scholarly journals MUSCULOSKELETAL HYDATIDOSIS: REPORT OF TWO СASES AND REVIEW THE LITERATURE

2013 ◽  
Vol 18 (1) ◽  
pp. 39-43
Author(s):  
A. M. Bronstein ◽  
N. A. Malishev ◽  
Yu. A. Legonkov ◽  
G. H. Musaev ◽  
S. N. Jarov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Preoperative Evaluation ◽  
Surgical Excision ◽  
Fine Needle Biopsy ◽  
Soft Tissue Tumors ◽  
Hydatid Cysts ◽  
Tissue Mass ◽  
Life Threatening ◽  
Atypical Localization

Musculoskeletal system is rarely involved by hydatid cyst, the larvalform of Echinococcus granulosus. Two cases of intramuscular hydatid cysts within thigh musculature are being reported with the intent of highlighting this atypical localization of the disease. Preoperative computerized tomography suggested an unusual location of echinococcus. Since the soft tissue tumors may be confused with hydatid cysts, preoperative evaluation of these patients is critical for proper handling during surgery to avoid life-threatening complications. Surgical excision with postoperative antihelmenthics formed the main modality. These cases emphasize that especially in endemic areas to avoid fine-needle biopsy and the risk of spillage of cyst contents hydatidosis should be included in differential diagnosis of any soft tissue mass.

scholarly journals Novel RGAG1-BCOR gene fusion revealed in a somatic soft tissue sarcoma with a long follow-up

2021 ◽  
Author(s):  
Mauro Vasella ◽  
Ulrich Wagner ◽  
Christine Fritz ◽  
Kati Seidl ◽  
Luca Giudici ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Gene Fusion ◽  
Soft Tissue Mass ◽  
Soft Tissue Tumors ◽  
Rt Pcr ◽  
Tissue Mass ◽  
Myxoid Chondrosarcoma ◽  
Next Generation Sequencing Ngs ◽  
Generation Sequencing

AbstractBCOR-rearranged sarcomas are rare and belong to the Ewing-like sarcomas (ELS). Their morphology and histopathological features make the diagnosis challenging. We present a case, initially diagnosed as an unusual extraskeletal myxoid chondrosarcoma (EMC). A 54-year-old male patient developed an asymptomatic swelling of the lower leg. Imaging showed a 9.5-cm large intramuscular soft tissue mass. Due to its morphological and immunohistochemical profile on biopsy, it was initially diagnosed as an EMC. The patient was treated by complete resection and adjuvant radiotherapy and remained free of tumor at 7 years follow-up. Using next-generation sequencing (NGS), we retrospectively identified RGAG1-BCOR gene fusion (confirmed by RT-PCR), which has not been described in somatic soft tissue tumors so far. This finding broadens the spectrum of partner genes in the BCOR-rearranged sarcomas in a tumor with a well-documented, long clinical follow-up.

scholarly journals Bursitis of the coccyx in an adult with rheumatoid arthritis mimicking a sacrococcygeal meningocele

2021 ◽  
Vol 12 ◽  
pp. 220
Author(s):  
Christos Tzerefos ◽  
George K. Koukoulis ◽  
Marianna Vlychou ◽  
Alexandros G. Brotis ◽  
Kostas N. Fountas ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Total Resection ◽  
Tissue Mass ◽  
Chronic Inflammatory Condition ◽  
Sacrococcygeal Region ◽  
Wall Calcification

Background: Bursitis is a chronic inflammatory condition characterized by the deposition of cholesterol, macrophage infiltration, and bursal wall calcification. Bursitis is, however, rarely found in the sacrococcygeal region where it may present as a space-occupying mass. Case Description: A 64-year-old male with rheumatoid arthritis presented with 3 years’ duration of difficulty sitting and walking due to a soft-tissue mass involving the coccyx region. Once the patient’s MR demonstrated a cystic lesion with erosion of the coccyx, the patient underwent gross total resection of the lesion that proved to be pathologically consistent with bursitis. Postoperatively, the patient’s complaints fully resolved. Conclusion: Bursitis may present as a soft-tissue tumor-like lesion in the coccyx that favorably responds to gross total surgical excision.

scholarly journals Lifethreatening tracheal obstruction in a child caused by nodular fasciitis: case presentation

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Yusuf Shieba ◽  
Mahmoud Khairy ◽  
Mohamed Elzouk ◽  
Albaraa Ali Mansour
Keyword(s):  
Soft Tissue ◽  
Early Detection ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Soft Tissue Mass ◽  
Nodular Fasciitis ◽  
Tissue Mass ◽  
Case Presentation ◽  
Tracheal Obstruction ◽  
Life Threatening

