scholarly journals Sacrococcygeal teratoma: a case report

2019 ◽  
Vol 6 (3) ◽  
pp. 1007
Author(s):  
Nilay Kumar ◽  
Avinash Kumar Sinha
Keyword(s):  
Germ Cell ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Female Child ◽  
Large Mass ◽  
Sacrococcygeal Teratoma ◽  
X Ray ◽  
Sacrococcygeal Region ◽  
To Come

Teratomas are germ cell tumours composed of multiple types of cells derived from more than a single germ cell layer. The most common site of an extra gonadal teratoma is the sacrococcygeal region. We report a case of a 10-day-old female child with a large swelling in the sacrococcygeal region extending laterally into the buttocks. X-ray showed a large mass projecting from the lower pelvic region and delineate the extent of the tumour and the involvement of tissues. Image findings and clinical presentation led to the diagnosis of sacrococcygeal teratoma. Tumour was surgically excised with prior pre-anaesthetic checkup, post-operative period was uneventful. She was discharged with advice to come in follow-up surgical outpatient clinic. There was no evidence of tumour recurrence till 1 year of age. She had normal growth curve for her age with normal developmental milestones.

scholarly journals Reconstruction of Chest Wall by Cryopreserved Sternal Allograft after Resection of Aneurysmal Bone Cyst of Sternum

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Kambiz Sheikhy ◽  
Azizollah Abbasi Dezfouli ◽  
Farahnaz Sadegh Beigee
Keyword(s):  
Chest Wall ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Large Mass ◽  
Good Cosmetic Result ◽  
X Ray ◽  
Anterior Aspect ◽  
Good Cosmetic ◽  
Chest X Ray

A 20-year-old female was referred to our hospital due to deformity and bulging in anterior aspect of chest wall in sternal area. Chest X-ray and CT scan confirmed a large mass with destruction of sternum. Pathologic diagnosis after incisional biopsy was compatible with aneurysmal bone cyst. We resected sternum completely and reconstructed large anterior defect by a cryopreserved sternal allograft. In follow-up of patient there was no unstability of chest wall with good cosmetic result.

Orchiectomy Alone for Clinical Stage I Nonseminomatous Germ Cell Tumors of the Testis (NSGCTT): A Minimum Follow-Up Period of 5 Years

1994 ◽  
Vol 80 (5) ◽  
pp. 362-364 ◽  
Author(s):  
D. Ondruš ◽  
M. Horňak
Keyword(s):  
Germ Cell ◽  
Tumor Markers ◽  
Primary Tumor ◽  
Vascular Invasion ◽  
Embryonal Carcinoma ◽  
Clinical Stage ◽  
Stage I ◽  
X Ray ◽  
Chest X Ray

Aims and background Surveillance after orchiectomy alone has gained great popularity in the management of stage I NSGCTT. Preliminary results were enthusiastic, but critical voices have been raised against general use of this option as routine management. In an effort to identify patients at high risk of relapse, there has been a search for adverse prognostic factors of stage I nonseminomatous germ cell testicular tumors (NSGCTT). The aim of the study was to identify those patients in whom a surveillance policy is less likely to be successful. Methods Eighty patients with stage I NSGCTT were followed for at least 5 years. They were assigned to their respective clinical stage on the basis of physical examination, chest X-ray, CT of the retroperitoneum and post-orchiectomy tumor markers. The criteria for inclusion in clinical stage I were normal results of these examinations. The policy of surveillance consisted of regular follow-up with tumor markers, chest X-ray and CT of the retroperitoneum. Patients who relapsed were treated with cisplatin-containing chemotherapy. In all patients, diagnostic delay, pre-orchiectomy tumor markers, T staging category, size, histopathology and vascular invasion in the primary tumor, and semen analysis were recorded. Results Follow-up revealed that 51 of the 80 patients (63.7%) were free of disease 61-110 months (mean, 83.1) after orchiectomy. Relapse was detected in 29 patients (36.3%) 3-58 months (mean, 13) after orchiectomy. The overall survival rate was 95%. The main risk factors of relapse were: vascular invasion, a major embryonal carcinoma and a minor teratoma component in the primary tumor, and low sperm count before orchiectomy. Conclusions The authors recommend the following risk-adapted treatment procedures: retroperitoneal lymph node dissection in patients with vascular invasion and a major teratoma component, adjuvant chemotherapy in patients with vascular invasion and a major embryonal carcinoma component, and surveillance policy in patients without vascular invasion.

