scholarly journals Primary Pancreatic Lymphoma: a rare entity in pancreatic mass

2017 ◽  
Vol 1 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Noor Dev Kandel ◽  
Nirmal Lamichhane
Keyword(s):  
Differential Diagnosis ◽  
Histopathological Examination ◽  
Radical Resection ◽  
Accurate Diagnosis ◽  
Pancreatic Tumors ◽  
Definitive Treatment ◽  
Rare Tumor ◽  
Rare Entity ◽  
Pancreatic Lymphoma ◽  
Primary Pancreatic Lymphoma

Primary pancreatic lymphoma is an extremely rare tumor of pancreas which clinico-radiologically mimics with pancreatic adenocarcinoma. The disease is diagnosed often after radical resection of pancreas. We report a case of 63 years old Chinese gentle man with diagnosis of Primary pancreatic lymphoma who was diagnose after surgical resection. Primary pancreatic lymphoma should also be considered as differential diagnosis in pancreatic tumors. There can be some radiological clues but accurate diagnosis depends on histopathological examination. Definitive treatment still remains controversial.

scholarly journals Tonsillar tuberculosis : A case report

2016 ◽  
Vol 6 (12) ◽  
pp. 1048-1050
Author(s):  
S Karki ◽  
D Karki
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pulmonary Tuberculosis ◽  
Oral Cavity ◽  
Histopathological Examination ◽  
Giant Cells ◽  
Rare Entity ◽  
Definite Diagnosis ◽  
Active Pulmonary Tuberculosis ◽  
Clinical Differential Diagnosis

Tuberculosis of the oral cavity which is an uncommon occurrence can be primary or secondary. In the absence of active pulmonary tuberculosis, isolated tonsillar tuberculosis is rare. Herein, we report two cases of bilateral tonsillar tuberculosis who presented as recurrent sore throat for which tonsillectomy was done. No active primary pulmonary lesion was found in these cases. Histopathological examination revealed caseating epithelioid granulomas with Langhans giant cells. Ziehl Neelson stain for acid fast bacilli was positive in one case. Tonsillar tuberculosis, though a rare entity, should be considered in the clinical differential diagnosis of tonsillar lesions. Histopathological examination with Ziehl Neelson stain should be performed for definite diagnosis.

scholarly journals A Surgically Resected Pancreatic Schwannoma with Obstructive Jaundice with Special Reference to Differential Diagnosis from Other Cystic Lesions in the Pancreas

2018 ◽  
Vol 12 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Takayoshi Watanabe ◽  
Kenichiro Araki ◽  
Norihiro Ishii ◽  
Takamichi Igarashi ◽  
Akira Watanabe ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Obstructive Jaundice ◽  
Protein Expression ◽  
Histopathological Examination ◽  
S100 Protein ◽  
Pancreatic Head ◽  
Pancreatic Tumors ◽  
Cystic Lesions ◽  
Cystic Tumors ◽  
Pancreatic Schwannoma

Pancreatic schwannomas are uncommon. About 60% of pancreatic schwannomas develop cystic lesions, and the differential diagnosis from other cystic pancreatic tumors is difficult. A 43-year-old man presented for evaluation of liver dysfunction detected during a medical checkup. Blood testing detected obstructive jaundice. A computed tomography scan revealed a well-defined polycystic tumor of about 5 cm at the pancreatic head. We performed surgical resection to treat the patient’s symptoms and facilitate long-term management. Histopathological examination revealed spindle-shaped cells. Immunohistochemical studies showed S100 protein expression and the absence of CD34 and c-kit protein expression. Finally, we diagnosed a schwannoma. Pancreatic schwannoma is usually asymptomatic. The present case presented with obstructive jaundice, which is reportedly a rare symptom. Pancreatic schwannomas should be considered as a differential diagnosis of pancreatic cystic tumors. Dilatation of the pancreatic duct and the 18-fluorodeoxyglucose positron emission tomography findings are important for the differential diagnosis.

Abdominal wall actinomycotic mycetoma involving the bowel: a rare entity

2021 ◽  
Vol 14 (1) ◽  
pp. e236948
Author(s):  
Anuj Kumar Sharma ◽  
Alok Kumar Pandey ◽  
Sumesh Kaistha ◽  
Kumar Rajesh Ranjan
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Wall ◽  
Unusual Case ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Preoperative Evaluation ◽  
Tropical Region ◽  
Rare Entity ◽  
Radiological Imaging ◽  
Left Flank

