scholarly journals A rare case of Kimura lymphadenpathy in elderly female

2020 ◽  
Vol 7 (10) ◽  
pp. 3452
Author(s):  
Vinayagam Ganesan ◽  
Venkatesh Sadayan Periyasamy ◽  
Muralidharan Kannaian
Keyword(s):  
Rare Case ◽  
Immunoglobulin E ◽  
Histopathological Examination ◽  
Renal Involvement ◽  
Cervical Lymphadenopathy ◽  
Surgical Excision ◽  
Excision Biopsy ◽  
Kimura’S Disease ◽  
Recurrence Rates ◽  
Elderly Female

Kimura's disease (KD) is a chronic inflammatory disease, a rare variety. It usually presents as non-tender subcutaneous swelling in head and neck region, predominantly in preauricular and submandibular area and is often associated with cervical lymphadenopathy, marked peripheral eosinophilia and an elevated immunoglobulin E (IgE) level. Renal involvement is the only systemic manifestation.4 Nephrotic syndrome is the most common manifestation of renal disease in KD. Diagnosis through Fine needle aspiration cytology (FNAC) is misleading and can easily be mistaken as a malignant disease. So, diagnosis is therefore only established by histopathological examination. The treatment of KD involves one of three major approaches are surgical excision, irradiation, or steroid therapy. Surgical excision is recommended as the treatment of choice but carries recurrence rates of 33-50%. In our study, we are reporting a case of elderly female who presented with left sided cervical lymphadenopathy for which excision biopsy was done and the histopathology examination shown as kimura lymphadenopathy, a rare case.

scholarly journals Kimura’s Disease: A Rare Cause of Unilateral Tonsillar Enlargement

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Prakash Khanal ◽  
Agya Shrestha
Keyword(s):  
Histopathological Examination ◽  
Cervical Lymphadenopathy ◽  
Neck Region ◽  
Rare Condition ◽  
Surgical Excision ◽  
Kimura’S Disease ◽  
Inflammatory Disorder ◽  
Serum Ige ◽  
History Of ◽  
High Index Of Suspicion

Introduction. Kimura’s disease is a rare inflammatory disorder of unknown cause, commonly seen in young Asian males. Case Report. A 61-year-old male patient presented with a history of right tonsillar mass and cervical lymphadenopathy. The patient underwent hematological investigation and imaging followed by resection of tonsillar mass. Based on histopathological and subsequent immunohistochemistry reports, the case was diagnosed as Kimura’s disease of the tonsil. Discussion. Kimura’s disease commonly presents as painless subcutaneous masses in the head and neck region or cervical lymphadenopathy. Kimura’s disease presenting as a tonsillar mass is a very rare condition. Patients usually have peripheral eosinophilia and elevated levels of serum IgE. The diagnosis is based on the clinical and histopathologic findings in a biopsy of the mass and/or lymph node along with elevated peripheral eosinophil and serum IgE level. Conclusion. The clinical presentation of Kimura’s disease is highly variable. Kimura’s disease should be considered as a differential diagnosis in patients presenting with a tonsillar mass. A high index of suspicion along with histopathological examination helps in the early diagnosis and management. Surgical excision is the treatment of choice.

scholarly journals Basal Cell Carcinoma of the Head and Neck Region in Ethnic Chinese

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Velda Ling Yu Chow ◽  
Jimmy Yu Wai Chan ◽  
Richie Chiu Lung Chan ◽  
Joseph Hon Ping Chung ◽  
William Ignace Wei
Keyword(s):  
Neck Region ◽  
Surgical Excision ◽  
Chinese Patients ◽  
Skin Closure ◽  
Recurrence Rates ◽  
Tumour Control ◽  
Female Patients ◽  
Ethnic Chinese ◽  
Elderly Female ◽  
Tertiary Centre

