Vulvar Leiomyomatosis: A Diagnostic Challenge Case Report

2020 ◽  
Vol 16 (1) ◽  
pp. 81-83
Author(s):  
Malihe Hasanzadeh ◽  
Somayeh Moeindarbari ◽  
Leila Mousavi Seresht ◽  
Amir Hosein Jafarian ◽  
Anahita Hamidi ◽  
...  
Keyword(s):  
Case Report ◽  
Virgin Female ◽  
Surgical Excision ◽  
Final Diagnosis ◽  
Definite Diagnosis ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
Smooth Muscle Tumors ◽  
History Of

Introduction: Vulvar leiomyomas are rare and usually misdiagnosed as Bartholin’s cyst on initial presentation. Leiomyoma of vulva accounts for only 0.03% of all gynecological neoplasm. Definite diagnosis is based on surgical excision of the tumor. The aim of this report is to introduce a case of leiomyoma of the vulva which was initially misdiagnosed as Bartholin’s cyst. Case Presentation: We present a case of a 36-year old virgin female (BMI>30) who was referred to the clinic with a 5-year history of left labial mass which was initially diagnosed as Bartholin’s cyst. The mass was removed and the pathologist confirmed that the final diagnosis was vulvar leiomyoma. Conclusion: Vulvar leiomyoma is usually misdiagnosed with Bartholin cyst and distinguishing between benign and malignant forms is confusing, so it is a diagnostic challenge. Surgical excision is the treatment of choice in all smooth muscle tumors of the vulva. Continuing follow-up after treatment is highly recommended.

scholarly journals Leiomyoma of the Vulva: A Diagnostic Challenge Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Saad Kurdi ◽  
Abdullah S. Arafat ◽  
Maysan Almegbel ◽  
Mayson Aladham
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Spinal Anaesthesia ◽  
Final Diagnosis ◽  
Uterine Leiomyomas ◽  
Age Group ◽  
Diagnostic Challenge ◽  
Smooth Muscle Tumors ◽  
History Of

Uterine leiomyomas are common and can affect up to 30% of women older than 35 years. Despite this, leiomyomas of the vulva are rare, masquerading, and usually misdiagnosed as Bartholin cyst preoperatively. These smooth muscle tumors are typically painless, solitary, and well circumscribed and can affect female of any age group. We present a case of a 46-year-old female that presented to the clinic with 2-year history of right labial mass and was diagnosed as Bartholin cyst initially. The patient underwent elective excision under spinal anaesthesia and the mass was removed. The final diagnosis after microscopy result showed benign vulvar leiomyoma.

scholarly journals The spontaneous resolution of a vortex vein varix: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara L Weidmayer ◽  
Hakan Demirci
Keyword(s):  
Case Report ◽  
Natural History ◽  
Extended Period ◽  
Spontaneous Resolution ◽  
Case Presentation ◽  
Clinical Resolution ◽  
History Of ◽  
Vortex Vein ◽  
Insight Into

Abstract Background The natural course of a vortex vein varix, though not well understood, has been known to remain stable. However, here we report a novel case of a vortex vein varix that resolved after an extended period of monitoring. Case presentation An asymptomatic 96-year-old Caucasian man was found to have a vortex vein varix. At his previous examination 13 months prior, his fundus was normal. At 13 months of observation, his vortex vein varix become clinically undetectable. Further follow-up confirmed continued absence of the varix. Conclusion This case demonstrates the development then clinical resolution of a vortex vein varix with no clear identifiable factors for its evolution. This case is novel and offers new insight into the natural history of some vortex vein varices, implicating venous congestion as an instigator and venous collateralization as its alleviator, suggesting that vortex vein varices are likely more common than previously reported since some may be temporary and under-identified.

Extramedullary Plasmacytoma of The Frontal Sinus: A Case Report

FACE ◽  
2021 ◽  
pp. 273250162110536
Author(s):  
Joshua Harrison ◽  
Samantha Marley ◽  
Shawhin Shahriari ◽  
Christian Bowers ◽  
Anil Shetty
Keyword(s):  
Frontal Sinus ◽  
Surgical Excision ◽  
Extramedullary Plasmacytoma ◽  
High Rate ◽  
Solitary Plasmacytoma ◽  
Case Presentation ◽  
Long Term Follow Up ◽  
History Of

