scholarly journals The Lung Mass and nodule: a case series

2021 ◽  
Author(s):  
Azam Jan ◽  
Naseer Ahmed ◽  
Nabil Iftikhar Awan ◽  
Bahauddin Khan ◽  
Mujahid-ul Islam ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Case Series ◽  
Female Child ◽  
Lung Mass ◽  
Radiological Findings ◽  
X Ray ◽  
Smoking Exposure ◽  
Poorly Differentiated ◽  
Timely Treatment

Lung mass is an abnormal region of 3 cm or more in size present in the lungs mainly due to underlying pulmonary caner. It is usually round, opaque and poorly differentiated on X-ray. Common etiological key players are smoking, exposure to asbestos, radon, however, familial history may also play a role. We presented retrospectively 7 cases of lung mass and nodule encountered during our clinical practice. We have discussed their clinical presentation, manifestation, medical history, radiological findings and differential diagnosis. In this case series, most of the patients were young, only 2 cases were older patients. There was one infant one month old, one female child 12 years old, one female 25 years, 2 males, 22 and 21 years, one male of 50 years and another male of 60 years age. Correct diagnosis on the basis of clinical profile, radiological findings and histology may help in proper management and hence, timely treatment of the patient.

Tuberculosis of the Larynx Masquerading as Carcinoma

1976 ◽  
Vol 85 (4) ◽  
pp. 547-548 ◽  
Author(s):  
Sirus Naraqi ◽  
Manfred W. Raiser ◽  
N. Mark Richards ◽  
Burton R. Andersen
Keyword(s):  
Pulmonary Tuberculosis ◽  
Laryngeal Carcinoma ◽  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Screening Tests ◽  
Risk Of Infection ◽  
X Ray ◽  
Chest X Ray ◽  
Biopsy Examination ◽  
Laryngeal Tuberculosis

A patient with laryngeal and pulmonary tuberculosis is described. The similarity between the clinical presentation and gross appearance of laryngeal carcinoma and tuberculosis in this patient and others reported in the literature is emphasized. Laryngeal biopsy is necessary to establish the correct diagnosis, but this must be done only after the proper precautions are taken to reduce the risk of infection to the physician performing the biopsy. Examination of the chest x-ray and acid-fast stain of the sputum are rapid and highly reliable screening tests for laryngeal tuberculosis.

scholarly journals MULTI-SEPTATE GALLBLADDER, A RARE ANOMALY!

2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S271-72
Author(s):  
Uzma Zahid ◽  
Alia Rasikh ◽  
Pervez Saleem Qureshi
Keyword(s):  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Female Child ◽  
Age Group ◽  
Sonographic Diagnosis ◽  
Rare Anomaly ◽  
Multiseptate Gallbladder ◽  
Associated Conditions

Multiseptate Gallbladder (MSG) is a congenital problem with varing clinical presentation. Its prevelance in peadriatic age group is much less as compared to adults, especially in females, making it a rare condition. Symptoms may be mild or severe, or patient may be completely asymptomatic, with incidental sonographic diagnosis. Exclusion of other associated conditions is also required. Its correct diagnosis is important, so that the patient can be observed for complications including possibility of carcinoma in rare instances. We report here a case of a female child, diagnosed as having Multiseptate gallbladder, at Hearts International Hospital, Rawalpindi, Pakistan . She is being regularly followed in opd.

scholarly journals Sacrococcygeal teratoma: a case report

2019 ◽  
Vol 6 (3) ◽  
pp. 1007
Author(s):  
Nilay Kumar ◽  
Avinash Kumar Sinha
Keyword(s):  
Germ Cell ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Female Child ◽  
Large Mass ◽  
Sacrococcygeal Teratoma ◽  
X Ray ◽  
Sacrococcygeal Region ◽  
To Come

Teratomas are germ cell tumours composed of multiple types of cells derived from more than a single germ cell layer. The most common site of an extra gonadal teratoma is the sacrococcygeal region. We report a case of a 10-day-old female child with a large swelling in the sacrococcygeal region extending laterally into the buttocks. X-ray showed a large mass projecting from the lower pelvic region and delineate the extent of the tumour and the involvement of tissues. Image findings and clinical presentation led to the diagnosis of sacrococcygeal teratoma. Tumour was surgically excised with prior pre-anaesthetic checkup, post-operative period was uneventful. She was discharged with advice to come in follow-up surgical outpatient clinic. There was no evidence of tumour recurrence till 1 year of age. She had normal growth curve for her age with normal developmental milestones.

