Tuberkulosis tonsil dan nasofaring disertai limfadenopati servikal dan tuberkulosis milier

Latar belakang: tuberkulosis pada saluran nafas atas sangat jarang dijumpai dan biasanya disertai dengan penyakit paru primer. Dengan kemajuan pengobatan tuberkulosis saat ini, infeksi mycobacterium pada tonsil dan nasofaring jarang dijumpai. Limfadenopati servikal merupakan simptom yang sering terjadi, dan seharusnya didiagnosis banding dengan suatu massa di kepala dan leher. Tujuan: untuk menambah pengetahuan dalam mendiagnosis dan menangani tuberkulosis tonsil dan nasofaring yang jarang dijumpai. Kasus: Seorang anak laki-laki 14 tahun dikonsulkan dengan masa dileher bilateral disertai disfagia, demam dan malaise selama satu bulan. Penatalaksanaan: Pasien awalnya kami diagnosis banding sebagai suatu massa di kepala leher. Setelah ditegakkan diagnosis sebagai tuberkulosistonsil dan nasofaring disertai limfadenopati servikal dan tuberkulosis milier, diberikan terapi dengan anti tuberkulosis dan diperoleh hasil yang baik. Kesimpulan: Tuberkulosis sebaiknya dimasukkan sebagai diagnosis banding suatu massa di kepala dan leher terutama jika gambaran klinis dan pencitraan yang dijumpai tidak khas, sementara itu biopsi dan gambaran mikrobiologi selalu harus dipertimbangkan. Kata kunci: tuberkulosis nasofaring, tonsil, millier, limfadenopati. ABSTRACTBackground: Tuberculosis (TB) of the upper aerodigestive tract is rare and is usually associated with primary pulmonary disease. With recent advances in medical treatment of tuberculosis, mycobacterial infection of the nasopharynx and tonsil becomes very rare. The most common presenting symptom is cervical lymphadenopathy, so TB should be considered in the differential diagnosis of soft tissue masses of the head and neck. Purpose: To remind Otolaryngologists about the diagnosis and management of nasopharyngeal and tonsillar tuberculosis, which become rare case nowadays. Case: A 14-year-old boy was consulted with bilateral neck masses, disphagia, fever and malaise for one month. Case Management: At first we made a differential diagnosis of soft tissue masses of the head and neck. After he was diagnosed as nasopharyngeal and tonsilar tuberculosis with cervical lymphadenopathy and millier tuberculosis, the patient was treated with anti tuberculosis medication and the result was good. Conclusion: TB should be considered in the differential diagnosis of soft tissue masses of the head and neck, particularly when the imaging findings and clinical presentation are atypical, at which point appropriate biopsies and microbiologic studies should be conducted. Keyword : Nasopharyngeal tuberculosis, tonsilar tuberculosis, cervical lymphadenopathy, milliertuberculosis

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A Solitary Ventral Scapular Osteochondroma causing Pseudo-winging of Scapula: A Case Report

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i07.2328 ◽

2021 ◽

Vol 11 (7) ◽

Author(s):

Eknath Pawar ◽

Nihar Modi ◽

Amit Kumar Yadav ◽

Jayesh Mhatre ◽

Sachin Khemkar ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Soft Tissue ◽

Young Child ◽

Chest Wall ◽

Rare Case ◽

Rare Presentation ◽

Medial Border ◽

Soft Tissue Masses ◽

Scapular Region

Introduction: Winging of scapula is defined as a failure of dynamic stabilizing structures that anchor the scapula to the chest wall, leading to prominence of the medial border of scapula. It could be primary, secondary, or voluntary. Primary winging could be true winging due to neuromuscular causes or pseudo-winging due to osseous or soft-tissue masses. A scapular osteochondroma is a very rare presentation site and causes pseudo-winging leading to pushing away of the scapula away from the chest wall presenting as medial border prominence. Here, we are reporting a rare case of a scapular osteochondroma causing a pseudo-winging of the scapula. Case Report: A 2-year-old male child presented with painless, immobile, and non-fluctuant swelling over the left scapular region, insidious in onset and progressive in nature. On examination, a non-tender, immobile swelling was palpable with a painless and unrestricted range of motion at the shoulder joint. After evaluating radiographs and CT scan, the patient was diagnosed to have a ventral scapular osteochondroma leading to pseudo-winging of the scapula. Conclusion: Despite the rarity, a differential diagnosis of a scapular osteochondroma should be kept in mind while examining a young child presenting with a winged scapula. Keywords: Scapula, osteochondroma, pseudo-winging.

