scholarly journals Congenital multiple giant lipomas of the back: A case report with a 24-year follow-up

2020 ◽  
pp. 36-40
Keyword(s):  
Flank Region ◽  
Surgical Excision ◽  
Young Female ◽  
Chief Complaint ◽  
Benign Tumors ◽  
Indication For Surgery ◽  
Physical Discomfort ◽  
Giant Size ◽  
Different Parts

Lipomas are the most common benign tumors of connective tissue which can be found in different parts of the human body. In rare cases, their size may be so giant which could be an indication for surgery. Here, we present a case of congenital multiple asymmetrical giant lipomas of the back in a young female. She presented with a chief complaint of physical discomfort due to the giant size and weight of the lipomas. Apart from that, she was in total health. She was born with 5 small lipomas in the back and flank region which had become giant lipomas with estimated weigh around 16 kg in total by the age of 24. The patient underwent seven operations to remove or debulk the mass over a 24-year period since the recurrence of the growths was inevitable. Considering the size of the mass and differential diagnosis, such as liposarcoma, and since no risk factor or underlying etiology was detected for the patient`s condition, surgical excision was the preferred technique for this case.

scholarly journals Solitary Encapsulated Neurofibroma Not Associated with Neurofibromatosis-1 Affecting Tongue in a 73-Year-Old Female

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Sk. Abdul Mahmud ◽  
Neha Shah ◽  
Moumita Chattaraj ◽  
Swagata Gayen
Keyword(s):  
Family History ◽  
Clinical Manifestations ◽  
Surgical Excision ◽  
Neurofibromatosis Type ◽  
Clinical Findings ◽  
Benign Tumors ◽  
History Of

Neurofibromas are benign tumors of nerve cell origin arising due to proliferation of Schwann cells and fibroblasts. They are usually asymptomatic and hence remain undiagnosed. They are commonly found on the skin and intraorally tongue is the most common site for their occurrence. Here, we present a unique case of solitary encapsulated neurofibroma in the oral cavity without any clinical manifestations or family history of Neurofibromatosis type 1 in a 73-year-old female patient who presented with a painless swelling on the tongue. The histopathologic findings closely mimicked benign fibrous histiocytoma. In our case, definitive diagnosis of neurofibroma was made based on clinical findings, family history, and histopathological and immunohistochemical evaluation. Through this case report we want to emphasize the role of biopsy and immunohistochemistry in arriving at a confirmatory diagnosis. The patient was treated by surgical excision and showed no signs of recurrence over a follow-up period of 12 months.

scholarly journals Combined Liposuction and Excision of Lipomas: Long-Term Evaluation of a Large Sample of Patients

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Libby R. Copeland-Halperin ◽  
Vincenza Pimpinella ◽  
Michelle Copeland
Keyword(s):  
Surgical Excision ◽  
Benign Tumors ◽  
Long Term Outcomes ◽  
Safe Alternative ◽  
Postoperative Hematoma ◽  
Aesthetic Results ◽  
Term Evaluation ◽  
Short And Long Term

Background. Lipomas are benign tumors of mature fat cells. They can be removed by liposuction, yet this technique is seldom employed because of concerns that removal may be incomplete and recurrence may be more frequent than after conventional excision. Objectives. We assessed the short- and long-term clinical outcomes and recurrence of combined liposuction and limited surgical excision of subcutaneous lipomas. Methods. From 2003 to 2012, 25 patients with 48 lipomas were treated with liposuction followed by direct excision through the same incision to remove residual lipomatous tissue. Initial postoperative follow-up ranged from 1 week to 3 months, and long-term outcomes, complications, and recurrence were surveyed 1 to 10 years postoperatively. Results. Lipomas on the head, neck, trunk, and extremities ranged from 1 to 15 cm in diameter. Early postoperative hematoma and seromas were managed by aspiration. Among 23 survey respondents (92%), patients were uniformly pleased with the cosmetic results; none reported recurrent lipoma. Conclusions. The combination of liposuction and excision is a safe alternative for lipoma removal; malignancy and recurrence are uncommon. Liposuction performed through a small incision provides satisfactory aesthetic results in most cases. Once reduced in size, residual lipomatous and capsular tissue can be removed without expanding the incision. These favorable outcomes support wider application of this technique in appropriate cases.