Actinomycotic mycetoma is a disease of the tropical region and usually presents as a chronic, suppurative and deforming granulomatous infection. We present an unusual case of actinomycotic mycetoma of the abdominal wall that was found to infiltrate into the bowel. A 51 year-old man presented with pain and swelling in the left flank of 2-year duration. Even after comprehensive preoperative evaluation with advanced radiological imaging, biochemistry and pathology, the diagnosis could not be arrived at. Histopathological examination of the excised specimen after the surgery guided to the diagnosis of actinomycotic mycetoma, which entirely changed the management in the postoperative period. We propose that mycetoma should be kept as a possible differential diagnosis for anterior abdominal wall swelling in the indicated clinical setting and the investigations be done keeping the same in mind. Otherwise, a lot of valuable time may be lost allowing the disease to progress further.

scholarly journals Primary Hyperfibrinolysis as a Presentation of Extended Prostate Carcinoma

2016 ◽  
Vol 54 (3) ◽  
pp. 191-193
Author(s):  
Pablo Ruiz-Sada ◽  
Arostegui-Uribe Nahia ◽  
Garay-Hidalgo Iker ◽  
Uriarte-Elguezabal Katalin
Keyword(s):  
Differential Diagnosis ◽  
Prostate Carcinoma ◽  
Accurate Diagnosis ◽  
Definitive Treatment ◽  
Clinical Scenarios ◽  
Easy Solution

Abstract Primary hyperfibrinolysis States are rare entities associated with different clinical scenarios and can be sometimes their first presentation. PHS outcome relies on the underlying cause. We introduce the case of a man presenting with a complex clotting abnormality malignancy related. Not having an accurate diagnosis hindered us to give an easy solution and compromised the prognosis overall. Misdiagnosing a severe entity often leads to fatal outcomes. We want to highlight the rarity of our case, the challenging differential diagnosis and the importance of being aware of PHS. Because our patient appeared to have an extended carcinoma, definitive treatment was not an option on our case.When an uncommon and challenging disease is presented, having all the clues is mandatory to succeed.

scholarly journals Trichoblastoma of lid: a masquerading tumour

2019 ◽  
Vol 12 (12) ◽  
pp. e232599
Author(s):  
Praveen Subudhi ◽  
Prateek Agarwal ◽  
Sweta Patro ◽  
Nageswar Rao Subudhi
Keyword(s):  
Differential Diagnosis ◽  
Gradual Increase ◽  
Histopathological Examination ◽  
Skin Grafting ◽  
Positive Staining ◽  
Self Healing ◽  
Rare Entity ◽  
Wide Margin ◽  
The Right ◽  
Systemic Abnormality

A 62-year-old woman came to our hospital with complaints of painless gradual increase in dark coloured mass along inner canthus of the right eye. The surface of the mass was rough with a well-defined margin. No other systemic abnormality was detected. Wide margin excision was done and the excised mass was sent for histopathological examination. No skin grafting was done and the raw area was left for self-healing. In the next 3 weeks, skin growth over the raw area was observed and it was cosmetically acceptable. Histopathological examination revealed well-circumscribed tissue composed of aggregation of basaloid cells suggestive of trichoblastoma. Immunohistochemistry revealed positive staining of CD34 and CD10. Trichoblastoma is a rare entity seen in our clinical practice. Hence, a patient presenting with darker masses trichoblastoma can be considered as differential diagnosis.

scholarly journals A Man with Pancreatic Head Mass Lesion on Endoscopic Ultrasound and Granuloma on Cytopathology

2016 ◽  
Vol 10 (3) ◽  
pp. 760-768
Author(s):  
Neda Rad ◽  
Arash Heidarnezhad ◽  
Setareh Soheili ◽  
Amir Houshang Mohammad-Alizadeh ◽  
Arash Nikmanesh
Keyword(s):  
Computed Tomography ◽  
Endoscopic Ultrasound ◽  
Pancreatic Head ◽  
Needle Aspiration ◽  
Mass Lesion ◽  
Pancreatic Tumors ◽  
Histopathologic Diagnosis ◽  
Pancreatic Lymphoma ◽  
Radiological Studies ◽  
Primary Pancreatic Lymphoma

Primary pancreatic lymphoma is an unlikely malignancy accounting for less than 0.5% of pancreatic tumors. Clinical presentation is often nonspecific and may be clinically misdiagnosed as pancreatic adenocarcinoma. Here we present an Iranian case of primary pancreatic lymphoma in a 47-year-old male suffering from jaundice and 20% weight loss. Endoscopic ultrasound revealed a mixed echoic mass lesion at the head of pancreas. The patient underwent endoscopic ultrasound-guided fine needle aspiration of solid pancreatic mass and histopathologic diagnosis revealed granuloma. Computed tomography-guided core needle biopsy was performed and eventually histological examination showed granuloma that was coherent with the diagnosis of primary pancreatic lymphoma. Primary pancreatic lymphoma is a rare entity presenting with nonspecific symptoms, laboratory and radiological findings. Computed tomography results in combination with clinical and radiological studies generally provide guidance for appropriate investigation.

