scholarly journals Hemorrhagic angiomatous meningioma: what we know. Case report and review of the literature

2021 ◽  
Vol 3 (1) ◽  
pp. 18-22
Author(s):  
Marcelo Palmares Oliveira e Silva ◽  
Vitor Palmares Oliveira e Silva ◽  
Allan Victor Tavares da Silva ◽  
Giovani Crestana Nogueira Lima ◽  
Matheus Augusto Pinto Kitamura

Meningiomas are the most common benign intracranial tumors and rarely present with spontaneous bleeding. We report on a case of hemorrhagic angiomatous meningioma that was treated surgically (the first case described in Brazil) and present a review of the literature. The patient wasa 38-year-old female with progressive headache and vomiting. She also had a previous history ofchronic headaches and refractory depression. Imaging studies showed a large left frontal extra-axialtumor, with intense contrast enhancement and hyperperfusion/hypervascularization. There was anextensive intratumoral and pericapsular hemorrhagic region, with dilation of the middle meningealarteries and falx cerebri vessels. The lesion was compatible with hemorrhagic meningioma. Thepatient underwent bifrontal craniotomy and tumor devascularization, followed by total resection.Histopathological and immunohistochemical analyses led us to conclude that this was a case of angiomatous meningioma. Subsequently, the patient’s headaches and depression improved. Noresidual or recurrent neoplastic lesion was observed during the follow-up.

2020 ◽  
pp. 1-6
Author(s):  
Scott Seaman ◽  
Karra Jones ◽  
Scott Seaman ◽  
Taylor Abel ◽  
Toshio Moritani ◽  
...  

This case represents the unique occurrence of supratentorial dissemination of medulloblastoma in the absence of overt cerebellar disease. The authors present the case of a 64-year-old man who presented with headaches and intractable nausea with imaging abnormality seen only in the bilateral caudate. Follow-up imaging studies revealed a cerebellar lesion later confirmed by biopsy to be medulloblastoma. Subsequent biopsy of the originally evaluated caudate lesion demonstrated histologically identical medulloblastoma. Medulloblastoma should be considered in cases of supratentorial masses of unclear origin and should prompt careful inspection of the posterior fossa.


2014 ◽  
Vol 86 (1) ◽  
pp. 41 ◽  
Author(s):  
Giorgio Gentile ◽  
Francesca Giunchi ◽  
Riccardo Schiavina ◽  
Alessandro Franceschelli ◽  
Marco Borghesi ◽  
...  

Spermatocytic Seminoma (SS) is less common than the Classic variant, as its incidence ranges between 1.3% and 2.3% of all seminomas. Generally SS is diagnosed in men older than 50 years. The Anaplastic variant of Spermatocytic Seminoma is characterized by an earlier onset when compared to SS, but a benign behavior in spite of its histological patterns similar to Classic Seminoma. We reported the first case of bilateral, largest and synchronous Anaplastic Spermatocytic Seminoma, in a patient treated with radical orchifunicolectomy alone and with long-term follow-up. The currently available data show that Anaplastic SS reveals a clinically benign behavior, and no distant metastases have been reported so far. A close surveillance after surgery could be considered a valid option in the management of this rare testicular neoplasm.


Author(s):  
Daniel hacerte ◽  
Francois Gagné ◽  
Michel Copty

ABSTRACT:Introduction: Chondromas are rare intracranial tumors. The authors present two cases of intracranial intradural chondroma, one originating from the falx cerebri and the other from the dura mater of the convexity. Method and Results: Diagnostic procedures, including magnetic resonance imaging, and surgical findings are described. In both cases, pre-operative diagnosis could have been at least suspected, and the tumor was completely removed, without recurrence after a follow-up of many years. The pathogenesis and pathological findings are discussed, and cases from the literature are reviewed. Conclusion: Benign intradural chondroma has a good prognosis, with no recurrence after surgical excision in most cases.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
George Younan ◽  
Max Schumm ◽  
Fadwa Ali ◽  
Kathleen K. Christians

Introduction.Gallbladder volvulus is a rare, potentially fatal condition unless diagnosed and treated early. Choledochal cysts are rare congenital malformations of the biliary tree predisposing to different pathologies and posing the risk of degradation into cholangiocarcinoma and gallbladder cancer. Dealing with both diseases at once has not been published yet in the literature.Presentation of Case.We report a case of gallbladder volvulus in an elderly female who happened to have a concomitant type I choledochal cyst. Treatment was achieved with a cholecystectomy and observation and follow-up of the choledochal cyst.Discussion.Prompt diagnosis and surgical management of gallbladder volvulus is important to avoid the morbidity and mortality of gangrenous cholecystitis and biliary peritonitis in a frail old population of patients. Precise clinical diagnosis, supplemented with specific imaging clues, helps in the diagnosis. Management of choledochal cysts is also surgical; however the timing of surgery is still a matter of debate.Conclusion.We describe in this report the first case of gallbladder volvulus in a patient with a choledochal cyst and propose a management algorithm of a very rare biliary tree pathology combination.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Maria Enrica Miscia ◽  
Gabriele Lisi ◽  
Giuseppe Lauriti ◽  
Angela Riccio ◽  
Dacia Di Renzo ◽  
...  

