scholarly journals Clinical diagnostic dilemma: Oral verruciform xanthoma

2022 ◽  
Vol 7 (4) ◽  
pp. 243-246
Author(s):  
Manavadaria Yash C ◽  
Kale Tejraj P ◽  
Naik Veena V ◽  
Motimath Abhishek S
Keyword(s):  
Oral Mucosa ◽  
Surgical Excision ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Literature Study ◽  
Diagnostic Dilemma ◽  
Verruciform Xanthoma ◽  
One Year ◽  
Papillary Growth ◽  
Local Surgical Excision

Verruciform xanthoma is a specific but not so common, papillary growth typically occurring on the oral mucosa of middle-aged persons. It is a unique entity and has found to be incident in 0.025-0.05% of all cases reported as per the literature study. One such case of 75 days duration was successfully managed with complete local surgical excision. The surgical site was monitored for one year postoperatively with no signs of recurrence or other postoperative complications. Clinical perspective, histopathological highlights and differential interpretation is discussed in this article with an in-depth review of the literature. It is important to consider this rare entity in the differential diagnosis of lesions involving oral mucosa as its clinical and histological features overlap with several other lesions.

scholarly journals Primary chordoma of the ethmoid sinus

2000 ◽  
Vol 114 (8) ◽  
pp. 627-629 ◽  
Author(s):  
S Loughran ◽  
L. Badia ◽  
V. Lund
Keyword(s):  
Paranasal Sinuses ◽  
Surgical Excision ◽  
Ethmoid Sinus ◽  
Review Of The Literature ◽  
Local Invasion ◽  
Rare Tumours ◽  
Ethmoid Sinuses ◽  
Local Surgical Excision

Primary chordoma of the paranasal sinuses are extremely rare tumours, with only a small number of cases verified and published in the literature. It appears that only five of these cases involved the ethmoid sinuses either as a primary or by local invasion, and of these documented cases only one other has been found to solely involve the ethmoid sinus. We present a case of primary ethmoid sinus chordoma treated by wide local surgical excision and present a review of the literature with regard to prevalence and treatment rationale.

scholarly journals A Case of Conservatively Managed Invasive Ceruminoma and a Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
T. F. C. Saunders ◽  
P. Monksfield
Keyword(s):  
Clinical Case ◽  
Histological Analysis ◽  
Surgical Excision ◽  
Sweat Glands ◽  
Review Of The Literature ◽  
Ear Canal ◽  
Clinical Progression ◽  
Rare Tumours ◽  
Local Surgical Excision

Ceruminomas are rare tumours arising from the apocrine sweat glands of the ear canal. We present a case of a malignant ceruminoma, which was managed with local surgical excision only rather than the wider clearance more commonly undertaken with these invasive neoplasms. We present the clinical case, histological analysis, and clinical progression for this patient and review the literature on this uncommon pathology.

Isolated extramedullary plasmacytoma of the true vocal fold

2000 ◽  
Vol 114 (7) ◽  
pp. 540-542 ◽  
Author(s):  
Yoseph Rakover ◽  
Michael Bennett ◽  
Rephael David ◽  
Gabriel Rosen
Keyword(s):  
Vocal Fold ◽  
Plasma Cells ◽  
Surgical Excision ◽  
Extramedullary Plasmacytoma ◽  
Light Chains ◽  
History Of ◽  
Kappa Light Chains ◽  
One Year ◽  
The Right ◽  
Local Surgical Excision

We report a rare case of isolated extramedullary plasmacytoma (EMP) of the right true vocal fold in a 38-year-old male with a one-year history of hoarseness. Immunohistochemical staining of plasma cells in the tumour, showed over 90 per cent of them to be positive for kappa light chains. After two attempts at local surgical excision and recurrence within 10 months, the tumour was irradiated.Only seven reported cases of isolated EMP of the true vocal fold are reported in the literature. The therapeutic options are discussed.

scholarly journals Nodular Fasciitis in a One-Year-Old Male: A Diagnostic Dilemma

2010 ◽  
Vol 25 (2) ◽  
pp. 27-31
Author(s):  
Adrian F. Fernando ◽  
Antonio H. Chua ◽  
Lily L. Sia-Vargas
Keyword(s):  
Neck Region ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
University Hospital ◽  
Ground Substance ◽  
Nodular Fasciitis ◽  
High Resolution Computed Tomography ◽  
Diagnostic Dilemma ◽  
Complete Surgical Excision ◽  
One Year

Objective:  To present a rare case of nodular fasciitis presenting as a supra-auricular mass.   Methods: Design: Case Report Setting: Private Tertiary University Hospital Patient: One   Results: A one-year-old boy presented with an initially painless, left supra-auricular mass that rapidly enlarged from < 1 cm to 3 cm (widest diameter) in a two-month period. Sarcoma was initially considered over an inflammatory process as the mass was non-responsive to antibiotic therapy. Fine-Needle Aspiration Cytology (FNAC) and High-Resolution Computed Tomography (HRCT) with contrast revealed benign cytologic and radiologic findings making nodular fasciitis the primary impression.               The patient eventually underwent complete surgical excision of the left supra-auricular mass. Histopathologic findings then showed a stroma rich in collagen and myxoid ground substance and loose array of short S-shaped fascicle cells with scattered lymphocytes, macrophages and red blood cells consistent with nodular fasciitis.   Conclusion: Nodular fasciitis is a rare benign myofibroblastic soft tissue tumor which typically presents as a rapidly progressive nodular lesion in the head and neck region of the young pediatric age group. Cytopathologic recognition with FNA is a challenge. The gold standard of treatment is still surgical and in most reported cases, curative. More importantly, early clinical recognition and correlation with radiologic and histopathologic appearance is very important to avoid unnecessary work-ups and over-treatment.   Keywords: Nodular fasciitis; pseudosarcomatous fasciits; aggressive fibromatosis, desmoid tumor

