scholarly journals Thymic Cavernous Hemangioma Misdiagnosed as Thymoma: A Case Report and Review of the Literature

2021 ◽  
Author(s):  
Yi Chen ◽  
Liping Yan ◽  
Fangbiao zhang ◽  
Shaosong Tu ◽  
Zhijun Wu
Keyword(s):  
Cavernous Hemangioma ◽  
Renal Carcinoma ◽  
Mediastinal Mass ◽  
Clear Cell ◽  
Renal Clear Cell Carcinoma ◽  
Anterior Mediastinal Mass ◽  
Abdominal Ct ◽  
Case Presentation ◽  
Ct Evaluation ◽  
The Right

Abstract Introduction: Thymic cavernous hemangioma, a rare mediastinal tumor, is difficult to diagnose by imaging examinations. Case presentation: We treated a 63-year-old woman with thymic cavernous hemangioma. She was found to have an anterior mediastinal mass during a routine examination, and enhanced chest CT showed that it was approximately 3.5×2.4×2.1 cm in size. Enhanced abdominal CT indicated a 2.5cm space-occupying lesion in the right kidney. We considered it to be thymoma and renal carcinoma, so we resected it by using thoracoscope and laparoscope. The postoperative pathological reports showed that the mass was thymic cavernous hemangioma and renal clear cell carcinoma. Twenty months postsurgery, the patient was alive with no evidence of tumor recurrence.Conclusions: We report a rare case of thymic cavernous hemangioma misdiagnosed as thymoma. It is difficult to obtain pathological results by needle biopsy before surgery because the location of the anterior mediastinal mass is very challenging to reach. Therefore, a thorough CT evaluation before the operation can prevent inappropriate operations from being performed.

scholarly journals Granulomatous Lesion in Inserted Gum-Metastasis of Renal Clear Cell Carcinoma. Case Presentation

2019 ◽  
pp. 125-134
Author(s):  
Francisco Germán Villanueva Sánchez DDS,MSc,PhD ◽  
David Fonseca Lozada DDS ◽  
Claudia Ivonne Rojas Sánchez DDS ◽  
Lilia Haidé Escalante Macías DDS, MSc
Keyword(s):  
Oral Cavity ◽  
Clear Cell ◽  
Left Lung ◽  
Treatment Protocol ◽  
Renal Clear Cell Carcinoma ◽  
Biological Behavior ◽  
Case Presentation ◽  
Granulomatous Lesions ◽  
History Of ◽  
The Right

Worldwide, renal carcinoma constitutes 3% of all forms of cancer in the human body. Its biological behavior is variable depending on the biology of each individual; it tends to metastasize to contiguous sites such as adrenal glands, liver, lung, bone, lymph nodes, however, remote presentation in the oral cavity is less frequent, even in inserted gums. Granulomatous lesions of the periodontium include pyogenic granulomas, giant cell granulomas among others. The main objective of this clinical case is to describe the clinical and histopathological characteristics of oral cavity metastases as granulomatous lesions. The case of a 60-year-old female patient with a history of renal cell papillary carcinoma in the right kidney treated by nephrectomy in 2017 is presented, in 2019 she presented metastases to the left lung and oral cavity. It is currently under treatment protocol for renal clear cell metastases.

Anterior Mediastinal Paraganglioma Mimicking Thymoma

2012 ◽  
Vol 15 (3) ◽  
pp. 170
Author(s):  
Hee Moon Lee ◽  
Dong Seop Jeong ◽  
Pyo Won Park ◽  
Wook Sung Kim ◽  
Kiick Sung ◽  
...  
Keyword(s):  
Mediastinal Mass ◽  
Aortic Wall ◽  
Anterior Wall ◽  
Ascending Aorta ◽  
Anterior Mediastinal Mass ◽  
Arterial Reconstruction ◽  
Ct Evaluation ◽  
One Year ◽  
Mediastinal Paraganglioma

A 54-year-old man was referred to our institution with hemoptysis and hoarseness of 1 year's duration. A computed tomography (CT) scan showed an anterior mediastinal mass (2.5 cm x 1.0 cm), which was diagnosed as thymoma. The tumor was resected under a sternotomy. The tumor had invaded the anterior wall of the ascending aorta. With the patient under cardiopulmonary bypass, the aortic wall invaded by the mass was resected, and arterial reconstruction was performed with patch material. The tumor was revealed to be a tumor of neuronal origin. The patient's postoperative course was uneventful. The patient was discharged on postoperative day 9. One year after the operation, a follow-up chest CT evaluation showed no specific complications or recurrence.

scholarly journals Transient maintenance of tracheal patency upon the insertion of a flexible bronchoscope in a patient with an anterior mediastinal mass: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takayuki Hasegawa ◽  
Shinju Obara ◽  
Rieko Oishi ◽  
Satsuki Shirota ◽  
Jun Honda ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Mediastinal Mass ◽  
Balloon Dilation ◽  
Maximum Flow ◽  
Anterior Mediastinal Mass ◽  
Positive Pressure ◽  
Anesthesia Induction ◽  
Flexible Bronchoscope ◽  
Case Presentation ◽  
Tracheal Collapse

