scholarly journals Submental epidermoid cysts in children

Open Medicine ◽  
2014 ◽  
Vol 10 (1) ◽  
Author(s):  
Rafal Zielinski ◽  
Anna Zakrzewska

AbstractEpidermoid cysts are lesions, which form as a result of implantation of the epidermis in the layers of the dermis or the mucous membrane. The lesions are rare in adults with 7% occurring in the head and neck area and most often located in the submental region. In children population submental epidermoid cysts are extremely rare. The differential diagnosis of the lesions is necessary as it affects the choice of treatment methods. Among the pathological conditions occurring in that region, salivary retention cyst (ranula), thyroglossal duct cyst, vascular lymphatic malformation (cystic hygroma), median neck cyst, lymphadenopathy, thyroid gland tumor, laryngeal cyst, epidermoid and dermoid cysts, submental abscess, sialolithiasis and salivary gland inflammation should be considered. The authors of the present report demonstrate two cases of submental epidermoid cysts in children. Differential diagnosis in case of suspected submental epidermoid cyst in a child with proposed clinical practice and literature review is provided.

2020 ◽  
Vol 36 (3) ◽  
pp. 204-206
Author(s):  
Guh Jung Seo ◽  
Ju Heon Seo ◽  
Kyung Jin Cho ◽  
Hyung-Suk Cho

Anal gland/duct cyst (AGC) is rare and observed in only 0.05% of patients undergoing anal surgery. AGC is thought to be a retention cyst in the anal gland and arises when an obstruction of the anal duct causes fluid collection in the anal gland. We report a case of AGC in a 66-year-old woman without anal symptoms. Found by colonoscopy, the AGC was excised transanally. The histopathology of the specimen confirmed AGC. Colonoscopists should include AGC in the differential diagnosis of anal canal mass and rule out of malignancy. Excision is recommended for definitive diagnosis and treatment.


2016 ◽  
Vol 12 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Katie Ekberg ◽  
Markus Reuber

There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors. The use of linguistic methods (particularly conversation analysis) in research settings has demonstrated that these approaches can provide hints likely to be useful in the differentiation of epileptic and non-epileptic seizures. This paper explores to what extent (and under which conditions) the findings of these previous studies could be transposed from a research into a routine clinical setting.


2020 ◽  
Vol 24 (1) ◽  
pp. 68-78
Author(s):  
Gazi Salahuddin ◽  
Md Tarikul Islam ◽  
Md Mahmudul Huq ◽  
Sutanu Kumar Mondal ◽  
Md Abdus Sobhan ◽  
...  

Background: Accurate diagnosis is important for planning of management of the congenital cystic neck mass. Clinical history, physical examination and appropriate knowledge of embryology and anatomy of the cervical region frequently allow the differential diagnosis to be narrowed and ultrasound especially high frequency ultrasound help to further confirmation. USG has been used as the initial imaging procedure in the evaluation of them. Ultrasound not only confirms the cystic nature of the lesion but also evaluates exact location, size, extent, relation to the surrounding structures and internal characteristic of mass. Objectives: To establish the usefulness of ultrasound in the evaluation of congenital cystic neck masses. Methods: From January 2014 to March 2018 a total 50 patients with clinically suspected congenital cystic mass in the neck region were selected who under want operative treatment and histopathological examination. A through history taking and physical examination were done then patient were scanned with gray scale ultrasound and colour Doppler in necessary case. Histopathological report collected from the patient and compare with USG diagnosis. Results: In USG 37 patient diagnosed as congenital lesions and 13 patient diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-19, branchial cleft cyst-12, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. In histopathology 32 patient diagnosed as congenital lesion and 18 diagnosed as non-congenital lesion. Among the congenital lesions thyroglossal duct cyst-18, branchial cleft cyst-8, cystic hygroma-4, hemangioma-1 and epidermoid cyst-1. Among the 19 USG diagnosed thyroglossal duct cyst 17 is confirmed by histopathology and 2 is differ. Among the 12 USG diagnosed branchial cleft cyst 7 is confirmed by histopathology and 5 is differ. Over all sensitivity of USG-93.7% and specificity-64% and accuracy-74%. Conclusion: USG is a useful modality for the diagnosis of congenital cystic mass in the cervical region. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 68-78


Author(s):  
Goran PARAŠ ◽  
Smiljana PARAŠ ◽  
Bojan LUKAČ ◽  
Igor ČEGAR ◽  
Ognjen VITKOVIĆ

Thrombocytopenia represents a significant reduction in number of blood platelets in thecirculation of mammals. The causes of thrombocytopenia in dogs and cats are: various infectiousfactors, viruses, bacterias, parasites, various pathological conditions of the liver, spleen, bonemarrow or autoimmune diseases. Sometimes, thrombocytopenia causes many different factors orthe real cause can not be detected, and its origin is called idiopathic. In our practice, in the course ofhaematological analysis of blood, we encounter a reduced number of platelets in the blood of dogsand cats. Then we are facing the great challenge of diagnosing and treating possible idiopathicthrombocytopenia in animals.In our case, we have a Miniature poodle whose problems began at the age of 2.5. The dog had thefollowing symptoms: inapetency, somnolence, temperature of 38.80C, pale oral mucosa withpetechiae and behavioral changes. After the first hematological blood tests were performed, theresults of the parameters indicated thrombocytopenia in this dog. Diagnosis of the disease issupported by symptoms and differential diagnosis, so we started with frequent monitoring ofhaematological parameters.We included adequate therapy with the first symptoms of the disease in our case of idiopathicthrombocytopenia in a young dog. The therapy was successful, hematological parameters and thequality of life improved, and the dog is now eight years old. The treatment of idiopathicthrombocytopenia is a challenge for every small animal veterinarian and for this reason in this paperwe share our experiences with colleagues.