Uncommon brain lesions

2019 ◽  
pp. 461-472
Author(s):  
Yizhou Wan ◽  
Hani J Marcus ◽  
Thomas Santarius
Keyword(s):  
Brain Tumours ◽  
Clinical Presentation ◽  
Case Series ◽  
Brain Lesions ◽  
Accurate Diagnosis ◽  
Radiological Findings ◽  
Guiding Principle

In this chapter we discuss neurosurgical tumours, which are uncommon and have not been covered elsewhere. Due to their rarity this chapter reviews what is known about these conditions and primarily discusses their diagnosis. The description of management is derived largely from published case series. Uncommon brain lesions vary in their clinical presentation and radiological findings, making a timely and accurate diagnosis challenging. A timely and accurate diagnosis is a guiding principle in the management of patients with brain tumours. Making the diagnosis of uncommon brain lesions is inherently challenging, but this chapter highlights several elements that are important when investigating such lesions.

scholarly journals Tuberculosis joint infections in four domestic cats

2017 ◽  
Vol 3 (2) ◽  
pp. 205511691771940 ◽  
Author(s):  
Stephanie M Lalor ◽  
Stephen Clarke ◽  
Jonathan Pink ◽  
Andrew Parry ◽  
Emma Scurrell ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Case Series ◽  
Joint Disease ◽  
Mycobacterial Disease ◽  
Radiological Findings ◽  
Joint Infections ◽  
Soft Tissue Swelling ◽  
High Degree ◽  
Mycobacterium Microti

Case series summary This paper describes the clinical presentation, diagnostic imaging findings and outcome in four cats with confirmed joint-associated tuberculosis. The cats were 2–6 years of age, and immune competent. Three cases had tuberculosis affecting only one joint, whereas one case had at least three joints affected. Two cases were caused by Mycobacterium bovis, and the other two were caused by Mycobacterium microti. Radiological findings included osteolysis, periosteal reaction and associated soft tissue swelling. Two cases were euthanased and two cases responded well to amputation and follow-on antibiotic therapy. Relevance and novel information To our knowledge, this is the first publication of a series of cats with joint-associated tuberculosis. Although tuberculosis is not common, a high degree of suspicion is needed to avoid delayed diagnosis. This case series highlights the importance of considering mycobacterial disease as a differential for joint disease in cats.

Extradural dermoid tumor of the petrous apex

2007 ◽  
Vol 107 (2) ◽  
pp. 426-429 ◽  
Author(s):  
Mario Ammirati ◽  
Mariel Delgado ◽  
H. Wayne Slone ◽  
Abhik Ray-Chaudhury
Keyword(s):  
Clinical Presentation ◽  
Case Series ◽  
Middle Cranial Fossa ◽  
Petrous Apex ◽  
Radiological Findings ◽  
Unique Case ◽  
Histological Features ◽  
Dermoid Tumor ◽  
Cranial Fossa ◽  
Extradural Approach

✓ Dermoid cysts are rare, benign, congenital tumors. Most case series thus far have featured intradural tumors. The authors report on a case of an extradural dermoid tumor of the middle cranial fossa with osseous invasion, successfully removed using a left subtemporal extradural approach. The clinical presentation, histological features, radiological findings, and management of this unique case are described.

Clinico-pathologic Features of Esophageal Poorly Differentiated Neuroendocrine Carcinomas, a Case Series and Review of Literature

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S64-S64
Author(s):  
I Perveze ◽  
D Rao
Keyword(s):  
Metastatic Disease ◽  
Correct Diagnosis ◽  
Case Series ◽  
Disease Process ◽  
Malignant Neoplasm ◽  
Distal Esophagus ◽  
Poorly Differentiated Neuroendocrine Carcinoma ◽  
Pathologic Features ◽  
Poorly Differentiated ◽  
Neuroendocrine Carcinomas

