scholarly journals Enchondroma in the Diaphysis of Tibia – A Case Report and Review of its Characteristics and Differentials in the Diaphysis

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Keerthan Ranga Nayak ◽  
Sharath Kumar Rao ◽  
Sharath Kumar Rao ◽  
Sharath Kumar Rao
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Long Bones ◽  
Incisional Biopsy ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
Cartilaginous Tumor ◽  
Malignant Lesions ◽  
Cortical Erosion ◽  
Hands And Feet

Introduction: Enchondroma is a solitary, benign, intramedullary cartilaginous tumor commonly noticed in the phalanges of hands and feet with characteristic radiological features. Its occurrence in aberrant sites with atypical features lead to diagnostic dilemma. Enchondromas which are usually managed non-operatively can mimic other benign and malignant lesions, especially chondrosarcoma. Case Report: We report the case of a 31-year-old farmer who presented with long standing inconspicuous pain in his left leg which turned out to be a diaphyseal enchondroma even though it demonstrated aggressive radiological features mimicking a chondrosarcoma. Incisional biopsy was done from the scalloped areas to obtain the correct histological diagnosis. He underwent thorough curettage of the lesion and remains asymptomatic 2 years after the procedure. We attempt to discuss the differentials which the orthopedic surgeon should keep in mind for diaphyseal lesions mimicking enchondroma. Conclusion: Though classically found in metaphysis, Enchondromas are not uncommon in diaphysis of long bones. Enchondromas are generally benign, but can cause diagnostic dilemma when they present with aggressive features at rare locations and surgeons should be wary of the differentials. Despite a size of more than 6 cm and evidence of cortical erosion and intramedullary widening, the lesion could still be benign. Early biopsy will help to differentiate Enchondroma from a malignant transformation or malignant tumor. Keywords: Enchondroma, chondrosarcoma, diaphysis, multilocular, endosteal scalloping, chondroma.

BRODIE'S ABSCESS MIMICKING AS OF MALIGNANCY: CASE REPORT WITH RADIOLOGICAL FEATURES

2013 ◽  
Vol 16 (01) ◽  
pp. 1372001 ◽  
Author(s):  
Md. Farid Amanullah ◽  
Sajid Ansari ◽  
Kaleem Ahmad
Keyword(s):  
Case Report ◽  
Chronic Infection ◽  
Surgical Debridement ◽  
Long Bones ◽  
Radiological Features ◽  
Histopathological Correlation ◽  
Brodie’S Abscess ◽  
Bony Lesions

Brodie's abscess is described by a localized collection of abscess usually found in metaphysic of long bones. On imaging it may mimic other malignant and benign bony lesions which need histopathological correlation. After confirming the diagnosis, it can be successfully treated with surgical debridement and proper antibiotics. We report a case of 15 year old female with chronic infection of tibia mimicking as malignancy for which MRI and histopathology was confirmatory in our diagnosis.

scholarly journals Advancing Mandibular Swelling: A Diagnostic Dilemma

2013 ◽  
Vol 14 (4) ◽  
pp. 754-758
Author(s):  
KF Basavaraj ◽  
AU Madihalli ◽  
Abdul Mujeeb ◽  
Samir Mansuri ◽  
Mohammed Abid Hussain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Treatment Planning ◽  
Malignant Tumors ◽  
Accurate Diagnosis ◽  
Illustrative Case ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
The Face

ABSTRACT Asymmetrical swelling of the mandible in adolescence may pose a significant diagnostic dilemma. The differential diagnosis ranges from traumatic, infectious, and metabolic processes to benign and malignant tumors. Also may present with similar clinical and radiological features, making an accurate diagnosis quite difficult. This is an illustrative case involving a 30-year-old female who initially presented with complaint of pain and swelling in the lower left side of the face for 2 months. Multiple investigations and several biopsies were required to arrive at a diagnosis. This paper deals with a case report of a fibrosarcoma involving the mandible highlighting the importance of early diagnosis and treatment planning. How to cite this article Basavaraj KF, Madihalli AU, Mujeeb A, Mansuri S, Hussain MA. Advancing Mandibular Swelling: A Diagnostic Dilemma. J Contemp Dent Pract 2013;14(4):754-758.

scholarly journals Oral nodular fasciitis – A case report with a diagnostic schema

