scholarly journals A case study of recurrent hemagiopericytoma of the left lung

2020 ◽  
Vol 28 ◽  
pp. 101-107
Author(s):  
Van Tan ◽  
Van Hung Dung ◽  
Nguyen Van Viet Thanh ◽  
Doan Hung Dung ◽  
Duong Thanh Hai
Keyword(s):  
Left Lung ◽  
Thoracic Wall ◽  
Lung Tumour ◽  
Surgical Removal ◽  
Surgical Biopsy ◽  
First Case ◽  
Mild Anaemia ◽  
Big Cell

Hemangiopericytoma is a rare disease. We report the first case presented with such disease at our hospital. The patient was first diagnosed with is vascular tumour 10 years ago and was discharged without chemotherapy. The patient was recently hospitalised due to tumour recurrence. The patient was Mrs. Tran Thi Kim H, was born in 1970, married, had 4 children, and was a farmer. The patient lived at An thoi Đong, Can Gio district, and was admitted on 26/9/2019 due to a recurrent left lung tumour. The patient suffered from headache and vertigo in the past 2 years and she underwent surgical removal of a lung tumour 10 years ago at Binh Dan Hospital. Physical examination was normal. Laboratory results were within normal range, except a mild anaemia. We had planned to use thoracoscopy but after general anaesthesia, the left lung could not be deflated and therefore the surgery was postponed. A week after, we attempted to use thoracotomy. We observed a tumour that adhered to the thoracic wall and to the left lung. We dissected the adhesion and removed the tumour, haemostasis was achieved by suturing with a Vicryl 3.0 stitch. The surgical incision was closed and a chest drainage was placed. Post-operative follow-up was uneventful and the patient stayed in the hospital for 15 days. Pathological studies: Biopsy with MSCT guidance revealed a diagnosis of undifferentiated non-small cell lung cancer; surgical biopsy showed that this was a lymphocyte with big cell tumour. Finally, the diagnosis of lung hemangiopericytoma was confirmed by immunohistochemistry. Whether chemotherapy should be indicated for this patient is being considered. 

scholarly journals Chest CT as a Complement to RT-PCR to Confirm and Follow-up COVID-19 Patients

Medicinus ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Aziza Ghanie Icksan ◽  
Muhammad Hafiz ◽  
Annisa Dian Harlivasari
Keyword(s):  
Chest Ct ◽  
Rt Pcr ◽  
High Resolution Computed Tomography ◽  
X Ray ◽  
First Case ◽  
Chest X Ray ◽  
Polymerase Chain

<p><strong>Background : </strong>The first case of COVID-19 in Indonesia was recorded in March 2020. Limitation of reverse-transcription polymerase chain reaction (RT-PCR) has put chest CT as an essential complementary tool in the diagnosis and follow up treatment for COVID-19. Literatures strongly suggested that High-Resolution Computed Tomography (HRCT) is essential in diagnosing typical symptoms of COVID-19 at the early phase of disease due to its superior sensitivity  (97%) compared to chest x-ray (CXR).</p><p>The two cases presented in this case study showed the crucial role of chest CT with HRCT to establish the working diagnosis and follow up COVID-19 patients as a complement to RT-PCR, currently deemed a gold standard.<strong></strong></p>

scholarly journals An isolated pilomatricoma of the leg: a rare location – A Case Study

2021 ◽  
pp. 28
Keyword(s):  
Head And Neck ◽  
Lower Limbs ◽  
Surgical Removal ◽  
Skin Tumour ◽  
Postoperative Course ◽  
Hair Matrix ◽  
Rare Location ◽  
The Right

Pilomatricoma is a rare, benign skin tumour arising from the hair matrix. The usual locations are the head and neck. Localization in the lower limbs is exceptional. The diagnosis of certainty is histological. Treatment is complete surgical removal to avoid recurrence. We report in this article the case of a rare localization of a pilomatricoma on the right leg, in a 25-year-old patient operated with complete surgical removal. The postoperative course was simple and without recurrence after 2 months of follow-up.

