scholarly journals Penatalaksanaan Hemangioma Kavernosa Laring

2019 ◽  
Vol 48 (2) ◽  
pp. 189
Author(s):  
Vicky Eko ◽  
Rokhaeni Rokhaeni
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Cavernous Hemangioma ◽  
Evidence Based ◽  
Literature Study ◽  
Exclusion Criteria ◽  
Rigid Endoscopy ◽  
Report Result ◽  
Examination Result ◽  
History Of

Latar belakang: Hemangioma merupakan proliferasi dari pembuluh darah yang tidak normal dan dapat terjadi pada setiap jaringan pembuluh darah. Adanya massa di laring harus dibedakan sebagai suatu proses inflamasi, atau massa tumor seperti polip laring, karsinoma laring, atau hemangioma. Tujuan: Untuk mengetahui hemangioma kavernosa laring dan penatalaksanaannya. Laporan kasus: Pasien laki-laki, 45 tahun dengan keluhan suara serak yang terus-menerus sejak 1 tahun sebelum masuk rumah sakit. Keluhan serak makin lama makin berat dan dirasakan sangat parah dalam 1 bulan terakhir. Keluhan sesak dan batuk tidak ada, riwayat merokok ada, pekerjaan petani, dan sering terpapar obat hama. Pada pemeriksaan endoskopi kaku 700 didapatkan massa menutup laring, batas tidak tegas, dan pada pemeriksaan CT Scan laring didapatkan massa pada laring bilateral. Dari pemeriksaan Patologi Anatomi didapatkan kesimpulan hemangioma kavernosa. Penatalaksanaan pasien ini berupa trakeostomi dengan anestesi lokal, dan bedah laring mikroskopi dengan anestesi umum. Metode: Telaah literatur berbasis bukti mengenai hemangioma kavernosa laring melalui database Cochrane dan Pubmed Medline. Berdasarkan kriteria inklusi dan ekslusi didapatkan 3 jurnal yang relevan dengan kasus yang dilaporkan. Hasil: Berdasarkan literatur bahwa hemangioma kavernosa laring merupakan kasus jarang, dan lokasi yang sering terjadi di regio supraglotis dan glotis. Gejala tersering yaitu suara serak. Faktor yang mempengaruhi pilihan terapi adalah usia pasien, tipe, ukuran dan lokalisasi tumor. Kesimpulan: Penatalaksanaan hemangioma kavernosa laring berupa trakeostomi dan bedah laring mikroskopik dengan hasil yang baik. Background: Hemangioma is an abnormal proliferation of blood vessels and it can occur in any blood vessel tissue. The presence of laryngeal masses has to be differentiated as an inflammation process or tumor mass such as polyps of the larynx, laryngeal carcinoma, or hemangioma. Purpose: To gain knowledge of laryngeal cavernous hemangioma and its management. Case Report:  Male, 45 years old, complained of persistent hoarseness for about 1 year, and getting much worse since the last month. No complaint of breathing difficulty nor coughing. Had a positive history of smoking, worked as a farmer, often exposed to insecticides. A seventy degree rigid endoscopy examination showed an irregular shaped mass occluding the larynx, indistinct borders, and the CT scan confirmed an isodense mass in larynx bilaterally. The  Pathology Anatomy examination result concluded as cavernous hemangioma. The patient underwent tracheostomy with local anesthesia and microlaryngoscopic surgery under general anesthesia. Method:  An evidence based literature study on laryngeal cavernous hemangioma was performed through Cochrane and Pubmed Medline. Based on inclusion and exclusion criteria, there were 3 journals which were relevant with the case report. Result: Literature study revealed that laryngeal cavernous hemangioma is a rare case. The frequent  location was  in supraglotis and glotis regions. Conclusion: The management of laryngeal cavernous hemangioma consisted of tracheostomy and microlaryngoscopic surgery with good result.

Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report

2021 ◽  
Vol 6 (2) ◽  
pp. 161-165
Author(s):  
Orkun Ilgen ◽  
◽  
Sefa Kurt ◽  
Deniz Gokcay ◽  
Emine Cagnur Ulukus
Keyword(s):  
Case Report ◽  
Malignant Transformation ◽  
Hormone Replacement ◽  
Endometrioid Adenocarcinoma ◽  
Malignant Tissue ◽  
Previous Surgery ◽  
Vaginal Cuff ◽  
Examination Result ◽  
History Of ◽  
Abnormal Vaginal Bleeding