Abstract Introduction/Objective Esophageal neuroendocrine carcinomas (NECs) constitute an extremely rare and distinct group of neoplasms. The clinico-pathologic characteristics are poorly understood and differ starkly from high grade well differentiated neuroendocrine tumors. Only one case series describing clinico-pathologic features of NECs has been described in recent literature. Methods We describe a case series of three patients highlighting the typical presentation, diagnostic techniques and pathologic attributes for this rare disease process. Results All three patients were middle age to elderly with two males (ages 58 and 83) and one female (age 72). The typical presentation was dysphagia (2/3, 66%) followed by severe GERD (1/3, 33%). Typical locations were distal esophagus (2/3, 66%) and gastro-esophageal junction (1/3, 33%). Computed tomography showed bulky masses in all patients (3/3, 100%) with median size of 5.6 cm. PET imaging showed metastatic disease (mediastinal or epigastric lymphadenopathy and lung metastasis) in 2/3, 66% of the patients. All the patients were found to have necrotic masses on EGD with biopsy showing poorly differentiated neuroendocrine carcinoma in all (3/3, 100%). Immuno- histochemical stains revealed Synaptophysin positivity in 3/3, 100%, Chromogranin in 1/3, 33% and CD56 in 1/3, 33% of the patients. Patients with metastatic disease at presentation (2/3, 66%) opted for palliative care while the patient without any evidence of metastasis (1/3, 33%) underwent surgical resection followed by chemotherapy. Conclusion ENCs are an exceedingly rare group of malignant neoplasm with variable presentations posing a diagnostic challenge for the clinician and pathologist alike. Most patients tend to be elderly with advanced disease at presentation and guarded prognosis. This case series underscores the importance of including this entity among the differential diagnosis for poorly differentiated carcinomas of the distal esophagus. IHC with positive neuroendocrine markers particularly Synaptophysin helps make the correct diagnosis when combined with typical morphology.

How endoscopic ultrasound (eus) was decisive to establish the correct diagnosis of patients – a case series

2019 ◽  
Author(s):  
M Razpotnik ◽  
S Bota ◽  
G Essler ◽  
J Weber-Eibel ◽  
M Peck-Radosavljevic
Keyword(s):  
Endoscopic Ultrasound ◽  
Correct Diagnosis ◽  
Case Series

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

Long-term outcomes of lumbar microdiscectomy in the pediatric population: a large single-institution case series

2019 ◽  
Vol 24 (5) ◽  
pp. 549-557
Author(s):  
Malia McAvoy ◽  
Heather J. McCrea ◽  
Vamsidhar Chavakula ◽  
Hoon Choi ◽  
Wenya Linda Bi ◽  
...  
Keyword(s):  
Conservative Management ◽  
Functional Outcomes ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Case Series ◽  
Csf Leak ◽  
Single Institution ◽  
The Mean

OBJECTIVEFew studies describe long-term functional outcomes of pediatric patients who have undergone lumbar microdiscectomy (LMD) because of the rarity of pediatric disc herniation and the short follow-up periods. The authors analyzed risk factors, clinical presentation, complications, and functional outcomes of a single-institution series of LMD patients over a 19-year period.METHODSA retrospective case series was conducted of pediatric LMD patients at a large pediatric academic hospital from 1998 to 2017. The authors examined premorbid risk factors, clinical presentation, physical examination findings, type and duration of conservative management, indications for surgical intervention, complications, and postoperative outcomes.RESULTSOver the 19-year study period, 199 patients underwent LMD at the authors’ institution. The mean age at presentation was 16.0 years (range 12–18 years), and 55.8% were female. Of these patients, 70.9% participated in competitive sports, and among those who did not play sports, 65.0% had a body mass index greater than 25 kg/m2. Prior to surgery, conservative management had failed in 98.0% of the patients. Only 3 patients (1.5%) presented with cauda equina syndrome requiring emergent microdiscectomy. Complications included 4 cases of postoperative CSF leak (2.0%), 1 case of a noted intraoperative CSF leak, and 3 cases of wound infection (1.5%). At the first postoperative follow-up appointment, minimal or no pain was reported by 93.3% of patients. The mean time to return to sports was 9.8 weeks. During a mean follow-up duration of 8.2 years, 72.9% of patients did not present again after routine postoperative appointments. The total risk of reoperation was a rate of 7.5% (3.5% of patients underwent reoperation for the same level; 4.5% underwent adjacent-level decompression, and one patient [0.5%] ultimately underwent a fusion).CONCLUSIONSMicrodiscectomy is a safe and effective treatment for long-term relief of pain and return to daily activities among pediatric patients with symptomatic lumbar disc disease in whom conservative management has failed.

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