We report a rare case of an extramedullary plasmacytoma (EMP) in the frontal sinus with an indolent clinical presentation. Although a history of trauma was absent, the initial diagnosis was a mucocele, based on the radiological findings. Upon surgical excision, the patient was found to have an EMP. EMP, a form of solitary plasmacytoma, has a significantly high rate of conversion to multiple myeloma. This mandates long-term follow-up, even after successful radiotherapy and/or resection. While radiation therapy is generally considered a first line treatment for EMP, surgical intervention may provide optimal treatment in complicated cases. This case presentation highlights the prognosis of patients diagnosed with EMP.

scholarly journals Uterovaginal prolapse following suspected sexual abuse to a child: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Odion-Obomhense Kesiena Helen ◽  
Ntaji Maureen Iru ◽  
Ekpebe Patrick Akpofure ◽  
Afeyodion Akhator
Keyword(s):  
Sexual Abuse ◽  
Case Report ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Uterovaginal Prolapse ◽  
Traumatic Rupture ◽  
Connective Tissues ◽  
Case Presentation ◽  
History Of

Abstract Background Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic organ prolapse following trauma suspected to be sexual abuse in a child in our setting. Case presentation Two-year-old female presented to our hospital with a 3-day history of abnormal protrusion from the vagina and a 2-day history of bleeding per vagina. Traumatic rupture of the hymen was observed. The urethra was not edematous or hyperemic. The reduction was done successfully under sedation and maintained using a crepe bandage. There was no recurrence after 3-month follow-up. Conclusions Uterovaginal prolapse presenting among children below 5 years is rare. If bleeding per vagina is reported in a child, the clinician should be aware of the possibility of uterovaginal prolapse.

scholarly journals Sinonasal Paraganglioma: A Case Report and Review of Literature

2014 ◽  
Vol 7 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Neelam Wadhwa ◽  
PP Singh ◽  
Vipin Arora ◽  
Pankaj Verma ◽  
Khyati Bhatia
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Nasal Cavity ◽  
Rare Case ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Rare Tumor ◽  
Review Of Literature ◽  
Diagnostic Challenge ◽  
History Of

ABSTRACT A rare case of sinonasal paraganglioma is described. A 40-year-old female patient presented with 2 years history of unilateral nasal obstruction and bleeding. CT scan demonstrated an expansile enhancing mass involving bilateral ethmoids, right nasal cavity and right maxillary sinus. Histopathological diagnosis was neuroendocrine tumor with possibility of paraganglioma. A subtotal maxillectomy with excision of mass performed. Primary nonchromaffin paraganglioma of nose and paranasal sinus is a very rare tumor, these lesion pose diagnostic challenge to clinicians and pathologist. Only twenty five cases are reported in review of literature. Surgical excision is the mainstay of treatment. How to cite this article Arora V, Verma P, Singh PP, Wadhwa N, Bhatia K. Sinonasal Paraganglioma: A Case Report and Review of Literature. Clin Rhinol An Int J 2014;7(2):87-89.

scholarly journals Buschke–Löwenstein tumor of the penis

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
J. Pineda-Murillo ◽  
J. A. Lugo-García ◽  
G. Martínez-Carrillo ◽  
J. Torres-Aguilar ◽  
C. Viveros-Contreras ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Type Ii Diabetes Mellitus ◽  
First Line ◽  
Case Presentation ◽  
High Risk Sexual Behavior ◽  
Multiple Partners ◽  
Adjacent Structures ◽  
History Of ◽  
Risk Sexual Behavior

Abstract Background The Buschke–Löwenstein tumor comes from the confluence of multiple condyloma acuminata and is clinically manifested by warty, exophytic, ulcerated lesions, with aggressive behavior, rapid growth, invasion and destruction of adjacent structures. Case presentation A 57-year-old man with type II diabetes mellitus, high blood pressure and a history of high-risk sexual behavior with multiple partners was evaluated in the urology department for multiple penile lesions of verrucous appearance and fetid odor of 10 months of evolution. Biopsy of the lesion was performed revealing a giant condyloma acuminatum. Conclusions Radical surgical excision with wide surgical margins remains the first line of treatment. Close follow-up of these patients is crucial given the complexity and tumor recurrence.

scholarly journals Hemangioblastoma in the Lung: Metastatic or Primary Lesions?

