Estesioneuroblastoma Olfatorio: Presentacion De Un Caso.

Author(s):  
Daisy Arauz ◽  
Rolando Reyna López

<p><strong></strong>[Oligatory Esthesioneuroblastoma: Presentation of a Case.]</p><p>Resumen<br />Se presenta un caso de una paciente con pérdida de peso, congestión nasal epistaxis, aumento de volumen en cuello con disfagia a sólidos y líquidos de 1 mes de evolución. <br /><br />La tomografía de cuello muestra una masa de tejidos blandos en la base de cuello con erosión del esfenoides con extensión a la fosa craneal media, con erosión del clivus, el esfenoides y la silla turca. El diagnostico histopatológico es un estesioneuroblastoma. <br /><br />Abstract<br />We present a case of a patient with weight loss, nasal congestion, epistaxis, increase neck volume with dysphagia to solids and liquids of 1 month of evolution. <br /><br />The neck tomography shows a soft tissue mass at the base of the neck with erosion of the sphenoid with extension to the middle cranial fossa, with erosion of the clivus, the sphenoid and the sella turcica. The histopathological diagnosis is an esthesioneuroblastoma.<br /><br /><br /></p>

2017 ◽  
Vol 06 (02) ◽  
pp. 144-148
Author(s):  
Prithvi Varghese ◽  
Julio Kandathil ◽  
Jayasree Govindan ◽  
Rashmi R. ◽  
Muhammed Jalal

AbstractIntracranial meningiomas without dural attachment are rare and posterior cranial fossa meningiomas without dural attachment are rarer. Such meningiomas are thought to arise from arachnoid cap cells in pial membrane, tela choroidea, or choroid plexus. MRI is the best imaging modality for the diagnosis of meningiomas and typically shows an enhancing, dural based, extra-axial soft tissue mass with a characteristic dural tail. Meningioma without dural attachment should be suspected if the MRI shows a space-occupying lesion having features of a meningioma but without a dural base and dural tail. We report a case of meningioma in the lateral cerebellomedullary cistern without dural attachment.


2013 ◽  
pp. 1-6
Author(s):  
G.D. MILLER ◽  
S.L. ROBINSON

Background: Although obesity is a recognized risk factor for impaired physical function in olderadults, there is still debate on whether older obese adults should undergo intentional weight loss due to concern ofloss in lean body mass, including appendicular lean soft tissue mass. This may put them at risk for worseningmuscle strength and mobility. Objectives:Therefore, the purpose of this study was to examine the effect of aweight loss intervention on body composition and physical function in obese older women. Design:Womenwere randomized into either a weight stable (WS) (n=20) or an intensive weight loss (WL) (n=26) group.Setting:The study setting was at a university research facility. Participants:Women (age, 67.8±1.3 yrs; BMI,34.9 (0.7) kg/m2; mean±standard error of the mean) were recruited. Intervention:The WL intervention was for 6months and included moderate dietary energy restriction and aerobic and strength exercise training.Measurements:Variables were obtained at baseline and 6-months and included body weight, dual energy x-rayabsorptiometry (DXA), 6-minute walk distance, stair climb time, and concentric knee extension muscularstrength. Results:Estimated marginal means (SEM) for weight loss at 6-months was -8.5 (0.9)% for WL and +0.7(1.0)% for WS. There was a significant loss of body fat mass, lean body mass, appendicular lean soft tissue mass,relative muscle mass, and skeletal muscle index for WL vs. WS at 6-months. However, improvements for WLvs. WS were seen in 6-minute walk distance and stair climb time, and trends for improved relative strength andleg muscle quality. Change in body fat mass was positively related to improved physical function and musclestrength and quality. Conclusion:These results further support the use of a sound intentional weight loss programincorporating moderate dietary energy restriction and exercise training in older obese women to improve physicalfunction. Although lean soft tissue mass was lost, over the 6-month program there was no deleterious effect onmuscle strength or muscle quality.


BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Felix G. Gassert ◽  
Florian T. Gassert ◽  
Katja Specht ◽  
Carolin Knebel ◽  
Ulrich Lenze ◽  
...  

