scholarly journals Khan Krum - ʺThe Fearsomeʺ: A Noble Bulgarian with Iris-Fibroma?

2017 ◽  
Vol 5 (5) ◽  
pp. 696-697
Author(s):  
Georgi Tchernev ◽  
Hristo Mangarov ◽  
Anastasiya Atanasova Chokoeva
Keyword(s):  
Clinical Observation ◽  
Surgical Excision ◽  
Histological Evaluation ◽  
Soft Tissue Tumour ◽  
Healthy Male ◽  
Mesenchymal Tissue ◽  
Tissue Tumour ◽  
History Of ◽  
Benign Nature ◽  
Benign Tumours

A 40-year-old Caucasian, the otherwise healthy male patient, presented with 3-years history of a prominent tumor-like formation, located on his back, without subjective complaints. Initially, the lesion was 1-2 cm in size but gradually increased to a visible-pronounced tumor-like formation. No other dermatologic diseases, neither other known abnormalities were reported for the medical and family history.  Softly-elastic on palpation tumor-like formation was established in the left infrascapular area of the back, measuring 8/9 cm in diameter. The lesion was clinically suspected for lipoma or another soft-tissue tumour with benign nature, so the patient underwent planned surgical excision under local anaesthesia. A tumour was excited with deep elliptical excision and furthered for histological evaluation, while the wound edges were sutured with single cutaneous stitches. Additionally, a large black-colored tattoo of the Bulgarian historical noble Khan Krum was also observed within the clinical examination, covering almost the whole upper 1/3 part of the patient’s back Within the careful clinical observation of the tattoo, we noticed a fibroma-like lesion, affecting the noble’s right iris. Fibromas are common benign tumours in Caucasians, composed of fibrous or connective tissue. They can be seen in all organs from mesenchymal tissue, in varies size. Eyelids are often commonly affected in elderly. Although very commonly seen in every day dermatological practice, fibromas have been never reported, located in the iris. In the presented case, a small ʺiris-fibromaʺ, hidden within a black-colored tattoo was diagnosed in a patient with lipoma, as a sporadic clinical finding.

Parotid Duct Sialolithiasis in a Dog

2007 ◽  
Vol 43 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Brian J. Trumpatori ◽  
Kyleigh Geissler ◽  
Kyle G. Mathews
Keyword(s):  
Computed Tomography ◽  
Inflammatory Infiltrate ◽  
Surgical Excision ◽  
Histological Evaluation ◽  
Parotid Duct ◽  
Facial Swelling ◽  
History Of ◽  
Mixed Inflammatory Infiltrate ◽  
Glandular Atrophy ◽  
English Bulldog

Computed tomography was used to evaluate a 7-year-old English bulldog with a history of facial swelling and to aid in the diagnosis of parotid duct sialolithiasis. Removal of the sialolith with repair of the duct was not possible because of ductal fibrosis. Histological evaluation revealed glandular atrophy and fibrosis with lymphoplasmacytic inflammation. The parotid duct was ulcerated and fibrotic, with a mixed inflammatory infiltrate. Surgical excision of the parotid duct and salivary gland was curative.

scholarly journals Pleomorphic adenoma of dorsum of the nose: a rare occurrence

2020 ◽  
Vol 6 (10) ◽  
pp. 1919
Author(s):  
Rajiv Kumar Jain ◽  
Chultim D. Bhutia ◽  
Deepak Kumar Gupta ◽  
Ashvanee Kumar Chaudhary ◽  
Gagan Rangari ◽  
...  
Keyword(s):  
Pleomorphic Adenoma ◽  
Surgical Excision ◽  
Histological Evaluation ◽  
Prior History ◽  
Salivary Gland Tumours ◽  
Complete Surgical Excision ◽  
Complete Surgical Resection ◽  
Long Term Follow Up ◽  
History Of ◽  
Benign Salivary Gland Tumours