Objective. Endometriotic tissue implants rarely transform to malignant tissue, especially in a patient with a hysterectomy and bilaterally salpingo-oophorectomy. However, several cases with cancer arising from endometriosis after hysterectomy were reported in the literature. Hormone replacement therapy only with estrogen is a crucial risk factor for malignant transformation of persistent endometriotic tissue. Case Report. The present case demonstrates an endometrioid adenocarcinoma arising from persistent endometriosis tissue in a patient who was performed hysterectomy with bilateral salpingectomy 3 years ago. The histopathologic specimens of the previous surgery did not include any malignant tissue. After 3 years, she applied to the hospital with abnormal vaginal bleeding, and her histopathologic examination result found an ulcerated mass at the upper one-third of the vagina that is compatible with endometrioid adenocarcinoma. Conclusion. It is crucial to keep in mind the endometriosis history of the patient, to be able to diagnose cancer arising from endometriosis while evaluating the patient with a hysterectomy.

scholarly journals Robotic approach to treat Median Arcuate Ligament syndrome: a case report

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Roberto Bustos ◽  
Michail Papamichail ◽  
Alberto Mangano ◽  
Valentina Valle ◽  
Pier Cristoforo Giulianotti
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Epigastric Pain ◽  
Celiac Trunk ◽  
Robotic Approach ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Clinical Diagnostic ◽  
Arcuate Ligament ◽  
History Of

Abstract The Median Arcuate Ligament (MAL) syndrome is the symptomatic compression of the celiac trunk by the MAL and other ganglionic periaortic tissue. Despite its rarity, this condition is significant from a clinical, diagnostic and management standpoint and it is usually a diagnosis of exclusion. A 61-year-old female with history of intermittent postprandial epigastric pain was diagnosed with MAL syndrome during CT scan imaging (no other causes of pain were identified). Patient successfully underwent robotic MAL release with symptoms improvement after surgery. The robotic approach is feasible and may allow a very precise and delicate dissection with release of the MAL.

Coincidental Pituitary Adenoma and Parasellar Meningioma: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (2) ◽  
pp. 267-270 ◽  
Author(s):  
Kenji Yamada ◽  
Takashi Hatayama ◽  
Masahiro Ohta ◽  
Katsuaki Sakoda ◽  
Tohru Uozumi
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Head Injury ◽  
Ct Scan ◽  
The Other ◽  
Histopathological Findings ◽  
Computed Tomographic ◽  
First Case ◽  
History Of

Abstract We report a patient who had pituitary adenoma and parasellar meningioma coincidentally, with neither irradiation nor a history of head injury. Preoperative computed tomographic (CT) scan had shown a large intrasellar mass with ringlike enhancement; in contact with this mass, another well-enhanced mass had been shown. Histopathologically, the intrasellar mass was diagnosed as chromophobic pituitary adenoma and the other mass as meningotheliomatous meningioma. We present clinical, radiological, and histopathological findings and discuss previously reported cases of coincidental pituitary adenoma and meningioma without irradiation. This is the first case report since the advent of CT that pituitary adenoma and parasellar meningioma in contact with each other could be clearly demonstrated by CT.

scholarly journals Condylomata Acuminata in Adolescent Girl 19th Years Old Successful with Multimodality Therapy and Combination with HPV Vaccination: A Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 1180-1187
Author(s):  
Dwi Sabtika Julia ◽  
Qaira Anum ◽  
Rina Gustia
Keyword(s):  
Cervical Cancer ◽  
Case Report ◽  
Anal Cancer ◽  
Adolescent Girl ◽  
Hpv Vaccination ◽  
Condylomata Acuminata ◽  
Papilloma Virus ◽  
Examination Result ◽  
Anogenital Region ◽  
History Of

Background: Condylomata acuminata (KA) or better known as genital warts disease is a genital area infectious disease caused by Human papilloma virus (HPV). The highest prevalence infection of the condylomata acuminata occurs during active sexual periods, namely age 17-33 years, with the peak occurring at the age of 20-24 years. Currently HPV 16 and 18 are known to cause malignancy in the genital and anogenital region including cervical cancer and anal cancer, while HPV 6 and 11 are the cause of 90% of condylomata acuminata. HPV is linked to the findings of 500,000 new cases of cervical cancer and 250,000 deaths from cervical cancer each year worldwide.1 Case report: One case of condylomata acuminata in a 19-year-old adolescent girl with a major complaint of warts around her genitals that felt itchy and gradually getting bigger since 2 weeks ago. Patient was a student and unmarried. History of sexual contact with men with genito-genital without using condoms since 5 months ago. Venereological state : on the vulva and perineal there were multiple vegetations with verucose surfaces with the largest size 0.8 cm x 0.5 cm x 0.1 cm and the smallest size 0.2 cm x 0.2 cm x 0.1 cm. Acetowhite examination result was positive and PCR examination results found positive HPV types 6,11,16 and 18. Discussion: Patients are diagnosed to condylomata acuminata with a history of free sex at an early age. The condylomata acuminata experienced by patients was type 6,11,16 and 18. These types of 16 and 18 HPV are know to cause malignancy in the genital and anogenital region including cervical cancer and anal cancer.