scholarly journals Mandibular Tori Limiting Treatment of Carcinoma of the Upper Aerodigestive Tract

2019 ◽  
Vol 12 ◽  
pp. 117954761985659
Author(s):  
Christopher M Low ◽  
Daniel L Price ◽  
Jan L Kasperbauer
Keyword(s):  
Anterior Commissure ◽  
Aerodigestive Tract ◽  
Surgical Removal ◽  
Robotic Assistance ◽  
Direct Visualization ◽  
Upper Aerodigestive Tract ◽  
First Case ◽  
Mandibular Tori ◽  
The Right

Background: Mandibular tori are a rare cause of difficult direct visualization of the upper aerodigestive tract. In the setting of aerodigestive tract pathology necessitating direct visualization, removal of mandibular tori may be required to facilitate treatment. Methods: In the first case, large bilateral symmetric mandibular tori were removed to facilitate access to the anterior commissure and removal of a T1 glottic squamous cell carcinoma (SCC). In the second case, large bilateral mandibular tori were removed to access a markedly exophytic SCC in the right vallecula. Subsequently, the tumor was removed with robotic assistance with excellent exposure. Results: Both patients were free of recurrence at last follow-up. Conclusion: Mandibular tori are an uncommon cause of difficult direct laryngoscopy. In situations that require direct visualization of the anterior commissure or base of tongue for diagnosis and management of lesions, surgical removal of the tori may be required as in the cases presented here.

Thoracic ranula: an extremely rare case

2005 ◽  
Vol 119 (3) ◽  
pp. 233-234 ◽  
Author(s):  
Claudine Elizabeth Pang ◽  
Tee Sin Lee ◽  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
History Of Surgery ◽  
Transcervical Approach ◽  
First Case ◽  
History Of

We present the first case of a thoracic ranula which originated from the left submandibular area extending into the subcutaneous tissue planes of the anterior chest wall. The patient had a history of surgery for a previous benign left salivary gland cyst, and presented with an enlarging mass in the anterior chest wall. This was a recurrence of a ranula, with an extension into the anterior thoracic wall. The thoracic ranula was excised, together with ipsilateral sublingual and submandibular glands, via a transcervical approach. No recurrence was detected over a 3-year post-operative follow up.

scholarly journals Pediatric Germ Cell Tumor: Case Study

2017 ◽  
Vol 34 (1) ◽  
pp. 72-77
Author(s):  
Deborah L. Szigeti ◽  
Douglas E. Sutton
Keyword(s):  
Germ Cell ◽  
Imaging Modality ◽  
Yolk Sac ◽  
Cell Tumor ◽  
Chemotherapy Treatment ◽  
Surgical Biopsy ◽  
Yolk Sac Tumors ◽  
Complicated Nature

Germ cell (yolk sac) tumors are rare tumors that often have a poor prognosis because they are not usually found until metastases have occurred. The diagnosis of yolk sac tumors is usually a multimodality diagnosis in conjunction with a biopsy of the lesion. This case study outlines the initial stages of diagnosing and treating a 22-month-old male patient who was found to have a widespread malignant yolk sac tumor in his abdominopelvic cavity. Sonography was used as the primary imaging modality due to the patient’s age, but it was soon determined that a follow-up with computed tomography was necessary. Because of the complicated nature and progression of the tumor, a surgical biopsy was then performed. During the procedure, it was also noted that the mass was hypervascular with extensive blood flow throughout the mass. Excision was not an option and chemotherapy treatment was recommended.

scholarly journals P1346 Not all chest pains are scary: a case report of an important - but often forgotten - diagnosis

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A Neto ◽  
D Seabra ◽  
N Moreno ◽  
S Magalhaes ◽  
L Pires ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Treatment Guidelines ◽  
Disease Onset ◽  
Nodular Lesion ◽  
Thoracic Wall ◽  
Fat Necrosis ◽  
Benign Condition ◽  
First Case

