Çocuklarda Brankiyal Yarık Anomalileri

2021 ◽  
Author(s):  
Orkhan Farzaliyev ◽  
Özlem Boybeyi Türer ◽  
Tutku Soyer ◽  
Feridun Tanyel
Keyword(s):  
Physical Examination ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Neck Mass ◽  
Fistula Tract ◽  
Radiological Findings ◽  
Recurrence Rates ◽  
Submandibular Region ◽  
Female Ratio ◽  
Male Female Ratio

INTRODUCTION: Objective: A retrospective study was planned to evaluate the clinical and radiological findings of childhood branchial anomalies together with the subclasses of the anomaly and to discuss the surgical results. Method: The medical records of the patients managed for branchial cleft anomaly between 2014 and 2019 were examined. Demographic features, clinical and radiological findings, surgical managements and outcomes were recorded. Results: Eighteen cases were included in the study. Median age of the cases was 5 years (1-14). Male/female ratio was 9/9. The complaints were discharge from the BC (n=13, 72%) and painless neck mass (n=3, 17%). The BC was at right side in 8 (44%), left side in 9 (%50) and bilateral in 1 case (6%). Physical examination revealed the presence of a fistula, and its orifice in 14 cases and cystic lesion was palpable in 4 cases. Ultrasound was performed in 9 cases (50%) and cyst could be detected in 3 of them. All cases were operated and step-ladder incision was used in 8 cases. The fistula tract was ended near to pharynx in 2, near to pretonsillar fossa in 10, submandibular region in 5, and external auditory tract in 1 case. Histopathological examination revealed inflammation in 2 cases and cartilage in 1 case. Stratified ciliary columnar and stratified squamous cell epithelium was detected in samples. Conclusion: Physical examination is the most important diagnostic method. The management is surgery and excision of whole lesion is important in preventing recurrences. Although using methylene blue is a guiding technique in surgical excision of tracts, the effect of its use on surgical outcome and recurrence rates is still debatable.

scholarly journals SURGICAL COMPLICATIONS OF PARAPHARYNGEAL SCHWANNOMA: OUR EXPERIENCE

2020 ◽  
pp. 1-3
Author(s):  
Debabrata Das ◽  
Pritha Ghosh ◽  
Riya Das ◽  
Tanmoy Sarkar
Keyword(s):  
Neurological Complication ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Neurological Complications ◽  
Neck Mass ◽  
Female Ratio ◽  
Transcervical Approach ◽  
Medical College ◽  
Male Female Ratio

Introduction– Tumors of parapharyngeal space are rare. Schwannomas, originating either from Schwann cells or fibroblasts supporting the nerve, are one of the benign neurological tumors occurring in this space. Surgical excision is the mainstay of its management. Transcervical approach is carried out for most of the parapharyngeal schwannomas. This article aims to study the clinical and radiological presentation of parapharyngeal schwannoma and also to study post-operative neurological outcome. Materials and methods – A retrospective study was conducted from June 2018 to November 2019 (1.5 years) at the Department of Otolaryngology, in a tertiary care medical college & hospital. A total of 7 cases of parapharyngeal schwannoma were selected; the clinical, radiological presentation was studied. Post-operative complications were studied within a follow up period of 8 months. Results – The mean age of presentation was 44 years. Male: Female ratio was 5:2. Five patients (71.4%) presented with left sided lesions whereas 2 patients (28.6%) were with right sided lesions. The most common presentation was an asymptomatic palpable neck mass in 4 patients (57.1%). 4 patients (57.1%) had mass arising from vagus nerve, 2 patients (28.6%) had mass arising from sympathetic trunk and one patient (14.3%) had mass arising from hypoglossal nerve. 4 patients (57.1%) had neurological complication in immediate post-operative period, out of which 3 patients (42.8%) improved within 8 months follow up. Conclusion – Most of the parapharyngeal schwannoma presents with asymptomatic slow growing neck and/or oropharyngeal mass. Progressive growth can result in dysphagia. Surgical excision may accompany neurological complications. Outcome of neurological sequelae depends on preserving the anatomical integrity of the nerve from which the tumor arises.

scholarly journals Study of glottic lesions in patients undergoing microlaryngeal surgery

2020 ◽  
Vol 6 (2) ◽  
pp. 277
Author(s):  
Vikrant Mittal ◽  
Manish Munjal ◽  
Rohit Verma ◽  
Parth Chopra ◽  
Hemant Chopra
Keyword(s):  
Clinical Diagnosis ◽  
Histopathological Examination ◽  
Detailed Examination ◽  
Histopathological Diagnosis ◽  
Female Ratio ◽  
Histopathological Correlation ◽  
Male Female Ratio ◽  
Male Preponderance ◽  
Vocal Nodules ◽  
Microlaryngeal Surgery