2022 ◽  
Author(s):  
A.A. Kudryashov ◽  
◽  
V.I. Balabanova ◽  
T.P. Maksimov ◽  
M.I. Maksimova ◽  
...  

This book accumulates authors’ practical knowledge and experience in pig pathology. It contains a big volume of theoretical and illustrative material, collected during authors’ many years long pig dissecting practice on pig farms in Russia. Most of the diseases presented in the book are diseases of the modern livestock of Russian pig farms, studied by the authors in the last 10 years until 2021. There are more than 460 original photographs of pig organs with pathological changes due to different diseases and pathological conditions. Methodological material on pig necropsy is also presented, as well as differential diagnosis tables.


2004 ◽  
Vol 11 (6) ◽  
pp. 1070-1074 ◽  
Author(s):  
Hye Cheong Koo ◽  
Yong Ho Park ◽  
Jongsam Ahn ◽  
W. Ray Waters ◽  
Mary Jo Hamilton ◽  
...  

ABSTRACT Extensive studies have shown that the current assays used to identify cattle infected with Mycobacterium bovis or Mycobacterium avium subsp. paratuberculosis are not sufficiently sensitive and specific to detect all infected animals, especially animals recently infected with the pathogens. In the present report we show that these limitations might be overcome with a latex bead agglutination assay (LBAA). With the specific immunodominant epitope (ESAT6-p) of M. bovis, we developed an LBAA and enzyme immunoassay (EIA) for that purpose and compared them with the “gold standard” culture method and skin test for their efficacy in detecting bovine tuberculosis. When sera from control healthy cows (n = 10), M. avium subsp. paratuberculosis-positive cattle (naturally infected, n = 16; experimentally infected, n = 8), and M. bovis-positive cattle (naturally infected, n = 49;experimentally infected, n = 20) were applied to an EIA and an LBAA developed with ESAT6-p, the two tests showed similar sensitivity (97.1% by EIA, 95.7% by LBAA), high specificity (94.2% by EIA, 100% by LBAA), and a positive correlation (kappa value, 0.85; correlation rate, 93.2%; correlation coefficient, 0.64). Receiver operating characteristic analysis of EIA results and comparison with the culture method determined a suitable cutoff value at 0.469, with an area under the curve of 0.991 (95% confidence interval, 0.977 to 1.0). As LBAA didn't show any positive reactions with sera from uninfected control cows or M. avium subsp. paratuberculosis-infected cattle, which were confirmed to be free of M. bovis by culture or PCR, LBAA using the ESAT6-p can be a rapid and useful M. bovis diagnostic assay. The data suggest that rapid, sensitive, and specific assays can be developed with peptides containing immunodominant epitopes present in proteins uniquely expressed in M. bovis or M. avium subsp. paratuberculosis for differential diagnosis of cattle infected with M. bovis or M. avium subsp. paratuberculosis.


2011 ◽  
Vol 7 (3) ◽  
pp. 282-285 ◽  
Author(s):  
R. Shane Tubbs ◽  
Nadine Bradley ◽  
Daniel Harmon ◽  
Todd C. Hankinson ◽  
David R. Kelly ◽  
...  

Lymphatic malformations that involve the nervous system are uncommon. The authors review their experience with involvement of the brachial plexus and its branches by cystic hygromas. A retrospective review of the authors' experience with pathology of the pediatric brachial plexus revealed 4 cases involving patients with compression of this structure and its branches due to cystic hygroma. Although such cases are apparently rare, the neurosurgeon should consider malformations of the lymphatic system in the differential diagnosis of masses involving the brachial plexus and its branches.


2019 ◽  
Vol 9 (12) ◽  
pp. 2412 ◽  
Author(s):  
Fedora della Vella ◽  
Dorina Lauritano ◽  
Carlo Lajolo ◽  
Alberta Lucchese ◽  
Dario Di Stasio ◽  
...  

Pseudolesions are defined as physiological or paraphysiological changes of the oral normal anatomy that can easily be misdiagnosed for pathological conditions such as potentially malignant lesions, infective and immune diseases, or neoplasms. Pseudolesions do not require treatment and a surgical or pharmacological approach can constitute an overtreatment indeed. This review aims to describe the most common pseudolesions of oral soft tissues, their possible differential diagnosis and eventual related systemic diseases or syndromes. The pseudolesions frequently observed in clinical practice and reported in literature include Fordyce granules, leukoedema, geographic tongue, fissured tongue, sublingual varices, lingual fimbriae, vallate papillae, white and black hairy tongue, Steno’s duct hypertrophy, lingual tonsil, white sponge nevus, racial gingival pigmentation, lingual thyroid, and eruptive cyst. They could be misdiagnosed as oral potential malignant disorders, candidiasis, Human Papilloma Virus (HPV)-related affections, oral autoimmune diseases, or benign and malignant tumors. In some cases, pseudolesions feature in a syndromic panel, for example, fissured tongue in Melkersson–Rosenthal syndrome. It is strictly fundamental for dentists to know and to distinguish oral pseudolesions from pathological conditions, in order to avoid overtreatment.


2000 ◽  
Vol 114 (4) ◽  
pp. 305-307 ◽  
Author(s):  
G. W. Back ◽  
F. Fahmy ◽  
A. Hosni

The clinical and radiological differential diagnosis of cystic lesions of the submandibular region can be difficult. We report an unusual case of a submandibular salivary duct cyst mimicking an external laryngocele on presentation by appearing to expand on Valsalva manoeuvre, and where computed tomography (CT) scanning was unhelpful in reaching a diagnosis. We present the case, discuss the theories of pathogenesis, and review the literature on the differential diagnosis of cystic lesions in the submandibular region.


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