Abstract INTRODUCTION Epipericardial fat necrosis (EFN) is an uncommon self-limiting benign condition that curses with chest pain. The first case was reported in 1957 and since than only few cases were reported. Recently, new imaging modalities have increased its diagnosis. CASE REPORT An otherwise healthy 42 years-old man presented with severe left-sided pleuritic chest pain, non-radiating, with 4 days duration, mildly relieved by an analgesic. No other symptoms nor history of infection. Physical examination, chest x-ray (CXR), ECG, routine laboratory testing, d-dimer and troponin measurements were unrevealing. Chest CT with contrast showed an increased density of anterior pericardial fat with nodular appearance consistent with EFN. The transthoracic echocardiogram was normal. For better characterization, a cardiac MRI was performed, and confirmed a small nodular lesion (10x17mm) with regular contours, externally to the pericardium, in relation to the apex of the right ventricle and the anterior thoracic wall (hypersignal on T1 and T2, loss of signal in fat saturation sequences, no contrast capture during the first pass nor late enhancement). The mass was delimited from the remaining pericardiac fat by a regular halo. Combined antiinflamatory therapy was started with favourable evolution. Cardiac surgery concluded that there was no need to perform a biopsy of the lesion unless there was recurrence of the symptoms. At 3 and 6-month follow-up, chest pain had resolved (no recurrence) - CT was performed for comparison and still showed a slight densification of the anterior mediastinum’s fat. DISCUSSION EFN is an often-overlooked etiology of chest pain in patients with a negative cardiopulmonary workup. The aetiology of EFN is still unknown but appears to be similar to other analogous conditions such as epiploic appendagitis and fat necrosis in the omentum or breast. It’s not expectable that patients with EFN have a higher risk of coronary heart disease. Onset is usually acute but can persist up to a year. Increased heart rate and diaphoresis may be found. ECG and lab tests are usually normal. CXR often shows a paracardiac opacity, occasionally with an associated pleural effusion. CT typically shows a fatty lesion anterior to the pericardium, in the epipericardial fat, with stranding of surrounding soft tissue. In most cases the adjacent pericardium is also thickened. CT enables prompt diagnosis in most cases, preventing further invasive procedures. No evidence-based treatment guidelines are available due to the rarity and benign behaviour of the disease. Treatment is usually conservative with analgesics and non-steroidal anti-inflammatory drugs. Follow-up imaging is recommended to confirm resolution and exclude neoplastic diseases such as liposarcoma. It is important to be familiar with its features since the clinical and radiologic characteristics suggest a presumptive diagnosis, thereby avoiding more aggressive techniques. Abstract P1346 Figure. MRI - small nodular lesion

scholarly journals Penetrating neck injury with consequential thoracic complications managed with use of video-assisted thoracoscopic surgery: A case report

2020 ◽  
Vol 77 (3) ◽  
pp. 330-334
Author(s):  
Natasa Vesovic ◽  
Aleksandar Ristanovic ◽  
Vlado Cvijanovic ◽  
Dejan Stojkovic ◽  
Nebojsa Maric ◽  
...  
Keyword(s):  
Case Report ◽  
Thoracoscopic Surgery ◽  
Left Lung ◽  
Thoracic Wall ◽  
Cervical Region ◽  
Anatomical Structures ◽  
Penetrating Neck Injury ◽  
Life Threatening ◽  
Invasive Method