scholarly journals PAX5-Negative Classical Hodgkin Lymphoma: A Case Report of a Rare Entity and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Elham Vali Betts ◽  
Denis M. Dwyre ◽  
Huan-You Wang ◽  
Hooman H. Rashidi
Keyword(s):  
Case Report ◽  
Hodgkin Lymphoma ◽  
Germinal Center ◽  
English Literature ◽  
Rare Entity ◽  
Classical Hodgkin Lymphoma ◽  
Review Of The Literature ◽  
Diagnostic Dilemma ◽  
Small Minority ◽  
Cell Neoplasm

Classical Hodgkin lymphoma (CHL) is recognized as a B-cell neoplasm arising from germinal center or postgerminal center B-cells. The hallmark of CHL is the presence of CD30 (+) Hodgkin and Reed-Sternberg (HRS) cells with dim expression of PAX5. Nearly all of the HRS cells are positive for PAX5. However, a small minority of HRS cells may lack PAX5 expression, which can cause a diagnostic dilemma. Herein we describe two cases of PAX5-negative CHL and review of the English literature on this very rare entity. It is crucial to be aware of this phenomenon, which in some cases may lead to misdiagnosis and may ultimately adversely affect patient’s management.

scholarly journals Recurrent Solitary Fibrous Tumor in Intradural Extramedullary Space: Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Neris Dincer ◽  
Melisa Bagci ◽  
Metin Figen ◽  
Adem Yilmaz ◽  
Ahmet Mesrur Halefoglu ◽  
...  
Keyword(s):  
Solitary Fibrous Tumor ◽  
Case Reports ◽  
Treatment Algorithm ◽  
Surgical Excision ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Patient Reported ◽  
Intradural Extramedullary ◽  
Fibrous Tumor ◽  
Space Case

Solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is a rare neoplasm arising from spindle cells and most commonly arising from pleura. Spinal SFT/HPC is a rare entity; hence, it is not on the top of the differential diagnosis list when a clinician faces a spinal lesion. In the review of the literature, there exist less than 50 case reports of intradural extramedullary SFT/HPC. Here, we present a 54-year-old female patient who underwent subtotal surgical excision of an intradural extramedullary spinal mass pathologically reported to be SFT/HPC and had symptomatic recurrence in the 3rd year of follow-up. Surgical intervention was unachievable and the patient was given 45 Gy to the surgical cavity followed by a 5.4 Gy boost to visible tumor with external radiotherapy. Patient reported significant relief of her symptoms. We aim to contribute to the formation of a treatment algorithm for this rare entity.

scholarly journals Anterior abdominal wall endometrioma: a diagnostic dilemma

2019 ◽  
Vol 8 (12) ◽  
pp. 5032
Author(s):  
Nilofar Imamhusen Yelurkar ◽  
Meena Naresh Satia ◽  
Ananya Rajendra Deekshit ◽  
Vijaya Rajesh Badhwar
Keyword(s):  
Abdominal Wall ◽  
Nasal Mucosa ◽  
Anterior Abdominal Wall ◽  
Rectus Sheath ◽  
Uterine Cavity ◽  
Surgical Excision ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
Anterior Rectus Sheath ◽  
Medical Line

The presence of functioning endometrium outside the uterine cavity is often encountered in gynaecological practice but an extremely rare entity is its extra pelvic variant is seen sometimes around the umbilicus, anterior rectus sheath vesical region, also rarely seen around the kidney’s nasal mucosa, lungs and the pleura. The incidence of this condition is as low as 0.03% to 0.15%. Endometrioma of the anterior rectus sheath is well documented in literature but because of its rarity may pose a diagnostic dilemma. Reporting herewith a case of anterior rectus sheath endometrioma where medical line of treatment failed and surgical excision was required.

Benign cyst of the male breast. An exceedingly rare entity that may pose a diagnostic dilemma. Management and literature review

2021 ◽  
pp. 1-5
Author(s):  
Nikolaos S. Salemis
Keyword(s):  
Breast Imaging ◽  
Breast Lesions ◽  
Imaging Features ◽  
Rare Entity ◽  
Rare Occurrence ◽  
Review Of The Literature ◽  
Diagnostic Dilemma ◽  
Breast Cyst ◽  
Underlying Malignancy ◽  
Male Patients

Cysts represent the most common cause of a breast mass in women. On the contrary, in men, the presence of a benign apocrine cyst is an exceedingly rare occurrence, with only a few cases reported in the literature. We describe herein a case of benign apocrine breast cyst without concurrent gynecomastia in a 41-year-old male. Diagnostic evaluation and management are discussed, along with a review of the literature. Given the extreme rarity of benign breast cysts in males, a thorough investigation is essential in male patients presenting with cystic breast lesions. Diagnostic breast imaging may be challenging. Surgical resection of the cyst should be considered in the presence of atypical imaging features to exclude underlying malignancy.

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