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Li Lu ◽  
Peter A. Drew ◽  
Anthony T. Yachnis
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Surgical Excision ◽  
Metastatic Tumor ◽  
Lung Nodules ◽  
Pathological Study ◽  
The Third ◽  
History Of ◽  
Multiple Lung Nodules

Hemangioblastoma primarily occurs in the CNS, most commonly in the posterior fossa. Extracranial locations are less common, and metastatic tumor involving the lung is exceedingly rare with only three cases previously reported. Two were autopsy studies in patients who died of complications of the CNS hemangioblastomas in 1943 and 1981, and the third was mentioned in a case report addendum providing follow-up information on hepatic hemangioblastoma in 1991. We report a case of a 48-year-old man who presented with multiple lung nodules treated by surgical excision. Pathological study revealed features classic for hemangioblastoma. The patient had a remote history of hemangioblastomas having been excised from the posterior fossa 7 and 20 years previously. This report details a fourth case of metastatic pulmonary hemangioblastoma. It is the first report on surgically resected hemangioblastomas from the lung of a living patient with histological and immunohistochemical characterization.

scholarly journals Leiomyosarcoma of tongue: A case report and review of literature

2016 ◽  
Vol 02 (02) ◽  
pp. 082-084
Author(s):  
Mranalini Verma ◽  
Punita Lal
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Mesenchymal Tumor ◽  
Review Of Literature ◽  
Tongue Movement ◽  
History Of

AbstractLeiomyosarcoma (LMS) of the tongue is an extremely rare mesenchymal tumor. Till now, we came across about 24 cases of tongue LMS reported in the literature. Here, we are presenting the case of a 50-year-old female with 4 months history of ulcerative growth on the tongue along with difficulty in swallowing and tongue movement who was diagnosed with LMS of the tongue on histopathology. He was managed with surgical excision followed by radiotherapy without any recurrence or metastasis after 6 months of follow-up.

scholarly journals Histiocytoid Giant Cellulitis-Like Sweet Syndrome At The Site of Sternal Aspiration: A Case Report

2021 ◽  
Author(s):  
Dewan Zhao ◽  
Jing Ni ◽  
Xiuli Sun
Keyword(s):  
Case Report ◽  
Cutaneous Lesion ◽  
Blood Cultures ◽  
Puncture Site ◽  
Angioneurotic Edema ◽  
Sweet Syndrome ◽  
Case Presentation ◽  
Floor Of The Mouth ◽  
History Of

Abstract Background: Sweet syndrome with both histiocytoid pathology and giant cellulitis-like lesion feature is extremely rare and has only been reported once. Our case is different from the previous report because the cutaneous lesion was caused by local invasive irritation, which made it much more difficult to distinguish from cellulitis.Case presentation: A 52-year-old male was diagnosed with myelodysplastic syndrome with multilineage dysplasia (MDS-MLD) associated with myelofibrosis (MDS-F) as well as angioneurotic edema of the tongue and floor of the mouth. Seven days after sternal aspiration, a cellulitis-like lesion was formed at the puncture site. Since he had neutropenia, history of glucocorticoid use and didn't keep the site dry and clean after aspiration, cellulitis was diagnosed, followed by broad-spectrum antibiotics and debridement. However, the lesion continued to expand, associated with blisters formation, accompanied by chills and fever. Blood cultures and blister smears didn't detect any pathogens. Biopsy of the lesion was performed and histiocytoid Sweet syndrome was diagnosed. He received prednisone treatment, and the fever relieved within 24 hours and the cutaneous lesion resolved within one week. He has had no recurrence during two-month follow-up.Conclusions: This case can provide help for timely diagnosis and treatment and a reference for further summarizing the characteristics of this rare variant.

scholarly journals Pleomorphic Adenoma and Trauma: a Case Report With Rare Clinical Presentation

2021 ◽  
Author(s):  
Basma Morsy ◽  
Eglal Moussa ◽  
Nourhan Aly ◽  
Enas Omar ◽  
Samar El Achy
Keyword(s):  
Pleomorphic Adenoma ◽  
Salivary Gland Tumor ◽  
Surgical Excision ◽  
Final Diagnosis ◽  
Gland Tumor ◽  
Case Presentation ◽  
Patient Reported ◽  
History Of ◽  
Dna Alterations ◽  
Immunohistochemical Analyses

Abstract BackgroundPleomorphic adenoma (PA) is the most common benign salivary gland tumor. Many factors have been implicated in the etiology of PA, one of which is genetic alteration in PLAG1 and HMGA2 genes. Few cases were reported about PAs appearing in patients with history of trauma or denture wear.Case presentationA 73-year-old female patient presented to the clinic with a gradually increasing mass that appeared two months ago in the upper left labial vestibule. The patient reported wearing a maxillary complete denture for 15 years. Clinical examination revealed a typical denture fissuratum, so surgical excision was the treatment of choice. Upon excision, a fully encapsulated mass was exposed and sent for histological and immunohistochemical analyses that confirmed a final diagnosis of PA.ConclusionThis case suggests a contributory role for trauma in the development of PA, following DNA alterations or through oxidative stress resulting from Chronic Mechanical Irritation (CMI).

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