Isolated tumorous Langerhans cell histiocytosis of the brainstem: a diagnostic and therapeutic challenge

2013 ◽  
Vol 12 (3) ◽  
pp. 258-261 ◽  
Author(s):  
Amey Savardekar ◽  
Manjul Tripathi ◽  
Deepak Bansal ◽  
Kim Vaiphei ◽  
Sunil K. Gupta
Keyword(s):  
Differential Diagnosis ◽  
Diabetes Insipidus ◽  
Rapid Growth ◽  
Langerhans Cell Histiocytosis ◽  
Histopathological Examination ◽  
S100 Protein ◽  
Langerhans Cell ◽  
Rare Entity ◽  
Diagnostic Features ◽  
Chemotherapeutic Regimen

Langerhans cell histiocytosis (LCH) of the CNS is a rare entity, known to involve primarily the hypothalamicpituitary region, with the clinical hallmark of diabetes insipidus. There have been a few reports of CNS LCH involving the brainstem as intraparenchymal enhancing lesions, but this has never been the presenting complaint of LCH. The authors report on a 7-year-old boy who presented with right cerebellopontine syndrome, in whom a well-defined, solid, enhancing lesion in the brainstem was diagnosed. Clinicoradiological differential diagnosis included glioma and tuberculosis. Biopsy revealed atypical histiocytes positive for CD68, CD1a, and S100 protein; these are the diagnostic features of LCH on histopathological examination. The rapid growth of the lesion was controlled with a chemotherapeutic regimen of cladribine.

scholarly journals Laryngotracheal Pleomorphic Adenoma: A Rare Entity

2015 ◽  
Vol 5 (2) ◽  
pp. 70-72
Author(s):  
Vidya Bhushan Rangappa ◽  
C Naveen Hedne ◽  
Shubhra Chauhan ◽  
BS Naveen
Keyword(s):  
Pleomorphic Adenoma ◽  
Surgical Procedure ◽  
Treatment Guidelines ◽  
Histological Diagnosis ◽  
Definitive Treatment ◽  
Open Approach ◽  
Rare Tumor ◽  
Rare Entity

ABSTRACT Laryngotracheal pleomorphic adenoma is a rare tumor with a lot of dilemma in establishing histological diagnosis and with no definitive treatment guidelines. Very few cases have been reported in the literature with good outcomes in open approach procedures. We, in our report, will discuss the detailed surgical procedure and the outcome with open approach. How to cite this article Rangappa VB, Hedne CN, Chauhan S, Naveen BS. Laryngotracheal Pleomorphic Adenoma: A Rare Entity. Int J Phonosurg Laryngol 2015;5(2):70-72.

scholarly journals PRIMARY UMBILICAL ENDOMETROSIS

2015 ◽  
Vol 3 (1) ◽  
pp. 249-251
Author(s):  
Panti AA ◽  
Tunau KA ◽  
Agbo SP ◽  
Mohammed U ◽  
Omokanye lO ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Histopathological Examination ◽  
Reproductive Age ◽  
Age Group ◽  
Rare Entity ◽  
Women Of Reproductive Age ◽  
Endometrial Cavity ◽  
History Of ◽  
Reproductive Age Group ◽  
Umbilical Endometriosis

Background: Primary endometriosis is the presence of endometrial glands and tissues outside the endometrial cavity. Primary umbilical endometriosis is a very rare entity. Case:We reported a 40-year-old Para 2 plus 2Alive 2 patient who presented with 2 year history of umbilical swelling with cyclical pain. The case was managed by simple excision and histopathological examination diagnosed it as a case of umbilical endometriosis. Conclusion: Endometriosis should be considered as a differential diagnosis in cases of any umbilical pain or swelling in women of reproductive age group.

scholarly journals Primary ovarian pregnancy: histopathology remains the key to confirming diagnosis setting

2017 ◽  
Vol 6 (4) ◽  
pp. 1649
Author(s):  
Priyanka Anand ◽  
Namrata Nargotra
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Histopathological Examination ◽  
First Trimester ◽  
Accurate Diagnosis ◽  
Rare Entity ◽  
Chorionic Villi ◽  
Ovarian Pregnancy ◽  
Ovarian Stroma ◽  
History Of

Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity and accounts for only 0.15-3% of all ectopic gestations. It usually ends with rupture before the end of first trimester. The diagnosis is often made intraoperatively and confirmed histopathologically. A 23 year old female presented with severe hypogastric abdominal pain with no history of amenorrhea. She underwent a laprotomy and a right sided salpingo-oopherectomy and the excised material was sent for histopathological examination. Chorionic villi were seen within the ovarian stroma suggesting the likely possibility of an ovarian pregnancy. Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. This highlights the importance of histopathology for the accurate diagnosis of this condition.

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