scholarly journals Cutaneous Tumour of the Left Cricothyroid Area!?

2019 ◽  
Vol 7 (4) ◽  
pp. 698-699
Author(s):  
Georgi Tchernev ◽  
Ivanka Temelkova
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Basal Cell ◽  
Histological Study ◽  
Surgical Excision ◽  
Tumour Formation ◽  
Surgical Ward ◽  
Days Of Therapy ◽  
Metastatic Process ◽  
Hernia Inguinalis

BACKGROUND: The cricothyroid area is an atypical localisation for placement of basal cell carcinomas. The main differential diagnosis for cutaneous tumours in this area is between BCC, spinocellular carcinoma and melanoma. The area is problematic about the choice of therapeutic approach, especially in the case of a vague clinical tumour type accompanied by enlarged lymph nodes in the immediate proximity. CASE REPORT: We present an 84- year- old woman with a tumour formation located next to the left cricothyroid area. The lymph node ultrasonography performed during the hospitalisation revealed the presence of an enlarged lymph node in the upper third of m. Sternocleidomastoideus. The initial ultrasound data of the lymph nodes were in the direction of an inflammatory rather than a metastatic process. Therefore 5 days of therapy with Ceftriaxone x 2 g/day was conducted. The nodular tumour formation was surgically removed by radical elliptic excision. The subsequent histological study found that it was Stage II basal cell carcinoma (T2N0M0). A surgeon's consultation was conducted due to a patient's complaint about abdominal pain, and clinical evidence of a hernia inguinalis incarcerata was established for which the patient was urgently transferred to a surgical ward. Two weeks after the antibiotic treatment, a control echography of the enlarged lymph node in the area of m. Sternocleidomastoideus was performed, which showed complete involution of the lymph node. CONCLUSION: Due to the specific anatomical features of the neck, such as a large number of lymph nodes and the resulting proximity between them and the primary tumours located in the area, it is often difficult to determine whether the lymph nodes are metastatically affected or inflammatory enlarged. In cases of missing ultrasound data for the metastatic process in the lymph nodes, surgical excision of the skin tumour with regular follow-up echographic control of the relevant lymph nodes represents an optimal therapeutic solution.

scholarly journals Metastatic Basal Cell Carcinoma: A Biological Continuum of Basal Cell Carcinoma?

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Karaninder S. Mehta ◽  
Vikram K. Mahajan ◽  
Pushpinder S. Chauhan ◽  
Anju Lath Sharma ◽  
Vikas Sharma ◽  
...  
Keyword(s):  
Basal Cell Carcinoma ◽  
Lymph Nodes ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Neck Region ◽  
Surgical Excision ◽  
Axillary Lymph Nodes ◽  
Axillary Lymph ◽  
Metastatic Basal Cell Carcinoma ◽  
Treat All

Basal cell carcinoma (BCC) accounts for 80% of all nonmelanoma skin cancers. Its metastasis is extremely rare, ranging between 0.0028 and 0.55 of all BCC cases. The usual metastasis to lymph nodes, lungs, bones, or skin is from the primary tumor situated in the head and neck region in nearly 85% cases. A 69-year-old male developed progressively increasing multiple, fleshy, indurated, and at places pigmented noduloulcerative plaques over back, chest, and left axillary area 4 years after wide surgical excision of a pathologically diagnosed basal cell carcinoma. The recurrence was diagnosed as infiltrative BCC and found metastasizing to skin, soft tissue and muscles, and pretracheal and axillary lymph nodes. Three cycles of chemotherapy comprising intravenouscisplatin (50 mg) and 5-florouracil (5-FU, 750 mg) on 2 consecutive days and repeated at every 21 days were effective. As it remains unclear whether metastatic BCC is itself a separate subset of basal cell carcinoma, we feel that early BCC localized at any site perhaps constitutes a biological continuum that may ultimately manifest with metastasis in some individuals and should be evaluated as such. Long-standing BCC is itself potentially at risk of recurrence/dissemination; it is imperative to diagnose and appropriately treat all BCC lesions at the earliest.