<p class="abstract">Pleomorphic adenoma are common benign salivary gland tumours, which are found in majority in major salivary glands such as parotids and submandibular glands. However, Pleomorphic adenoma to originate from dorsum of the nose is a rare entity. In rare cases, it can be found in unusual sites such as upper aero digestive tracts, palate and lacrimal glands. Complete surgical resection is the treatment of choice. Though, the evolution to malignancy and recurrence is not usually encountered, still a long-term follow-up is recommended. Here, we report a 53 year old female , complained of swelling in the left side of dorsum of nose for 10 years with a feeling of heaviness over the left side of face and difficulty in vision on the side of swelling due to the enlarged size of the swelling which gave a feeling of vision disruption , also had a prior history of  incision and drainage 4 years ,done elsewhere. On clinical examination, nodular mass was palpated on left side dorsum of nose which was freely mobile, and Skin over the swelling had blackish pigmentation. Anterior rhinoscopy revealed no abnormalities. Complete surgical excision via a lateral rhinotomy incision was performed. Cytological and histological evaluation revealed the presence of pleomorphic adenoma. We observed a decent cosmetic outcome with no evidence of recurrence.</p>

Intramuscular Haemangioma of the Forearm

1990 ◽  
Vol 15 (3) ◽  
pp. 362-365
Author(s):  
I. SHAJRAWI ◽  
U. Y. DREYFUSS ◽  
S. STAHL ◽  
J. H. BOSS
Keyword(s):  
Soft Tissue ◽  
Functional Impairment ◽  
Adolescent Girl ◽  
Surgical Excision ◽  
Soft Tissue Tumour ◽  
Large Size ◽  
Tissue Tumour ◽  
Intramuscular Haemangioma

Intramuscular haemangioma, though benign, may be a serious disorder, because its large size can cause functional impairment, pain and disfigurement, which may require surgical excision. These, as well as the baffling histopathological aspects, are exemplified by this report of an intramuscular haemangioma of the forearm in an adolescent girl. Clinical recognition of a cutaneous angioma overlying a deeply-situated soft tissue tumour may aid the diagnosis of an intramuscular haemangioma.

scholarly journals P135 Undifferentiated round cell and spindle cell sarcomas: the current paradigm

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Lotte Hardman ◽  
Mina Ibriham ◽  
Roba Khundkar ◽  
Paul Wilson ◽  
Lotte Hardman
Keyword(s):  
Soft Tissue ◽  
Spindle Cell ◽  
Recent Literature ◽  
Bone Neoplasms ◽  
Surgical Excision ◽  
Soft Tissue Tumour ◽  
Round Cell ◽  
Tissue Tumour ◽  
Primary Bone

Abstract Introduction The classification of soft tissue and bone neoplasms is experiencing a transformation as methods to detect gene fusions expand. Next-generation sequencing panels, anchored multiplex polymerase chain reaction systems and comprehensive RNA sequencing have all contributed to new histological categorisation. The EWSR1-NFATC2 is one such novel translocation found in a round cell sarcomas. These sarcoma sit within the WHO group of undifferentiated round and spindle cell sarcomas. They presents as either a primary bone or soft tissue tumour and exhibits distinctive histopathologic features. Methods This is a case study of a soft tissue mesenchymal tumour with the recently described gene fusion EWSR1-NFATC2. The case is described, with 3-month outcomes and considered in the most recent literature on this sarcoma subset (26 cases). Results This case study prompted a look at the current NHS paradigm for these emerging histopathologically distinctive sarcoma subgroups. At present the expertise with the sarcoma MDT, along with second opinion from other national MDTs is the format for subtype specific sarcoma management, informed by recent literature. Conclusion The EWSR1-NFATC2 fusion round cell sarcoma tumours are an example of a very recently emerged sarcoma subset which display oncological variance to the wider Ewing’s family. The novel literature guided the Southmead and Royal Marsden MDT opinions to proceed straight to surgical excision. The Authors recommend a national prospective database for rare sarcoma subsets, particularly those that appear to exhibit distinctive clinicopathology characteristics. The format could be through the RSTN collaborative, secure anonymised data collection can be collected through REDCap.