<p class="abstract"><strong>Background:</strong> Vocal cords are the most common site of laryngeal pathologies. Hoarseness is the sentinel symptom for lesions affecting the glottis. The aim of this study was to categorize various types of lesions affecting the glottis in patients undergoing microlaryngeal surgery. Patients’ demographic profile, gender, occupational factors were studied. Clinical, microlaryngeal and histopathological correlation of the lesions was done.</p><p class="abstract"><strong>Methods:</strong> 50 patients with glottic pathologies undergoing microlaryngeal surgery were included. Patients underwent detailed examination including indirect laryngoscopy, flexible fibreoptic laryngoscopy, followed by microscopic laryngeal examination under general anaesthesia. The lesions were excised using standard microlaryngeal instruments and the specimens were subjected to histopathological examination. The data was analysed.  </p><p class="abstract"><strong>Results:</strong> There was male preponderance (male: female ratio of 1.27:1). Housewives formed the largest group (28%). Commonest pathologies were vocal nodules (34%), vocal polyps (22%) and carcinoma (22%). Microlaryngoscopy was found to be the best means of visualizing the lesions and reaching a clinical diagnosis. In 10 (20%) patients, the final histopathological diagnosis was different from clinical diagnosis.</p><p class="abstract"><strong>Conclusions:</strong> In this study, vocal nodules were the commonest lesions to affect the glottis. Microlaryngoscopy proved to be the best method for examination. Also, there was discrepancy in the clinical and histopathological diagnosis in 20% cases.</p>

scholarly journals Epidemiological Profile of the Head- Neck Pathologies in a Peripheral Referral Institute

2019 ◽  
Vol 27 (2) ◽  
pp. 113-120
Author(s):  
Sabyasachi Ghosh ◽  
Tarak Nath Saha ◽  
Indranil Sen
Keyword(s):  
Head And Neck ◽  
Histopathological Examination ◽  
Neck Region ◽  
Head And Neck Cancers ◽  
Base Line ◽  
Age Group ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Epidemiological Profile ◽  
Head Neck

Introduction   Head and neck lesions encompass a multitude of disorders which can be broadly classified into two groups: Benign and Malignant. Overall 57.5% of global head and neck cancers comes from Asia itself and India alone constitutes 30% of it. Therefore, it is of prime essence that need based and coordinated research for understanding the threats to the nation from chronic diseases such as head and neck cancers and ways to defy such threats should gain the utmost importance. The present study attempts to present the epidemiological profile of the patients attending a peripheral referral institute of this state with head-neck pathologies and has undergone a histopathological examination of their lesions within a period of three years period (2016-18) based on the histopathological evidences. Materials and Methods The accumulated data regarding the aforesaid patients as per records of the histopathological reports available in the Department of Pathology was used as the primary material and the interrelation of different epidemiological parameters were studied using the statistical methods Results Six hundred and eighty seven cases from the head and neck region were analysed during this three-year period. Age range was from 3 years to 96 years with maximum cases in the age group of 20-29 years (16.1%). The Male: Female ratio in our study was 1.34:1 (Males 394, Females 293). In this study, 38.8% benign, 32.46% malignant, 25.32% inflammatory and 3.3% congenital cases were recorded. Maximum number of benign lesions was in the age group of 10-39 years. Malignancies were noted to be higher in ages 40 years and above. Squamous cell carcinoma was the most common malignancy observed. Conclusion  Specific data obtained like this from histopathological records is helpful in evaluating patterns of head and neck lesions and augment the base line data of institute and the region.

PREVALENCE OF CARCINOMA GALLBLADDER IN PATIENTS OF CHOLELITHIASIS

2021 ◽  
pp. 1-3
Author(s):  
Mishra Braja Mohan ◽  
Mishra Sandeep ◽  
Bedbak Biswajeet
Keyword(s):  
Open Surgery ◽  
Histopathological Examination ◽  
Gall Stone ◽  
P Value ◽  
Age Group ◽  
Female Ratio ◽  
Carcinoma Gallbladder ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Surgery Department

Gall stone is the most common risk factor for carcinoma gall bladder. The aim of this study nds out the prevalence of malignancy in patients with Cholelithiasis. All the radiologically diagnosed cased of cholelithiasis underwent surgery were taken into consideration. All the cases of cholelithiasis operated of in General Surgery Department of VSSIMSAR, Burla were considered for study. The diagnosis conrmed by Ultrasonography /MRCP in Department of Radio diagnosis. Total numbers of patients operated are 347, out of which 279 undergone laparoscopic surgery, 58 cases undergone open surgery and 10 cases converted from laparoscopic to open surgery. Most number of patients belongs to age group 31-40, consisting of 32.85% of total number, followed by age group 41-50, and consisting of 25.07%. A female patient constitutes about 77.81 % of total number. Male: female ratio is 1: 3.5. The mean age of the patients of study group is 41 .71. Mean age of female patients is 41.09 and male is 43.88, p value 0.072 (no signicant deference between mean of female and male). The excised specimens sent for histopathological examination in Department of Pathology, VSSIMSAR, Burla. Out of 347 cases nine cases found to have carcinoma specically adenocarcinoma of gallbladder.

