scholarly journals FOREFOOT MYOPERICYTOMA: A CASE REPORTAND REVIEW OF THE LITERATURE

2021 ◽  
Vol 9 (4) ◽  
pp. 859-862
Author(s):  
Fahd Idarrha ◽  
Youness Aznague ◽  
Yassine Fathlkhir ◽  
Brahim Demnati ◽  
Abass Guedi Omar ◽  
...  
Keyword(s):  
Smooth Muscle Actin ◽  
Dorsal Surface ◽  
Growth Patterns ◽  
Malignant Neoplasms ◽  
Unique Case ◽  
X Ray ◽  
Painless Mass ◽  
The Right ◽  
Rare Group

Background:Myopericytoma (MPC) is term that describe a rare group of perivascular tumours of soft tissue and show a range of histological growth patterns. Only a few cases describing MPC have been reported. Aims: To document and investigate the clinical and histopathological characteristics and differential diagnosis of myopericytoma. Patients/methods: The present study reports a unique case of myopericytomas found in the 2nd and 3rd inter-toe spaces of a 54-year-old patient. Results: a 54 year old female patient, presents in our department for a painless mass on the dorsal surface of the right forefoot of progressive installation over 2 years.The mass was firm, non pulsatile and mobile, with no sign of inflammation, evolving in a context of conservation of the general state. The X-ray of the right forefoot did not reveal any notable bone abnormality. An MRI was subsequently performed, which objectified an infiltrating tumor mass of probable sarcomatous origin. The mass was excised surgically, and a pathological and immunohistochemical examination was performed afterward, the diagnosis of myopericytoma was confirmed. No recurrence was found in the follow-up of 12 months. Conclusions: MPC is a rare and mostly benign tumor that presents as spindle cells in a concentric perivascular growth model with an immunohistochemical staining positive for smooth muscle actin. Local recurrences and rarely metastases may occur in atypical and malignant neoplasms.

Fibroadenoma of Ectopic Breast Tissue in the Groin – A Rare Disease Entity

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S47-S48
Author(s):  
D Emechebe ◽  
M Alshal ◽  
T Rana ◽  
M Agaronov
Keyword(s):  
Breast Tissue ◽  
Tissue Mass ◽  
Ectopic Breast Tissue ◽  
The Common ◽  
Painless Mass ◽  
The Right ◽  
Ectopic Breast ◽  
Urogenital Anomalies ◽  
Superficial Soft Tissue

Abstract Introduction/Objective Ectopic breast tissue (EBT) is a well-documented anomaly of the breast and commonly presents along the embryonic milk line extending between the axilla and groin. Reported incidence of accessory breast is 0.4–6% in females. Pathologies developing in an EBT are reported as a rare entity in the literature. Carcinoma is reported as the common pathology followed by inflammation and fibroadenoma Methods We present a case of 43-year- old female who presented with a painless mass in her right groin for the past year which gradually increased in size. CT abdomen pelvis with contrast showed a 2.2 x 3.0 x 4.4 cm superficial soft tissue mass in the right groin which was suspected to be a lymph node. Further investigation and histopathological report of biopsy showed ectopic breast tissue with admixed chronic inflammation and reactive changes.However, excision of the mass three months later showed showed proloferation of both glandular and stromal elements. Results The tissue from the biopsy was positive for GATA 3, mammoglobin, GCDFP and CD 10 and the histological features on excision was confirmatory of fibroadenoma. Conclusion In conclusion, when tumors or nodules are found along the mammary line, the presence of breast tissue should be considered during the investigation. It is clinically wise to evaluate and screen carefully cases of supernumerary breast for any pathology and for any associated urogenital anomalies such as supernumerary kidneys, polycystic kidneys and renal cell adenocaricnoma. In our case, patient had no associated urogenital anomalies and she is on follow up.

scholarly journals A Rare Primary Tumor of the Thyroid Gland: A New Case of Leiomyoma and Literature Review

2018 ◽  
Vol 12 ◽  
pp. 117955491881353
Author(s):  
Yanling Zhang ◽  
Heng Tang ◽  
Huaiyuan Hu ◽  
Xiang Yong
Keyword(s):  
Thyroid Gland ◽  
Tumor Cells ◽  
Immunohistochemical Staining ◽  
Smooth Muscle Actin ◽  
Frozen Sections ◽  
Ki 67 ◽  
Eosinophilic Cytoplasm ◽  
S 100 ◽  
Painless Mass ◽  
The Right