Introduction. Penetrating injuries of the neck are potentially life-threatening conditions. They can cause injuries of larynx, trachea, esophagus and major blood vessels in this area. Case report. The patient was a 28-year-old male who was stabbed with broken glass penetrating the front side of the base of his neck. The patient had dyspnea and the wound was inflicted the night before admission to hospital. An otorhinolaryngologist found a stab wound in the region of the left basis of the neck. The wound was 2 cm long with no signs of bleeding and deep injuries of the anatomical structures of the neck. However, since left hemopneumothorax was clinically and radiologically apparent, drainage of the thorax was performed upon admission to the intensive care unit. Initially, 400 mL of hemorrhagic effusion was evacuated. However, 24 hours later the patient became hemodynamically unstable. It was an indication for videoassisted thoracoscopy (VATS). Therefore, VATS was used as a diagnostic method in order to determine the nature of the injury. Intraoperatively, we treated a laceration of pleuropulmonary adhesion which was continuously bleeding from the apex of the thoracic cavity. As a result, adequate surgical hemostasis was achieved. Furthermore, during the three-week postoperative period, thoracic tubes were placed due to the prolonged air leakage. A thoracic tube was placed laterally along with another one which was placed in intercostal space higher. After total reexpansion of the left lung, thoracic tubes were extracted, and the patient was discharged. Conclusion. Nowadays, VATS has become a highly important ultimate treatment of thoracic trauma. This minimally invasive method allows us to verify injury type and localization, to resolve it and further to follow-up evaluation of pathological changes in the lungs, pericardium, mediastinum, pleura and thoracic wall. In the case of stab wounds in the cervical region, any injuries of the lungs and pleura must be taken into consideration.

Bilateral fungiform papilloma with synchronous verrucous carcinoma of the nasal septum: a rare presentation and a literature review

2011 ◽  
Vol 126 (4) ◽  
pp. 424-427 ◽  
Author(s):  
T Maithani ◽  
D Dey ◽  
A Pandey ◽  
N Chawla
Keyword(s):  
Nasal Septum ◽  
Verrucous Carcinoma ◽  
Exceptional Case ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Anterior Portion ◽  
Malignant Changes

AbstractAim:Fungiform papillomas are benign mucosal neoplasms presenting as a unilateral exophytic mass involving the anterior portion of the nasal septum. In this study, we present an exceptional case of a bilateral fungiform papilloma with a synchronous verrucous carcinoma of the nasal septum.Material and methods:A case study with a review of the literature concerning malignant changes in fungiform papilloma.Results:The general consensus in most of the literature is that malignant change in fungiform papilloma is exceptional. Our patient is probably the third reported case of verrucous carcinoma of the nasal septum, and the first report of a bilateral fungiform papilloma with a synchronous verrucous carcinoma. The tumour was subjected to complete surgical removal in the first instance. There was no recurrence at follow up seven months after surgery.Conclusion:Although fungiform papillomas are generally not premalignant, occasional malignant transformation may occur. Thus, they must be managed with the utmost cautiousness.

scholarly journals Surgical Removal of an Extrauterine Device Migrating to Appendix

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Gulsum Uysal ◽  
Hakan Nazik ◽  
Nefise Tanridan Okçu ◽  
Sevtap Seyfettinoglu ◽  
Halil Kazgan
Keyword(s):  
Intrauterine Device ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Surgical Removal ◽  
Lactation Period ◽  
Intrauterine Devices ◽  
First Case ◽  
Planning Methods ◽  
Self Examination

Intrauterine devices (IUDs) remain highly effective reversible family planning methods in developing countries. We aimed to report one of the complications of extrauterine and intrauterine devices. A 44-year-old woman was admitted to our hospital with mislocated intrauterine device and abnormal uterine bleeding. Extrauterine IUD device was proven by ultrasound and X-ray. She had normal blood test count with a negative pregnancy test. There are several cases of complications with intrauterine devices, but this is the first case report about an extrauterine IUD embedded by inflame enlarged appendix presenting with abnormal uterine bleeding. Although intrauterine devices are a common safe method for contraception, there is no risk-free insertion even with advanced ultrasounds. A regular self-examination should be taught to the patients and ultrasonography should be performed in the follow-up of the patients especially for inserted devices during lactation period. Extrauterine IUDs can be successfully removed by laparotomy.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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