scholarly journals Correlation between Endoscopic and Histopathological Findings in Gastric Lesions

2017 ◽  
Vol 13 (3) ◽  
pp. 216-219 ◽  
Author(s):  
S. Sharma ◽  
R. Makaju ◽  
R. Dhakal ◽  
B. Purbey ◽  
R.B. Gurung ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Endoscopic Examination ◽  
Male Gender ◽  
Poor Correlation ◽  
Gastric Lesions ◽  
Common Site ◽  
Female Ratio ◽  
Endoscopic Biopsies ◽  
Male Female Ratio ◽  
Histopathological Evidence

Background Stomach is a common site for wide variety of lesions. The visualisation of the site with biopsy leads to the early detection of the pathologic process and appropriate therapy.Objectives The objective of this study is to correlate the histopathological pattern of endoscopic biopsies with distribution of gastric lesions according to age and sex.Method The retrospective study was carried out among 50 cases with endoscopic biopsies and histopathological assessment, received at Department of Pathology, Dhulikhel Hospital- Kathmandu University Hospital.Result Out of 50 cases majority of cases were of male gender with male: female ratio was 1.3:1. Our study showed a poor correlation between endoscopic and histopathological evidence of inflammation in the stomach. Two cases were diagnosed as intestinal metaplasia which were diagnosed as ulcer and erosion endoscopically. Out of 32% of cases diagnosed endoscopically as ulcer, only one case was confirmed histopathologically. Our study showed good correlation in the cases of carcinoma. Out of 17 cases diagnosed endoscopically as gastric carcinoma correlated histopathologically as gastric adenocarcinoma. Majority of carcinoma cases showed ulcerating fungating growth followed by ulcero-proliferative growth.Conclusion Endoscopy is incomplete without biopsy and histopathology is the gold standard for the diagnosis of endoscopically detected lesions. Endoscopic examination and histopathological examination of suspected gastric lesions should go parallel and neither should be a substitute of each other.

scholarly journals Piloleiomyoma Presented by Multiple Cutaneous Nodules: a Case Report

2020 ◽  
Vol 12 (4) ◽  
pp. 157-161
Author(s):  
Lala Cahangirova ◽  
Jamal Musayev
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Treatment Option ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Smooth Muscle Contraction ◽  
Punch Biopsy ◽  
Channel Blockers ◽  
Rare Benign Tumor ◽  
Adrenergic Blockers

Abstract Introduction. Piloleiomyoma is a rare benign tumor which is caused by erector pili muscle and makes up 5% of all leiomyomas. They can be solitary and multiple. Multiple lesions still pose challenges for clinicians since their treatment option is very limited. Case report. We report a case of a 25-year-old male patient who had painful papules and nodules on the neck and chest for three years. Multiple red-brown papules and nodules in the skin of regio mammaria dextra and regio submandibularis on the left were seen on physical examination. Histopathological examination of punch bi-were seen on physical examination. Histopathological examination of punch biopsy sample revealed well-circumscribed nodule composed of spindle cells. The case was reported as cutaneous leiomyoma (piloleiomyoma). The patient was given 5 mg/day amlodipin and kept under control. Conclusion. The ideal treatment option for piloleiomyoma is surgical excision, but the problem with that treatment is that the lesions have tendency to recur. Medicamentous therapy plays a limited role; however, calcium-channel blockers and α-adrenergic blockers may help in palliating or eliminating associated pain through inhibition of smooth muscle contraction.

scholarly journals A Rare Case Report of Venous Malformation of the Submandibular Gland- Masson’s Haemangioma

2021 ◽  
Author(s):  
Priya Kanagamuthu ◽  
Aswin Vaishali ◽  
S Rajasekaran ◽  
S Prabakaran ◽  
Balaji Dhanasekaran
Keyword(s):  
Histopathological Examination ◽  
Venous Malformation ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Low Flow ◽  
Submandibular Region ◽  
Complete Surgical Excision ◽  
Incomplete Removal ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri

