scholarly journals Localized Amyloidosis of Tongue: A Rare Case from India

2016 ◽  
Vol 7 (4) ◽  
pp. 225-227
Author(s):  
Amit Sharma ◽  
Kanwaljeet Singh

ABSTRACT Involvement of the tongue by amyloid is mostly secondary to systemic amyloidosis, with less than 9% of all types of amyloidosis presenting as isolated amyloidosis of the tongue. This is a case report of a 56-year-old patient who presented with mass lesion in the posterior part of tongue since 2 years duration. Magnetic resonance imaging revealed nodular area on posterior aspect of tongue without focal signal intensity and no contrast enhancement. On histopathological examination, the lesion exhibited homogeneous extracellular eosinophilic material. Congo red staining revealed amyloid material as red color under light microscopy and as apple green birefringence under polarized microscope. A definitive diagnosis of localized isolated amyloidosis of tongue was made after detailed workup to rule out the systemic form of amyloidosis. Isolated and localized amyloidosis of tongue is very rare and often mimics benign tumors, thus making the job of the treating doctor more challenging. The foremost task in management of these patients is to rule out the possibility of systemic amyloidosis because the localized forms of the disease may be treated with wide local surgical excision. How to cite this article Singh K, Sharma A. Localized Amyloidosis of Tongue: A Rare Case from India. Int J Head Neck Surg 2016;7(4):225-227.

Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>


2021 ◽  
pp. 097321792110425
Author(s):  
Viveka Singh ◽  
Neha Nabar ◽  
Sanjiv Badhwar ◽  
Preetha Joshi

Nasopharyngeal glial heterotopias is an extremely rare, nonhereditary, developmental malformation manifesting as a mass composed of mature neural tissue with no intracranial continuity. Glial heterotopia is a rare, non-neoplastic, extracranial midline malformation. Nasal glioma is the most frequently encountered entity among congenital nasal masses. Cases which are associated with intracranial extension are termed as encephalocele. It must be considered in the differential diagnosis of airway obstruction in neonates. Magnetic resonance imaging is mandatory to rule out intracranial extension. We report a rare case of heterotopic brain tissue in nasopharynx with no intracranial extension to attract attention to the diagnostic workup of nasopharyngeal obstruction in a neonate with respiratory distress. Clinical examination and radiological studies are diagnostic while early surgical excision and histopathological confirmation is the gold standard. This baby underwent complete intranasal endoscopic excision of mass on day 20 of life. The postoperative course was uneventful and the baby is growing well on follow-up. This case would be one of the few cases reported from India.


2019 ◽  
Vol 10 (02) ◽  
pp. 367-370
Author(s):  
Shamila Mohamed Ali ◽  
P. Somashekara Reddy ◽  
S. Venugopal ◽  
Manmeet Chhabra ◽  
Anita Mahadevan

ABSTRACTHuman coenurosis is a rare zoonotic disease caused by the larvae of Tinea multiceps seen in sheep-rearing countries. We report the case of a 63-year-old male who was referred to our hospital with a working diagnosis of skull base chondrosarcoma. Histopathological examination after surgical excision revealed characteristic feature of coenurus with multiple scolices invaginating from the outer cuticular layer. Coenuri are often mistaken for giant cysticercal cysts and hydatid cysts. Despite its wide prevalence in cattle, only two cases of human coenurosis are reported from India till date. We report the third case from India.


2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093498
Author(s):  
Wenli Chang ◽  
Yang Ding ◽  
Ying Yan ◽  
Ning Wei ◽  
Huijie Li ◽  
...  

Dermoid cysts are rare benign tumors that arise from ectopic epiblastic inclusions and account for 0.4% to 1.5% of all tumors. They are usually 1 to 5 cm in size and composed of a pasty semisolid material. The orbital dermoid cyst is the most common type. Dermoid cysts can also occur in the spinal cord, ovaries, and pancreas. We encountered a 24-year-old man with a dermoid cyst over the left sternoclavicular joint. He reported intermittent secretion of a white tofu-like exudate from an underlying congenital sinus tract since birth. The secretion had turned hemorrhagic for the last month and had been accompanied by progressive swelling and pruritus for 1 week. Ultrasonography and magnetic resonance imaging revealed characteristics of a dermoid cyst, and histopathological examination confirmed the diagnosis. The patient underwent surgical excision of the cyst under local anesthesia. The incision healed well with no postoperative complications. Considering that a dermoid cyst has the potential to become infected or progress into squamous cell carcinoma, its removal at an early stage is suggested. Few reports in the literature have described a dermoid cyst that secretes hemorrhagic contents from a congenital sinus tract. We present this case to provide a reference for clinicians.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ricardo Roberto de Souza Fonseca ◽  
Mário Augusto Ramos Junior ◽  
Douglas Baruchi ◽  
Tabata Resque Beckmann Carvalho ◽  
Andresa Borges Soares ◽  
...  

Leiomyomas are rare benign tumors that grow in the tunica media of smooth muscle cells. Leiomyomas occur most frequently in the uterus or gastrointestinal tract and only very rarely in the area of the cheek. This study reports on a rare case of a leiomyoma in the cheek of a 43-year-old woman, who presented with a well-circumscribed, asymptomatic, mobile swelling in the right cheek. This swelling was slightly purplish in color and measured approximately 4 cm×3 cm. Surgical excision was the treatment of choice, and the diagnosis was based on histopathological and immunohistochemical stains, which were positive for actin and desmin and negative for AE1/AE3, CD34, and S100. The patient’s follow-up, two years later, showed no recurrence, and she has been asymptomatic since the surgery.


