scholarly journals Utility of the omentum in sacral reconstruction following total sacrectomy due to recurrent and irradiated giant cell tumour of the spine

2012 ◽  
Vol 45 (01) ◽  
pp. 140-143 ◽  
Author(s):  
Cigdem Unal ◽  
Guler Gamze Eren ◽  
Eda Isil ◽  
Ahmet Alponat ◽  
Ahmet Sarlak
Keyword(s):  
Giant Cell ◽  
Surgical Resection ◽  
Surgical Excision ◽  
Tumour Resection ◽  
Abdominal Muscles ◽  
Lumbosacral Region ◽  
Reconstructive Procedures ◽  
Reconstructive Option ◽  
Omentum Flap ◽  
Sacral Defect

ABSTRACTReconstruction of the lumbosacral region after surgical excision of irradiated and recurrent spinal giant cell tumours remains a challenging problem. In this case report, we describe the use of the pedicled omentum flap in reconstruction of an irradiated and infected wide sacral defect of a 19-year-old male patient. The patient had radiotherapy and subsequent wide surgical resection after recurrence of the tumour. A myocutaneous flap from the gluteal area had failed previously. Local flap options could not be used because of the recent radiotherapy to the gluteal area. Since the patient had a laparotomy for tumour resection and a colostomy, abdominal muscles were not considered reliable for reconstructive procedures. A pedicled omentum flap was chosen as a reconstructive option because of its rich blood supply, large surface area, and angiogenic capacity. This report aims to describe the use of the pedicled omentum flap for reconstruction of the lumbosacral area following surgical resection of a spinal tumour, when gluteal and abdominal flap options for reconstruction are jeopardised.

scholarly journals Surgical resection of a massive primary mediastinal liposarcoma with cervical extension

2018 ◽  
Vol 100 (2) ◽  
pp. e22-e27 ◽  
Author(s):  
HL Weaver ◽  
SD Preston ◽  
HH Wong ◽  
P Jani ◽  
AS Coonar
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Surgical Resection ◽  
Surgical Excision ◽  
Tumour Resection ◽  
Posterolateral Thoracotomy ◽  
Cervical Incision ◽  
Mediastinal Liposarcoma

A 73-year-old man was referred for surgical excision of a massive mediastinal and cervical liposarcoma following neoadjuvant chemotherapy. Surgery was performed via a cervical incision, sternotomy and right posterolateral thoracotomy. The tumour arose from the oesophagus, which underwent extensive dissection and was oversewn with pleura after tumour resection. Histology confirmed a completely excised grade 2 de-differentiated liposarcoma with complete macroscopic excision. The patient made an excellent recovery. Oesophageal liposarcomas are rare and, unlike in this case, often extend intraluminally, necessitating oesophagectomy. To our knowledge, this is the largest such tumour found in the literature.

scholarly journals Management of recurrent peripheral giant cell granuloma -a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 138
Author(s):  
Santha Kumari Prathypaty ◽  
Santhi Priya Potharaju ◽  
Ravi Kanth Chintala ◽  
Satheesh Kumar Guvvala ◽  
Jai Krishna Srikanth Kolliboyana
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Chronic Infection ◽  
Tooth Extraction ◽  
Benign Tumor ◽  
Surgical Excision ◽  
Giant Cell Granuloma ◽  
Complete Excision ◽  
Periodontal Membrane ◽  
Peripheral Giant Cell Granuloma

Peripheral giant cell granuloma (PGCG) which is also called as Giant cell Epulis is one of the most common reactive hyperplastic lesions of the oral cavity. There are various etiologies relating PGCG which include local irritation, trauma, tooth extraction, irregular restorations, plaque, calculus, chronic infection & impacted food. One important other etiology of this benign tumor is its origin from periosteum or periodontal membrane. Excision of the lesion completely along with extraction of involved tooth is the option of treatment to prevent recurrence of the lesion in some cases. This case report describes the recurrence of the Peripheral giant cell granuloma even after complete excision in 3 months.Management of recurrent Peripheral giant cell granuloma by surgical excision of the lesion was carried out along with extraction of the associated tooth and curettage of the bone walls. Profuse bleeding after tooth extraction was managed by gel-spun. Periodic recalls doesn’t show any recurrence until one month.