Abstract Background Small soft tissue masses are often falsely assumed to be benign and resected with failure to achieve tumor-free margins. Therefore, this study retrospectively investigated the distribution of histopathologic diagnosis to be encountered in small soft tissue tumors (≤ 5 cm) in a large series of a tertiary referral center. Methods Patients with a soft tissue mass (STM) with a maximum diameter of 5 cm presenting at our institution over a period of 10 years, who had undergone preoperative Magnetic resonance imaging and consequent biopsy or/and surgical resection, were included in this study. A final histopathological diagnosis was available in all cases. The maximum tumor diameter was determined on MR images by one radiologist. Moreover, tumor localization (head/neck, trunk, upper extremity, lower extremity, hand, foot) and depth (superficial / deep to fascia) were assessed. Results In total, histopathologic results and MR images of 1753 patients were reviewed. Eight hundred seventy patients (49.63%) showed a STM ≤ 5 cm and were therefore included in this study (46.79 +/− 18.08 years, 464 women). Mean maximum diameter of the assessed STMs was 2.88 cm. Of 870 analyzed lesions ≤ 5 cm, 170 (19.54%) were classified as superficial and 700 (80.46%) as deep. The malignancy rate of all lesions ≤ 5 cm was at 22.41% (superficial: 23.53% / deep: 22.14%). The malignancy rate dropped to 16.49% (20.79% / 15.32%) when assessing lesions ≤ 3 cm (p = 0.007) and to 15.0% (18.18% / 13.79%) when assessing lesions ≤ 2 cm (p = 0.006). Overall, lipoma was the most common benign lesion of superficial STMs (29.41%) and tenosynovial giant cell tumor was the most common benign lesion of deep STMs (23.29%). Undifferentiated pleomorphic sarcoma was the most common malignant diagnosis among both, superficial (5.29%) and deep (3.57%) STMs. Conclusions The rate of malignancy decreased significantly with tumor size in both, superficial and deep STMs. The distribution of entities was different between superficial and deep STMs, yet there was no significant difference found in the malignancy rate.


2007 ◽  
Vol 36 (12) ◽  
pp. 1177-1177 ◽  
Author(s):  
Tomoya Sakabe ◽  
Hiroaki Murata ◽  
Yukiko Tokumoto ◽  
Kazutaka Koto ◽  
Takaaki Matsui ◽  
...  

Neurosurgery ◽  
1982 ◽  
Vol 11 (5) ◽  
pp. 712-717 ◽  
Author(s):  
John N. Taptas

Abstract The so-called cavernous sinus is a venous pathway, an irregular network of veins that is part of the extradural venous network of the base of the skull, not a trabeculated venous channel. This venous pathway, the internal carotid artery, and the oculomotor cranial nerves cross the medial portion of the middle cranial fossa in an extradural space formed on each side of the sella turcica by the diverging aspects of a dural fold. In this space the venous pathway has only neighborhood relations with the internal carotid artery and the cranial nerves. The space itself must be distinguished from the vascular and nervous elements that it contains. The revision of the anatomy of this region has not only theoretical interest but also important clinical implications.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (4) ◽  
pp. 511-522 ◽  
Author(s):  
Herbert C. Miller ◽  
Khatab Hassanein

Measurements of crown-heel length, head circumference, and birth weight were made on a large number of newborn infants. Birth weight by itself was frequently not a valid measure of fetal growth impairment. By including measurements of body length and head size along with birth weight, four distinct patterns of fetal growth impairment were identified. The four patterns included infants who had abnormally short body lengths for dates, infants who had evidence of disproportionate growth between body length and head circumference, infants who accumulated excessive amounts of soft-tissue mass, and infants who accumulated too little soft-tissue mass. Criteria for diagnosing each pattern were obtained prospectively and have been presented with allowances made for the effects of race, sex, fetal age, and parity on each pattern. The separate identification of the four patterns provided a more precise description of fetal growth impairment than could be obtained from birth weight and calculated gestational age.


2006 ◽  
Vol 130 (3) ◽  
pp. e35-e36
Author(s):  
Einas Alkuwari ◽  
Denis H. Gravel

Sign in / Sign up

Export Citation Format

Share Document