scholarly journals Common swelling of the dorsal thoracic wall brings an unexpected finding: elastofibroma dorsi

2020 ◽  
Vol 90 (1) ◽  
Author(s):  
Sotirios Kotoulas ◽  
Konstantinos Grapatsas ◽  
Charalampos Georgiou ◽  
Zoi Tsilogianni ◽  
Vasileios Leivaditis ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Excisional Biopsy ◽  
Radical Resection ◽  
Thoracic Wall ◽  
Diagnostic Tools ◽  
Unexpected Finding ◽  
Soft Tissue Swelling ◽  
The Right ◽  
Slow Growing

Elastofibroma is a rare benign, soft-tissue slow-growing tumor seen predominantly in elderly females. We present such a case in a 46-year-old female. She presented with gradually increasing soft tissue swelling of 8×6 cm in the right inferior subscapular region. MRI showed a large intramuscular lesion with atypia. She underwent excisional biopsy and the histopathology and immunochemistry showed elastofibroma. We present this rare case to emphasize the important role of the diagnostic tools. A definitive diagnosis helps to avoid unnecessary wide and radical resection.

scholarly journals Neoadjuvant and adjuvant doxorubicin chemotherapy in a case of feline soft tissue sarcoma

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691985787
Author(s):  
Filippo Torrigiani ◽  
Giorgio Romanelli ◽  
Paola Roccabianca ◽  
Elisabetta Treggiari
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Surgical Excision ◽  
Mesenchymal Tumour ◽  
Tissue Mass ◽  
History Of ◽  
Local Tumour ◽  
The Right ◽  
Slow Growing

Case summary A 7-year old male neutered domestic shorthair cat was presented with a 2 month history of a slow-growing mass on the right zygomatic area. A CT scan revealed a soft tissue mass in the right zygomatic region with no alterations of the underlying bone and features of local invasiveness. Cytology was suggestive of a mesenchymal tumour and histopathology from an incisional biopsy was consistent with a soft tissue sarcoma (STS). The cat was treated with neoadjuvant intravenous doxorubicin chemotherapy at a dose of 25 mg/m2, every two weeks. The patient experienced a partial response and underwent surgical excision of the tumour. Doxorubicin was continued as an adjuvant treatment for three further chemotherapy sessions, at a dose of 25 mg/m2 every 21 days. Local tumour recurrence was detected on clinical examination and cytologically confirmed 259 days following surgery. Relevance and novel information Treatment with neoadjuvant doxorubicin can be considered in cases of inoperable STSs in order to cytoreduce the tumour and improve the chances of achieving complete surgical margins. The role of adjuvant chemotherapy in this setting remains unclear.

scholarly journals Surgical Management of Granular Cell Tumor of the Orbit: Case Report and Literature Review

2019 ◽  
Vol 13 (1) ◽  
pp. 33-40
Author(s):  
Jahan Abtahi ◽  
Iman Malakuti ◽  
Aida Ajan
Keyword(s):  
Protein S ◽  
Granular Cell ◽  
Excisional Biopsy ◽  
Radical Resection ◽  
Soft Tissue Tumors ◽  
Transconjunctival Approach ◽  
S 100 ◽  
The Right ◽  
Sample Disturbance ◽  
Slow Growing

Introduction: Granular Cell Tumors (GCTs) of the orbit are rare-entity soft-tissue tumors, and few reports have been published in the literature. The treatment of the choice is total excision. Early diagnosis prior to surgery is valuable for the distinction of malignant from benign tumor. Case presentation: We report a case of a 55-year-old woman with a solitary slow-growing mass in the right orbit with the involvement of the rectus inferior muscle, and present a review of the recent literature. The lesion had a diameter of 1 cm and was noticed 2 years before the examination. Excisional biopsy confirmed the diagnosis of GCT. The tumor was resected through a retroseptal transconjunctival approach. The final histological examination revealed findings characteristic of GCT, including positive reaction for protein S-100, SOX10, and calcitonin and negative reaction for desmin, myogenin, Smooth Muscle Antigen (SMA), Melan-A, and HMB-45. There were no signs of malignancy in this sample. Disturbance of motility was not noted by the patient after surgery. Conclusion: GCT should be included in the differential diagnosis of intraorbital lesions, particularly those that involve the orbit muscles. A biopsy is recommended before surgical resection, to exclude malignancy and prevent radical resection.

scholarly journals Lipoma of the Thumb: Spindle Cell Subtype

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnny El Rayes ◽  
Roula Bou Sader ◽  
Elie Saliba
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Spindle Cell ◽  
Excisional Biopsy ◽  
Spindle Cell Lipoma ◽  
Cell Subtype ◽  
Soft Tissue Swelling ◽  
Palmar Aspect