Objectives.This study aims to report our experience in the management of HNBCC in ethnic Chinese over a 10-year period.Methods.A retrospective review of all ethnic Chinese patients with HNBCC treated in a tertiary centre from 1999 to 2009.Results.From 1999 to 2009, 225 patients underwent surgical excision for HNBCC. Majority were elderly female patients. Commonest presentation was a pigmented (76.2%) ulcer (64.8%) over the nose (31.6%). Median skin margin taken on tumour excision was 2.0 mm; primary skin closure was achieved in 51.8%. Postresection skin margin was clear in 75.4%. Of those with inadequate skin margins, 56.7% opted for further treatment, 43.4% for observation. Recurrence rates were 2.6% and 13.8%, respectively (). Overall recurrence rate was 5.5%.Conclusions.HNBCC commonly presented as pigmented ulcers over the nose of elderly female patients in our locality. Adequate tumour excision ± reconstruction offered the best chance of cure. Reexcision of those with inadequate skin margins improved local tumour control.

scholarly journals Cerebral Coenurosis Masquerading as Malignancy: A Rare Case Report from India

2019 ◽  
Vol 10 (02) ◽  
pp. 367-370
Author(s):  
Shamila Mohamed Ali ◽  
P. Somashekara Reddy ◽  
S. Venugopal ◽  
Manmeet Chhabra ◽  
Anita Mahadevan
Keyword(s):  
Case Report ◽  
Characteristic Feature ◽  
Rare Case ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Hydatid Cysts ◽  
The Third ◽  
Rare Case Report ◽  
Cerebral Coenurosis ◽  
Cuticular Layer

ABSTRACTHuman coenurosis is a rare zoonotic disease caused by the larvae of Tinea multiceps seen in sheep-rearing countries. We report the case of a 63-year-old male who was referred to our hospital with a working diagnosis of skull base chondrosarcoma. Histopathological examination after surgical excision revealed characteristic feature of coenurus with multiple scolices invaginating from the outer cuticular layer. Coenuri are often mistaken for giant cysticercal cysts and hydatid cysts. Despite its wide prevalence in cattle, only two cases of human coenurosis are reported from India till date. We report the third case from India.

scholarly journals Toxoplasmosis presenting as isolated cervical lymphadenopathy-A rare case

2021 ◽  
Vol 3 (2) ◽  
pp. 55-57
Author(s):  
P B Benny ◽  
P K Thomas ◽  
Rishikesan Nair ◽  
M. Gowri
Keyword(s):  
Lymph Node ◽  
Cervical Lymph Node ◽  
Rare Case ◽  
Cervical Lymphadenopathy ◽  
Immunocompetent Patient ◽  
Excision Biopsy

Lymphadenopathy is not uncommon in toxoplasmosis. Its rare in an immunocompetent patient. We present a case of toxoplasmosis in an asymptomatic lady with isolated cervical lymph node. The diagnosis was confirmed by excision biopsy of lymph node and serology

scholarly journals Kikuchi Necrotising Lymphadenitis in a Child: A Rare Case Report

2020 ◽  
Vol 3 (3) ◽  
pp. 126-128
Author(s):  
Sachin Goel ◽  
Ankur Gupta ◽  
Kanwar Sen ◽  
Pooja Swami
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Histopathological Examination ◽  
Cervical Lymphadenopathy ◽  
Benign Disease ◽  
Excision Biopsy ◽  
Rare Case Report ◽  
Night Sweats ◽  
High Index Of Suspicion ◽  
Aggressive Interventions

<b><i>Introduction:</i></b> Kikuchi-Fujimoto disease (KFD) is a rare benign disease with a self-limiting course. Patients usually present with clinical features of tender cervical lymphadenopathy (LAP), fever, malaise, weight loss, and night sweats. The disease may mimic infective LAP or lymphoma on clinical and histopathological examination (HPE). <b><i>Case Report:</i></b> We report a case of 3-year-old male child who presented to us with bilateral cervical LAP not responding to conservative management. Excision biopsy was done and HPE revealed KFD. <b><i>Conclusion:</i></b> Clinicians should have high index of suspicion for diagnosis of KFD in patients with cervical LAP not responding to conservative management. Excision biopsy is important for accurate diagnosis and to avoid aggressive interventions like chemotherapy.