Giant mesenteric lipoblastoma is a rare benign tumor arising from the adipocytes. It can mimic malignant tumors, and its diagnosis is difficult before surgery. Imaging studies could lead the diagnosis but not confirm it. Those tumors arising in the abdomen are usually larger and can cause symptoms of compression. Surgical excision is the treatment of choice, and a long-term follow-up is necessary to detect local recurrences. Only a few cases of lipoblastomas arising from the mesentery are reported in literature. We present a case of a rare giant lipoblastoma arising from the mesentery of a 6-year-old girl, with a history of postprandial abdominal pain.


2018 ◽  
Vol 22 (2) ◽  
pp. 151-157 ◽  
Author(s):  
Yağmur Seda Yeşiltaş ◽  
Kaan Gündüz ◽  
Aylin Okçu Heper ◽  
Esra Erden

In August 2016, an 11-year-old boy presented to the authors’ institution with a right orbital tumor that was located superotemporally (superolaterally) and adherent to the sclera. The patient’s past medical history revealed that he had undergone 2 previous craniotomies elsewhere in June 2008 and July 2010 for a superomedially located orbital lesion that had been histopathologically diagnosed as a neurothekeoma. After the second craniotomy, the patient underwent adjuvant intensity modulated radiotherapy (IMRT) to the right medial orbit. At the authors’ institution, total excision of the orbital tumor was performed via an anterior conjunctival orbitotomy. Histopathological examination revealed a rhabdoid meningioma. Review of the histopathology obtained at the time of previous tumor excisions showed that the lesion was misdiagnosed as neurothekeoma and instead represented a meningioma from the beginning. The patient was started on a regimen of oral sunitinib and remained free of recurrence at 1.5 years of follow-up. Ectopic meningioma of the orbit is a rare entity. Rhabdoid meningioma is a rarely seen subtype of meningioma, accounting for 1%–3% of all intracranial meningiomas. To the best of the authors’ knowledge, this is the first case of an ectopic orbital rhabdoid meningioma reported in the literature. They suspect that tumor seeding during the previous surgeries might have played a role in the occurrence of the tumor in an orbital location not targeted by IMRT.


1997 ◽  
Vol 5 (3) ◽  
pp. 161-165 ◽  
Author(s):  
Iain A Nish ◽  
George Kb Sándor ◽  
Simon Weinberg

The clinical, radiological and histological features of six large maxillary odontogenic keratocysts are reviewed. Special treatment considerations for extensive maxillary lesions are discussed. Patient follow-up, including imaging studies, is important to allow the early detection and treatment of recurrent lesions when they are small and well localized.


2015 ◽  
Vol 87 (2) ◽  
pp. 177
Author(s):  
Özgür Haki Yüksel ◽  
Serkan Akan ◽  
Çaglar Yildirim ◽  
Ahmet Ürkmez ◽  
Ayhan Verit

Gastrointestinal stromal tumor (GIST) was first defined by Mazur et al. in 1983. GIST is evaluated among tumoral lesions that can be acquired or congenital. Those not associated with gastrointestinal system are termed as extragastrointestinal stromal tumor (EGIST). EGISTs can develop on intraperitoneal spaces as omentum, mesenterium and gallbladder and they can occur on retroperitoneum, extraperitoneal (prostate) and intrapelvic organs. Herein, we present a case with EGIST in a 65-year-old male patient located in intrapelvic and retroprostatic area which had no connection with gastrointestinal system as assessed by radiological methods and we discuss its treatment. We reviewed the literature and observed that ours is the first case report on a patient in which the mass was only extirpated rather than performing radical surgery. He is still at the 2. year of his follow-up period without any disease recurrence.


Author(s):  
Maaike Ramael ◽  
Patrick Schoeters ◽  
Karl De Pooter ◽  
Frederik Van Sonhoven ◽  
Hilde Van Steelandt ◽  
...  

We describe the case of a 66-year-old woman with littoral cell angioma (LCA) confirmed by histopathology and immunohistochemistry, to our knowledge the first case in Belgium. LCA is an extremely rare primary vascular tumour of the splenic red pulp, probably originating from littoral cells. If a splenic mass and nodules are incidentally identified on imaging and the patient has no associated signs or symptoms, LCA should be suspected. Histopathology and adjacent techniques are mandatory for definitive diagnosis. Splenectomy followed by adequate follow-up is necessary to exclude underlying pathology.


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