scholarly journals Brainstem cysticercose simulating cystic tumor lesion: a case report

1994 ◽  
Vol 52 (3) ◽  
pp. 431-434 ◽  
Author(s):  
Walter O. Arruda ◽  
Ricardo Ramina ◽  
Ari A. Pedrozo ◽  
Murilo S. Meneses

The authors report the case of a 37 year-old man with a solitary cysticercus cyst in the brainstem (pons) successfully removed through a suboccipital craniectomy. Surgery in neurocysticercosis has been indicated in patients with hydrocephalus and/or large cystic lesions. Cystic lesions in the brainstem and spinal cord may have indication for surgery for two reasons: (1) diagnosis; and (2) treatment. Aspects related to differential diagnosis and therapeutic alternatives are discussed.

2015 ◽  
Vol 129 (10) ◽  
pp. 1036-1039 ◽  
Author(s):  
E Kyriakidou ◽  
T Howe ◽  
B Veale ◽  
S Atkins

AbstractBackground:Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.Case report:A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.Conclusion:Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.


2017 ◽  
pp. 29-35
Author(s):  
N. N. Askerova ◽  
A. N. Askerova ◽  
Yu. A. Stepanova ◽  
N. N. Vetsheva ◽  
A. V. Glotov

The use of the contrast agent SonoVue has been allowed in Russia since June 2014. Since then, russian experts have been accumulating their own experience in the contrast agent application for various diseases. The analysis of the obtained data showed that, besides the typical characteristics of the lesions enhancement, described in the literature, there can be atypical cases due to various causes (longterm course of the disease, co-morbidity). We present a clinical case of pancreas cystic lesion in female patient, that was misunderstood as a cystic tumor preoperatively. Considering the epithelial lining nature, absence of the accurate signs of the presence of an ovarian-like stroma, and also the significant secondary changes in the cystic wall such as hyalinosis, cholesterol deposits and macrophage accumulations, the lesion was interpreted as a long-standing pancreatic retention cyst with secondary changes by a morphological study. The features of the enhancement patterns of this lesion can be explained by the presence of significant secondary changes in the wall of cyst, that was first diagnosed in this patient 10 years ago.


2020 ◽  
Vol 90 (3) ◽  
Author(s):  
Christos Kakos ◽  
Savvas Lampridis ◽  
Georgios Geropoulos ◽  
Reena Khiroya ◽  
Achilleas Antonopoulos ◽  
...  

Cystic fibrohistiocytic tumour of the lung is a very rare pathological entity that occurs either as a primary pulmonary neoplasm or as a metastasis from skin lesions called cellular fibrous histiocytomas. Herein, we present the case of a 19-year old man with a history of recurrent pneumothoraces who was managed surgically and was eventually diagnosed with cystic fibrohistiocytic tumour of the lung. Clinicians should include this disease in the differential diagnosis of pulmonary cystic lesions and be aware of its association with cellular fibrous histiocytoma. Reporting of more cases is warranted to further elucidate the natural course of the disease and optimise its management.


RSBO ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 189-195
Author(s):  
Eugênio Esteves Costa ◽  
Paola Corso ◽  
Luciana Lyra ◽  
Gleisse Wantowski ◽  
Suyany Gabriely Weiss ◽  
...  

Dentigerous cyst is the most prevalent lesion of odontogenic origin, commonly radiographically diagnosed, between the second and fourth decades of life, with a predilection for the male sex. The treatment of choice is enucleation; however, decompression is indicated for cysts that reach large proportions. The most frequent complications are expansion and resorption of the bone cortex, facial asymmetry, root resorption of adjacent teeth, migration or delay of dental eruption and compression of the lower alveolar nerve canal. Objective: To report a clinical case of a dentigerous cyst adjacent to an impacted mandibular third molar, treated with decompression and enucleation. Case report: A 39-year-old male, attended the Stomatology service with a history of a radiographic finding in the mandible. At the radiopraghic evaluation, it was possible to observe a radiolucent unilocular cystic tumor lesion, well delimited by a radiopaque, asymptomatic, intraosseous image in the region of the mandible right angle, extending from the left first pre molar to the left third molar, with the later included in a mesioangular position. The patient underwent a previous cystic decompression process, followed up regularly for 6 months, and referred for endodontic treatment of the left first and second molars to prepare for surgical enucleation and removal of the third molar. After removal, the material was sent to anatomopathological analysis, and the results confirmed the diagnosis of dentigerous cyst. The patient is being followed up without postoperative comorbidities. Conclusion: The chosen treatment allowed the maintenance of the teeth involved in the lesion, and mainly, the minimization of the enucleation procedure by previous decompression.