Primary leiomyomas of the thyroid are very rare. We here report a case of a 53-year-old woman with a painless mass at the right thyroid, revealed by physical examination. The patient underwent a lobectomy. Frozen sections showed a spindle cell tumor of the thyroid gland. The nuclei of some of the tumor cells were obviously enlarged and deeply stained. Pseudocapsule invasion was observed in small foci. Samples showed neither mitosis nor necrosis and the nature of the tumor was difficult to determine. Paraffin sections showed a well-circumscribed nodular composed of intersecting fascicles of spindled to slightly epithelioid cells with eosinophilic cytoplasm and blunt-ended, cigar-shaped nuclei. We observed no significant nuclear atypia, mitotsis, or necrosis. Immunohistochemical staining showed the tumor cells to be positive for α-smooth muscle actin and h-caldesmon but negative for TG, TTF1, PAX8, S-100, CT, CK, and CD34. The ki-67 index was very low (<1%). Primary thyroid leiomyoma is rare and difficult to diagnose using frozen sections. Diagnosis requires immunohistochemical staining. Leiomyoma may be mistaken for other thyroid tumors also characterized by spindle cells.

scholarly journals Extramedullar plasmocytoma of the oral cavity

2020 ◽  
Vol 26 (4) ◽  
pp. 40
Author(s):  
Helen Olugbeje ◽  
Arthur Fourcade
Keyword(s):  
Multiple Myeloma ◽  
Differential Diagnosis ◽  
Oral Cavity ◽  
Histological Examination ◽  
Plasma Cell ◽  
Soft Tissues ◽  
Cell Disease ◽  
X Ray ◽  
The Right

Introduction: Extramedullar plasmocytoma (EMP) is a plasma cell disease, such as solitary plasmocytoma of the bone and multiple myeloma. It is developed in the soft tissues. Observation: A 79-year-old patient consulted for a painful tumefaction of the gum associated to a radiolucent area on the right side of the mandible on the panoramic x-ray. After surgical enucleation, histological examination showed that the diagnosis was either an IgA extramedullar plasmocytoma or a multiple myeloma. The spreading assessment eliminated the diagnosis of multiple myeloma. The patient was then treated with radiotherapy. Discussion: EMP is a rare tumoral disease. Few cases described oral localisation. The main differential diagnosis, that must be excluded is multiple myeloma. Transformation in multiple myeloma exists. The first intention treatment is radiotherapy of the lesion. Conclusion: EMP of the oral cavity is very rare. After treatment, follow-up is required to detect second localisation or progression in multiple myeloma.

Endoscopic holmium laser fragmentation and retrieval of migrated intravesical prolene mesh

2020 ◽  
Vol 13 (12) ◽  
pp. e236987
Author(s):  
Rohit Dadhwal ◽  
Sanjay Kumar ◽  
Prem Nath Dogra ◽  
Sridhar Panaiyadiyan
Keyword(s):  
Holmium Laser ◽  
Bladder Mucosa ◽  
Prolene Mesh ◽  
X Ray ◽  
Urinary Tract Symptoms ◽  
Anterolateral Wall ◽  
The Right ◽  
Mesh Hernioplasty ◽  
Lower Urinary

A 52-year-old man presented with lower urinary tract symptoms and intermittent haematuria for the last 6 months. He had undergone totally extraperitoneal right inguinal hernia repair a decade ago. The ultrasonography and an X-ray of the pelvis suggested a large radio-opaque shadow in the bladder. However, CT revealed an encrusted intravesical extension of the migrated mesh along the right anterolateral wall. The entire intravesical part of the migrated mesh with encrustations was successfully retrieved by endourological approach using holmium laser. The patient symptomatically improved and at follow-up, cystoscopy showed a complete re-epithelisation of the bladder mucosa. The intravesical extension of migrated mesh is a rare but challenging complication following mesh hernioplasty and can be successfully managed with a complete endoscopic approach.

Ultrastructural investigation of embryonal carcinoma of the testis

1986 ◽  
Vol 44 ◽  
pp. 118-119
Author(s):  
S. Siew ◽  
B. Newton
Keyword(s):  
Electron Microscopy ◽  
Lymph Nodes ◽  
Embryonal Carcinoma ◽  
Tunica Albuginea ◽  
Rete Testis ◽  
Malignant Neoplasms ◽  
Left Testis ◽  
X Ray ◽  
Means Of Transmission ◽  
The Right

Testicular germinal tumors are the most common malignant neoplasms in young men. We had the opportunity to examine a case of embryonal carcinoma of the testis by means of transmission (TEM), scanning (SEM) electron microscopy and energy dispersive x-ray analysis. The propositus was a man of 21 years of age, who complained of left testicular discomfort, which radiated to the left anterior superior spine in the inguinal area. On examination, the right testis was normal. There was slight enlargement of the left testis with a definite nodularity, medially, where there was a very firm area. The epididymis was normal on palpation. Surgical resection was performed with removal of the left testis and dissection of the retroperitoneal lymph nodes. The testis measured 5.2x3.4x3 cm. On section, it had a lobulated appearance. There was gross evidence of extension into the rete testis but the tunica albuginea was not penetrated and the epididymis was normal.