CORRELATION OF CYTOLOGY WITH THE HISTOPATHOLOGY IN BENIGN AND MALIGNANT LESIONS OF LYMPH NODES

2021 ◽  
pp. 42-45
Author(s):  
Aruna kumari ◽  
Prashanth Gunde ◽  
Manoj Gunde
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Wide Spectrum ◽  
Surgical Excision ◽  
Lymph Node Biopsy ◽  
The Body ◽  
Lymph Node Swelling ◽  
Malignant Lesions ◽  
Palpable Lymph Node

Background & Objectives: Lymph node swellings are one of the commonest clinical presentation of patients and it encompasses a wide spectrum ranging from benign lesions to a malignant lymphoma or a more obnoxious metastatic malignancy. The objective of the study was to study the role of FNAC in the evaluating lymph node swellings of cervical , axillary , supraclavicular in the body and to understand the various cytological patterns of FNAC in correlation with histopathology of lymph node swellings. Methods: Patients referred to the Department of Pathology, CAIMS ,karimnagar from cancer Hospital and its allied branches, for palpable lymph node swelling on whom FNAC procedure was performed were included in the study. FNAC diagnosis of patients was compared with histopathology in cases which underwent surgical excision and its diagnostic accuracy was studied. Results: Out of 280 cases which included in the study, lymph node biopsy was carried out in 150 cases, 4 cases were inconclusive. Most were in 31 to 40 years. Gender wise, there was female preponderance. Cervical group of lymph node were most affected. Benign /non neoplastic lymphadenopathies were diagnosed in 83 cases(55.5%) of cases. Metastatic deposits were diagnosed in 28 cases(18.6%) of cases. Lymphomas contributed to 39 cases(26%). On correlation of FNAC ndings with histopathology. The overall correlation rate was 97.33%. Interpretation & Conclusion: FNAC of lymph nodes is an excellent rst line method to investigate the nature of lesions as it is economical and an easy alternative to open biopsy

A case of primary syphilis characterised by lymphadenitis with abscess formation treated with only antibiotic without surgical excision of lymph node

2020 ◽  
pp. 004947552094371
Author(s):  
Abdurrahman Kaya ◽  
Sibel Yıldız Kaya
Keyword(s):  
Infectious Disease ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Treponema Pallidum ◽  
Surgical Excision ◽  
Abscess Formation ◽  
Diagnosis And Treatment ◽  
Primary Syphilis ◽  
Clinical Presentations ◽  
Common Infectious Disease

Syphilis is an increasingly common infectious disease caused by the bacterium Treponema pallidum. Atypical clinical presentations occur that may delay its diagnosis and treatment. Regional enlargement of lymph nodes is seen in both primary and secondary stages. Such lymph nodes very rarely become abscesses. Antibiotics should be administered in this situation; however, if this fails, the lymph nodes should be surgically excised.

scholarly journals Peripheral lymphadenopathy and FNA: a two-year evaluation at a tertiary care centre

2019 ◽  
Vol 7 (2) ◽  
pp. 582
Author(s):  
Jiby Soosen Ninan ◽  
De Souza Johanna Alba ◽  
Thoppil Reba Philipose
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Histopathological Examination ◽  
Tertiary Care ◽  
Age Groups ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Tertiary Care Centre ◽  
Diagnostic Laboratory ◽  
Female Ratio

Background: Lymphadenopathy is an age old affliction of mankind and a very common presentation in clinical practice. The main purpose of an FNA biopsy of abnormal peripheral lymph nodes is to determine whether further surgical excision of the lymph node is indicated for histopathological examination. The aim of the present study was to evaluate the role of fine needle aspiration cytology in patients with superficial lymphadenopathy and to correlate with histopathology wherever possible.Methods: A two-year study was undertaken at the Central Diagnostic Laboratory at A.J. Institute of Medical Sciences, Mangalore. Patients of all age groups referred to the Central Diagnostic Laboratory for FNA of superficial lymph nodes were included in the study. All the slides of the cases were reviewed and impression recorded.Results: Out of 200 cases, 73% were non neoplastic, 27% were neoplastic. Cases occurred most commonly in age group of 21-30 years. The male to female ratio was 1.7:1 and most common site of lymph node aspiration was cervical lymph node in (n =107) 53.5% cases. Reactive hyperplasia was the most common non- neoplastic cause of lymphadenopathy seen in 34.5% cases and metastasis to lymph node was the most common cause of neoplastic lymphadenopathy seen in 22% of the cases. The sensitivity was 90%, specificity was 100% and accuracy was 96.2%.Conclusions: FNA is a very efficient, simple, safe, inexpensive and economical test for detecting the various causes of lymphadenopathy.

scholarly journals Lymph node tuberculosis – The ENT surgeon approach in four cases

2018 ◽  
Vol 8 (32) ◽  
pp. 241-245
Author(s):  
Daniela Vrinceanu ◽  
Mihai Dumitru ◽  
Maria Sajin ◽  
Carmen Maria Salavastru ◽  
Adrian Costache
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Treatment Options ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Middle Income ◽  
Middle Income Countries ◽  
Young Surgeon ◽  
Optimum Approach ◽  
Lymph Node Tuberculosis

