scholarly journals Aggressive vertebral hemangiomas in asymptomatic patients: A review

2020 ◽  
Vol 11 ◽  
pp. 453
Author(s):  
Rayan Haquim Pinheiro Santos ◽  
Caio Nuto Leite França ◽  
Victor Dinelli Guimarães ◽  
Cezar Kabbach Calaça Prigenzi ◽  
Emilio Afonso França Fontoura ◽  
...  
Keyword(s):  
Natural History ◽  
Emergency Surgery ◽  
Benign Tumor ◽  
Treatment Modalities ◽  
Review Of The Literature ◽  
Common Benign Tumor ◽  
Asymptomatic Patients ◽  
Spinal Compression ◽  
Acute Neurological Deterioration ◽  
Vertebral Hemangiomas

Background: Hemangioma is the most common benign tumor of the spine. Most patients are asymptomatic, but some lesions can become aggressive, leading to spinal compression. Here, we reviewed the natural history and treatment of aggressive hemangiomas in asymptomatic patients. Methods: An electronic review of the literature was performed regarding the diagnosis/treatment modalities for asymptomatic aggressive hemangiomas of the spine utilizing the Medline (PubMed) and Google Scholar databases. Results: We selected four articles describing the diagnosis/management of four cases of aggressive, asymptomatic hemangiomas in patients averaging 11.25 ± 2.36 years of age. Three of the four patients were females, and all were followed an average of 36.5 ± 25 months. Notably, two of four patients required emergency surgery. Conclusion: There is a paucity of the literature regarding the diagnosis and optimal therapeutic management of aggressive hemangiomas in asymptomatic patients, half of whom may present with acute neurological deterioration warranting emergency surgery.

scholarly journals P.014 The natural history of third ventricle colloid cysts includes asymptomatic regression: a report of two cases and review of the literature

2017 ◽  
Vol 44 (S2) ◽  
pp. S17-S17
Author(s):  
R Bokhari ◽  
J Chankowsky ◽  
J Marcoux
Keyword(s):  
Natural History ◽  
Third Ventricle ◽  
Symptomatic Patient ◽  
Review Of The Literature ◽  
Indication For Surgery ◽  
Asymptomatic Patients ◽  
Signal Characteristics ◽  
History Of ◽  
Colloid Cysts

Background: Colloid cysts of the third ventricle are a rare entity with an unclear natural history. Although intervening in the setting of a symptomatic patient is fairly straightforward, decision-making for asymptomatic patients is not. Few studies address this question and proposed risk factors for cyst progression vary.A cyst diameter exceeding 1 cm is a common indication for surgery. This is rooted in the belief that the natural history is continued growth. A few cases have recently surfaced that suggests some cysts may spontaneously regress without complication. We describe our experience with two such cases and contrast it with those of others. Methods: We collected all cases of “colloid cysts” identified as incidental findings on Brain CT scans in a large urban center with available follow-up. We then conducted a comprehensive review of the literature. Results: Among all incidental cases from our database, none required surgery and two were found to decrease in size on neuroimaging surveillance with interesting evolution in MRI signal characteristics. These cysts remain asymptomatic at last follow up. Conclusions: The natural history of colloid cysts includes spontaneous regression. This should be mentioned in counseling asymptomatic patients.

scholarly journals Symptomatic colonic lipomas: Report of two cases and a review of the literature

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983047 ◽  
Author(s):  
Konstantinos Sapalidis ◽  
Stella Laskou ◽  
Christoforos Kosmidis ◽  
Ioannis Passos ◽  
Stelios Mantalobas ◽  
...  
Keyword(s):  
Literature Search ◽  
Benign Tumor ◽  
Systematic Literature Search ◽  
Review Of The Literature ◽  
Common Benign Tumor ◽  
Pathologic Features

Colonic lipomas are the second most common benign tumor of the colon. During a systematic literature search, a lack of review is observed. This study reports two cases of colonic lipomas and also tries to review the clinical and pathologic features of the reported symptomatic lipomas.