scholarly journals Bilateral Carotid Paraganglioma: Surgery and Radiotherapy

2014 ◽  
Vol 7 ◽  
pp. CCRep.S14223 ◽  
Author(s):  
Huriye S. Kiziltan ◽  
Berke Ozucer ◽  
Ali H. Eris ◽  
Bayram Veyseller
Keyword(s):  
Carotid Bifurcation ◽  
Neck Surgery ◽  
Good Alternative ◽  
Vascular Tumors ◽  
Neck Masses ◽  
Shamblin Classification ◽  
Bilateral Carotid ◽  
Painless Mass ◽  
The Right

Background Paragangliomas are relatively rare vascular tumors that develop from the neural crest cells of carotid bifurcation. They usually present as slow-growing, painless unilateral neck masses; bilateral presentation is rare and is mostly associated with familial forms. Bilateral total resection is not always possible for high-grade bilateral tumors, and radiotherapy is a good alternative, with cure rates similar to surgery. Case Report A 35-year-old female patient was admitted with a chief complaint of a bilateral, painless mass located on her neck. Subsequent magnetic resonance imaging (MRI) and angiographic imaging revealed bilateral hypervascular masses surrounding her carotid at 360°, and they were interpreted as stage 3 carotid paragangliomas according to the Shamblin classification protocol. Surgery was carried out on the left carotid paraganglioma and the mass was totally resected. It was thought that the patient could not tolerate bilateral surgery. Primary radiotherapy was planned on the right carotid paraganglioma: 59.8 gray (Gy) conformal, Linac-based multileaf collimator radiotherapy with a 180 cGy daily dosage, and five fractions per week were planned. Results Follow-up at 3 months following the conclusion of radiotherapy revealed no significant regression. A follow-up MRI 6 months and 24 months later revealed 59% regression. Grade 2 esophagitis and minimal neck edema were the only complications noted during the course of radiotherapy and during the 24-month follow-up period. No complications or relapse were observed except for edema following neck surgery.

Temporary caval filter in the prevention of pulmonary embolism during delivery and postpartum

2005 ◽  
Vol 20 (4) ◽  
pp. 183-189
Author(s):  
G Pagliariccio ◽  
L Carbonari ◽  
C Grilli Cicilioni ◽  
A Angelini ◽  
E Gatta ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Lower Limbs ◽  
X Ray ◽  
Vein Thrombosis ◽  
Caval Filter ◽  
Prophylactic Use ◽  
The Right ◽  
Deep Vein ◽  
Mean Time

Objectives: The treatment of deep vein thrombosis (DVT) of the lower limbs during pregnancy remains controversial. There are a lot of problems related to anticoagulant therapy for the safety of the fetus; the use of caval filters rarely appears in the literature and it is not yet codified. So the choice of the right treatment is often difficult. The authors review their experience with a prophylactic use of a temporary caval filter for patients with proximal DVT of the last period of pregnancy, in order to avoid the inherent risk of major pulmonary embolism during delivery and postpartum. Methods: Ten women with proximal DVT were treated. The diagnosis was performed by Doppler ultrasonography (DU) and magnetic resonance (MR). At the end of pregnancy, a temporary caval filter (eight Prolyser and two Tempofilter) was percutaneously inserted under X-ray control. The patients were then subjected to a planned caesarean section. After 15 days, all filters were removed after a phlebography to check the absence of clots. Results: The mean time of X-ray exposure was about 1 min and 30 s. None of the patients suffered a major pulmonary embolism. All fetuses were born without problems or malformations. There were no complications related to the filters. No caval thrombosis or filters clots were found at the phlebography. The follow-up registered no pulmonary embolism episodes. Conclusions: The use of a temporary caval filter in pregnancy is safe and does not introduce any additional risk. It could be suggested for pregnant patients with proximal DVT beginning in the last period of pregnancy.

scholarly journals Are High Doses of Corticosteroids Protective in COVID-19 Patient With Panhypopituitarism?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A574-A574
Author(s):  
Tina Ticinovic Kurir ◽  
Maja Mizdrak ◽  
Mladen Krnić
Keyword(s):  
Clinical Course ◽  
Protective Role ◽  
Pathophysiological Mechanism ◽  
Oxygen Supplementation ◽  
Case Presentation ◽  
X Ray ◽  
High Doses ◽  
Endothelium Damage ◽  
The Right