scholarly journals Leiomyoma of the Cheek

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ricardo Roberto de Souza Fonseca ◽  
Mário Augusto Ramos Junior ◽  
Douglas Baruchi ◽  
Tabata Resque Beckmann Carvalho ◽  
Andresa Borges Soares ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Gastrointestinal Tract ◽  
Smooth Muscle Cells ◽  
Rare Case ◽  
Surgical Excision ◽  
Muscle Cells ◽  
Benign Tumors ◽  
Tunica Media ◽  
The Right

Leiomyomas are rare benign tumors that grow in the tunica media of smooth muscle cells. Leiomyomas occur most frequently in the uterus or gastrointestinal tract and only very rarely in the area of the cheek. This study reports on a rare case of a leiomyoma in the cheek of a 43-year-old woman, who presented with a well-circumscribed, asymptomatic, mobile swelling in the right cheek. This swelling was slightly purplish in color and measured approximately 4 cm×3 cm. Surgical excision was the treatment of choice, and the diagnosis was based on histopathological and immunohistochemical stains, which were positive for actin and desmin and negative for AE1/AE3, CD34, and S100. The patient’s follow-up, two years later, showed no recurrence, and she has been asymptomatic since the surgery.

Neonatal intracranial teratoma

1983 ◽  
Vol 59 (5) ◽  
pp. 879-883 ◽  
Author(s):  
Enrique C. G. Ventureyra ◽  
Stephanie Herder
Keyword(s):  
Preoperative Evaluation ◽  
Germ Cell Tumors ◽  
Surgical Excision ◽  
Perioperative Period ◽  
Operative Management ◽  
Benign Tumors ◽  
Content Type ◽  
Intracranial Teratoma ◽  
Malignant Germ Cell Tumors

✓ The authors report the successful total excision of an intracranial teratoma in a neonate. The pathology of this rare tumor and its prognosis in relation to the maturity of individual cell lines is discussed. A review of the previous operation experience in the neonatal age group shows that radical surgical excision of the tumor has seldom been attempted. There are no reported survivors with normal neurological development. The clinical presentation, preoperative evaluation, and operative management are discussed. Emphasis is laid on intensive supportive care in the perioperative period. The difficulty in predicting a benign or malignant course in these tumors justifies extreme caution in making a prognosis and demands careful follow-up supervision. Reoperation is indicated for recurrent benign tumors; malignant germ-cell tumors may respond to combined irradiation and chemotherapy.

scholarly journals Presacral schwannoma: a bizarre presentation in the Pandora’s box of abdomen and pelvis

2020 ◽  
Vol 7 (7) ◽  
pp. 2439
Author(s):  
Harsha S. Poojary ◽  
Vishwanath Sherigar ◽  
Abhinav Balaji
Keyword(s):  
Pelvic Mass ◽  
Surgical Excision ◽  
Nerve Fibers ◽  
Benign Tumors ◽  
Post Surgery ◽  
Surgery Patient ◽  
The Mind ◽  
Work Up ◽  
Detailed Work

Schwannomas are benign tumors arising from the Schwann cells of nerve fibers. They are extremely rare in the pelvis accounting for only 1-3% of all schwannomas. These tumors are nonaggressive, slow growing, solitary neoplasms with an extremely low possibility of malignant transformation or recurrence after excision. We present a case of a 19 years old male with complaints of radiating pain from lower back to the left thigh associated with altered bowel and bladder habits. Following a detailed work up he underwent laparotomy and mass excision. Histopathological report revealed presacral schwannoma. Post-surgery patient improved symptomatically and is on regular follow up. There are a smaller number of cases of presacral schwannoma reported in the literature. Due to its outlandish striking presentation, diagnosis is very challenging. Although presacral schwannoma is rare, it should be considered as a differential diagnosis in the back of the mind of a surgeon while dealing a case of pelvic mass. In symptomatic and asymptomatic cases, surgical excision is the mainstay of treatment of these tumors.