EVALUATION OF DIFFERENT TREATMENT MODALITIES FOR THE EXCISION OF IRRITATIONAL FIBROMA: A CASE SERIES

2021 ◽  
pp. 43-45
Author(s):  
Aashish Deshmukh ◽  
Ayeshwarya Chaudhary ◽  
Manasi Bavaskar ◽  
Rhea Khanna ◽  
Mehul Bhoye
Keyword(s):  
Wound Healing ◽  
Oral Cavity ◽  
Working Conditions ◽  
Benign Tumor ◽  
Case Series ◽  
Treatment Modalities ◽  
Laser Technology ◽  
Common Benign Tumor ◽  
Comparison Results ◽  
Surgical Treatments

INTRODUCTION: Fibroma is the most common benign tumor-like lesion of the oral cavity. They are non-neoplastic brous overgrowths; usually reactive or irritational in nature. Different kinds of surgical treatments have been employed for the removal of bromas, which include simple excision using scalpel, laser technology, electrical surgery, and cryotherapy. This report aimed at comparing two different treatment modalities for excision of broma- laser and scalpel. METHODS: Two cases of irritational broma, one using a diode laser and another using scalpel, were undertaken for comparison. RESULTS: Parameters like time taken for the procedure, intra-operative bleeding, ease of surgery for the surgeon, and the post-operative wound healing were evaluated with both the techniques. Excision with laser was an easier procedure for the surgeon and the time taken was less than excision with scalpel. Additionally, bleeding was controlled better and a signicantly faster healing period was observed with laser as compared to excision with scalpel. CONCLUSION: Excision with laser provides better working conditions and has a quicker and superior post-operative healing over the scalpel surgery

Clinical Features, Natural History and Outcomes of Intraneural Perineuriomas: A Systematic Review of the Literature

2021 ◽  
Author(s):  
Karina A. Lenartowicz ◽  
Anshit Goyal ◽  
Michelle L. Mauermann ◽  
Thomas J. Wilson ◽  
Robert J. Spinner
Keyword(s):  
Systematic Review ◽  
Natural History ◽  
Clinical Features ◽  
Review Of The Literature

scholarly journals Trapeziometacarpal joint arthritis: A retrospective study of the natural history of symptomatic thumb arthritis

2019 ◽  
Vol 5 (2) ◽  
pp. 11
Author(s):  
Jessica Frankenhoff ◽  
Jeffrey Stromberg ◽  
Aimee Riley ◽  
Jun He ◽  
Prem Madesh ◽  
...  
Keyword(s):  
Natural History ◽  
Retrospective Chart Review ◽  
Treatment Modalities ◽  
Common Source ◽  
Average Pain ◽  
Average Pain Score ◽  
History Of ◽  
And Function ◽  
Joint Arthritis

Objective: Trapeziometacarpal (TM) joint arthritis is a common source of hand pain in patients presenting to the hand surgeon’s clinic. Long-term data on the natural history of symptomatic TM arthritis is lacking.Methods: We identified 251 patients with symptomatic TM arthritis and performed a retrospective chart review which identified treatment modalities (including surgery) and long term outcomes which were assessed via a telephone survey.Results: We found that of the 251 patients who presented with symptomatic TM arthritis, the 114 patients who had surgery had less pain and disability in the long term than those patients who were treated conservatively with splinting or injection (average pain score 1.8 vs. 3.8). However, the majority of patients did not ultimately undergo surgery.Conclusions: Although patients fare better from a pain and function standpoint with surgery, surgery is not inevitable.

Uterine-like Mass With Features of an Extrauterine Adenomyoma Presenting 22 Years After Total Abdominal Hysterectomy–Bilateral Salpingo-oophorectomy: A Case Report and Review of the Literature

2005 ◽  
Vol 129 (8) ◽  
pp. 1041-1043 ◽  
Author(s):  
Rachel Redman ◽  
Edward J. Wilkinson ◽  
Nicole A. Massoll
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Benign Tumor ◽  
Broad Ligament ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Hormonal Stimulation ◽  
Pelvic Organs