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Giant Pilomatrixoma Presenting in the Posterior Thorax, a Rare Location and the Largest Described

Case Reports in Radiology ◽

10.1155/2015/590742 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

P. Gongidi ◽

J. Meshekow ◽

T. Holdbrook ◽

P. Germaine

Keyword(s):

Differential Diagnosis ◽

Soft Tissue ◽

Head And Neck ◽

Follicle Cells ◽

Soft Tissue Neoplasm ◽

Radiographic Features ◽

Rare Location ◽

Soft Tissue Masses ◽

Slow Growing ◽

Giant Pilomatrixoma

Pilomatrixoma is a common benign soft tissue neoplasm arising from hair follicle cells, typically not exceeding 3 cm and located mainly within the head and neck regions. Lesions greater than 3 cm or those located elsewhere are rare and are often not thought of or high on a differential diagnosis. Moreover, the radiographic features of pilomatrixoma are very nonspecific making the diagnosis even more difficult and rarely described in the radiology literature. We present the largest reported case of pilomatrixoma measuring 24 cm arising from the posterior thorax. Our hope is to increase awareness of this diagnosis for slow-growing soft tissue masses not located in the classically described locations of head and neck, explore the radiographic features on various imaging modalities, and review the current radiology literature.

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Rare case of extra-peritoneal brown fat (hibernoma) mimicking dumbbell-shaped liposarcoma

BJR|case reports ◽

10.1259/bjrcr.20200162 ◽

2021 ◽

pp. 20200162

Author(s):

Alex Kiu ◽

Tiffany Fung ◽

Sungmi Jung ◽

Rehana Jaffer ◽

Marie-Helen Martin

Keyword(s):

Differential Diagnosis ◽

Adipose Tissue ◽

Soft Tissue ◽

Rare Case ◽

Clinical Presentation ◽

Soft Tissue Tumour ◽

Radiological Features ◽

Tissue Tumour ◽

Brown Adipose ◽

Patient Stress

Hibernomas are a very rare and benign soft tissue tumour that originate from brown adipose tissue. While they are not histologically malignant, they may be indistinguishable from aggressive tumours such as liposarcomas on imaging. It is, therefore, important to consider it as a differential diagnosis when a suspicious fatty lesion is seen on imaging. This may prevent unnecessary invasive surgery and patient stress. This paper illustrates the clinical presentation, radiological features, and histological diagnosis of a patient with a rare dumbbell-shaped hibernoma in the pelvis.

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A RARE CASE OF ROSAI-DORFMAN DISEASE IN HYPOTHYROIDISM PATIENT A DIAGNOSTIC COEXISTENCE

10.36106/gjra/4300896 ◽

2021 ◽

pp. 31-32

Author(s):

Gridhati Srinivas ◽

Tarun Kumar Dutta

Keyword(s):

Weight Loss ◽

Differential Diagnosis ◽

Soft Tissue ◽

Rare Case ◽

Cervical Lymphadenopathy ◽

Nodal Involvement ◽

Nodal Disease ◽

Rosai Dorfman Disease ◽

Night Sweats ◽

Rule Out

Rosai-Dorfman disease (RDD) is a rare, benign, and predominantly nodal disease that most commonly presents as bilateral, painless cervical lymphadenopathy; although inguinal, axillary, mediastinal, and hilar lymphadenopathy has also been reported. Apart from nodal involvement, RDD has extra nodal manifestations involving bone, soft tissue, and liver as well as constitutional symptoms of fever, night sweats, and weight loss, which make it reasonable to rule out the infectious, autoimmune, and malignant conditions as the differential diagnosis.

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A Rare Case of Sublingual Gland Hydatid Cyst

Case Reports in Clinical Practice ◽

10.18502/crcp.v4i4.2388 ◽

2020 ◽

Author(s):

Shima Hajibegloo ◽

Farrokh Heidari ◽

Amirhossein Yadegar ◽

Firouzeh Heidari ◽

Ebrahim Karimi ◽

...

Keyword(s):

Differential Diagnosis ◽

Hydatid Cyst ◽

Head And Neck ◽

Rare Case ◽

Cystic Lesion ◽

Sublingual Gland ◽

Case Presentation ◽

Floor Of The Mouth ◽

Neck Masses ◽

Head And Neck Masses

Background: Hydatid cyst is a zoonotic disease due to the infection with the larvae of Echinococcus granulosus. The liver and lungs (80%) are the main organs involved and rarely head and neck. Case Presentation: A 47-year-old Iranian man presented to our center complaining of sublingual inflammation for 8 months. Sonography revealed a cystic lesion of 4×5×6 cm within the tongue. CT-scan showed a well-defined and hypodense mass in the floor of the mouth. Cyst resection was performed with the probability of ranula. Pathology was suggestive of hydatid cyst. Further workups revealed liver involvement. Therefore, he was treated with albendazole for 2 months. Conclusion: The hydatid cyst in the head and neck is rare and the involvement of sublingual gland is extremely rare. However, in endemic areas, hydatid cyst should be considered in the differential diagnosis of head and neck masses.