Abstract Introduction: Clinical course of COVID-19 infection is diverse and the best therapeutical guidelines are still lacking. Case Presentation: We present a case of 73 year old male COVID-19 positive patient. In 2017 transnasal hypophysectomy was performed due to prolactinoma. He receives therapy (hydrocortisone 20 + 10 mg/day, levothyroxine 75/50 µg/day, bromocriptine 2.5 mg twice/day). He suffers also from arterial hypertension. Present illness started with intensive dry cough, fever (37.5◦C), diarrhoea and loss of smell. On the first day patient was febrile up to 38.4◦C and later afebrile. Laboratory parameters showed abnormalities in several parameters: D-dimers 13.45 (RR:&lt; 0.50) mg/L, creatinine 110 (49-90) µmol/L, ALT 73 (12-28) U/L, LDH 531 (25-241) U/L, creatine kinase 549 (&lt;177) U/L, GGT 277 (9-35) U/L, CRP 38 (&lt;5 mg/L), sedimentation rate 40 (5-28) mm/3.6ks, procalcitonine 0.07 (&lt;0.05) ng/ml, sodium 128 (137-146) mmol/L, hs-TroponinT 18 (&lt; 14) ng/L, neutrophils 8.56 (2.06-6.49 x109/L), lymphocytes 0.52 (1.19-3.35 x109/L) and pO2 6.1 (11.0-14.4) kPa. At the admission X-ray showed normal presentation, while four days later on the right side pneumonia was noticed as spotty inhomogeneous shading. He was treated with azithromycin, hydrocortisone (50 mg twice/day) and oxygen supplementation. At the beginning of hospitalization he was addicted to O2 10-12 L/min. After 22 days of hospitalization he was discharged without any symptom but with still positive SARS-CoV2 swabs. After a 30 days of follow-up, his swabs are now negative with no laboratory abnormalities. In the meantime, his two brothers, born in 1945 and 1940 died due to COVID-19 infection. They did not receive substitutional corticosteroid therapy. Conclusion: The main pathophysiological mechanism of infection is explained by cytokine storm. Hypercytokinemia causes myelosuppression and vascular endothelium damage. Corticosteroids are potent anti-inflammatory agents. High-doses of corticosteroids might beneficially modulate the host immune response to SARS-CoV2 virus and have protective role in this patient.

scholarly journals Intracranial Ricocheting of Bullet from Anterior Clinoid Process

2008 ◽  
Vol 47 (171) ◽  
Author(s):  
Amit Agrawal ◽  
A Pratap ◽  
RK Rauniar ◽  
A Kumar ◽  
U Nepal
Keyword(s):  
Gunshot Wounds ◽  
Morbidity And Mortality ◽  
Neurological Deficits ◽  
Occipital Region ◽  
Unique Case ◽  
Anterior Clinoid Process ◽  
X Ray ◽  
Left Behind

Gunshot wounds to the head are usually mortal injuries. We present a unique case of intracranial ricocheting of bullet without neurological deficits. Patient was treated conservatively with antibiotics for one week and prophylactic anticonvulsants for six weeks. Patient is doing well at six months follow up. Repeat X-ray skull showed that bullet was lying in the occipital region. It is recommended that deep seated bullets should be left behind as any attempt to remove that bullet may increase the morbidity and mortality. However close follow up of these patients is very important as these patients may come back with brain abscess.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):145-146.

Migration of Umbilical Venous Catheters

2019 ◽  
Vol 36 (13) ◽  
pp. 1377-1381
Author(s):  
Anneloes M. Plooij-Lusthusz ◽  
Nick van Vreeswijk ◽  
Margriet van Stuijvenberg ◽  
Arend F. Bos ◽  
Elisabeth M. W. Kooi
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Primary Outcome ◽  
Complication Rates ◽  
Correct Position ◽  
X Ray ◽  
Correct Placement ◽  
Initial Placement ◽  
The Right

Objective Migration of umbilical venous catheters (UVCs) after initial correct position has been described. The aim of this study was to assess the incidence of malposition of the tip of the UVCs at 24 to 36 hours postinsertion. Study Design Retrospective analysis of all neonates who had UVC placement in a 14-month period. The primary outcome was the rate of UVCs incorrectly positioned 24 to 36 hours after initial correct placement, defined as the UVC tip below or more than 5 mm above the level of the right diaphragm on a thoracoabdominal X-ray. Results We included 86 neonates with a median (range) birth weight of 1,617 (535–5,000) grams, and gestational age of 31 (24–42) weeks. Of the 80 UVCs that were further analyzed, only in 38 (48%) of 80 patients, the tip of the UVC still had a correct position 24 to 36 hours after initial placement. In 22 (28%) of 80 patients, the UVCs had a position that was too high and in 20 (25%) that was too low. Conclusion More than half of UVCs migrated at 24 to 36 hours postinsertion to positions known to have higher complication rates. We, therefore, recommend follow-up evaluation at 24 to 36 hours postinsertion, to prevent complications from malposition.

Sign in / Sign up

Export Citation Format

Share Document