scholarly journals CLINICAL PRESENTATION AND SURGICAL TREATMENT OF THYROGLOSSAL DUCT ANOMALIES (TGDAS).

1969 ◽  
Vol 1 (2) ◽  
pp. 60-63
Author(s):  
Mahid Iqba ◽  
Sanaullah ◽  
Muhammad Hussain ◽  
Gulshan Hussain ◽  
Sharafat Ali ◽  
...  
Keyword(s):  
Hyoid Bone ◽  
Clinical Presentation ◽  
Histopathological Study ◽  
Neck Swelling ◽  
Socioeconomic Condition ◽  
Thyroglossal Duct ◽  
One Year ◽  
Operative Findings ◽  
Sistrunk Operation

Objectives: To study the profdes of patients presenting with Thyroglossal duct anomalies and the outcomeof their surgical treatment.Study Design: Descriptive.Setting and duration of the study: Saidu Teaching Hospital Saidu Sharif Swat, from November 2005 toNovember 2006.Patients and methods: All patients were admitted through Out- patient department. They were analyzed onthe basis of location, age, sex, clinical presentation, operative findings, surgical procedure performed andduration of follow up. All the operations were done by the fellows of Oto-rhino-laryngology.Diagnosis was based on clinical examination in all cases. Ultrasound was carried out in all the patients tolocalize thyroid gland.Thyroid isotope scan and fistulogram are necessary preoperatively to find outfunctioning ectopic thyroid tissues and to see the extant of the tract. These investigations were not carriedout due to poor socioeconomic condition of the patients. Histopathological study was done in all the casesResults: A total of fifteen patients with clinically suspected thyroglossal duct anomalies were admitted fromNovember 2005 to Nov 2006. Out of the fifteen patients, one was female while the 14 cases were male.Age of the patients ranged from 2-16 years. Ten patients were below 8 years of age while 05 patients wereabove 8 years. Majority (53.5%) presented with neck swelling followed by discharging fistula (33.3%). Allpatients presented with midline swelling except one on the left side. Majority of swellings, i.e. 66% werepresent in the infra-hyoid region, while 26% presented at the pre-hyoid area. Per-operative findingsincludes 07 cases with tract up to the hyoid, 3 up to the tongue base, 3 tract attached to the hyoid bone, oneup to thyro-hyoid membrane, while in one case no tract was found.Conclusion; It is concluded from our study that most of the patients were below 8 years of age; malechildren were predominantly affected and majority of them presented with cystic swelling on one side ofneck.In 10 patients, the anomalies were situated in the infrahyoid region.No recurrence occurred viaperforming standard Sistrunck procedure at one year follow up.Key words; Key words: Thryoglossal duct anomalies, Sistrunk operation

scholarly journals Meningiomas of pineal region in children

2007 ◽  
Vol 65 (4a) ◽  
pp. 1000-1006 ◽  
Author(s):  
Hamilton Matushita ◽  
Fernando Campos Pinto ◽  
José Píndaro Pereira Plese
Keyword(s):  
Clinical Presentation ◽  
Complete Removal ◽  
Pineal Region ◽  
Total Resection ◽  
Long Term Follow Up ◽  
One Year ◽  
Velum Interpositum ◽  
Transtentorial Approach

Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic examinations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.

Bladder hemangioma. Case report and review of the literature

1994 ◽  
Vol 61 (2) ◽  
pp. 151-153
Author(s):  
M. Marcellini ◽  
R. Cantiani ◽  
G. Mainiero ◽  
L Neri
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Age Of Onset ◽  
Partial Cystectomy ◽  
Definitive Treatment ◽  
Review Of The Literature ◽  
Bladder Hemangioma ◽  
One Year

The Authors report a case of vesical hemangioma; it was typical for site and clinical presentation whereas the age of onset and gross appearance were atypical. A TUR biopsy was performed without complications, but did not confirm diagnosis. A partial cystectomy was performed. A one-year follow-up, negative for recurrence, confirmed this procedure as the definitive treatment of choice.