2021 ◽  
Vol 21 (2) ◽  
pp. 187-193
Author(s):  
Nalini Bansal ◽  
Brahmananda Satapathy

Primary signet ring neuroendocrine tumors of the liver are extremely rare tumors. Morphologically, they mimic signet ring cell adenocarcinomas; however, the absence of mucin by special stains and the expression of neuroendocrine markers help to diagnose these tumors. We herein report a case of a 47-year-old female who presented with multiple solid and cystic lesions in both liver lobes, which were initially suggested to be biliary cystadenocarcinoma on imaging. Liver biopsy of the lesion revealed the presence of a signet ring neoplasm with diffuse expression of synaptophysin and pan-cytokeratin. The case was subsequently diagnosed as a primary hepatic signet ring neuroendocrine tumor. The patient was offered 3 cycles of chemotherapy and is well preserved after 14 months of diagnosis. Although this is an extremely rare entity, its possibility should be considered in the differential diagnosis of neoplasms characterized by signet ring cell morphology.


Author(s):  
K Pranaya Theja ◽  
K Senthil Kumar ◽  
R Anantharama Krishnan ◽  
Vijayashree Raghavan

Cystic lesions of the adrenal gland are usually rare, seen in 1/5750 to 1/250,000 of the population. They may be true cysts, infectious cysts, malignancies with cystic degeneration, or pseudocysts. Adrenal cysts are rare in the differential diagnosis of Retroperitoneal Cysts (RPC) and may be treated. They can be correctly identified through pathological testing. Here, the author presents a case of giant adrenal cyst in a young 38-year-old female.


2012 ◽  
Vol 130 (4) ◽  
pp. 259-262 ◽  
Author(s):  
José Luis Cabrerizo-García ◽  
Mariano Sebastián-Royo ◽  
Nerea Montes ◽  
Begoña Zalba-Etayo

CONTEXT: Decreased vitamin B12 concentration does not usually result in clinical or hematological abnormalities. Subacute combined spinal cord degeneration and pancytopenia are two serious and rarely displayed consequences that appear in severe deficits. CASE REPORT: We present the case of a patient with subacute combined spinal cord degeneration and pancytopenia secondary to severe and sustained vitamin B12 deficiency. Such cases are rare nowadays and have potentially fatal consequences. CONCLUSIONS: Vitamin B12 deficiency should be taken into consideration in the differential diagnosis in cases of blood disorders or severe neurological symptoms. Early diagnosis and treatment can avoid irreversible consequences.


Author(s):  
Sánchez-Bueno F ◽  
Torres Costa M ◽  
De la Peña J ◽  
Fuster M ◽  
Torres G ◽  
...  

Lymphangioma is an infrequent benign tumour that is formed usually from a congenital malformation of the lymphatic ducts causing lymphangiectasis. The abdominal location represents 1-5%, with dominance in the mesentery and retroperitoneum, however, the pancreatic location is very rare having described less than 100 cases published worldwide. The clinical symptoms of the lymphangiomas are non-specific and depend of the tumour’s size and location. Here we present a clinical case of a pancreatic lymphangioma with mediastinal extension who was treated with a complete resection and this case shows that the diagnosis of cystic pancreatic lymphangioma must be taken as a differential diagnosis of pancreatic cystic lesions.


2004 ◽  
Vol 132 (11-12) ◽  
pp. 435-437
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak ◽  
Natasa Colovic ◽  
Mirjana Stojkovic

Hydatid cyst of the pancreas is rare. During the last 30 years, less than 40 cases have been reported in journals on Medline. This is a case report of a 35-year old woman with 2-year history of epigastric pain in whom an ultrasound and computed tomography showed the cyst of the body and tail of the pancreas 6x7 cm in diameters, which was supposed to be hydatid one. During surgery, an isolated hydatid cyst of the pancreas was found without communication with the pancreatic duct. The content of the cyst was removed, and pericyst was partially excised and drained. The recovery was uneventful and the patient has remained symptom free so far. Although rare, hydatid cyst should be considered in the differential diagnosis of the cystic lesions of the pancreas, particularly in patients coming from endemic areas and without history of pancreatitis.


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