Abstract Background Patients with an anterior mediastinal mass are at risk of perioperative respiratory collapse. Case presentation A 74-year-old woman with a large anterior mediastinal mass that led to partial tracheal collapse (shortest diameter, 1.3 mm) was scheduled for tracheobronchial balloon dilation and stent placement under general anesthesia. Although veno-venous extracorporeal membrane oxygenation (V-V ECMO) had been established, maximum flow was limited to 1.6 L/min, and general anesthesia induction was followed by hypoxia probably due to inadequate ventilation. A flexible bronchoscope was inserted through the tracheal lumen that was being compressed by the anterior mass; this not only increased tracheal patency but also enabled positive pressure ventilation and resulted in recovery from hypoxia. Scheduled procedures were successfully performed without complications. Conclusion We describe a case wherein tracheal patency was transiently maintained by inserting a flexible bronchoscope in a patient with an anterior mediastinal mass.

Presentation of Telangiectasia Macularis Eruptiva Perstans as a Long-Standing Solitary Plaque Associated with Renal Carcinoma

2003 ◽  
Vol 7 (5) ◽  
pp. 399-402 ◽  
Author(s):  
José Carlos Pascual ◽  
José Bañuls ◽  
Ma Pilar Albares ◽  
Gloria Vergara ◽  
Isabel Belinchón ◽  
...  
Keyword(s):  
Renal Carcinoma ◽  
Clinical Presentation ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Systemic Mastocytosis ◽  
Malignant Neoplasm ◽  
Renal Clear Cell Carcinoma ◽  
Good Prognosis ◽  
Uncertain Significance ◽  
Cutaneous Mastocytosis

Background: Mastocytosis is a rare disease characterized by a primary pathological increase in mast cells in different tissues. The skin is the most frequently affected organ. Cutaneous mastocytosis, including urticaria pigmentosa, solitary mastocytoma, diffuse cutaneous mastocytosis, and telangiectasia macularis eruptiva perstans (TMEP), is usually distinguished from systemic mastocytosis. TMEP is characterized mainly by telangiectatic macules. Objective and Methods: We report a case of TMEP with an unusual clinical presentation as a solitary plaque of telangiectatic macules. A renal clear cell carcinoma was detected in a workup for systemic mastocytosis. We discuss the clinical and histological findings and treatment of TMEP. Conclusions: TMEP is a rare form of mastocytosis, which occurs mainly in adults, generally has a good prognosis, and little tendency to urticate or show constitutional symptoms. Clinicians should consider this disorder when confronted with a progressive atypical telangiectatic lesion. However, the malignant neoplasm also found in this patient is of uncertain significance.

scholarly journals Síndrome de Budd Chiari como complicación de cáncer renal. Reporte de dos casos.

2013 ◽  
Vol 9 (1) ◽  
pp. 35
Author(s):  
César SALINAS ◽  
Sandro CASAVILCA ZAMBRANO ◽  
José Luis ARENAS ◽  
Carlos GUERRERO
Keyword(s):  
Renal Carcinoma ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Renal Clear Cell Carcinoma ◽  
Clinical Feature ◽  
Budd Chiari Syndrome ◽  
Chiari Syndrome ◽  
Hepatic Portal ◽  
Cava Vein ◽  
Inferior Cava Vein

We report two cases of patients, that had a clinical feature, with jaundice, headache, and sensorial compromise, swelling of low extremities and ascites. The necropsy had shown in both cases, renal clear cell carcinoma, with tumoral trombosis of the renal vein, inferior cava vein and superior hepatics veins; that provoked post hepatic portal hypertension with necrosis centrilobular, bleeding and hepatic encephalopathy. This cases show the relation between renal carcinoma and Budd Chiari syndrome.

Timing of Abdominal CT Evaluation Impacts the Diagnosis of Paraduodenal Hernia

2016 ◽  
Vol 82 (6) ◽  
pp. 546-549 ◽  
Author(s):  
Terrence H. Liu
Keyword(s):  
Small Bowel ◽  
Ct Scans ◽  
Paraduodenal Hernia ◽  
Morbid Condition ◽  
Abdominal Ct ◽  
Case Presentation ◽  
Internal Hernias ◽  
Ct Evaluation ◽  
Congenital Internal Hernia ◽  
Physical Findings

Internal hernias are the causes of 0.5 to 5.8 per cent of all cases of small bowel obstruction. Left paraduodenal hernia (PDH) is the most common congenital internal hernia encountered in adults. The symptoms and physical findings associated with PDH are vague and nonspecific before the onset of complicated intestinal obstruction. Diagnoses are most commonly established by CT. This case presentation and review is intended to promote clinicians’ awareness of this unusual but potentially highly morbid condition, discuss CT findings associated with PDH, and illustrate the importance of timing in the acquisition of diagnostic abdominal CT scans.