scholarly journals Influence of type and volume of surgical resection on postoperative period in patients with gliomas

2008 ◽  
Vol 7 (5-1) ◽  
pp. 231-235
Author(s):  
B. V. Martynov ◽  
V. Ye. Parfenov ◽  
D. V. Svistov ◽  
G. Ye. Trufanov ◽  
V. A. Fokin ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Resection ◽  
Neurological Deficit ◽  
Open Surgery ◽  
Tumor Resection ◽  
Neurological Status ◽  
Tumor Location ◽  
Tumour Resection ◽  
Before And After ◽  
Location Type

283 patients with gliomas were included in this study. Age, sex, neurological status and Karnovsky performance were analyzed before and after surgery, also tumor location, type and volume of surgical resection, postoperative complications were considered. Volume of tumor resection did not depend on glioma localization, excluding deep located tumors, in which case stereotactic cryotomy was performed (p < 0,01). In cases of stereotactic cryotomy postoperative neurological deficit worsening was noted in 12,5%, in patients with open biopsy and partial resection — 10,9%, and in case of total or subtotal tumor resection in 7,0% (p > 0,05). Partial gliom resection often related with postoperative complications and neurological deficit worsening then open surgery total tumour resection. Stereotactic cryotomy does not lead to bigger postoperative complications frequency in comparisons with open surgery.

scholarly journals Brown Tumor of the Facial Bones: Case Report and Literature Review

2005 ◽  
Vol 84 (7) ◽  
pp. 432-434 ◽  
Author(s):  
Marcus M. Lessa ◽  
Flavio A. Sakae ◽  
Robinson K. Tsuji ◽  
Bernardo C. Araújo Filho ◽  
Richard L. Voegels ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Surgical Resection ◽  
Tumor Regression ◽  
Cell Tumor ◽  
Nasal Fossa ◽  
Laboratory Evaluation ◽  
Direct Result ◽  
Brown Tumor ◽  
The Right

Brown tumor, an uncommon focal giant-cell lesion, arises as a direct result of the effect of parathyroid hormone on bone tissue in patients with hyperparathyroidism. The initial treatment involves the correction of hyperparathyroidism, which usually leads to tumor regression. We report a case of brown tumor of the right nasal fossa in a 71-year-old woman. The tumor had caused nasal obstruction and epistaxis. Laboratory evaluation revealed that the patient had primary hyperparathyroidism. Anatomicopathologic investigation revealed the presence of a giant-cell tumor. We performed a partial parathyroidectomy, but the tumor in the right nasal fossa failed to regress. One year later, we performed surgical resection of the lesion. The patient recovered uneventfully, and she remained asymptomatic and recurrence-free at the 1-year follow-up. Facial lesions with histologic features of a giant-cell tumor should be evaluated from a systemic standpoint. Hyperparathyroidism should always be investigated by laboratory tests because most affected patients are asymptomatic. Surgical resection of a brown tumor should be considered if the mass does not regress after correction of the inciting hyperparathyroidism or if the patient is highly symptomatic.

scholarly journals Aggressive giant cell glioblastoma with negative p53 expression: case report

2012 ◽  
Vol 31 (03) ◽  
pp. 163-165
Author(s):  
Marcelo Viana Rodrigues da Cunha ◽  
Julia Keith ◽  
Leodante Batista da Costa
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Giant Cell ◽  
Survival Rates ◽  
Surgical Excision ◽  
P53 Mutation ◽  
P53 Expression ◽  
Younger Patients ◽  
Genetic Features ◽  
Giant Cell Glioblastoma

AbstractGlioblastoma (GBM) is the most common intrinsic brain tumor in adults, accounting for 67% of primary brain tumors. Giant cell glioblastoma (GCG) is a rare variation of GBM, occurring in less than 5% of the cases. GCG has been demonstrated to affect younger patients and have a more indolent course than traditional GBM with longer survival rates. Age, surgical resection, and genetic features are likely related with better prognosis. The presence of a p53 mutation is found in 75% of GCG with this more indolent behavior. We present a case of a 72 years-old female who presented with an extremely aggressive GCG without p53 expression who had an unusually rapid neurological deterioration and tumor regrowth after surgical excision.