scholarly journals The Lung Mass and nodule: a case series

2021 ◽  
Author(s):  
Azam Jan ◽  
Naseer Ahmed ◽  
Nabil Iftikhar Awan ◽  
Bahauddin Khan ◽  
Mujahid-ul Islam ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Case Series ◽  
Female Child ◽  
Lung Mass ◽  
Radiological Findings ◽  
X Ray ◽  
Smoking Exposure ◽  
Poorly Differentiated ◽  
Timely Treatment

Lung mass is an abnormal region of 3 cm or more in size present in the lungs mainly due to underlying pulmonary caner. It is usually round, opaque and poorly differentiated on X-ray. Common etiological key players are smoking, exposure to asbestos, radon, however, familial history may also play a role. We presented retrospectively 7 cases of lung mass and nodule encountered during our clinical practice. We have discussed their clinical presentation, manifestation, medical history, radiological findings and differential diagnosis. In this case series, most of the patients were young, only 2 cases were older patients. There was one infant one month old, one female child 12 years old, one female 25 years, 2 males, 22 and 21 years, one male of 50 years and another male of 60 years age. Correct diagnosis on the basis of clinical profile, radiological findings and histology may help in proper management and hence, timely treatment of the patient.

MP-21.10: The value of repeat chest x-ray in the follow-up of stage one testicular germ cell tumours

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 163
Author(s):  
R. Richardson ◽  
A.E. Boeken Kruger ◽  
G. Stapper ◽  
M.T.W. Lock ◽  
J.L.H. Bosch
Keyword(s):  
Germ Cell ◽  
Germ Cell Tumours ◽  
Testicular Germ Cell ◽  
X Ray ◽  
Testicular Germ Cell Tumours ◽  
Repeat Chest ◽  
Chest X Ray

scholarly journals An Unusual Histology for a Lung Nodule: A Case Report of Primary Pulmonary Paraganglioma

2021 ◽  
Vol 8 ◽  
Author(s):  
Alessandra Mazzucco ◽  
Eleonora Poirè ◽  
Andrea Leporati ◽  
Matteo Chiari ◽  
Laura Moneghini ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Lung Nodule ◽  
Pulmonary Tissue ◽  
Case Presentation ◽  
X Ray ◽  
Asymptomatic Patients ◽  
Chest X Ray

Introduction: Primary pulmonary paraganglioma is a rare tumor with few cases reported in literature and unspecific clinical presentation.Case Presentation: A 49-year-old woman presented to our department with an incidental finding of a pulmonary mass at chest X-ray and no associated clinical symptom. The CT scan and the FDG-PET showed mild uptake of contrast, but a definitive diagnosis was only possible after surgery through histopathological examination.Conclusion: Paragangliomas originating in the pulmonary tissue are generally non-functioning masses discovered incidentally in otherwise asymptomatic patients. Surgery appears to be the best treatment option, with only radiologic follow-up necessary afterwards.

scholarly journals Revision of a Stemless Anatomic Implant into a Stemless Reverse Implant

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Christian Schoch ◽  
Michael Dittrich ◽  
Leander Ambros ◽  
Michael Geyer
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Total Shoulder Arthroplasty ◽  
Reverse Prosthesis ◽  
X Ray ◽  
Off Label ◽  
Rotator Cuff Insufficiency ◽  
Reverse Total Shoulder ◽  
Ultrasound Investigation