scholarly journals Importance of dermoscopy in diagnosis of tinea capitis: An evidence-based case report

2019 ◽  
Author(s):  
Aninda Marina ◽  
Marsha Bianti ◽  
Sandra Widaty ◽  
Eliza Miranda
Keyword(s):  
Case Report ◽  
Lupus Erythematosus ◽  
Tinea Capitis ◽  
Clinical Performance ◽  
Evidence Based ◽  
Exclusion Criteria ◽  
Gray Hair ◽  
Sensitivity Rate ◽  
Hair Shafts

Diagnosis of tinea capitis requires direct microscopy with potassium hydroxide (KOH) staining and culture examination as the gold standard. Dermoscopy for the diagnosis of tinea capitis needs to be appraised through evidence-based case report method. A 22 years old woman came with systemic lupus erythematosus which was treated with methylprednisolone and azathioprine for a year. She had wide patchy alopecia, dry scaling, dull gray hair and minimal inflammation. KOH 20% showed septate hyphae and spores surrounding her hair shafts. Dermoscopy examination showed “comma hairs”, “corkscrew”, “perifollicular scaling” and “broken hairs”. Three articles from Pubmed and Gale fulfilled the inclusion and exclusion criteria. Articles were critically appraised and concluded that comma hairs sensitivity rate varies between 60-66% and specificity of 100%, while corkscrew had sensitivity rate varies 20-80% and specificity of 83-100%. Combination of dermoscopy with clinical performance and direct microscopic examinations amplify definitive diagnosis. Further investigations are needed to validate the role of dermoscopy as a diagnostic tool per se for tinea capitis.

Reversible Parkinsonism due to Chronic Subdural Hematoma: A Case Report

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Brahim EM ◽  
◽  
Mostarchid ME ◽  
Abderrahmane H ◽  
Inas K ◽  
...  
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Parkinson Disease ◽  
Ct Scan ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Symptomatology ◽  
Cause And Effect ◽  
History Of ◽  
Effect Relation

Although Chronic Subdural Hematoma (CSDH) is frequent in elderly patients, the CSDH can exceptionally cause a parkinsonism or aggravation of pre-existing parkinsonism. Only 27 cases reversible parkinsonism due to chronic subdural hematoma was reported in the literature. Disappearance of the extra pyramidal symptoms followed craniotomy and removal of the CSDH suggest a cause-and-effect relation between the haematoma and the clinical symptomatology. A case of a 62-year-old man with a two weeks history of parkinsonism caused by a CSDH reversible after surgery evacuation of the haematoma is reported. CSDH is a rare cause of reversible parkinsonism after surgery. CT scan must be recognized in any acute Parkinsonism or any deterioration of preexisting Parkinson disease to diagnose the Parkinsonism secondary to CSDH.

Is Pre-Operative Hormonal Therapy Has Positive Impact on Hypospadia Reconstruction Results?

2018 ◽  
Vol 24 (8) ◽  
pp. 6177-6181
Author(s):  
I. Made Suyadnya ◽  
Irfan Wahyudi ◽  
Arry Rodjani
Keyword(s):  
Case Report ◽  
Hormonal Therapy ◽  
Surgical Outcome ◽  
Positive Impact ◽  
Transverse Diameter ◽  
Evidence Based ◽  
Exclusion Criteria ◽  
Surgical Interventions ◽  
Reconstruction Surgery ◽  
Selection Of

Reconstruction of hypospadias is still one of the most important surgical interventions. One of the difficulties in reconstructing the hypospadias is due to the small size of the penis. This Evidence Based Case Report will review the success of surgical action with androgen stimulation with recommended hormonal therapy because it can stimulate the growth of the penis. A search was conducted on PubMed and Medline Fulltext. The selection of title and abstract was conducted using inclusion and exclusion criteria, which led to ten relevant journal. The selected studies were critically appraised for its validity, importance and applicability. Out of ten studies, six studies showed improvement in length of penis and two studies reported increased transverse diameter of penis post hormonal therapy. Another two studies reported an increased in circumference of glans penis. Three studies reported a success rate of the reconstruction range from 70%–89.2%. All studies have found that hormonal therapy before reconstruction can be safely used to improve the surgical outcome of hypospadi reconstruction surgery.

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.

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