scholarly journals Chondroid Syringoma of Dorsum of the Nose

2018 ◽  
Vol 26 (3) ◽  
pp. 219-221
Author(s):  
Netra Aniruddha Pathak ◽  
Vidya Vasant Rokade ◽  
Kiran Jayawant Shinde
Keyword(s):  
Surgical Excision ◽  
Benign Tumors ◽  
Adult Males ◽  
Seborrheic Keratosis ◽  
Chondroid Syringoma ◽  
External Nose ◽  
Middle Aged Adult ◽  
Slow Growing ◽  
Mixed Tumors

IntroductionChondroid syrigomas are rare, usually benign tumors occurring predominantly in the head and neck area. These are also known as mixed tumors of skin. Preoperative diagnosis is difficult and generally histopathology examination confirms the diagnosis.  The usual presentation is that of a slowly growing mass.Case ReportA rare case of chondroid syringoma on dorsum of external nose in 30 year old female patient   is presented.DiscussionChondroid syringoma presents as slow‐growing, painless, subcutaneous or intracutaneous nodule in middle‐aged adult males. The tumor is often initially confused with more common dermatologic skin disorders such as sebaceous cysts, dermoid cysts, neurofibromas, dermatofibromas, basal cell carcinoma, histiocytoma and seborrheic keratosis. The treatment of choice is surgical excision with negative margins with follow-up to detect recurrences.

Endoscopic Management of Sinonasal Tumors: A Preliminary Report

2005 ◽  
Vol 19 (3) ◽  
pp. 307-315 ◽  
Author(s):  
David M. Poetker ◽  
Robert J. Toohill ◽  
Todd A. Loehrl ◽  
Timothy L. Smith
Keyword(s):  
Recurrence Rate ◽  
Chart Review ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Tumor Location ◽  
Therapeutic Modality ◽  
Endoscopic Management ◽  
Benign Tumors ◽  
The Mean

Background The increased experience with the endoscopic approach to sinonasal inflammatory disease has resulted in the increased use of endoscopes to manage many different sinonasal pathologies. Methods A chart review of patients with sinonasal tumors treated with primary endoscopic management, from January, 1993 to November, 2003 was performed. Results Forty patients were identified (26 men and 14 women). The mean age was 53.2 years, and the mean follow-up was 31.1 months. For benign tumors, 24 patients were identified with a mean age of 50.7 years, a mean follow-up of 17.5 months, and a recurrence rate of 4.2%. For malignant tumors, 16 patients were identified, with a mean age of 57.3 years, a mean follow-up of 51.5 months, and a recurrence rate of 31.3%. The overall survival rate was 87.5%. Conclusion Endoscopic surgical excision of selective sinonasal tumors may be an effective therapeutic modality. In some cases, adjuvant external procedures may be required based on tumor location.

scholarly journals The Fourth Ventricle Epidermoid Cyst: About Two Cases

2019 ◽  
Vol 5 (4) ◽  
pp. 165-168
Author(s):  
Djene Ibrahima KABA ◽  
◽  
Adil MAATI ◽  
Mamadou Bata DIANKA ◽  
Aboubacar M’mah CAMARA ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Epidermoid Cyst ◽  
Fourth Ventricle ◽  
Clinical Signs ◽  
Young Patients ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Sellar Region ◽  
Temporal Fossa

