scholarly journals Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

2017 ◽  
Vol 4 (1) ◽  
pp. 292
Author(s):  
Gunjan Dwivedi ◽  
Vikas Gupta ◽  
Inderdeep Singh ◽  
Sunil Goyal ◽  
Manoj Kumar ◽  
...  
Keyword(s):  
Rare Case ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Diagnostic Dilemma ◽  
Benign Condition ◽  
Body Sensation ◽  
Normal Voice ◽  
Risk Of Malignancy ◽  
History Of ◽  
Laryngeal Saccule

<p>Laryngocoele is an abnormal dilatation of the laryngeal saccule. It is a rare entity. Patient generally presents with hoarseness, dysphagia, dyspnea, foreign body sensation in throat and swelling in the neck. It is a benign condition, however the risk of malignancy is always associated with it, especially, if a patient is smoker or tobacco chewer. Once the diagnosis is established, laryngocoele are best treated by surgery.<strong> </strong>We present a rare case of combined laryngocoele in a 62 year old male patient, a chronic smoker, with history of recurrent swelling in neck right side for 2 years and hoarseness for duration of 1 month. It was a diagnostic dilemma as to what we were dealing with, a benign condition or malignancy. Eventually patient underwent excision by external approach. Resected specimen histo-pathological examination was consistent with laryngocoele. Post excision his normal voice was also restored.</p>

scholarly journals Calcific myonecrosis: diagnostic dilemma

2018 ◽  
Vol 100 (6) ◽  
pp. e158-e160
Author(s):  
HE Matar ◽  
P Stritch ◽  
S Connolly ◽  
N Emms
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Malignant Tumour ◽  
Resonance Imaging ◽  
Diagnostic Dilemma ◽  
Benign Condition ◽  
Calcific Myonecrosis ◽  
History Of ◽  
Growing Mass

Calcific myonecrosis is a rare benign condition affecting mainly the muscles of a single leg compartment. It is thought to follow a history of trauma with a latent period of years. Patients present with a slowly growing mass. Differential diagnosis from a malignant tumour can be made from the history and the distinctive radiographical features of a fusiform lesion with predominantly peripheral calcifications. Magnetic resonance imaging may be necessary to confirm the diagnosis; treatment is largely symptomatic.

scholarly journals Case Report: Mucinous Adenocarcinoma Arising From Congenital Ejaculatory Duct Cyst

2021 ◽  
Vol 27 ◽  
Author(s):  
Hua Shen ◽  
Kai Liao ◽  
Weili Wu ◽  
Gongyu Li ◽  
Shijin Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Embryonic Development ◽  
Mucinous Adenocarcinoma ◽  
Rare Case ◽  
Development Process ◽  
Ejaculatory Duct ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Duct Cyst ◽  
Evidenced Based

Herein we present a previously unreported rare case of mucinous adenocarcinoma arising from a congenital ejaculatory duct cyst. Radiographic and endoscopic examinations revealed the tumor occurred in a cyst running through the prostate. Initially, the immunohistochemical pathology results showed that it was a metastatic mucinous adenocarcinoma, but no other primary lesions were clinically evidenced. Based on the embryonic development process of the male urogenital tract, the malformation of the patient's ejaculatory duct, and the pathological examination of the resected specimen, we considered the tumor to be a primary mucinous adenocarcinoma which originating from the hypoplastic ejaculatory duct. The tumor may have developed from the foci of intestinal metaplasia from cloacal remnants during embryonic development.

scholarly journals A Rare Case of Sacrococcygeal Teratoma With Medullar Invasion

2020 ◽  
Vol 6 (4) ◽  
pp. 229-232
Author(s):  
Najoua Aballa ◽  
◽  
Houssine Ghannane ◽  
Mohamed Oulad Saiad ◽  
◽  
...  
Keyword(s):  
Rare Case ◽  
Male Infant ◽  
Surgical Excision ◽  
Sacrococcygeal Teratoma ◽  
Tissue Mass ◽  
Pelvic Magnetic Resonance Imaging ◽  
Risk Of Malignancy ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
High Level

Background and Importance: Sacrococcygeal Teratoma (SCT) with medular invasion is rare. Case Presentation: We report a case of an 11-month male infant, with no prenatal history of any abnormality, presenting since birth, a mass in the buttock extended to retrorectum associated with a right side hypotonic limb and monoplegia. Medullar and abdominal pelvic Magnetic Resonance Imaging (MRI) showed a sacrococcygeal tissue mass and intradural lumbosacral invasion with a high level of alpha-fetoprotein. Surgical excision was done successfully with an uneventful follow-up. Conclusion: Despite of the intradural invasion, those SCT are in major cases mature and present low risk of malignancy or recurrence.