Abstract Background Nodular fasciitis (NF) is a rare non-neoplastic inflammatory tumor and usually presents as a painless, rapidly growing subcutaneous soft tissue mass. The head and neck are relatively common locations for nodular fasciitis, particularly in children. NF in the trachea is rare and may evolve to a fatal condition, especially due to its rapidly growing nature that can cause life-threatening tracheal obstruction. Case presentation We report the case of a 5-year-old child with NF in the trachea and subtotal tracheal obstruction. Bronchoscopy and biopsy proved the diagnosis, and bronchoscopic excision of the tumor was performed. Conclusions NF is a rare airway tumor, occurring mostly in adults, and may presenting with pneumonia-like symptoms. Early detection of the lesion is essential to avoid life-threatening airway obstruction.

scholarly journals Giant epidermal cyst of the foot

2014 ◽  
Vol 142 (9-10) ◽  
pp. 607-609 ◽  
Author(s):  
Melih Malkoc ◽  
Özgür Korkmaz ◽  
Yıldıray Genç ◽  
Ferhat Say ◽  
Mahmut Aytekin
Keyword(s):  
Soft Tissue ◽  
Epidermoid Cyst ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Epidermal Cyst ◽  
Pathology Report ◽  
X Rays ◽  
Tissue Mass ◽  
Palpable Mass ◽  
Soft Tissue Masses

Introduction. Epidermoid inclusion cysts are usually composed of epidermal elements implanted into the dermal layers. Patients are seen in the outpatient clinics with a mass. Most of the complaints are mechanical and cosmetic problems. Case Outline. A 34-year-old female patient was admitted to our clinic because of swelling and pain in her right foot. A palpable mass was detected in the first web. On the x-rays of the foot no osseous lesion was detected. There was a soft tissue mass in the first web according to MRI report. Soft tissue mass was excised and sent to pathology. According to pathology report the mass was an epidermoid cyst 5?2?1.5 cm in size. There were no problems during follow-up of the patient for 6 months after surgery. The patient had no swelling in the foot and had no additional complaints on checkup. Conclusion. In the differential diagnosis, we should take into consideration epidermoid cyst of large soft tissue masses of the foot. Surgical excision should be done within the appropriate limits.

Gastric smooth muscle hamartoma in a cat

2010 ◽  
Vol 12 (4) ◽  
pp. 334-337 ◽  
Author(s):  
Thomas J. Smith ◽  
Wendy I. Baltzer ◽  
Craig G. Ruaux ◽  
Jerry R. Heidel ◽  
Patrick Carney
Keyword(s):  
Smooth Muscle ◽  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Clinical Signs ◽  
Surgical Excision ◽  
Endoscopic Examination ◽  
Tissue Mass ◽  
Gastric Smooth Muscle ◽  
Esophageal Sphincter

An 11-year-old cat presented for evaluation of intermittent vomiting, constipation and hyporexia of 3 weeks duration. Ultrasonographic and endoscopic examination revealed a soft tissue mass adjacent to the lower gastro-esophageal sphincter. Surgical excision of the mass was successfully performed resulting in a resolution of clinical signs. Histologically the mass was consistent with a smooth muscle hamartoma. At follow-up 7 months after surgery, the cat remained free from clinical signs.

scholarly journals Lipoblastomas and liposarcomas in paediatric patients: A case series

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052098136
Author(s):  
Joyce J.L.H McRae ◽  
Asra Hashmi ◽  
Andrei Radulescu ◽  
Cody S. Carter ◽  
Faraz A. Khan
Keyword(s):  
Soft Tissue ◽  
Histological Examination ◽  
Clinical Case ◽  
Soft Tissue Mass ◽  
Case Series ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Paediatric Patients ◽  
Soft Tissue Masses

Lipoblastomas and liposarcomas are rare causes of soft tissue masses in paediatric patients. In this retrospective clinical case series we identified 11 patients from our paediatric database (10 with a lipoblastoma and one with a liposarcoma) who had attended our hospital between 1998 and 2019. The median age of patients with lipoblastoma was 29 months. All lipoblastoma cases were managed with surgical excision and histological examination. The 18-year old patient with liposarcoma presented with a metastatic and unresectable tumour that was unresponsive to chemotherapy and radiation. Our experience demonstrates the importance of differentiating the type of soft tissue mass in children.

scholarly journals Tumors and pseudotumors of the soft tissues: Imaging semiology and strategy