Abstract #576 Case Presentation: Graves Disease Association with Anterior Mediastinal Mass

2019 ◽  
Vol 25 ◽  
pp. 294
Author(s):  
Losty Torres Potter ◽  
Gustavo Meyreles-Chaljub ◽  
Natalia Weare-Regales ◽  
Pedro Troya ◽  
Madeline Candelario-Cosme
Keyword(s):  
Mediastinal Mass ◽  
Disease Association ◽  
Anterior Mediastinal Mass ◽  
Graves Disease ◽  
Case Presentation

scholarly journals A 28-Year-Old Man With Mediastinal Seminoma Treated With BEP

2021 ◽  
Vol 57 (4) ◽  
pp. 351
Author(s):  
Agustinus Rizki ◽  
Laksmi Wulandari
Keyword(s):  
Partial Response ◽  
Germ Cell ◽  
Germ Cell Tumor ◽  
Mediastinal Mass ◽  
Cell Tumor ◽  
Shortness Of Breath ◽  
Case Presentation ◽  
Mediastinal Seminoma ◽  
The Right ◽  
Bep Chemotherapy

Highlight:A 28-year-old male suffered chylothorax and mediastinal seminoma.The patient received bleomycin, etoposide and cisplatin chemotherapy for the management of mediastinal seminomas but he died beforeundergoing 5th cycle chemotherapy. Abstract:Seminoma is a type of germ cell tumor. In this case presentation, a rare primary germ cell tumor was reported in the form of mediastinal seminoma. A 28-year-old man with symptoms of shortness of breath, chest pain, swelling in the right upper extremity, enlarged lymph nodes in the colli region. Thoracic physical examination revealed signs of pleural fluid in the right hemithorax. After obtaining the results of radiological and pathological investigations, a mediastinal mass was obtained, then BEP chemotherapy was given. After 3 cycles of chemotherapy, a partial response was obtained. Patients with mediastinal seminoma treated with BEP base chemotherapy gave a partial response.

scholarly journals Clear cell renal cancer metastasis in the contralateral ureter: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Julien Blanc ◽  
Beat Roth
Keyword(s):  
Cancer Metastasis ◽  
Renal Carcinoma ◽  
Clear Cell ◽  
Metastatic Spread ◽  
Caucasian Patient ◽  
Clear Cell Renal Carcinoma ◽  
Case Presentation ◽  
Cell Renal Carcinoma ◽  
Cell Renal Cancer ◽  
Established Treatment

Abstract Background Clear cell renal carcinoma is known for its propensity for metastatic spread. Common sites of metastasis are the lungs, bones, lymph nodes, liver, adrenals and brain, but all organs can be affected. Contralateral ureteral metastasis is a rare phenomenon, and only a few cases have been reported in the literature. Case presentation We present the case of a 58-year-old Caucasian patient with a single contralateral ureteral metastasis of a clear cell renal carcinoma. Conclusion Ureteral metastasis of clear cell renal carcinoma is very rare, and there is no well-established treatment. For patients with low metastatic spread/volume, the aim should be to preserve kidney function, and thus metastasectomy should be considered.

scholarly journals Sternal resection of a solitary renal cell carcinoma metastasis: a case report and a literature review

2019 ◽  
Vol 25 (4) ◽  
pp. 226-233
Author(s):  
Minija Čerškutė ◽  
Marius Kinčius ◽  
Tomas Januškevičius ◽  
Saulius Cicėnas ◽  
Albertas Ulys
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Partial Nephrectomy ◽  
Renal Cell ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Renal Clear Cell Carcinoma ◽  
Abdominal Ct ◽  
Postoperative Course ◽  
Carcinoma Metastasis

Background. Renal cell carcinoma (RCC) may be metastatic, although solitary sternal metastasis of RCC is a rare medical condition. Here we report an unusual case of a 63-year-old male with a solitary sternal metastasis as an initial presentation of clear-cell renal cell carcinoma. Materials and methods. A 63-year-old male presented with a small sternal mass. Chest computer tomography (CT) and a biopsy from the sternal tumour were performed. Histopathological examination revealed the diagnosis of renal clear cell carcinoma metastasis to the sternal bone. On the basis of a subsequently performed abdominal CT the patient was confirmed with a suspicion of a left renal lower pole tumour. Treatment with sunitinib was initiated. Due to the limited response and a growing sternal mass, the patient was admitted to the National Cancer Institute after two cycles of sunitinib therapy. Open left partial nephrectomy was performed followed by the resection of the sternal metastasis two months later. The chest wall was reconstructed with polypropylene mesh combined with transversal rectus abdominis musculocutaneous flap. Results. The postoperative course after the partial nephrectomy was uneventful. The postoperative course of metastasectomy complicated with the right pneumothorax which was successfully treated by insertion of a chest tube. Bleeding from the upper digestive tract also occurred on the seventh postoperative day but was successfully controlled by haemostasis with three 20 ml endoscopic injections of 1:10,000 solution of epinephrine. The patient had been followed up after the surgery for 30 months with biannual chest and abdominal CT scans that showed neither local nor distant recurrence of the disease. Conclusions. Radical surgical treatment of a solitary renal clear cell carcinoma metastasis may offer the best cancer-specific outcomes and improve the quality of life in some patients.

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