scholarly journals Cecal Lipoma Presenting as Acute Intestinal Obstruction in an Elderly Woman: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Miltiades Kastanakis ◽  
Dimitrios Anyfantakis ◽  
Emmanouil K. Symvoulakis ◽  
Nikolaos Katsougris ◽  
Alexandros Papadomichelakis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Elderly Woman ◽  
Acute Abdominal Pain ◽  
Histopathological Examination ◽  
Right Hemicolectomy ◽  
Resected Specimen ◽  
Appetite Loss ◽  
Risk Of Malignancy ◽  
History Of

Colonic lipomas are rare nonepithelial tumors that are usually detected incidentally during surgery or colonoscopy. Although lipomas generally remain asymptomatic, when they exceed 2 cm of diameter they may cause abdominal pain, obstruction, or intussusception. Here we present a case of an elderly woman referred by her general practitioner to a general hospital of Crete because of acute abdominal pain along with signs of intestinal obstruction and a positive history of appetite loss. Abdominal computed tomography was performed. To marginalise the risk of malignancy, a right hemicolectomy was performed. Histopathological examination of the resected specimen confirmed the diagnosis of cecal lipoma.

scholarly journals A Rare Case of Paratesticular Leiomyosarcoma

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Shankar Haran ◽  
Vikram Balakrishan ◽  
Greg Neerhut
Keyword(s):  
Metastatic Disease ◽  
Rare Case ◽  
Surgical Margins ◽  
Pathological Examination ◽  
Resected Specimen ◽  
High Grade ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Scrotal Mass ◽  
Disease Free

Paratesticular leiomyosarcomas are rare and can lead to significant morbidity and mortality, if inadequately diagnosed or treated. We present a case of paratesticular leiomyosarcoma in an 88-year-old man presenting with a left scrotal mass with ultrasound revealing that the mass is extratesticular. Left radical orchidectomy was performed and pathological examination of the resected specimen confirmed the diagnoses of high grade leiomyosarcoma with surgical margins clear of tumour. The patient was free of metastatic disease on further imaging and has been disease-free for 18 months. A review of the literature regarding paratesticular leiomyosarcoma presentation, diagnosis, and treatment is also discussed.

scholarly journals A rare case of neonatal colonic obstruction caused by a solitary intestinal tumor

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yu Sugai ◽  
Yutaka Hirayama ◽  
Yasushi Iinuma ◽  
Kengo Nakaya ◽  
Takato Aikou ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Rare Case ◽  
Colonic Obstruction ◽  
Contrast Material ◽  
Surgical Margin ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Gastrografin Enema ◽  
Neonatal Intestinal Obstruction

Abstract Background Intestinal obstruction caused by a tumor is very rare in newborns, and the preoperative diagnosis is difficult. We herein report a rare case of neonatal colonic obstruction due to solitary intestinal myofibroma with characteristic findings on gastrografin enema and the surgical strategy. Case presentation A 4-day-old female infant presented to our neonatal intensive-care unit with abdominal distention and bilious vomiting after feeding. A gastrografin enema showed that the transverse colon near the hepatic flexure was not delineated at the oral side. When pressure was applied, a small amount of contrast material moved into the mouth in the form of threads. Microcolon was not observed, and stenosis of the transverse colon was found 9 cm from the Bauhin valve. Partial resection and end-to-end anastomosis were performed. A pathological examination of the resected specimen suggested gastrointestinal stromal tumor (GIST). After obtaining a second opinion, the histology and immunohistological markers were deemed characteristic of infantile myofibroma. Conclusion If string sign and a napkin ring appearance are found in a case of neonatal intestinal obstruction, surgery should be performed with a tumor in mind. In cases of neonatal intestinal obstruction caused by a tumor, the lesion should be resected with a sufficient surgical margin before the pathological examination.

CEREBELLAR CRYPTOCOCCOMA IN A PATIENT WITH UNDIAGNOSED SARCOIDOSIS

Neurosurgery ◽  
2007 ◽  
Vol 60 (3) ◽  
pp. E571-E571 ◽  
Author(s):  
Charles W. Kanaly ◽  
Lee A. Selznick ◽  
Thomas J. Cummings ◽  
D. Cory Adamson
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Brain Tumor ◽  
Clinical Signs ◽  
Pulmonary Nodules ◽  
Underlying Disease ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Predisposing Factor ◽  
History Of