Epidermoid cysts are rare benign tumors developed from ectodermic inclusions. They usually sit at the ponto-cerebellar angle, the para-sellar region and the temporal fossa. Their seat at the fourth ventricle is unusual. We report two cases of squamous cell cyst in two young patients aged 21 and 33 admitted for intracranial hypertension syndrome associated with walking disorders. The diagnosis of epidermoid cyst of the V4 was evoked on the data of the MRI then confirmed in peroperative and in histology. The surgical excision was subtotal due to adhesion of the capsule to the upper part of the V4 floor. After a 12-month follow-up, the first patient showed no signs of tumor re-evolution. The second patient benefited from a ventriculo-peritonial derivation 45 days after the cyst was removed. After a 7-month follow-up, the patient showed no clinical signs suggestive of tumor re-evolution.

Benign cerebellar astrocytomas in children

1999 ◽  
Vol 90 (2) ◽  
pp. 265-273 ◽  
Author(s):  
Philippe Pencalet ◽  
Wirginia Maixner ◽  
Christian Sainte-Rose ◽  
Arielle Lellouch-Tubiana ◽  
Giuseppe Cinalli ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Tumor Recurrence ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Transitional Form ◽  
Duration Of Symptoms ◽  
Content Type ◽  
Fine Print

Object. Cerebellar astrocytomas are benign tumors of childhood known to be associated with excellent long-term survival in patients in whom complete surgical resection is possible. However, the roles of other factors—clinical, radiological, histological, and therapeutic—in the survival of the patient, tumor recurrence, and long-term patient outcome remain imprecise. The goal of this study was to examine these factors and their relationships.Methods. To clarify these issues a retrospective review was conducted of 168 children who were surgically treated for a cerebellar astrocytoma at Hôpital Necker—Enfants Malades between 1955 and 1995. These patients' clinical files were examined, the histological characteristics of their tumors were reviewed, and their outcomes were assessed according to Bloom's scale and the Wechsler intelligence quotient test.Of the 168 patients in the study, 91 were male and 77 were female with a mean age of 6.9 years and a mean follow up lasting 7.7 years. Tumors were identified as being strictly located in the cerebellum in 76.2% of the patients and as involving the brainstem (referred to as the “transitional form”) in 23.8% of the patients. Complete surgical excision was possible in 88.7% of cases. There was a total mortality rate of 4.2% and a tumor recurrence rate of 9.5%. Fifty-eight percent of the patients had no neurological sequelae at follow-up evaluation.Pejorative factors that were discovered by multivariate analysis to be important included: a long preoperative duration of symptoms and the transitional form of tumor with respect to survival; incomplete tumor excision with respect to an increased risk of recurrence; and a long preoperative duration of symptoms, an early epoch during which surgery was performed (1955–1974), severe ventricular dilation, and the transitional form of tumor with respect to a poorer long-term patient outcome.Conclusions. The presence of brainstem involvement (tumor in the transitional form) emerged as a significant negative prognostic factor and should be treated as a distinct nosological entity. The extent of surgical excision has a significant bearing on the risk of tumor recurrence.

scholarly journals An Unusual Case of Biatrial Myxoma in a Young Female

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Vikrant Vijan ◽  
Anjith Vupputuri ◽  
Rajiv Chandrasekharan Nair
Keyword(s):  
Transesophageal Echocardiography ◽  
Unusual Case ◽  
Early Recognition ◽  
Surgical Excision ◽  
Young Female ◽  
Atrial Myxoma ◽  
Rare Type ◽  
Intracardiac Tumor ◽  
Single Tumor

Myxoma, a rare type of intracardiac tumor, forms a very small percentage of the cardiac cases. Reports of biatrial myxoma are rarer, with cases of single tumor reaching both atria being more common. Here, we present an unusual case of two independently growing atrial myxoma in a 29-year-old female. We emphasize that early recognition of symptoms, confirmation of diagnosis by transesophageal echocardiography, and prompt surgical excision remain vital in the management of such patients. The patient in the present case was managed successfully with no evidences of recurrence at the last follow-up.

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