Abstract Adenomyoma is a benign tumor composed of smooth muscle and benign endometrium. These tumors typically originate within the uterus. An extrauterine adenomyoma is a rare entity. We report a uterine-like mass consistent with an extrauterine adenomyoma presenting 22 years following a total abdominal hysterectomy and bilateral salpingo-oophorectomy. The mass was pear-shaped with uterine-type smooth muscle and a cavity lined by functional endometrial glands and stroma. To our knowledge, only 4 other cases of an extrauterine uterine-like mass are reported in the literature. Three involved the ovary, while one was located adjacent to the broad ligament with normal pelvic organs. Although none of these other uterus-like masses were described as adenomyomas with uterine-like features, the histologic findings are strikingly similar. An understanding of the müllerian system suggests that either an embryologic malformation or a differential multipotentiality existing in the subcoelomic tissues in response to hormonal stimulation results in a supernumerary müllerian structure like a uterus, as observed in this case. The presence of endometrial glands and stroma in the mass confirms that the tissues in this mass are hormonally responsive. It is most likely that this uterine-like mass arose from the tissues of the secondary müllerian system in response to estrogenic stimulation.

Shigella Vaginitis: Report of 38 Patients and Review of the Literature

PEDIATRICS ◽  
1979 ◽  
Vol 63 (4) ◽  
pp. 511-516
Author(s):  
Trudy V. Murphy ◽  
John D. Nelson
Keyword(s):  
Antibiotic Therapy ◽  
Retrospective Review ◽  
Vaginal Discharge ◽  
Treatment Modalities ◽  
Adult Women ◽  
Review Of The Literature ◽  
Systemic Antibiotic ◽  
The Past ◽  
Systemic Antibiotic Therapy ◽  
Topical Antimicrobials

Thirty-eight cases of Shigella vaginitis were identified in a retrospective review of records kept over the past 14 years. The cases of vaginitis were due to three subgroups of Shigella. Vaginitis varied in severity and duration, persisting for several months in some instances. In 47% of the cases, there was associated bloody vaginal discharge. Only two children had diarrhea temporally associated with vaginitis, but six others had had diarrhea. Many treatment modalities were used. Systemic antibiotic therapy appeared more effective than topical antimicrobials in the few patients who could be evaluated. Review of the literature revealed 32 additional cases, including four in adult women.

Dural Ectasia in Neurofibromatosis 1: Case Series, Management, and Review

Neurosurgery ◽  
2019 ◽  
Vol 86 (5) ◽  
pp. 646-655
Author(s):  
Sean P Polster ◽  
Mark C Dougherty ◽  
Hussein A Zeineddine ◽  
Seán B Lyne ◽  
Heather L Smith ◽  
...  
Keyword(s):  
Natural History ◽  
Clinical Course ◽  
Treatment Options ◽  
Plexiform Neurofibroma ◽  
Clinical Manifestations ◽  
Case Series ◽  
Neurofibromatosis 1 ◽  
Dural Ectasia ◽  
Asymptomatic Patients ◽  
Nonsurgical Patients

Abstract BACKGROUND The natural history and management of dural ectasia in Neurofibromatosis 1 (NF1) is still largely unknown. Dural ectasias are one of the common clinical manifestations of NF1; however, the treatment options for dural ectasias remain unstudied. OBJECTIVE To investigate the natural history, diagnosis, management, and outcome of the largest case series of patients with NF1-associated dural ectasia to date. METHODS Records from our NF1 clinic were reviewed to identify NF1 patients with computed tomography or magnetic resonance imaging evidence of dural ectasia(s) to determine their clinical course. Demographics, symptoms, radiographic and histopathologic findings, treatment, and clinical course were assessed. RESULTS Thirty-four of 37 patients were managed without surgery. Of the 18 initially asymptomatic patients, 5 (27.8%) progressed to symptoms attributable to a dural ectasia (onset of 2.7% per patient-year). Three patients required surgical intervention because of extraspinal mass effect. All 3 initially improved but had symptom recurrence within 2 yr. Reoperation involved shunt placement for cerebrospinal fluid (CSF) diversion. On imaging review, 26 (76.5%) of the nonsurgical patients harbored an associated nearby plexiform neurofibroma. Pathology of one surgical case revealed dural infiltration by diffuse neurofibroma. CONCLUSION Using the largest NF1-associated dural ectasia group to date, we report the first symptom-onset rate for nonsurgical patients. In the few cases requiring surgery for decompression, primary resection, and patching of ectasias failed, subsequently requiring CSF shunting. We demonstrate imaging evidence of nearby plexiform neurofibroma in a majority of cases, which, when combined with histopathology, provides a novel explanation for the formation of dural ectasias.

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