Evaluation of the Clinical Profile and Treatment Outcomes of Ocular and Adnexal Rhinosporidiosis in a Tertiary Eye Care Centre

1970 ◽  
Vol 12 (3) ◽  
pp. 149-151
Author(s):  
Prateek Agarwal ◽  
Usha Kim ◽  
Vipul Arora
Keyword(s):  
Histopathological Examination ◽  
Treatment Modalities ◽  
Excision Biopsy ◽  
Care Centre ◽  
Lacrimal Sac ◽  
Eye Care ◽  
Recurrence Rates ◽  
The Mean ◽  
Conclusive Diagnosis

Aim: To describe the demographics, histopathology, treatment modalities, outcomes, and recurrence rates for patients diagnosed with ocular and adnexal rhinosporidiosis.Methods: This prospective descriptive study was conducted at the Department of Orbit, Oculoplasty, and Oncology at a tertiary eye care centre in South India. Fifty patients with a clinical diagnosis of ocular and adnexal rhinosporidiosis who presented from March 2005 to October 2007 were included. All patients underwent complete conjunctival and lid mass excision with cautery, and all patients with rhinosporidiosis of the lacrimal system underwent dacryocystectomy.Results: The mean age at presentation was 30.42 years (SD, 16.89 years; range, 1-70 years). The mean follow-up was 14.2 months (range, 12-18 months). The most common site was the conjunctiva (n = 26; 52%), followed by the lacrimal sac (n = 13; 26%) and the eyelids (n = 11; 22%). There was a single recurrence (2%) involving the lacrimal sac. Endonasal polypectomy and exploration of the sac region was done. There were no further recurrences during subsequent follow-up. The diagnosis was confirmed histopathologically for all patients.Conclusions: Rhinosporidiosis is an ocular disorder with high recurrence rates. Histopathological examination following excision biopsy is recommended for all patients for a conclusive diagnosis. Recurrence rates can be low if complete meticulous excision is performed coupled with cauterization of the lesion.

scholarly journals Kimura's disease in a young Balkan male

2009 ◽  
Vol 66 (1) ◽  
pp. 66-68 ◽  
Author(s):  
Maja Jovicic-Milentijevic ◽  
Marin Basic ◽  
Aleksandar Petrovic
Keyword(s):  
Immunoglobulin E ◽  
Histopathological Examination ◽  
Neck Mass ◽  
Definitive Diagnosis ◽  
Kimura’S Disease ◽  
Inflammatory Disorder ◽  
Chronic Inflammatory Disorder ◽  
Asian Men ◽  
Left Neck ◽  
Peripheral Blood Eosinophilia

Introduction. Kimura's disease is a rare, chronic inflammatory disorder of unknown cause, mainly seen in young Asian men. To our knowledge it has not been reported previously in persons from the Balkan countries. Case report. We presented a 15-year-old male with Kimura's disease manifested as chronic left neck mass. The diagnosis was based on the histopathological findings of the excised lesion. Peripheral blood eosinophilia and raised serum Immunoglobulin E (IgE) level supported the diagnosis. Conclusion. The presented patient confirmed the fact that Kimura's disease could occur in different ethnic groups. Histopathological examination, should be performed prior to making the definitive diagnosis.

scholarly journals Functional and Esthetic Correction of Severe Localized Pregnancy-Induced Gingival Enlargement associated with Capillary Hemangioma

2017 ◽  
Vol 1 (8) ◽  
pp. 248-251
Author(s):  
Pawan Kumar ◽  
Saindhya Tora Sonowal ◽  
Jitu Chawla
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Immunological Response ◽  
Surgical Excision ◽  
Capillary Hemangioma ◽  
Anterior Maxilla ◽  
Attached Gingiva ◽  
Gingival Enlargement ◽  
Rare Case Report