Clinical presentation and long-term follow-up of 45 patients with Mondor disease: A single-center longitudinal study

2021 ◽  
pp. 1358863X2110004
Author(s):  
Robert Kreuzpointner ◽  
Fabian Johner ◽  
Stéphanie Roth-Zetzsche ◽  
Nils Kucher ◽  
Stefano Barco
Keyword(s):  
Clinical Presentation ◽  
Good Prognosis ◽  
University Hospital ◽  
Primary Study ◽  
Long Term Follow Up ◽  
Mondor Disease ◽  
One Year ◽  
New Diagnosis ◽  
Active Cancer

Mondor disease is characterized by an acute painful thrombophlebitis occurring at specific anatomical sites. Data on its incidence, characteristics of clinical presentation, and course are unavailable to date. We studied the course of Mondor disease in patients diagnosed and followed at the University Hospital Zurich (Switzerland) between 2004 and 2020. The primary study outcomes were a diagnosis of active cancer either at the time of clinical diagnosis of Mondor disease or within 1 year, as well as 1-year all-cause death and recurrent Mondor disease. We included 45 patients and classified them into one of the three Mondor disease subgroups: thoracic ( n = 26), penile ( n = 12), or axillary ( n = 7). The median age was 39 (Q1–Q3: 30–45) years and 44% of patients were men. Surgery was the likely cause of Mondor disease in 53.8% of patients with a thoracic form, 41.7% of those with a penile location, and all of those with an axillary location. Known active cancer was present in nine (20%) of 45 patients at baseline. One-year follow-up was available for 43 patients (median 94 months), whereas 6-month data were available for the remaining two patients. During the available follow-up, no patient had a new diagnosis of cancer. In conclusion, one in five patients with Mondor disease had known cancer at the time of diagnosis. During follow-up, the rate of new cancer diagnosis and death was negligible, providing reassurance about the good prognosis of this condition. Based on these preliminary data, extended cancer screening besides what is recommended by current guidelines for the general population might not be necessary in patients with Mondor disease.

scholarly journals Prospective evaluation of clinical profile and treatment outcome of patients presenting with polyarthritis diagnosed as rheumatoid arthritis

2012 ◽  
Vol 10 (2) ◽  
pp. 22-28
Author(s):  
Arpana Neopane ◽  
Mona Sharma ◽  
Sumugdha Rayamajhi
Keyword(s):  
Rheumatoid Arthritis ◽  
Treatment Response ◽  
Clinical Presentation ◽  
Prospective Longitudinal Study ◽  
Early Presentation ◽  
Common Presentation ◽  
Characteristic Features ◽  
One Year ◽  
Prospective Longitudinal

Introduction: Polyarthritis is a common presentation of patients attending medicine outpatient department. Among various causes Rheumatoid arthritis is the commonest and a well established case has distinct characteristic features. However the early presentation of this disease has not been clear thus leading to delay in treatment. The objectives of this study was to identify the various causes of polyarthritis in our clinical practice, discuss the varied clinical presentation of rheumatoid arthritis including early Rheumatoid arthritis and to evaluate the treatment response during one year follow up. Methods: Prospective longitudinal study conducted in a teaching hospital over a two years period Results: Rheumatoid arthritis was the commonest cause of polyarthritis (77.8%) with a period prevalence of 0.7%. Early presentation included atypical features like asymmetry, unilateral presentation, manifesting within 2 months to 2 years of diagnosis. 43% (n=18) of the patients had swelling and tenderness in overused joints 1.5 years prior to full clinical manifestation. Flitting or migratory joint pain not considered to be a feature of rheumatoid arthritis was also present in 14.3% (n=6) patients with mean duration of 1.5 years prior to full blown presentation. MCPJ (metacarpophalyngeal joints) and PIP (proximal interphalyngeal joints) were involved in 90%. Treatment response with Methotrexate as a single DMARD was good as compared with DAS 28 ESR score. Conclusions: RA is a common arthritis with varied clinical presentation. Recognition of early symptoms is needed for early diagnosis and initiation of DMARD. Methotrexate as a DMARD is effective and should be initiated early. DOI: http://dx.doi.org/10.3126/mjsbh.v10i2.6459 Medical Journal of Shree Birendra Hospital July-Dec 2011 10(2) 22-28

scholarly journals Benign thyroid tumor causing extensive skin ulcer - an unusual presentation