Abstract OBJECTIVE We describe a patient with undiagnosed sarcoidosis who presented with a rare isolated cerebellar cryptococcoma masquerading as a metastatic brain tumor. CLINICAL PRESENTATION A 58-year-old man with a history of resected squamous cell carcinoma of the larynx and pulmonary nodules was found to have a left cerebellar lesion on neuroimaging after presenting with a 4-month history of occipital headaches. Neuroimaging revealed a large, lobulated, intra-axial, left cerebellar hemispheric mass with peripheral nodular enhancement, mild adjacent edema, and dense focal areas of calcification. INTERVENTION The patient underwent a left suboccipital craniotomy for gross total resection of the left cerebellar mass. Pathological examination of the resected specimen demonstrated a cryptococcoma, which was confirmed with a positive cerebrospinal fluid cryptococcal antigen. Postoperative evaluation revealed pulmonary sarcoidosis. CONCLUSION Central nervous system cryptococcoma is a rare infection that may present in a patient with no known history of immunosuppression and no clinical signs of infection. Diagnostically, this can be difficult to distinguish from a brain tumor. Central nervous system cryptococcoma is an opportunistic infection that typically occurs in the presence of an immunosuppressed state. Sarcoidosis should be considered a predisposing factor because patients with this underlying disease have an increased susceptibility to this central nervous system fungal infection.

scholarly journals A case report of an angiomyxoma in the liver

2018 ◽  
Vol 100 (4) ◽  
pp. e81-e84 ◽  
Author(s):  
AK Malik ◽  
R Filobbos ◽  
A Manoharan ◽  
N Harvey ◽  
DA O’Reilly ◽  
...  
Keyword(s):  
Liver Parenchyma ◽  
Liver Lesion ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Curative Intent ◽  
Right Hemihepatectomy ◽  
History Of ◽  
Size And Morphology ◽  
Disseminated Disease

Angiomyxomas are uncommon myxoid tumours arising most commonly from the pelvis. A 46-year-old woman with a history of polycystic kidney disease presented asymptomatically for surveillance ultrasonography; changes were noted in the size and morphology of her liver cysts. Subsequent radiological assessment displayed features suspicious of malignancy and a right hemihepatectomy was performed with curative intent. Pathological examination of the resected specimen found histology consistent with an angiomyxoma arising primarily from the liver parenchyma. Follow-up review of the patient has been uneventful with annual imaging showing no evidence of recurrence. Angiomyxomas do not characteristically invade other tissues. However, any liver lesion displaying suspicious features of malignancy should be resected in the absence of disseminated disease.

scholarly journals 560 A Rare Case Report of Cartilaginous Choristoma In Base of Tongue

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Karadakhy ◽  
M Aziz ◽  
H Salama
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Base Of Tongue ◽  
Body Sensation ◽  
Rare Case Report ◽  
History Of ◽  
Red Flag ◽  
Benign Nature ◽  
Magnetic Resonance Imaging Mri ◽  
Rare Benign Tumour

Abstract Introduction Choristomas are rare, benign, tumour-like growths with histologically normal morphology in an ectopic location. Choristomas can constitute of various tissue types including cartilage, bone and muscle. Chondroid tissue choristomas are referred to as cartilaginous choristomas. Case Presentation: A 69 year old gentleman presented with three weeks’ history of foreign body sensation in his throat. No other red flag symptoms were present. Fine nasal endoscopy was unremarkable. Magnetic resonance imaging (MRI) scan revealed mild bilateral prominence of the lingual tonsils. Patient underwent Panednoscopy and biopsy. This confirmed the presence of a cartilaginous choristoma in base of tongue. Discussion: This is a rare case of cartilaginous choristoma in base of tongue. It was investigated as per potential head and neck cancers. The majority of previous cases in the literature were managed using surgical resection of the lesion. In this particular case, the patient was discussed in multi-disciplinary team (MDT) meeting and managed conservatively due to the benign nature of the lesion and symptoms. Conclusions Cartilaginous choristomas are rare benign lesions, which can present similarly to malignant head and neck tumours. Their size and symptoms should be carefully considered before management. There is a role for conservative management in select cases.

scholarly journals Female Urethral Diverticulum Carcinoma: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Ryo Kasahara ◽  
Tadashi Tabei ◽  
Yukio Tsuura ◽  
Kazuki Kobayashi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Needle Biopsy ◽  
Ileal Conduit ◽  
Urethral Diverticulum ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Resonance Imaging ◽  
History Of ◽  
Female Urethral Diverticulum ◽  
Gemcitabine And Cisplatin

A 48-year-old woman with a history of voiding difficulty visited our hospital. Magnetic resonance imaging revealed a periurethral tumor, which was pathologically diagnosed as an adenocarcinoma via transperineal needle biopsy. Radical cystectomy and urethrectomy were performed, and the urinary tract was reconstructed using an ileal conduit. Pathological examination of a resected specimen confirmed adenocarcinoma of the urethral diverticulum. The patient received adjuvant gemcitabine and cisplatin chemotherapy. She is alive at 5 months since the operation.

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