2019 ◽  
Vol 25 (2) ◽  
pp. 21
Author(s):  
Deepika Rathna ◽  
Mary Mathew ◽  
Adarsh Kudva ◽  
Monica Charlotte Solomon
Keyword(s):  
Smooth Muscle Actin ◽  
Excision Biopsy ◽  
Incisional Biopsy ◽  
Diagnostic Dilemma ◽  
Microscopic Appearance ◽  
Histological Appearance ◽  
Blue Stain ◽  
Malignant Lesions ◽  
Collagenous Stroma ◽  
The Right

Introduction: The spectrum of myofibroblastic lesions of the oral cavity ranges from reactive to benign to malignant lesions with overlapping histopathologic and immunohistologic characteristics posing a diagnostic dilemma. Observation: A 30-year-old male presented with a spontaneous swelling over the right lower buccal gingiva giving a clinical suspicion of a benign mesenchymal tumor. The lesion presented with a varied biphasic microscopic appearance that posed as a challenge for diagnosis. Commentaries: The incisional biopsy of the lesion showed a highly collagenous stroma with spindle-shaped cells, while the excision biopsy revealed myxoid and hyalinized stroma. A panel of markers comprising of SMA (smooth muscle actin). CD-34, β-Catenin, and Alcian blue stain was employed to arrive at a diagnosis. Conclusion: Most myofibroblastic lesions present with diverse histological appearance which warrants a thorough assessment of the cellular and stromal components for an accurate diagnosis.

scholarly journals Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail Turkmen ◽  
Bugra Alpan ◽  
Salih Soylemez ◽  
Feyza Unlu Ozkan ◽  
Koray Unay ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Osteoid Osteoma ◽  
Severe Pain ◽  
Young Male ◽  
Benign Tumors ◽  
Long Bones ◽  
Review Of The Literature ◽  
Great Toe ◽  
Diagnostic Dilemma

Osteoid osteomas are well-known benign tumors, seen generally in long bones. When seen in phalanxes or toes, they can cause a diagnostic dilemma. A young male presented to us with complaints of enlargement of the great toe and severe pain. He had had an ingrown toe-nail operation before, and this situation caused a diagnostic dilemma. In this case report, we emphasize that osteoid osteomas can cause diagnostic dilemmas and it should be kept in mind as a differential diagnosis.

scholarly journals A case of acrodysostosis: a rare primary bone dysplasia

2018 ◽  
Vol 6 (6) ◽  
pp. 2165
Author(s):  
Roopal Vasava ◽  
Bhargav Tank ◽  
Abhilasha Jain
Keyword(s):  
Case Report ◽  
Rare Disease ◽  
Skeletal Dysplasia ◽  
Bone Dysplasia ◽  
Female Child ◽  
Facial Dysmorphism ◽  
Radiological Features ◽  
Primary Bone ◽  
Hands And Feet ◽  
Nasal Hypoplasia

Acrodysostosis is a rare skeletal dysplasia characterized by brachydactyly, facial dysostosis and nasal hypoplasia. Diagnostic approach to this disorder is based on clinical, radiological and hormonal assays. We present a case of 11-year-old female child who presented with the complaint of short stubby hands and feet since birth and facial dysmorphism. Her skeletal survey revealed typical radiographic features of acrodysostosis. Hormonal assays did not reveal any significant abnormality. In this case report, we would like to highlight the clinical and radiological features of this disorder which could be helpful in diagnosis of this rare disease.

scholarly journals Melanotic neuroectodermal tumour of infancy: A case report and differential diagnosis

2017 ◽  
Vol 31 (4) ◽  
pp. 434-439 ◽  
Author(s):  
A P Tan ◽  
Thomas S Jacques ◽  
Kshitij Mankad ◽  
Gregory James ◽  
Owase Jeelani ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Rare Case ◽  
Cranial Vault ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
Neuroectodermal Tumour ◽  
Neural Crest Origin ◽  
Petrous Temporal Bone ◽  
Tumour Infiltration

Melanotic neuroectodermal tumour of infancy is an uncommon pigmented neoplasm of neural crest origin. It was first described in 1918 by Krompecher, known as congenital melanocarcinoma at that time. Although it is generally agreed upon that it is a benign entity, it is locally aggressive and has a significant recurrent risk, reported to be between 10–15%. There have also been prior reports of malignant behaviour in these tumours, although extremely rare. The majority of cases of this tumour (about 70%) arise from the maxilla and its occurrence in the cranial vault represents approximately 15.6% of cases. We describe a rare case of melanotic neuroectodermal tumour of infancy, with simultaneous involvement of the cranial vault and petrous temporal bone, in a four-month-old child, complicated by post-surgical pseudo-meningocele. This case illustrates the diagnostic dilemma in differentiating reactive osseous sclerosis from direct tumour infiltration, both of which can occur in the context of melanotic neuroectodermal tumour of infancy. The discussion places emphasis on differential diagnoses and useful radiological features to assist in clinching the diagnosis of melanotic neuroectodermal tumour of infancy.