Abstract BACKGROUND. Lymph node tuberculosis is a pathology with an increasing incidence and prevalence in middle income countries. MATERIAL AND METHODS. We present a series of 4 cases with cervical lymph node tuberculosis. We review current principles of diagnosis and treatment from the perspective of the ENT surgeon in a tertiary university clinic. RESULTS. In each case we underline diagnosis difficulties and treatment options. These cases presented management difficulties due to associated morbidities. All cases underwent surgical excision of the afflicted lymph nodes with subsequent microscopic confirmation of tuberculosis. We illustrate key concepts leading to the microscopy diagnosis of lymph node tuberculosis. CONCLUSION. There are various surgical incidents and accidents that the young surgeon must be aware of when approaching neck tuberculous lymph nodes. Further referral of the patient for long-term tuberculosis treatment is mandatory. All patients were supervised for a minimum of 1 year after the initial diagnosis and treatment with no sign of recurrence. A close cooperation between the ENT surgeon, the infectious disease specialist and the pathologist is the key to an optimum approach to lymph node tuberculosis at the head and neck level.

scholarly journals Animal model for training in sentinel lymph node biopsy of the stomach through combined methods

2012 ◽  
Vol 27 (12) ◽  
pp. 833-840 ◽  
Author(s):  
José Roberto Alves ◽  
Luiz Roberto Lopes ◽  
Luciana Rodrigues de Meirelles ◽  
Celso Darío Ramos ◽  
Tânia Sasasaki ◽  
...  
Keyword(s):  
Animal Model ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Sentinel Lymph Node Biopsy ◽  
Lymph Nodes ◽  
Histological Study ◽  
Radiation Detector ◽  
Lymph Node Biopsy ◽  
Node Biopsy ◽  
Study Results

PURPOSE: Create and validate a proposed animal model for training in sentinel lymph node biopsy of the stomach. METHODS: In thirty-two rabbits, through a laparotomy, they received a subserosal injection of 0.1 ml of phytate labeled with technetium-99m (0.2 mCi) in the anterior wall of the gastric corpus, followed by 0.2 ml of Blue Patent V® 2.5%, through the same puncture site. Suspicious lymph nodes were searched in vivo at five, ten and 20 minutes, both visually (Blue Patent stained lymph nodes) and with a manual gamma radiation detector (to detect suspected radioactive lymph nodes). After 20 minutes, was performed resection of these for further evaluation of radioactivity (ex vivo) and histological study. RESULTS: Lymph nodes were identified in 30 rabbits (Average of 2.2 lymph nodes per animal). Of the 90 suspected lymph nodes that occurred in the study, 70 cases (77.8%) were histologically confirmed for lymphoid tissue. Of these, the majority were located in the periesophageal region of the gastric fundus. The sample presented a mortality rate of 6.25% and nine complications related to the method, which interfered in the identification of the lymph nodes. CONCLUSION: The animal model for sentinel node biopsy in rabbit stomachs proved to be feasible, with low complexity and reproduced the difficulties encountered for gastric lymph node biopsy in humans, being adequate for surgical training.

scholarly journals Comparison of Lymph Node Involvement in Carcinomas during Precovid and Covid Era

2021 ◽  
pp. 875-881
Author(s):  
P. Manasvi ◽  
V. Rishi Gowtham
Keyword(s):  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Lymph Nodes ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Lymph Node Involvement ◽  
Regional Lymph Nodes ◽  
Node Metastasis ◽  
Node Involvement ◽  
Delay In Treatment

Background: This is a clinicopathological study comparing the involvement of lymph nodes in various carcinomas before and during the COVID-19 period. During the pandemic the access to healthcare and timely detection and intervention of carcinomas were severely affected. This delay in treatment has led to the progression of malignancies and metastasis to lymph nodes. Methods: A retrospective study was conducted of 40 patients (20 from 2019 and 20 from 2021) with carcinomas who were treated by surgical excision of tumour combined with lymph node resection. Histopathological examination of the nodes was done to detect malignant metastasis and the average node positivity rate was calculated. Results: Lymph node metastasis was observed in 10 patients in 2019 (50%) and 16 patients in 2021 (80%). The average node positivity rate is significantly higher in 2021 than in 2019, in 2019 it is 31% and in 2021 it is 43%. Lymph node metastasis is expected to increase by 43% in 2021. Conclusion: In the Covid-19 pandemic, a significant decrease and delay of patients presenting to the OPD for neoplasms, resulting in a delay in the diagnosis and treatment of advanced-stage neoplasms that manifest as metastases in the regional lymph nodes.  Surgeons need to be vigilant and extensively explore the all draining affected lymph nodes and resect them.