Gingival enlargement is a clinical condition that has been directly associated with specific local or systemic conditions. Pregnancy has been considered an attributing factor which increases the susceptibility to gingival enlargement. It is also considered as a risk factor for periodontitis because of its ability to allow proliferation of specific microorganisms and affect host immunological response. This paper presents a rare case report of capillary hemangioma on attached gingiva of anterior maxilla in an adult female which initiated when she was in her 10th week of gestation. After parturition, gingival enlargement further progressed and caused functional and aesthetic problem. Enlargement did not resolve even after non-surgical therapy; therefore, surgical excision of the entire enlargement was preformed. Histopathological examination revealed capillary hemangioma. No evidence of malignancy was seen. No recurrence was seen even after 2 years of follow-up.

Çocuklarda Brankiyal Yarık Anomalileri

2021 ◽  
Author(s):  
Orkhan Farzaliyev ◽  
Özlem Boybeyi Türer ◽  
Tutku Soyer ◽  
Feridun Tanyel
Keyword(s):  
Physical Examination ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Neck Mass ◽  
Fistula Tract ◽  
Radiological Findings ◽  
Recurrence Rates ◽  
Submandibular Region ◽  
Female Ratio ◽  
Male Female Ratio

INTRODUCTION: Objective: A retrospective study was planned to evaluate the clinical and radiological findings of childhood branchial anomalies together with the subclasses of the anomaly and to discuss the surgical results. Method: The medical records of the patients managed for branchial cleft anomaly between 2014 and 2019 were examined. Demographic features, clinical and radiological findings, surgical managements and outcomes were recorded. Results: Eighteen cases were included in the study. Median age of the cases was 5 years (1-14). Male/female ratio was 9/9. The complaints were discharge from the BC (n=13, 72%) and painless neck mass (n=3, 17%). The BC was at right side in 8 (44%), left side in 9 (%50) and bilateral in 1 case (6%). Physical examination revealed the presence of a fistula, and its orifice in 14 cases and cystic lesion was palpable in 4 cases. Ultrasound was performed in 9 cases (50%) and cyst could be detected in 3 of them. All cases were operated and step-ladder incision was used in 8 cases. The fistula tract was ended near to pharynx in 2, near to pretonsillar fossa in 10, submandibular region in 5, and external auditory tract in 1 case. Histopathological examination revealed inflammation in 2 cases and cartilage in 1 case. Stratified ciliary columnar and stratified squamous cell epithelium was detected in samples. Conclusion: Physical examination is the most important diagnostic method. The management is surgery and excision of whole lesion is important in preventing recurrences. Although using methylene blue is a guiding technique in surgical excision of tracts, the effect of its use on surgical outcome and recurrence rates is still debatable.

Rare case of a massive buccal mucocele

Open Medicine ◽  
2011 ◽  
Vol 6 (3) ◽  
pp. 305-308
Author(s):  
Rafał Koszowski ◽  
Jadwiga Waśkowska ◽  
Tadeusz Morawiec ◽  
Sylwia Wojcik ◽  
Katarzyna Stęplewska
Keyword(s):  
Oral Cavity ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Facial Injury ◽  
Pathological Lesions ◽  
Preoperative Ultrasonography

AbstractMucoceles are common pathological lesions of the oral cavity, usually measuring up to 10 mm. The authors describe a case of deeply located buccal mucocele measuring 35 mm in diameter. The lesion was caused by facial injury in a 54-year old man. The lesion persisted for approximately 2.5 years and was difficult to diagnose because of its unusual size and atypical clinical symptoms. Preoperative ultrasonography excluded a tumor, and this was confirmed by histopathological examination. However, oncological alertness was considered necessary on account of ulcerated mucosa next to the lesion. The mucocele was removed through surgical excision, using a scalpel and tissue scissors. No recurrence was observed in 2.5 postoperative years. It is stressed that histopathological examinations help to differentiate mucoceles from other disease processes.

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