scholarly journals Vulval aggressive angiomyxoma – a rare entity

2021 ◽  
Vol 11 (4) ◽  
pp. 100-102
Author(s):  
Jayakar Thomas
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Soft Tissue Tumour ◽  
Aggressive Angiomyxoma ◽  
Age Group ◽  
Rare Entity ◽  
Women Of Reproductive Age ◽  
Tissue Tumour ◽  
The Right ◽  
Reproductive Age Group

Aggressive Angiomyxoma is a very rare, distinctive, locally invasive soft tissue tumour, that occurs most commonly in the perineum, pelvis, vulva and vagina. It is seen mostly in women of reproductive age group. It has a tendency for recurrence locally, treatment being surgical excision. We hereby describe a case of 38-year-old patient with a pedunculated growth on the right labium majora.

scholarly journals A Lip Lump: An Unexpected Histological Diagnosis of a Lip Schwannoma

2017 ◽  
Vol 2017 ◽  
pp. 1-2 ◽  
Author(s):  
Thomas Haigh ◽  
John Raad Glore ◽  
David Gouldesbrough ◽  
Winson Wong
Keyword(s):  
Surgical Excision ◽  
World Health Organisation ◽  
World Health ◽  
Clinical Impression ◽  
Upper Lip ◽  
Benign Schwannoma ◽  
History Of ◽  
Benign Tumours ◽  
The Right

Schwannomas are benign nerve sheath tumours arising from Schwann cells. They comprise 1% of all benign tumours. In the 2016 World Health Organisation Classification of Central Nervous System, they are classified as a tumour of the cranial and paraspinal nerves, Schwannoma 9560/0. A 23-year-old Caucasian lady presented with a seven-month history of a painless right upper lip lump. Examination revealed a small cystic 0.5 cm diameter lesion within the right upper lip. The clinical impression was that of a mucocele. Excision of the lip lesion was performed under local anaesthetic. Histological examination of the excised lesion demonstrated a circumscribed nodule consisting of spindle cells mixed with vascular spaces containing red blood cells and fibrin. Immunohistochemistry for S100 was strongly positive. The findings were consistent with that of a small benign schwannoma. The current consensus is for surgical excision of a conservative nature with no need for margins. If recurrence does occur one needs to consider whether complete enucleation was achieved or whether malignant transformation has occurred.

scholarly journals A Curious Case of Gossypibioma

2020 ◽  
Vol I (2) ◽  
pp. 35-36
Author(s):  
Sanjay Chatterjee
Keyword(s):  
Differential Diagnosis ◽  
Spinal Surgery ◽  
Iliac Crest ◽  
Desmoid Tumour ◽  
Soft Tissue Tumour ◽  
Lumbar Region ◽  
Surgical Sponge ◽  
Tissue Tumour ◽  
History Of ◽  
The Right

The term gossypibioma is used to describe a retained surgical sponge or gauze after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 74-year-old man who presented with chronic lump since 1 year in the right lumbar region. He had a history of spinal surgery 20 years ago.They had taken right iliac crest as a graft during that spinal surgery. Radiological investigations were inconclusive in detecting the retained gauze. A working diagnosis of soft tissue tumour-? Desmoid tumour was made on ultrasonography and an excision of lump was done where he was found to have a large gossypibioma densely adhered to the right iliac crest. Though rare, gossypibioma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation.

scholarly journals Large retroperitoneal schwannoma: a rare cause of chronic back pain

2018 ◽  
Vol 46 (8) ◽  
pp. 3404-3410 ◽  
Author(s):  
Milan Radojkovic ◽  
Dragan Mihailovic ◽  
Miroslav Stojanovic ◽  
Danijela Radojković
Keyword(s):  
Chronic Back Pain ◽  
Soft Tissue Tumour ◽  
Abdominal Magnetic Resonance Imaging ◽  
Lower Back ◽  
Tissue Tumour ◽  
Cellular Schwannoma ◽  
Complete Tumour ◽  
History Of ◽  
Retroperitoneal Schwannoma ◽  
The Right