We report hereby the case of a 61-year-old man who presented with a soft-tissue swelling on the palmar aspect of the thumb. A detailed clinical examination followed by ultrasonography and excisional biopsy confirmed a spindle cell lipoma. Lipomas are rare in the hand and exceptional in the fingers, and we report, to our knowledge, the first spindle cell lipoma in the thumb to help in the differential diagnosis of a similar swelling.

scholarly journals Rare Case of Servelle Martorelle Syndrome

2014 ◽  
Vol 10 (4) ◽  
pp. 91-94
Author(s):  
A Bhatnagar ◽  
M Deshpande
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Rare Case ◽  
Prompt Treatment ◽  
Congenital Vascular Malformation ◽  
History Of ◽  
The Right ◽  
Scapular Region

Servelle Martorelle Syndrome is a congenital vascular malformation associated with soft tissue hypertrophy and bony hypoplasia. This rarely involves whole of an extremity, with involvement of part of limbs reported in literature. We present a case of a twelve year boy who presented to the Department of Plastic Surgery SGPGIMS in April 2011 ,with history of circumferential soft tissue hypertrophy involving whole of left upper limb, scapular region and axilla since birth. The entire left upper limb length was lesser than the right upper limb. Hence this is a very rare case of Servelle Martorelle Syndrome having extensive limb involvement at a very young age. Highlighted is the role of conservative treatment and close follow-up to understand the natural history of the diseases, with prompt treatment of complications. DOI: http://dx.doi.org/10.3126/kumj.v10i4.11011 Kathmandu Univ Med J 2012;10(4):91-94

scholarly journals Sialolipoma of the sublingual salivary gland in a dog – first report

2019 ◽  
Vol 56 (1) ◽  
pp. e149060
Author(s):  
Andressa Gianotti Campos ◽  
Geni Patricio ◽  
Patrícia Ferreira de Castro ◽  
Luciane Kanayama ◽  
Alessandra Loureiro Morales dos Santos ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Soft Tissue ◽  
Fibrous Capsule ◽  
Resected Specimen ◽  
Histopathological Analysis ◽  
First Report ◽  
First Case ◽  
Large Numbers ◽  
Soft Tissue Swelling ◽  
The Right

This report describes a 14-year-old Pit Bull dog presenting with a soft tissue swelling of 3-month progression in the right sublingual region. Histopathological analysis of the surgically resected specimen revealed large numbers of mature adipocytes and islets consisting of mucin-containing atrophic acini and dilated ducts surrounded by a thin fibrous capsule. Findings were consistent with sialolipoma of the sublingual salivary gland. To the authors’ knowledge, this is the first case of sialolipoma affecting the sublingual salivary gland in dogs.

scholarly journals Carpometacarpal Dislocation with Third Metacarpal Fracture

2021 ◽  
Vol 5 (4) ◽  
pp. 488-490
Author(s):  
Colin Jorgensen ◽  
Steve Christos
Keyword(s):  
Soft Tissue ◽  
Plain Radiograph ◽  
Wrist Injuries ◽  
Rare Injury ◽  
Case Presentation ◽  
Metacarpal Fractures ◽  
Soft Tissue Swelling ◽  
Force Impact ◽  
The Right ◽  
Anterior Posterior

Case Presentation: A 17-year-old male presented to the emergency department (ED) due to trauma to the right hand and wrist after punching a locker at school. He had significant soft tissue swelling. Radiographs demonstrated intra-articular metacarpal fractures with associated carpometacarpal dislocations. The dislocation was reduced bedside in the ED and ultimately underwent closed reduction surgical management with orthopedic surgery. Discussion: Metacarpal fractures result from high-force impact injuries and account for 30-40% of all hand injuries. The most common sites of second through fifth metacarpal fractures are at the neck and the shaft, with the majority involving the fifth metacarpal neck (commonly coined “boxer’s fractures”). Carpometacarpal (CMC) dislocations are a rare injury associated with high-force impact trauma to the wrist. These injuries account for as little as 1% of all acute hand and wrist injuries. Carpometacarpal dislocations are often difficult to diagnose on physical examination due to significant soft tissue swelling, and they can easily be missed on anterior-posterior views of the hand. Lateral and oblique plain radiograph views are essential in the diagnosis as they are more likely to show dislocations. Despite appropriate plain radiographic views, subtle CMC dislocations may be difficult to discern dependent on the level of dislocation or subluxation and overlapping of joints. These injuries are rare due to otherwise highly stable ligamentous and muscular attachments within the wrist. Because of these attachments, dislocations are often associated with concomitant metacarpal fractures.

scholarly journals Soft-tissue osteoma of the temple

2021 ◽  
Vol 22 (5) ◽  
pp. 276-279
Author(s):  
Si-Gyun Roh ◽  
Yun-Seob Kim ◽  
Jong-Lim Kim ◽  
Jin-Yong Shin ◽  
Nae-Ho Lee
Keyword(s):  
Soft Tissue ◽  
Neck Region ◽  
Excisional Biopsy ◽  
Temporal Region ◽  
Clinical Form ◽  
Temporal Area ◽  
Head And Neck Region ◽  
The Right ◽  
The Temple ◽  
Tomography Scan

