scholarly journals A Rare Case of Sublingual Gland Hydatid Cyst

Author(s):  
Shima Hajibegloo ◽  
Farrokh Heidari ◽  
Amirhossein Yadegar ◽  
Firouzeh Heidari ◽  
Ebrahim Karimi ◽  
...  

Background: Hydatid cyst is a zoonotic disease due to the infection with the larvae of Echinococcus granulosus. The liver and lungs (80%) are the main organs involved and rarely head and neck. Case Presentation: A 47-year-old Iranian man presented to our center complaining of sublingual inflammation for 8 months. Sonography revealed a cystic lesion of 4×5×6 cm within the tongue. CT-scan showed a well-defined and hypodense mass in the floor of the mouth. Cyst resection was performed with the probability of ranula. Pathology was suggestive of hydatid cyst. Further workups revealed liver involvement. Therefore, he was treated with albendazole for 2 months. Conclusion: The hydatid cyst in the head and neck is rare and the involvement of sublingual gland is extremely rare. However, in endemic areas, hydatid cyst should be considered in the differential diagnosis of head and neck masses.

1995 ◽  
Vol 112 (5) ◽  
pp. P152-P152
Author(s):  
David E. Tunkel ◽  
Steven Kelly

Educational objectives: To understand differential diagnosis of head and neck masses in young children, to employ cost and time-efficient evaluation, and to understand medical and surgical therapies of congenital and inflammatory neck masses in children.


2014 ◽  
Vol 44 (1) ◽  
pp. 69
Author(s):  
Rina Hayati ◽  
Abdul Rachman Saragih

Latar belakang: tuberkulosis pada saluran nafas atas sangat jarang dijumpai dan biasanya disertai dengan penyakit paru primer. Dengan kemajuan pengobatan tuberkulosis saat ini, infeksi mycobacterium pada tonsil dan nasofaring jarang dijumpai. Limfadenopati servikal merupakan simptom yang sering terjadi, dan seharusnya didiagnosis banding dengan suatu massa di kepala dan leher. Tujuan: untuk menambah pengetahuan dalam mendiagnosis dan menangani tuberkulosis tonsil dan nasofaring yang jarang dijumpai. Kasus: Seorang anak laki-laki 14 tahun dikonsulkan dengan masa dileher bilateral disertai disfagia, demam dan malaise selama satu bulan. Penatalaksanaan: Pasien awalnya kami diagnosis banding sebagai suatu massa di kepala leher. Setelah ditegakkan diagnosis sebagai tuberkulosistonsil dan nasofaring disertai limfadenopati servikal dan tuberkulosis milier, diberikan terapi dengan anti tuberkulosis dan diperoleh hasil yang baik. Kesimpulan: Tuberkulosis sebaiknya dimasukkan sebagai diagnosis banding suatu massa di kepala dan leher terutama jika gambaran klinis dan pencitraan yang dijumpai tidak khas, sementara itu biopsi dan gambaran mikrobiologi selalu harus dipertimbangkan. Kata kunci: tuberkulosis nasofaring, tonsil, millier, limfadenopati. ABSTRACTBackground: Tuberculosis (TB) of the upper aerodigestive tract is rare and is usually associated with primary pulmonary disease. With recent advances in medical treatment of tuberculosis, mycobacterial infection of the nasopharynx and tonsil becomes very rare. The most common presenting symptom is cervical lymphadenopathy, so TB should be considered in the differential diagnosis of soft tissue masses of the head and neck. Purpose: To remind Otolaryngologists about the diagnosis and management of nasopharyngeal and tonsillar tuberculosis, which become rare case nowadays. Case: A 14-year-old boy was consulted with bilateral neck masses, disphagia, fever and malaise for one month. Case Management: At first we made a differential diagnosis of soft tissue masses of the head and neck. After he was diagnosed as nasopharyngeal and tonsilar tuberculosis with cervical lymphadenopathy and millier tuberculosis, the patient was treated with anti tuberculosis medication and the result was  good. Conclusion: TB should be considered in the differential diagnosis of soft tissue masses of the head and neck, particularly when the imaging findings and clinical presentation are atypical, at which point appropriate biopsies and microbiologic studies should be conducted. Keyword : Nasopharyngeal tuberculosis, tonsilar tuberculosis, cervical lymphadenopathy, milliertuberculosis