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Inflammatory Pseudotumours in the Abdomen and Pelvis: A Pictorial Essay

Canadian Association of Radiologists Journal ◽

10.1016/j.carj.2013.02.003 ◽

2014 ◽

Vol 65 (1) ◽

pp. 52-59 ◽

Cited By ~ 11

Author(s):

Tony Sedlic ◽

Elena P. Scali ◽

Wai-Kit Lee ◽

Sadhna Verma ◽

Silvia D. Chang

Keyword(s):

Differential Diagnosis ◽

Soft Tissue ◽

Preoperative Diagnosis ◽

Imaging Features ◽

Clinical Context ◽

Inflammatory Pseudotumour ◽

Pictorial Essay ◽

Soft Tissue Masses

Inflammatory pseudotumours are uncommonly encountered lesions in the abdomen and pelvis that often present with variable and nonspecific imaging features. They may mimic other more common lesions, including malignancy. Within the appropriate clinical context, inflammatory pseudotumours merit consideration in the differential diagnosis of soft-tissue masses within the abdomen and pelvis. A preoperative diagnosis of inflammatory pseudotumour, established through biopsy, may help to differentiate this benign entity from malignancy. In this article, we reviewed the imaging features of inflammatory pseudotumours of the abdomen and pelvis, including liver, spleen, bowel, retroperitoneum, kidney, bladder, uterus, and adnexa.

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CYTOPATHOLOGICAL SPECTRUM OF FNAC IN PALPABLE HEAD AND NECK LESIONS

10.36106/gjra/1901865 ◽

2021 ◽

pp. 53-54

Author(s):

Devendu Bose ◽

Bejoy Chand Banerjee

Keyword(s):

Salivary Gland ◽

Lymph Node ◽

Soft Tissue ◽

Head And Neck ◽

Clinical History ◽

Needle Aspiration ◽

Minimal Risk ◽

Neck Swelling ◽

Neck Masses ◽

Common Diagnosis

Introduction: Head and neck lesions comprises a large number of congenital, inammatory or neoplastic lesions including different anatomic sites and originating in different tissues and organs. Fine needle aspiration cytology (FNAC) is a simple, quick, feasible, repeatable and outpatient procedure with minimal risk of complication. Aim: To study the role of FNAC and its utility in diagnosis of palpable head neck masses and to determine the spectrum of various lesions. Materials And Methods: A retrospective study was conducted in pathology department of Shaheed Nirmal Mahato Medical College, Dhanbad, Jharkhand from January 2016 to December 2020 on patients with palpable head and neck swelling. Detailed clinical history of patient was noted. Aspirations were done by using 10 ml syringe and 22/23 gauge needles. Smears were stained with PAP, Haematoxylin and Eosin and Leishman stain. Cytomorphological diagnosis was given. Results: Out of 562 patients of head and neck swelling, 61.92% (348 cases) were of lymph node, 20.28% (114 cases) were of thyroid, 3.38% from salivary gland (19 cases), 14.06% (79 cases) from skin and soft tissue swellings. The most common diagnosis was reactive lymphadenitis (32.74%) followed by granulomatous lymphadenitis (18.33%). The mean age of study population was 32 years. There was female preponderance (88.59%) in thyroid lesions whereas lymph node lesions (60.91%), salivary gland lesions (73.68%) and soft tissue swellings (59.49%) were more common in males. Conclusion: From our study we concluded that FNAC is simple, quick, inexpensive, repeatable and minimally invasive rst line investigation for differential diagnosis of head and neck lesions.

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Lymphatic Drainage of the Head and Neck Region Differential Diagnosis of Cervical Lymphadenopathy

Textbook of Oral Medicine ◽

10.5005/jp/books/12196_8 ◽

2014 ◽

pp. 116-116 ◽

Cited By ~ 1

Author(s):

Pramod R

Keyword(s):

Differential Diagnosis ◽

Head And Neck ◽

Cervical Lymphadenopathy ◽

Neck Region ◽

Lymphatic Drainage ◽

Head And Neck Region

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Blue Rubber Bleb Nevus Syndrome: A Possible Cause for Growth Retardation and Pubertal Delay

Medical Principles and Practice ◽

10.1159/000496105 ◽

2018 ◽

Vol 28 (3) ◽

pp. 294-296

Author(s):

Yi Pan ◽

Lu Zhang ◽

Minghui Duan ◽

Hong Yang ◽

Duoduo Zhao ◽

...

Keyword(s):

Differential Diagnosis ◽

Iron Deficiency ◽

Growth Retardation ◽

Rare Case ◽

Clinical Presentation ◽

Intravenous Iron ◽

Deficiency Anemia ◽

Pubertal Delay ◽

Intravenous Iron Therapy ◽

Possible Cause

Objective: The aim of this paper was to describe a rare case of blue rubber bleb nevus (BRBNS) with growth retardation and pubertal delay. Clinical Presentation and Intervention: A 16-year-old boy with severe iron deficiency anemia was diagnosed with BRBNS, showing growth retardation and pubertal delay simultaneously. The patient was treated conservatively with intravenous iron therapy, and his puberty advanced gradually. Conclusion: Given that growth retardation and pubertal delay are rare in BRBNS patients, this case reminds us to include BRBNS in the differential diagnosis of growth retardation.

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