Masson’s haemangioma was first described by Masson in 1923 as “haemangioendothelioma vegetant intravasculaire”. It is common in skin and subcutis which appears as red blue nodule. It also occurs in fingers, trunk, head and neck, heart, larynx and hypopharynx. Masson’s haemangioma is a rare venous malformation. Treatment is complete surgical excision. It is rarely known to recur. It is a locally occuring lesion with no reports of metastasis. Venous malformation can be distinguished by their characteristic imaging findings at doppler ultrasound vs Magnetic Resonance Imaging (MRI) and direct phlebography. A 30-year-old male presented with swelling in the left submandibular region for one month. On examination a cystic swelling was present in left submandibular region. Ultrasound Sonography test (USG) neck with doppler revealed multilocular cystic swelling with low level internal echoes in left submandibular region suggestive of low flow venolymphatic malformation. The mass was surgically excised and sent for histopathological examination and reported as masson’s haemangioma. Masson’s haemangioma is a rare venous malformation. Appropriate history, clinical examination and investigation leads to the correct diagnosis and treatment. Incomplete removal of the mass leads to recurrence. The patient was still on follow-up and no recurrence was noted.

scholarly journals A rare case of Kimura lymphadenpathy in elderly female

2020 ◽  
Vol 7 (10) ◽  
pp. 3452
Author(s):  
Vinayagam Ganesan ◽  
Venkatesh Sadayan Periyasamy ◽  
Muralidharan Kannaian
Keyword(s):  
Rare Case ◽  
Immunoglobulin E ◽  
Histopathological Examination ◽  
Renal Involvement ◽  
Cervical Lymphadenopathy ◽  
Surgical Excision ◽  
Excision Biopsy ◽  
Kimura’S Disease ◽  
Recurrence Rates ◽  
Elderly Female

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.

scholarly journals CORRELATION BETWEEN ENDOSCOPIC AND HISTOPATHOLOGICAL FINDINGS IN GASTRIC LESIONS.

2019 ◽  
pp. 1-3
Author(s):  
Amarnath Kumar Nayak
Keyword(s):  
Intestinal Metaplasia ◽  
Histopathological Examination ◽  
Medical Science ◽  
Pathological Process ◽  
Endoscopic Examination ◽  
Poor Correlation ◽  
Gastric Lesions ◽  
Female Ratio ◽  
Endoscopic Biopsies ◽  
Male Female Ratio

Background: Stomach is a common site for wide variety of lesions. The visualisation of the site with endoscopy and its biopsy leads to the early detection of the pathological process and appropriate therapy. Objectives: The objective of this study is to correlate the histopathological pattern of endoscopic biopsies with distribution of gastric lesions according to age and sex. Method: The study was carried out among 100 cases with endoscopic biopsies and histological assessment, received at Department of pathology, Rajendra Institute of Medical Science, Ranchi. Result: Out of 100 cases majority of cases were male gender with male : female ratio was 2.1:1. Our study showed a poor correlation between endoscopic and histopathologic evidence of inammation of the stomach. Five cases were diagnosed as intestinal metaplasia which were diagnosed as intestinal metaplasia which were diagnosed endoscopically as ulcer and erosion. Out of 34 of cases diagnosed endoscopically as ulcer , only 4 cases were conrmed histologically. Our study showed good correlation in the cases of carcinoma. Out of 32 cases diagnosed endoscopically as gastric carcinoma correlated histologically as gastric adenocarcinoma. Majority of carcinoma cases showed ulcerating fungating growth followed by ulcero-proliferative growth. Conclusion: Endoscopy is incomplete without biopsy and histopathology. Histopathology is the gold standard for the diagnosis of endoscopically detected lesions. Endoscopic examination and histopathological examination of suspected gastric lesions should go parallel and neither should be a substitute of each other.

scholarly journals Aggressive angiomyxoma of the vulva: a case report in a Brazilian patient

2019 ◽  
Vol 5 (2) ◽  
pp. 54-57
Author(s):  
Antonio Chambo Filho ◽  
◽  
Emmanuel Nasser Vargas Araujo de Assis ◽  
Flávia de Sousa Freitas Scherre ◽  
Luciene Lage da Motta ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Excision ◽  
Aggressive Angiomyxoma ◽  
Female Ratio ◽  
Brazilian Patient ◽  
Male Female Ratio ◽  
Aggressive Tumor ◽  
The Right

Aggressive angiomyxoma is a locally aggressive tumor of mesenchymal origin. The condition predominantly affects females, with a male/female ratio of 6:1. Most cases occur during the reproductive years, with a peak between the third and fourth decades of life. The symptoms are non-specific, and the principal differential diagnosis is with Bartholin’s cysts or abscesses. The treatment of choice is surgical excision of the lesion, including evaluation of the margins. This case report refers to a 41-year old patient with an insidiously growing lesion on the right vestibular area measuring approximately 9 x 5 x 5 cm, associated with dyspareunia. Surgical excision was successful, and there have been no signs of tumor recurrence in the six months of follow-up. Differential diagnosis in cases of vulvar lesions is of the utmost importance. A detailed vulvar examination is essential to ensure early diagnosis and to reduce the rate of underdiagnosed cases of aggressive angiomyxoma

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