A 65-year-old woman presented with a solid mass on the right temporal area. The mass had grown for over 2 years without any initiating event of trauma or inflammation. Before excision, the patient went through a computed tomography scan, revealing a calcified mass without bony connection. Under general anesthesia, an excisional biopsy was performed. Microscopic examination confirmed a diagnosis of soft tissue osteoma. Soft tissue osteoma is rare, especially in the head and neck region. Osteomas in the temporal region have not been reported yet. Due to its rarity, osteoma might be misdiagnosed as another soft tissue or bone origin tumor. Its treatment of choice is simple excision. In this review, we present an unusual clinical form of soft tissue osteoma.

scholarly journals Epithelioid sarcoma of the parapharyngeal space: A case report

Rare Tumors ◽  
2021 ◽  
Vol 13 ◽  
pp. 203636132110161
Author(s):  
Yun-Tian Li ◽  
Wen-Guang Luo ◽  
Hong-Yan Zhang
Keyword(s):  
Radiation Treatment ◽  
Parapharyngeal Space ◽  
Epithelioid Sarcoma ◽  
Excisional Biopsy ◽  
External Beam Radiation ◽  
Excision Biopsy ◽  
Beam Radiation ◽  
The Right ◽  
Radiological Studies

Epithelioid sarcoma (ES) was first described by Enzinger in 1970. It is a rare variant of soft tissue sarcoma with a 5-year overall survival (OS) rate of 50%. Here, we reported a case of epithelioid sarcoma in the parapharyngeal space of an adult, resulting in a favorable prognosis after chemotherapy and radiation therapy. A 34-year-old female who complained of pharynx pain and discomfort was suspected of having a tumor in the right parapharyngeal space by CT scan. Excision biopsy suggested epithelioid sarcoma. Clinical and radiological studies did not reveal tumor distant metastasis in the patient. After excisional biopsy, the patient underwent chemotherapy and external beam radiation treatment. She has remained alive for 2 years and 7 months without recurrence since her last treatment. In this paper, we also provide a detailed review of the role of radiotherapy in the treatment of epithelioid sarcoma in previously reported cases.

scholarly journals Synovial Sarcoma Mimicking Haemophilic Pseudotumour

Sarcoma ◽  
2006 ◽  
Vol 2006 ◽  
pp. 1-3 ◽  
Author(s):  
Haroon A. Mann ◽  
Andrew Hilton ◽  
Nicholas J. Goddard ◽  
Michael A. Smith ◽  
Brian Holloway ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Synovial Cell ◽  
Clinical Findings ◽  
Haemophilia A ◽  
Open Biopsy ◽  
Mri Scan ◽  
Cell Sarcoma ◽  
Soft Tissue Swelling ◽  
The Right ◽  
Mild Haemophilia

This is a case of a 36-year-old gentleman with haemophilia A who was presented with an acute atraumatic soft tissue swelling in the right thigh. Open biopsy was performed with the resultant diagnosis of a synovial cell sarcoma. Although the clinical findings were nonspecific they could easily have been found in a bleeding haemophilic pseudotumour. The findings reported on MRI scan initially were highly consistent with those present in patients with mild haemophilia. An important part of orthopaedic management in haemophilia is concerned with intraarticular and intramuscular bleeding. Haematomas are common and sarcomas are rare. However the absence of trauma should alert the clinician to the possibility that the abnormality may represent haemorrhage into a tumour and not just haematoma, even in a haemophilic patient.

Dermoid Inclusion Cyst Following Percutaneous Needle Fasciotomy: A Novel Complication

2019 ◽  
Vol 24 (01) ◽  
pp. 116-117 ◽  
Author(s):  
Jenny Reid ◽  
Jill Baker ◽  
Dominique Davidson
Keyword(s):  
Soft Tissue ◽  
Histological Analysis ◽  
Penetrating Trauma ◽  
Flexion Contracture ◽  
Inclusion Cyst ◽  
Unique Case ◽  
Right Hand ◽  
Soft Tissue Swelling ◽  
The Right ◽  
Little Finger

We present the case of a fit and well 62-year-old male with Dupuytren's disease in the right hand who underwent percutaneous needle fasciotomy (PNF) for a moderate flexion contracture of the right little finger. 18 months later he developed a pain-free soft tissue swelling at the distal previous needling site. A fasciectomy procedure identified a cyst within the pre-tendinous cord, which was confirmed as a dermoid inclusion cyst on histological analysis. Dermoid inclusion cysts may occur in the hands at the site of penetrating trauma but we are unaware of any report of an inclusion cyst at the site of PNF surgery. We present this unique case of a dermoid inclusion cyst following percutaneous needle fasciotomy as a novel complication.

Sign in / Sign up

Export Citation Format

Share Document