2021 ◽  
Vol 11 ◽  
pp. 13
Author(s):  
Charlinne Paixao ◽  
Jean-Philippe Lustig ◽  
Sylvain Causeret ◽  
Loic Chaigneau ◽  
Alexis Danner ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Soft Tissue Mass ◽  
Soft Tissue Tumors ◽  
Benign Tumors ◽  
Imaging Features ◽  
Tissue Mass ◽  
Primary Tumors ◽  
Adipocytic Tumors ◽  
Diagnostic Certainty

The aims of this educational review are to learn the semiological basis of soft-tissue lesions and, with the help of diagnostic algorithms, to apply the current recommendations for the management of soft-tissue tumors. Pseudotumors must first be identified and excluded. Among primary tumors, the search for macroscopic fat content on MRI is decisive; since it restricts the diagnostic range to adipocytic tumors. Key imaging features of non-adipocytic tumors are highlighted. When a deep soft-tissue mass is found, therapeutic abstention or simple monitoring is only appropriate when there is diagnostic certainty: This is only the case for typical pseudotumors, typical benign tumors, and fat tumors without atypical criteria. In all other cases, histological evidence is required. If there is any suspicion of soft-tissue sarcoma or any undetermined lesion, the patient should be referred to a sarcoma referral center before biopsy.

Severe Destructive Tendinopathy in the Wrist Due to Dialysis-Related Amyloidosis

2017 ◽  
Vol 22 (03) ◽  
pp. 376-379 ◽  
Author(s):  
Dongmin Kim ◽  
In Cheul Choi ◽  
Jong Woong Park
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Wrist Joint ◽  
Joint Stiffness ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Palpable Mass ◽  
Extensor Tendons ◽  
Clinical Presentations

Dialysis-related amyloidosis (DRA) is a specific subtype of amyloidosis with several clinical presentations. Herein we report a case of severe destructive tendinopathy around the wrist associated with long-standing hemodialysis (HD). A 63-year-old female patient who had been on regular HD for 23 years suffered from symptoms of pain and a palpable mass around the wrist. Magnetic resonance imaging showed an ill-defined soft tissue mass around the extensor tendons that partially invaded the wrist joint. We performed surgical excision and tenolysis for the mass. The operative finding revealed an ill-defined yellowish soft tissue mass extensively invading the extensor tendons and wrist joint. The tendon fibers were severely fibrillated and showed impending rupture due to the infiltrated mass. Histological examination showed DRA. Amyloidosis-induced tendinopathy should be considered when a patient on long-term HD complains of an unusual mass-like lesion in the extremity and/or nonspecific joint stiffness. Early surgical intervention improves patient’s disability and decreases the risk of spontaneous tendon rupture.

Malignant Soft Tissue Masses

2019 ◽  
pp. 346-350
Author(s):  
Kevin J. Blount
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Imaging Modality ◽  
Diagnostic Delay ◽  
Soft Tissue Tumors ◽  
Imaging Features ◽  
Diagnostic Challenge ◽  
Tissue Mass ◽  
Soft Tissue Masses ◽  
Malignant Soft Tissue

Chapter 66 discusses malignant soft tissue masses. Soft tissue malignancies are less common than those of benign origin but should be in the differential diagnosis for any soft tissue mass. Malignant soft tissue tumors have a wide range of clinical and imaging appearances, which can present a diagnostic challenge. If the imaging features of the soft tissue mass are not entirely characteristic for a benign diagnosis, biopsy should be performed. After initial radiographs, MRI is considered the best imaging modality to characterize malignant soft tissue lesions. Prompt diagnosis is critical because a diagnostic delay is associated with a worse clinical outcome.

scholarly journals Nodular Fasciitis Presenting with Life-Threatening tracheal obstruction in a child

2020 ◽  
Author(s):  
Yusuf Shieba ◽  
Mahmoud Khairy ◽  
Mahmoud I. El Dosoky ◽  
Mohamed Elzouk
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Soft Tissue Mass ◽  
Nodular Fasciitis ◽  
Tissue Mass ◽  
Tracheal Obstruction ◽  
Life Threatening

Abstract Nodular fasciitis (NF) is a rare non-neoplastic inflammatory tumor and usually presents as a painless, rapidly growing subcutaneous soft tissue mass. The head and neck are relatively common locations for nodular fasciitis, particularly in children. NF in the trachea is a rare and may be a fatal condition, especially with it’s rapidly growing nature that could cause life-threatening tracheal obstruction. We report the case of a child with NF in the trachea with nearly total tracheal obstruction. Bronchoscopy and biopsy were proved the diagnosis, and the bronchoscopic excision of the whole tumor was performed.

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