Schwannomas are tumours that arise from Schwann cells of the peripheral nerve sheath and rarely occur in the retroperitoneum. We report a 45-year-old woman who presented with a 2-year history of continuous progressive right-sided lower back and dull flank pain radiating into her posterolateral thigh. Abdominal magnetic resonance imaging showed a homogenous soft-tissue tumour with thick capsular lining, which lay in the right retroperitoneum. The tumour was removed at surgery. A histological examination confirmed the diagnosis of benign encapsulated cellular schwannoma. Complete tumour excision should be regarded as the treatment of choice for benign retroperitoneal schwannomas. Successful treatment of these tumours requires thorough preoperative planning and a multidisciplinary approach.

scholarly journals An Uncommon Occurrence of Pleomorphic Adenoma in the Submandibular Salivary Gland: A Case Report

2018 ◽  
Vol 6 (6) ◽  
pp. 1101-1103
Author(s):  
Farhat Farhat ◽  
Rizalina A. Asnir ◽  
Ashri Yudhistira ◽  
Elvita Rahmi Daulay ◽  
Irwan Pernandi Sagala
Keyword(s):  
Salivary Gland ◽  
Pleomorphic Adenoma ◽  
Surgical Excision ◽  
Malignant Tumour ◽  
Submandibular Salivary Gland ◽  
Soft Tissue Tumour ◽  
Mixed Tumour ◽  
Best Management ◽  
Tissue Tumour ◽  
Left Neck

BACKGROUND: Pleomorphic adenoma is a salivary gland tumour and mostly found in the parotid gland and quite uncommon in the submandibular gland. Pleomorphic tumours are a mixed tumour (benign mixed tumour) consisted of epithelium, myoepithelium, and mesenchyme and made of a view component variation of it.CASE REPORT: We reported a fifty-three years old man with pleomorphic adenoma that has been complaining swelling on the left neck for the last twenty years and treated with surgical excision. Computed tomography of the neck showed soft tissue tumour in the left submandibular.CONCLUSIONS: The best management for pleomorphic adenoma is surgery, the tumour tissue must be removed as a whole because the remaining parts of a tumour can easily become recurrent or turn into a malignant tumour.

scholarly journals Rhabdomyosarcoma of lip - issues of subtyping, morphology and immunohistochemistry versus molecular studies: a case report with review of literature

2020 ◽  
Vol 7 (7) ◽  
pp. 2389
Author(s):  
Leon Alexander ◽  
Hiran Kattilaparambil Ravindran ◽  
Juliet George
Keyword(s):  
Case Report ◽  
Age Groups ◽  
Surgical Excision ◽  
Soft Tissue Tumour ◽  
Pediatric Age Group ◽  
Neck Masses ◽  
Tissue Tumour ◽  
High Clinical Suspicion ◽  
Histopathological Studies ◽  
Head And Neck Masses

Rhabdomyosarcoma (RMS) is a malignant soft tissue tumour occurring most frequently in younger age groups. Study presented a rare case of spindle cell Rhabdomyosarcoma of the upper lip involving the commissure area. In this case report after successful surgical excision, the patient underwent extensive postoperative histopathological studies including special stains and immunohistochemistry. Genotype studies (reverse transcription polymerase chain reaction) were done to help in subtyping and prognostication, and it turned out to be a surprise as it showed positivity for PAX3-FOXO1 t (2;13) translocation which is almost exclusively seen with alveolar RMS. After that he successfully underwent chemotherapy and radiotherapy as it was an aggressive variant and has been disease free for the past 2 years. The author hopes that this case report will highlight the importance of high clinical suspicion in head and neck masses presenting in pediatric age group and to not rely solely on biopsy reports to confirm diagnosis, so that early detection will lead to successful therapy and outcome as exemplified in this case.    

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