2020 ◽  
Vol 7 (10) ◽  
pp. 3452
Author(s):  
Vinayagam Ganesan ◽  
Venkatesh Sadayan Periyasamy ◽  
Muralidharan Kannaian

Kimura's disease (KD) is a chronic inflammatory disease, a rare variety. It usually presents as non-tender subcutaneous swelling in head and neck region, predominantly in preauricular and submandibular area and is often associated with cervical lymphadenopathy, marked peripheral eosinophilia and an elevated immunoglobulin E (IgE) level. Renal involvement is the only systemic manifestation.4 Nephrotic syndrome is the most common manifestation of renal disease in KD. Diagnosis through Fine needle aspiration cytology (FNAC) is misleading and can easily be mistaken as a malignant disease. So, diagnosis is therefore only established by histopathological examination. The treatment of KD involves one of three major approaches are surgical excision, irradiation, or steroid therapy. Surgical excision is recommended as the treatment of choice but carries recurrence rates of 33-50%. In our study, we are reporting a case of elderly female who presented with left sided cervical lymphadenopathy for which excision biopsy was done and the histopathology examination shown as kimura lymphadenopathy, a rare case.


2017 ◽  
Vol 1 (8) ◽  
pp. 248-251
Author(s):  
Pawan Kumar ◽  
Saindhya Tora Sonowal ◽  
Jitu Chawla

Gingival enlargement is a clinical condition that has been directly associated with specific local or systemic conditions. Pregnancy has been considered an attributing factor which increases the susceptibility to gingival enlargement. It is also considered as a risk factor for periodontitis because of its ability to allow proliferation of specific microorganisms and affect host immunological response. This paper presents a rare case report of capillary hemangioma on attached gingiva of anterior maxilla in an adult female which initiated when she was in her 10th week of gestation. After parturition, gingival enlargement further progressed and caused functional and aesthetic problem. Enlargement did not resolve even after non-surgical therapy; therefore, surgical excision of the entire enlargement was preformed. Histopathological examination revealed capillary hemangioma. No evidence of malignancy was seen. No recurrence was seen even after 2 years of follow-up.


Author(s):  
Swetha Gutha ◽  
Shalini Sampath

<p class="abstract">Cutaneous leiomyomas are benign tumors that can be exquisitely painful. Comprise three distinct types such as piloleimyoma, angioleiomyoma, and genital leiomyoma. Piloleiomyomas, derived from arrector pili muscle, are solitary or multiple firm papulonodules located mostly on the extremities and trunk; genital leiomyomas, derived from dartoic, vulvar, or mammary smooth muscle, are solitary or papulonodules located on the scrotum, vulva, or nipple; and angioleiomyomas, include solid, cavernous, or venous subtypes, are derived from the tunica media of small arteries and veins and typically present on the extremities. Excisional biopsy is required for diagnosing all cutaneous leiomyomas Histology shows interlacing fibers of spindle cells with moderate amounts of eosinophilic cytoplasm and a blunt-ended, elongated nucleus with perinuclear halos. Surgical excision is curative for cutaneous leiomyomas, with other management options including medical or destructive therapy. A 36-year-old male patient presented with a 13 years history of painful, multiple lesions over the back. Based on the histopathological examination, imaging, and past medical records, a diagnosis of familial leiomyoma was made. His brother had similar disease. The patient was started on tab gabapentin 300mg at night. Patient advised for carbon dioxide laser excision. The present case report has been reported for its interesting clinical presentations and rarity.</p>


2021 ◽  
pp. 65-66
Author(s):  
Sweta Krishnan ◽  
Aishwerya Singh

Introduction: Mature cystic teratomas or dermoid cysts are benign “tumors” which arise from more than one germ cell layer. These occur most commonly in the ovaries. Urinary bladder is an extremely rare site. Only few cases of urinary bladder dermoid cysts have been documented in the literature. Case report: We present a rare case in which a 29-year-old female patient presented with hematuria, passage of hairs in urine and painful micturition. Urinary bladder dermoid cyst along with vesicular calculus was diagnosed on imaging and cystoscopy and conrmed after surgery by histopathological examination. Conclusion: Bladder dermoids mimic bladder calculus and neoplastic mass lesion both clinically and radiologically. Correct diagnosis can be achieved by multimodality imaging, cystoscopy and conrmed on histopathology.


Open Medicine ◽  
2011 ◽  
Vol 6 (3) ◽  
pp. 305-308
Author(s):  
Rafał Koszowski ◽  
Jadwiga Waśkowska ◽  
Tadeusz Morawiec ◽  
Sylwia Wojcik ◽  
Katarzyna Stęplewska

AbstractMucoceles are common pathological lesions of the oral cavity, usually measuring up to 10 mm. The authors describe a case of deeply located buccal mucocele measuring 35 mm in diameter. The lesion was caused by facial injury in a 54-year old man. The lesion persisted for approximately 2.5 years and was difficult to diagnose because of its unusual size and atypical clinical symptoms. Preoperative ultrasonography excluded a tumor, and this was confirmed by histopathological examination. However, oncological alertness was considered necessary on account of ulcerated mucosa next to the lesion. The mucocele was removed through surgical excision, using a scalpel and tissue scissors. No recurrence was observed in 2.5 postoperative years. It is stressed that histopathological examinations help to differentiate mucoceles from other disease processes.


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