1970 ◽  
Vol 14 (1) ◽  
pp. 36-38
Author(s):  
M Alamgir Chowdhury ◽  
Shahidul Islam ◽  
Naseem Yasmeen ◽  
Mousumi Malakar
Keyword(s):  
Follicular Adenoma ◽  
Inflammatory Lesion ◽  
Thyroid Tumor ◽  
Skin Ulcer ◽  
Unusual Presentation ◽  
Thyroid Adenoma ◽  
Neck Swelling ◽  
One Year ◽  
Benign Thyroid

Incidence of benign thyroid adenoma is common, but adenoma causing extensive skin ulceration is a very unusual presentation. Here we are reporting a case of a 70-year-old female from Norshingdi district who presented to us with an ulcerated, neck swelling over the thyroid region for one year, which moves with deglutition and bleeds on touch with foul smelling discharge for one month and pain for two months. Biopsy from the ulcer revealed inflammatory lesion while subsequent histopathology following thyroidectomy under local anesthesia gave features of follicular adenoma. Postoperative period was satisfactory and follow up was excellent. Key words: Follicular adenoma, Thyroid, Skin ulcer.DOI: 10.3329/bjo.v14i1.3278 Bangladesh J of Otorhinolaryngology 2008; 14(1) : 36-38

scholarly journals Mills’ syndrome: a case report

2009 ◽  
Vol 1 (1) ◽  
pp. 15 ◽  
Author(s):  
Fábio Henrique De Gobbi Porto ◽  
Marco Orsini ◽  
Marco Antônio Araújo Leite ◽  
José Moreira dos Santos ◽  
Soraia Pulier ◽  
...  
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Clinical Presentation ◽  
Sensory Impairment ◽  
Primary Lateral Sclerosis ◽  
Diagnosis And Prognosis ◽  
One Year ◽  
Primary Lateral ◽  
Lateral Sclerosis ◽  
Mills Syndrome

The syndrome of progressive, ascending or descending hemiplegia, with no significant sensory impairment was first describes by Mills in 1900, which several cases were reported later. However after diagnostic tests and image improvements, the number of reports has shortened. A possible explanation for this shortage is the identification of other diseases that could mimic the clinical picture. Currently, the syndrome has an uncertain nosological status, since it was described based on clinical examination only. We can find this clinical presentation (Mills syndrome) in cases of amyotrophic lateral sclerosis (ALS), predominant upper motor neuron amyotrophic lateral sclerosis (UMN-ALS) and primary lateral sclerosis (PLS), besides its symptomatic (secondary) forms. We describe a case (initial presentation and one year follow-up) of progressive ascending hemiplegia with clinical isolated upper neuron signs and normal sensory examination, discussing its nosological status, electromyographic findings, differential diagnosis and prognosis.

scholarly journals Presentation of Thyroglossal Cyst in Children

2016 ◽  
Vol 5 (2) ◽  
pp. 45-53
Author(s):  
Shaikh Nurul Fattah Rumi ◽  
Shaikh Muniruddin Ahmad ◽  
Shahnaz Rahman ◽  
Abdul Hanif Tablu
Keyword(s):  
Hyoid Bone ◽  
Neck Surgery ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Duct Cyst ◽  
Female Ratio ◽  
Thyroglossal Duct ◽  
Sistrunk Operation