scholarly journals Branchial Cysts in Quito, Ecuador

2020 ◽  
Vol 24 (03) ◽  
pp. e347-e350
Author(s):  
Luis Pacheco-Ojeda ◽  
Andrés Ayala-Ochoa ◽  
Karla Salvador
Keyword(s):  
General Hospital ◽  
Surgical Resection ◽  
Adult Population ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Branchial Cleft Cyst ◽  
Complete Surgical Excision ◽  
Branchial Cleft ◽  
Lower Neck ◽  
Clinical Records

Introduction Branchial cleft anomalies are the second most common congenital anomaly in children. However, some lesions may not develop clinically and are not diagnosed until adulthood. The recent literature of branchial cysts (BCs) in the adult population is really scanty. For this reason, we analyzed the clinical and surgical management of the adult population treated for a BC at a tertiary care general hospital. Methods A retrospective review of the clinical records of all the patients with histological diagnosis of BC who were surgically treated at the Social Security Hospital in Quito, Ecuador, was performed. Fifty-one patients (27 women) with congenital anomalies of the 2nd (43 patients with cysts) and 3rd (6 patients with cysts and 2 with fistula) branchial arches were diagnosed and treated. Diagnosis was made on clinical grounds and by computed tomography scan. Results The 43 patients with a 2nd branchial cleft cyst underwent complete surgical excision through a wide mid-neck transverse cervicotomy. The 6 cases of 3rd branchial cleft cyst underwent surgical resection through a lower-neck transverse incision, and the 2 patients with clinical fistula in the lower aspect of the neck were operated on via an elliptical incision around this external fistula opening. Postoperative evolution was uneventful in all patients. Conclusions Branchial cysts can occasionally be diagnosed in adult patients in the setting of a general hospital population. A correct clinical and imaging assessment was diagnostic in most patients. Complete surgical resection was curative in all our patients, and postoperative complications were exceptional.

scholarly journals Giant Cell Tumor of the Carotid Body: A Rare Tumor in a Novel Location

2019 ◽  
Vol 98 (3) ◽  
pp. 165-168
Author(s):  
Payal Chowdhary ◽  
Gabriel S. Makar ◽  
Thomas Holdbrook ◽  
Thomas C. Spalla
Keyword(s):  
Soft Tissue ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Carotid Body ◽  
Soft Tissues ◽  
Surgical Excision ◽  
Cell Tumor ◽  
Biological Behavior ◽  
Complete Excision ◽  
Tissue Equivalent

Primary giant cell tumor of soft tissue (GCT-ST) is a rare entity that is considered the soft tissue equivalent of giant cell tumor of bone. It most commonly arises in soft tissues of the trunk and extremities, with occurrence in the head and neck being extremely rare. We report a case of GCT-ST of the carotid body, the first report of a tumor of this kind arising from this site in the neck. Giant cell tumor of soft tissue is generally considered a benign tumor with low malignant potential; thus, surgical excision is usually curative. However, due to the location and invasive nature of this patient’s tumor, complete excision was not possible. We discuss the implication of this for long-term management of this patient, as well as similarities and differences in clinical presentation, histology, and biological behavior between this case and previously reported cases of GCT-ST.

Hemangiopericytoma – a case report of a rare tumour of the parapharyngeal space

2017 ◽  
Vol 6 (2) ◽  
pp. 56-63
Author(s):  
Klaudia Cybulska ◽  
Małgorzata Jarosz ◽  
Anna Rzepakowska ◽  
Kazimierz Niemczyk
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Histopathological Examination ◽  
Therapeutic Process ◽  
Surgical Excision ◽  
Lower Limbs ◽  
Diagnostic Process ◽  
Tumour Resection ◽  
Rare Tumour ◽  
Long Term Follow Up