Introduction. Stemless anatomic implants are the growing standard for solving osteoarthritis of the shoulder. If there are secondary rotator cuff insufficiency and the need to revise the implant into a reverse total shoulder, there is usually the option to revise it into a stemmed implant with losing the benefits of stemless implants. There are only a few stemless reverse implants available on the market. Usually, they are recommended as primary implants, but not for revision surgery. Case Report. A 61-year-old male with an indwelling anatomic stemless TESS (Total Evolutive Shoulder System, Zimmer Biomet, Warsaw, USA) implant presented in our clinic with growing pain and loss of range of motion. The TESS was implanted in 2007 as a hemishoulder arthroplasty. The X-ray was showing a stable implanted corolla with clearly growing protrusion of the glenoid. Because of the clinical presentation and the ultrasound investigation that showed only remnants of the supraspinatus and infraspinatus left, we decided that it is necessary to revise the stable implant in a reverse total shoulder arthroplasty. As the TESS was not designed to be convertible, it was clear that it has to be explanted. Due to the young age of the patient, we proposed an “off-label” change to a stemless reverse implant, e.g., the LIMA SMR stemless reverse prosthesis. A revision was possible without much bone loss, so the stemless reverse implant could be used. The clinical and radiological 2-year follow-up showed a good result. Conclusion. Stemless implants are well known for anatomic implants, rarely for reverse implants, and seldom used for revision into reverse stemless. This case report shows that it is possible to revise a stemless anatomic implant with a stemless reverse, as long as the rules for implantation are applicable.

scholarly journals Sacrococcygeal Teratoma in a Teen - A Case Report

1970 ◽  
Vol 16 (2) ◽  
pp. 76-78 ◽  
Author(s):  
Md K Rahman ◽  
SMM Haq ◽  
AK Sarker ◽  
SMA Shahid ◽  
MB Islam
Keyword(s):  
Case Report ◽  
Germ Cell ◽  
Sacrococcygeal Teratoma ◽  
Sacrococcygeal Region ◽  
Cell Layers ◽  
Congenital Neoplasm

Sacrococcygeal teratoma is a common congenital neoplasm. This tumor contains derivatives ofmore than one of the three embryonic germ cell layers e.g. ectoderm, mesoderm & endodermand usually arises as a mass in the sacrococcygeal region. Here we are reporting a case of hugesacrococcygeal teratoma presenting as a lower abdominal and perineal mass in a thirteen-yearoldschoolgirl, which is very rare.doi: 10.3329/taj.v16i2.3888TAJ December 2003; Vol.16(2): 76-78

SACROCOCCYGEAL TERATOMA : A RARE ENTITY

2021 ◽  
pp. 71-72
Author(s):  
Manisha Albal ◽  
Shriniket Sawarkar
Keyword(s):  
Clinical Presentation ◽  
Neonatal Period ◽  
Tertiary Care ◽  
Primitive Streak ◽  
Sacrococcygeal Teratoma ◽  
Care Hospital ◽  
Female Ratio ◽  
Sacrococcygeal Region ◽  
Paediatric Age ◽  
Male To Female

Teratomas are composed of tissues derived from ectoderm, mesoderm, and endoderm. Sacrococcygeal teratomas are developed from the totipotential cells of primitive knot which is a remnant of the primitive streak in the coccygeal region. With the incidence of 1/35000–1/40000 live birth, sacrococcygeal teratoma is considered as the most common germ cell tumor in the neonatal period and infancy. Sacrococcygeal teratoma shows female preponderance with male to female ratio 1:4 . AIMS AND OBJECTIVES: To study clinical presentation and management of sacrocoocygeal teratoma in paediatric age group. CASE REPORT: A seven year old child presented to our tertiary care hospital with a swelling of size 20 x 10 cm in sacrococcygeal region Which was initially smaller in size about 6 X 3cm and have gradually progressed to the present size swelling was soft to rm in consistency, patient was subject to MRI pelvis which was suggestive of solid cystic swelling in sacrococcygeal region of size 20 X 15 cm with maintained fat planes with rectum and adjacent organs. Patients was subjected to surgery in which the teratoma was removed of size 20 x 15 cm along with coccygectomy was done intraoperatively there was no involvement of rectum or other organs or pelvic walls. Child recovered well post operatively and the histopathological report conrmed the diagnosis of sacrococcygeal teratomawith solid cytic compoments.

scholarly journals The first 100 cases of COVID-19 in a Hospital in Madrid with a 2-month follow-up