Background: Thyroglossal duct cyst a developmental anomaly present as a congenital cervical masses of neck in children.Objectives: To observe its deferent presentation and evaluate among the children.Materials and methods: This observational cross section study conducted among patients of eighteen years of age present with thyroglossal duct cyst between 2007 to 2012 in the department of ENT and Head- Neck surgery, Dhaka Medical College Hospital, Dhaka. All patients were operated by Sistrunk operation under (excision of total cyst and removal median portion hyoid bone) under general anesthesia. All specimens were histo-pathologically confirmed.Results: Among 24 children with thyroglossal cyst, 15 boys and 9 girls with male female ratio 1.67:1, age ranged from 4 years to 18 years (mean 9.46 std ±4.27). Male (mean 7.53±4.01years) child are younger than female (mean 12.67±2.39 years) child. 66.67% male children were below 10 years of age and 88.89% female children were over 10 years of age. According to the presentation site 17(70.83%) cases were juxtra hyoid, 4(16.67%) were suprahyoid and 3 (12.50%) were infrahyoid. 23 (95.83%) were present as midline swelling, only 1(4.17%) was present as left lateral infrahyoid swelling. 4(16.67%) patient were attended as thyroglossal fistulae with history of intervention. 4(16.67%) patient were developed recurrence followed by surgical resection within two years.Conclusion: Thyroglossal duct cyst present as an asymptomatic midline neck mass around the hyoid region in children. Complete resection along with median portion hyoid bone prevents recurrence.J. Paediatr. Surg. Bangladesh 5(2): 45-53, 2014 (July)

scholarly journals Carcinoid tumour of appendixCarcinoid tumour of appendix

2021 ◽  
Vol 8 (7) ◽  
pp. 2169
Author(s):  
Abdul Rehman Siddiqui ◽  
Shrey Aren ◽  
Rajat Kumar Patra
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Carcinoid Tumor ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Carcinoid Tumour ◽  
Recurrent Abdominal Pain ◽  
Benign Tumors ◽  
One Year

Carcinoid tumors are quite common neoplasm of the appendix. The clinical presentation of these lesions somewhat corelates to that of acute appendicitis, or the tumors are asymptomatic. The carcinoids are commonly found incidentally during histopathological examination of the resected appendix following appendectomy or other abdominal procedures. Appendiceal carcinoids usually behave as benign tumors and appendicectomy alone is a sufficient treatment in the majority of cases, while for larger lesions (lesions at the base of the appendix), right colectomy should be performed. The prognosis of patients with local appendiceal carcinoids is excellent. The present study reports the case of a 49-years-old male patient that presented with recurrent abdominal pain of 6 weeks duration. The patient underwent successful appendectomy and recovered four days later. Subsequently, an appendiceal carcinoid tumor located at the tip of the appendix was diagnosed by histopathological examination. Follow-up examination one year after surgery revealed that the patient was well with no discomfort.

Clinical Presentation and Prognosis in Heart Failure Patients with Reduced Ejection Fraction: A Prospective One-Year Follow-Up Study in National Cardiovascular Center Harapan Kita, Indonesia

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Clinical Presentation ◽  
Systolic Heart Failure ◽  
High Rate ◽  
Morbidity Rate ◽  
Cardiovascular Center ◽  
One Year ◽  
National Cardiovascular

Background: Systolic heart failure (HFrEF) is characterized by ejection fraction of <40% and causes significant mortality and morbidity rate. We seek to characterize Indonesian patients’ clinical presentation (low to middle income country), oneyear outcome and prognostic factors of HFrEF patients. Methods and Results: Prospective cohort with consecutive sampling method was done in National Cardiovascular Center Harapan Kita (NCCHK), Jakarta from October 2013 to March 2014. NCCHK is a national heart referral center for 34 provinces in Indonesia. Data was obtained from medical records of HFrEF patients enrolled in ASIAN-HF study. Oneyear follow up was done via medical record or phone interview. Data was analyzed using SPSS version 23. Ninety HFrEF subjects (57.3±1.17 years) were obtained. Angina was more commonly seen in higher EF group (21-40%; p=0.016). At one-year, 22.2% died. Lower EF group had higher rate of death (p>0.05). Age, rales and elevated JVP were predictive of death regardless of EF (p<0.05). Conclusions: Angina was more commonly seen in higher EF group. Signs of congestion are associated with poorer prognosis. Low EF (<20% vs 21-40%) had clinically high rate of death (26.7% vs 13.3%, p>0.05).

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