Introduction: Hemangiopericytoma is a mesenchymal tumour originating from pericytes surrounding the capillary vessels. The etiology of this tumour is still unknown. It may be located in any part of the human body. The most common sites are pelvis and lower limbs and less often it occurs in the head and neck. The characteristic signs of hemangiopericytoma are slow growth regardless of the malignancy level and high vascularity. Surgical excision of the tumour with additional radiotherapy is the treatment of choice. Case report: A symptom presentation and diagnostic-therapeutic process in a 71-year-old woman admitted to the Department of Otolaryngology of the Medical University of Warsaw due to increasing bilateral nasal obstruction and dysphagia is herein described. Diagnostic imaging showed highly vascularized tumour in the parapharyngeal space also obstructing the left side of the nasopharynx. After evaluation, tumour resection from the external approach was planned and performed, followed by an uncomplicated postoperative course. Histopathological examination revealed hemangiopericytoma. The patient was qualified for adjuvant radiotherapy. She stays under observation with no signs of recurrence since surgery. Conclusions: Hemangiopericytoma is a rare tumour with a wide variety of clinical presentations and a relapse-free survival that is difficult to predict. Long-lasting asymptomatic tumour growth results in late diagnosis. Imaging and primarily, histopathological examination are fundamental for the diagnostic process. The best outcome is observed after radical surgical treatment. In order to reduce the risk of recurrence, additional radiotherapy is advised. Local recurrence may appear years after finished treatment, therefore long-term follow-up is essential.

scholarly journals Pleomorphic Giant Cell Carcinoma of the Pancreas with Hepatic Metastases—Initially Presenting as a Benign Serous Cystadenoma: A Case Report and Review of the Literature

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Petrou Athanasios ◽  
Papalambros Alexandros ◽  
Brennan Nicholas ◽  
Karles Dimitrios ◽  
Bramis Kostantinos ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Cell Carcinoma ◽  
Giant Cell ◽  
Pancreatic Neoplasm ◽  
Hepatic Metastases ◽  
Surgical Excision ◽  
Serous Cystadenoma ◽  
Giant Cell Carcinoma ◽  
Laparoscopic Biopsy ◽  
Pleomorphic Giant Cell Carcinoma

Introduction. Pleomorphic giant cell pancreatic cancer is a very rare and aggressive pancreatic neoplasm. A case of pleomorphic giant cell pancreatic cancer presenting as a cystic lesion and in association with a serous cystadenoma presents a unique case which has not been described before. Case Presentation. A 44-year-old alcoholic man presented with abdominal pain, vomiting, and weight loss. Initially, imaging suspected a pancreatic pseudocyst measuring 4.2 cm. Endoscopic ultrasound- (EUS-) guided fine-needle aspiration revealed a serous cystadenoma. With conservative intervention only (fluid resuscitation, analgesia, and antiemetics) the patient improved and was discharged under close observation. Follow-up scan at four months revealed minimal change. Three months later, he was admitted acutely. Repeat scans demonstrated mild cyst enlargement with new liver lesions. Laparoscopic biopsy revealed pleomorphic giant cell carcinoma with the organ of origin the pancreas. Conclusion. This unusual case highlights the challenges in managing pancreatic cystic lesions and emphasizes the importance of considering less common forms of pancreatic cystic masses when the findings are atypical for the presentation. Surgical excision in these cases over conservative steps may be the most appropriate management.

Giant Cell Tumor of the Tendon Sheath Around the Foot and Ankle

2015 ◽  
Vol 105 (3) ◽  
pp. 249-254 ◽  
Author(s):  
Gauresh Vargaonkar ◽  
Vikramadittya Singh ◽  
Sumit Arora ◽  
Abhishek Kashyap ◽  
Vikas Gupta ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Surgical Excision ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Flexor Hallucis Longus ◽  
Rare Clinical Entity ◽  
Foot And Ankle ◽  
Peroneus Brevis

The foot and ankle are rare sites of involvement for giant cell tumor of tendon sheath. We present three rare cases of giant cell tumor of tendon sheath arising from the tendon sheaths of the flexor hallucis longus, peroneus brevis, and extensor hallucis brevis tendons, along with a literature review of such cases in the foot and ankle region. All of the patients were treated with surgical excision of the mass and were asymptomatic after minimum follow-up of 18 months. Giant cell tumor of tendon sheath involving the foot and ankle region is a rare clinical entity, and good results can be expected after surgical excision.

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