Mesenchymal Chondrosarcoma of the Mandible: A Rare Malignant Tumor

2014 ◽  
Vol 93 (9) ◽  
pp. E18-E19 ◽  
Author(s):  
Rakesh Kumar Singh ◽  
Saurabh Varshney ◽  
Sampan Singh Bist ◽  
Meena Harsh ◽  
Nitin Gupta
Keyword(s):  
Malignant Tumor ◽  
English Language ◽  
Mesenchymal Chondrosarcoma ◽  
Incisional Biopsy ◽  
Cartilaginous Tumor ◽  
English Language Literature ◽  
Mandibular Tumors ◽  
Language Literature

Mesenchymal chondrosarcoma (MCHS) is a highly aggressive, malignant, cartilaginous tumor that represents about 1% of all chondrosarcomas. Only about 50 cases of MCHS of the jaw have been reported in the English-language literature; maxillary tumors are much more common than mandibular tumors. We present a new case of MCHS of the mandible that arose in a 22-year-old woman whose initial two biopsies did not reveal the features of the tumor. The diagnosis was made only after an incisional biopsy.

Ewing's sarcoma of the mandible: a combined approach to treatment

2002 ◽  
Vol 26 (4) ◽  
pp. 409-412 ◽  
Author(s):  
Allen Fred Fielding ◽  
Rochelle Lindemeyer ◽  
Julie Wood-Harris ◽  
Michael Hartman
Keyword(s):  
Malignant Tumor ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Long Bones ◽  
Incisional Biopsy ◽  
Combined Approach ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
The Face ◽  
Caucasian Female

Ewing's Sarcoma (ES) is a malignant tumor, which arises primarily in children. Most commonly found in the long bones and pelvis, it rarely is found in the bones of the face. This is a report of ES of the mandible in a nine-year-old Caucasian female. Treatment for this malignancy included an incisional biopsy, chemotherapy and radiotherapy protocol to the involved area in accordance with St. Christopher's Hospital and the Children's Hospital of Philadelphia. The patient is currently diseasefree and has been for approximately five years.

scholarly journals Undifferentiated osteosarcoma of the mandible oblique line: a case report.

2015 ◽  
Vol 18 (1) ◽  
pp. 22
Author(s):  
Angela Jordão Camargo ◽  
Mayara Cheade ◽  
Celso Martinelli ◽  
Plauto Christopher Aranha Watanabe
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Unusual Case ◽  
Oblique Line ◽  
Tumor Location ◽  
Long Bones ◽  
Initial Size ◽  
Primary Malignant Tumor ◽  
Several Variables

Osteosarcoma (OS) is the most common primary malignant tumor of bone. However, osteosarcoma located in the jaw (JOS) is rare, aggressive and malignant, constituting 5% to 13% of all cases of skeletal OS. JOS has a male predilection with 34 to 36 years old. Prognostic is associated with several variables, such as tumor location, initial size, existence or absence of metastasis, gender, age, cytogenetic chances and respond to chemotherapy. We report the unusual case of osteosarcoma in the mandible on retromolar area arising from primitive bone forming mesenchyme; most often arises in the metaphysis of long bones of the extremities.

Premalignant and Malignant Lesions of the Heterotopic Pancreas in the Esophagus: a Case Report and Review of the Literature

2015 ◽  
Vol 24 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Jan Ulrych ◽  
Vladimir Fryba ◽  
Helena Skalova ◽  
Zdenek Krska ◽  
Tomas Krechler ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Unusual Case ◽  
Accurate Diagnosis ◽  
Heterotopic Pancreas ◽  
Premalignant Lesions ◽  
Resected Specimen ◽  
Review Of The Literature ◽  
Severe Dysphagia ◽  
Malignant Lesions

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.

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