yra piktybiniai, o gerybinės lipomos šioje vietoje aptinkamos labai retai. Augdamos lėtai lipomos gali pasiekti 20 cm dydį ir kelių kilogramų svorį, nesukeldamos ryškesnės simptomatikos. Šių nepiktybinių navikų diagnostika remiasi radiologiniais tyrimais. Atskirti lipomas nuo piktybinių riebalinių navikų, ypač geros diferenciacijos liposarkomomis, kurios retai metastazuoja, tačiau pasižymi dideliu recidyvų dažnumu, gali būti labai sudėtinga. Dėl šių priežasčių riebaliniai retroperitoninio tarpo navikai turi būti vertinami kaip liposarkomos, kol neįrodoma kitaip. Radikalus chirurginis naviko pašalinimas yra pirmiausia pasirenkamas gydymo metodas.Pateikiame klinikinį retroperitoninės lipomos, nustatytos 61 metų amžiaus vyrui, gydymo atvejį. Navikas diagnozuotas remiantis klinika ir kompiuterinės tomografijos tyrimu. Operacijos metu rasta ir pašalinta 40 × 40 × 20 cm dydžio, 6500 g svorio lipoma, diagnozė patvirtinta histologinio tyrimo metu. Devintą parą po operacijos, ligonis išrašytas į namus. Reikšminiai žodžiai: retroperitoninis tarpas, lipoma, chirurgija. Giant retroperitoneal lipoma: case report and literature review Edgaras Kulikauskas1, Eligijus Poškus1, Dileta Rutkauskaitė2, Kęstutis Strupas1 1Clinic of Gastroenterology, Urology and Abdominal Surgery, Vilnius University Hospital “Santariškių klinikos”, Santariškių Str. 2, LT-08661 Vilnius, Lithuania2Vilnius University, Medical Faculty, Clinic of Chest Diseases, Allergology and Radiology, Santariškių Str. 2, LT-08661 Vilnius, Lithuania E-mail: [email protected] Primary retroperitoneal tumours are rare and show a high histological variety. About 80% of retroperitoneal tumours are malignant; benign lipomas in this location are exceptionally rare. These slow-growing tumors can grow up to more than 20 cm and weight a few kilograms. The differential diagnosis of lipomas with liposarcomas may be problematic, especially for tumours with low-grade malignancy, which have a predilection for local recurrence but do not generally metastatize. Fatty tumours of the retroperitoneum should be considered to be potential liposarcomas until proven otherwise, and a radical lesion excision should always be performed, if possible.We report a case of a giant retroperitoneal lipoma in a 61-year-old male. A CT scan of his abdomen showed a large mass of fat density displacing organs to the right side. The patient underwent a radical tumour excision. Laparotomy showed a giant fatty mass measuring 40 x 40 x 20 cm and weighing 6500 g. The pathological examination revealed benign lipoma. The patient was discharged home on postoperative day 9. Key words: retroperitoneal space, lipoma, surgery

Magnetic resonance imaging findings in diffuse lymphangiomatosis: neuroradiological manifestations

2007 ◽  
Vol 48 (5) ◽  
pp. 560-564 ◽  
Author(s):  
A. Ozturk ◽  
D. M. Yousem
Keyword(s):  
Magnetic Resonance ◽  
Brachial Plexus ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Diffuse Infiltration ◽  
Spinal Lesions ◽  
History Of ◽  
The Right ◽  
Diffuse Lung ◽  
Similar Imaging

We report magnetic resonance (MR) findings in a patient with histologically proven lymphangiomatosis with a history of chylothorax, diffuse lung infiltrates, spinal involvement, cystic lesions of the mediastinum, and mesentery thickening. The patient also had diffuse infiltration of the right brachial plexus, with similar imaging findings as the spinal lesions. Although osseous and extraosseous involvement may be seen frequently with lymphangiomatosis, involvement of the brachial plexus has not been previously reported.

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