scholarly journals Efficacy of fine needle aspiration cytology in the diagnosis of lymphadenopathies

2017 ◽  
Vol 5 (4) ◽  
pp. 1607
Author(s):  
Rasheed Fatima ◽  
Sandhya M.
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Diagnostic Accuracy ◽  
Fine Needle Aspiration ◽  
Cost Effective ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Lymph Node Biopsy ◽  
Histopathological Diagnosis ◽  
Fine Needle

Background: Enlarged lymph nodes were the first organs to be diagnosed by fine needle aspiration. Objectives were to study the role of FNAC in the evaluation of lymphadenopathies, to study the various cyto-morphological patterns in correlation with histopathology of various lymph node lesions and to document the diagnostic accuracy of FNAC in correlation with histopathology.Methods: All patients referred to the department of pathology K.V.G. Medical College and Hospital, Sullia, Karnataka, India for FNAC of palpable lymph nodes were included in present study. FNAC was done and the standard method for the procedure adopted. All the slides were reviewed and their diagnosis was made. FNAC diagnosis was compared with histopathology in cases which underwent surgical excision and thus its diagnostic accuracy determined. This was two years and two months’ prospective study from July 2008 to August 2010.Results: A total of` 150 patients were included in the present study, reported to various clinical departments with history of swelling. Lymph node biopsy was done in 50 cases. Statistical analysis was done in 50 cases, where FNAC diagnosis was correlated well with histopathological diagnosis. Maximum number of cases was in the age group of 31-40 years. Present study showed female preponderance of cases. Cervical group of nodes were most commonly involved. Benign lymphadenopathies were diagnosed in 69.8% of cases. Maximum number of cases being reactive lymphadenitis (65.4%). Metastatic deposit was diagnosed in 23.5% of cases. Most common subtype being adenocarcinoma. Lymphomas were diagnosed in 09 cases. 1 case of Hodgkin’s lymphoma and 8 cases of NHL were diagnosed. The overall correlation between FNAC and histopathology was 98% (49 out of 50).Conclusions: FNAC is an accurate, sensitive, specific and cost effective procedure in the diagnosis of lymphadenopathies.

Scanning electron microscopy of freeze-fractured prescapular lymph node of caprine

1984 ◽  
Vol 42 ◽  
pp. 244-245
Author(s):  
O. Faroon ◽  
F. Al-Bagdadi ◽  
T. G. Snider ◽  
C. Titkemeyer
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Lymphatic System ◽  
Three Dimensional ◽  
Meat Products ◽  
The Body ◽  
Morphological Data ◽  
The World ◽  
Cellular Constituent ◽  
Scanning Electron

The lymphatic system is very important in the immunological activities of the body. Clinicians confirm the diagnosis of infectious diseases by palpating the involved cutaneous lymph node for changes in size, heat, and consistency. Clinical pathologists diagnose systemic diseases through biopsies of superficial lymph nodes. In many parts of the world the goat is considered as an important source of milk and meat products.The lymphatic system has been studied extensively. These studies lack precise information on the natural morphology of the lymph nodes and their vascular and cellular constituent. This is due to using improper technique for such studies. A few studies used the SEM, conducted by cutting the lymph node with a blade. The morphological data collected by this method are artificial and do not reflect the normal three dimensional surface of the examined area of the lymph node. SEM has been used to study the lymph vessels and lymph nodes of different animals. No information on the cutaneous lymph nodes of the goat has ever been collected using the scanning electron microscope.

Body Distribution of Lipiodol 131J Following Intralymphatic Radiotherapy

1965 ◽  
Vol 05 (01) ◽  
pp. 1-11
Author(s):  
G. Fava ◽  
L. Roncoroni
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
General Introduction ◽  
Autopsy Findings ◽  
Body Distribution ◽  
Exact Data ◽  
Radioisotope Therapy

SummaryAn account is given of the principles of lymph node dosimetry in radioisotope therapy with Lipiodol 131J. After a general introduction, exact data on the concentrations reached by the radionuclide in the lymph nodes, liver, spleen, thyroid and blood of patients subjected to this treatment are reported. Finally mention is made of a number of particularly interesting autopsy findings.

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