2020 ◽  
Vol 33 (5) ◽  
pp. 369-378
Author(s):  
Patricia Muñoz ◽  
Alicia Galar ◽  
Pilar Catalán ◽  
Maricela Valerio ◽  
Teresa Aldamiz-Echevarría ◽  
...  
Keyword(s):  
Antibiotic Treatment ◽  
High Mortality ◽  
Clinical Presentation ◽  
Antiviral Treatment ◽  
Large Hospital ◽  
X Ray ◽  
Chest X Ray ◽  
Underlying Diseases ◽  
Morbid Conditions

Background. There are few descriptions of the clinical presentation and evolution of consecutive SARS-CoV-2 infections with a long-enough follow up. Methods. Description of the first consecutive 100 patients with microbiologically-proven COVID-19 in a large hospital in Madrid, Spain including a minimum of two-month follow up. Results. The median age of the patients (52% males) was 61.5 years (IQR=39.5-82.0) and the median BMI was 28.8 kg/m2 (IQR=24.7-33.7). Overall 72% of the patients had one or more co-morbid conditions with a median age-adjusted Charlson index of 2 (IQR=0-5.7). Five patients (5%) were immunosuppressed. The most common symptoms at the time of diagnosis were fever (80.0%), cough (53.0%) and dyspnea (23.0%). The median O2 saturation at the time of first examination was 94% (IQR=90-97). Chest X-ray on admission was compatible with pneumonia in 63% of the cases (bilateral in 42% and unilateral in 21%). Overall, 30% were managed at home and 70% were admitted to the hospital. Thirteen patients were admitted to the ICU with a median of 11 days of stay in the Unit (IQR=6.0-28.0). CALL score of our population ranged from 4 to 13. Overall, 60.0% of patients received antibiotic treatment and 66.0%, empirical antiviral treatment, mainly with lopinavir/ritonavir (65%) or hydroxychloroquine (42%). Mortality, with a minimum of 60 days of follow up, was 23%. The median age of the deceased patients was 85 years (IQR=79-93). Conclusions. We found a high mortality in the first 100 patients diagnosed with COVID-19 at our institution, associated with advanced age and the presence of serious underlying diseases.

scholarly journals A Rare Case of a Large Meningocele Posterior Sacrococcygeal

2021 ◽  
Vol 2 (1) ◽  
pp. 20-22
Author(s):  
Rakotondraibe Willy Francis ◽  
Bemora Joseph Synèse ◽  
Habib Nouraly ◽  
Raveloharimino Nirina Henintsoa ◽  
Tsiaremby Marc Guichard ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Rare Case ◽  
Antenatal Diagnosis ◽  
Normal Skin ◽  
Sacrococcygeal Teratoma ◽  
Metabolic Complications ◽  
Maternal History ◽  
X Ray ◽  
Fluid Formation

We report a case of sacrococcygeal meningocele simulating a sacrococcygeal teratoma. Likewise, there are a discussion of the pathophysiology and surgical approach of these types of lesions. We present a case of an exceptionally large posterior coccygeal meningocele of a newborn, and show the interest of radio-echographic couple and the interest of a management surgical approach. This was a case of posterior coccygeal meningocele, in a 10-day-old newborn born at term, with no known maternal history other than active smoking. The clinical examination finds a eupneic newborn, presents a median mass at the level of the sacrococcygeal part, of soft consistency, painless, without signs of inflammation, of normal skin, volume 18 x 21 x 19 cm, with positive transillumination test, no sensitivomotor deficit of both limbs, no other malformative anomalies detected clinically, but presence of anal atony and vesico-anal inconstancy. The ultrasound reveals a fluid formation containing small cysts. The x-ray revealed the absence of the posterior coccyx arch, an appearance in favor of a posterior sacrococcygeal meningocele. The surgery consisted of a meningocele cure followed by a buttock plasty. The postoperative follow-up was simple, without infectious or metabolic complications. Standardization and improvement of accessibility to ultrasound and obstetric MRI could improve the antenatal diagnosis of this pathology in Madagascar. 

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