Author(s):  
Rania Sobhy Abou khadrah ◽  
Haytham Haroon Imam

Abstract Background Differentiation between malignant and benign masses is essential for treatment planning and helps in improving the prognosis of malignant tumors; the aim of this work is to determine the role of diffusion-weighted magnetic resonance imaging (DW-MRI) and the apparent diffusion coefficient (ADC) in the differentiation between benign and malignant solid head and neck masses by comparing diagnostic performance of low b values (0.50 and 400 s/mm2) versus high b values (800 and 1000 s/mm2) and comparing the result with histopathological finding. Results The study included 60 patients (34 male and 26 female) with solid head and neck masses > 1 cm who referred to radiodiagnosis department for MRI evaluation. Multiple b values were used 50, 400, 800, and 1000 s/mm2 (at least 2 b values). DWI and ADC value of all 60 patients were acquired. Mean ADC values of both malignant and benign masses were statistically measured and compared, and cut off value was determined. Solid head and neck masses in our study DWI with the use of high b value 800 and 1000 s/mm2 were of higher significance (P value 0.001*). There was a significant difference in the mean ADC value between benign and malignant masses (P < 0.01); solid masses were divided into 2 categories: (a) malignant lesions 46.7% (n = 28) with mean ADC value (0.82 ± 0.19) × 10−3 s/mm2 and (b) benign lesions 53.3% (n = 32) with mean ADC value (2.05 ± 0.46) × 10−3 s/mm2) with ADC cutoff value of 1.0 × 10−3 s/mm2 and 94% sensitivity, 93% specificity, negative predictive value (NPV) = 94%, positive predictive value (PPV) 93%, and an accuracy of 93.5%. Conclusion The DWI with ADC mapping were valuable as non-invasive tools in differentiating between benign and malignant solid head and neck masses. The use of high b value 800 and 1000 s/mm2 was of higher significance (P value 0.001*) in differentiation between benign and malignant lesion than that with low b values 0, 50, and 400 s/mm2 (0.01). The mean ADC values were significantly lower in malignant solid masses. Attention had to be paid to the choice of b values in MRI-DWI in the head and neck region.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheng-Zhi Zhao ◽  
Bin Wang ◽  
Chun-yan Zhong ◽  
Shen-tao Lu ◽  
Li Lei

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.


1997 ◽  
Vol 18 (6) ◽  
pp. 400-404 ◽  
Author(s):  
Hassan H. Ramadan ◽  
Mark K. Wax ◽  
Carole B. Boyd

2018 ◽  
Vol 102 (6) ◽  
pp. 1013-1025 ◽  
Author(s):  
Kenneth Yan ◽  
Nishant Agrawal ◽  
Zhen Gooi

2020 ◽  
Author(s):  
Wanlu Ma ◽  
Xi Wang ◽  
jiangfeng mao ◽  
Min Nie ◽  
Xueyan Wu

Abstract Background Pituitary stalk interruption syndrome (PSIS) is a rare congenital pituitary anatomical disorder. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is characterized by congenital absence of the uterus, cervix, and part of the vagina in phenotypically normal 46, XX females. Case presentation A young woman was initially diagnosed as MRKH syndrome based on primary amenorrhea, 46, XX karyotype, and absence of uterus or vagina. Further investigation revealed breech delivery, short stature, hypogonadotropic hypogonadism, interrupted pituitary stalk on pituitary MRI, which led to the diagnosis of PSIS. After a 12-month treatment with estradiol, no signs of uterus or vagina were found on pelvic computed tomography.Conclusions We highlight the importance of considering PSIS in the differential diagnosis of suspected MRKH syndrome in prepubertal girls or girls with delayed or absent puberty, when no uterus is visualized on imaging.


CHEST Journal ◽  
2019 ◽  
Vol 155 (6) ◽  
pp. A329
Author(s):  
A. Shirinzadeh ◽  
A. Hadadan ◽  
S. Vaziribozorg

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