Pharyngeal Pouch and Cleft Remnants in the Dog and Cat: A Case Series and Review

2012 ◽  
Vol 48 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Laura L. Nelson ◽  
Joana C. Coelho ◽  
Kristy Mietelka ◽  
Ingeborg M. Langohr
Keyword(s):  
Salivary Gland ◽  
Case Series ◽  
Surgical Excision ◽  
Submandibular Salivary Gland ◽  
Small Animals ◽  
Ciliated Epithelium ◽  
Cystic Lesions ◽  
Pharyngeal Pouch ◽  
Retrospective Case ◽  
Pharyngeal Apparatus

Remnants of the pharyngeal apparatus can (rarely) form cysts. This retrospective case series describes clinical and histologic findings of such lesions. Clinical and histology databases were searched for cases of pharyngeal remnants. Eight patients were diagnosed with cysts located subcutaneously in the head and neck, adjacent to the submandibular salivary gland, near the thyroid, and in the mediastinum. Cyst linings included ciliated epithelium, and surgical excision was curative. Knowledge of pharyngeal development is useful for their characterization. Clinicians should consider pharyngeal remnants as differentials for cystic lesions in small animals.

scholarly journals Uncommon occurrence of pleomorphic adenoma in submandibular salivary gland in old age males: case series

2020 ◽  
Vol 7 (3) ◽  
pp. 900
Author(s):  
M. S. Kalyan Kumar ◽  
R. Shyamsundar ◽  
M. Sabari Girieasen ◽  
R. Kannan ◽  
S. Nedunchezhiyan
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Benign Lesion ◽  
Case Series ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Submandibular Salivary Gland ◽  
Biopsy Report ◽  
Needle Aspiration Cytology

Pleomorphic adenoma is the most common tumor of the benign salivary gland neoplasms, the submandibular gland is the second most common site of PA after the parotid gland. Authors present 3 series case of pleomorphic adenoma in submandibular salivary gland in institution which were admitted in institution within a month interval. Fine needle aspiration cytology (FNAC) of all 3 cases proved to be benign lesion arising from submandibular salivary gland. All 3 cases underwent excision in to and the postoperative period was uneventful. DT removed on 3rd POD and discharged in POD 10. Biopsy report proved to be pleomorphic adenoma in all cases. past studies showed pleomorphic adenoma most commonly occurs in the parotid gland and its occurrence in the submandibular salivary gland is uncommon. Also, age occurrence involves 30s-50s and is more common in females. But all this case was male and occurred in older age group. Early intervention with surgical excision in toto after definite confirmation with FNAC is the treatment of choice in preventing its malignant transformation.

Ewing’s Sarcoma of the Hand

2008 ◽  
Vol 34 (1) ◽  
pp. 35-39 ◽  
Author(s):  
O. A. ANAKWENZE ◽  
W. L. PARKER ◽  
L. E. WOLD ◽  
K. K AMRAMI ◽  
P. C. AMADIO
Keyword(s):  
Radiation Therapy ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Case Series ◽  
Surgical Excision ◽  
Case Review ◽  
Retrospective Case ◽  
Postoperative Radiation Therapy ◽  
Definitive Surgery

A retrospective case review was carried out to report the outcomes in a contemporary case series of Ewing’s sarcoma originating in the hand. We identified five patients treated since 1995. All five had wide surgical excision, one by ray amputation. All were treated with chemotherapy. Four patients also received radiation therapy, two to treat metastases and two as an adjunct to local excision. There were no local recurrences. Two patients developed metastases. Both died of their disease. Neither of these two patients had received local postoperative radiation therapy; one did not receive chemotherapy before definitive surgery. The other three patients were alive and free of disease at last follow-up, 4 to 12 years after initial presentation.

Loss of Reflex Tearing: An Expected Consequence of Juvenile Nasopharyngeal Angiofibroma

2005 ◽  
Vol 133 (4) ◽  
pp. 605-610 ◽  
Author(s):  
Alexander T. Hillel ◽  
Rebecca C. Metzinger ◽  
Andrew J. Nemechek ◽  
Daniel W. Nuss
Keyword(s):  
Surgical Treatment ◽  
Hospital Setting ◽  
Case Series ◽  
Surgical Excision ◽  
Juvenile Nasopharyngeal Angiofibroma ◽  
Retrospective Case ◽  
Nasopharyngeal Angiofibroma ◽  
Complete Surgical Excision ◽  
Major Teaching Hospital ◽  
Pterygopalatine Ganglion

OBJECTIVE: To report the loss of reflex tearing after surgical treatment of juvenile nasopharyngeal angiofibroma (JNA). STUDY DESIGN AND SETTING: A retrospective case series of 8 patients with surgical extirpation of JNA from 1995 to 2003 in a major teaching hospital setting was studied for symptomatic xerophthalmia. RESULTS: One patient was lost to follow-up. Four of the remaining 7 patients reported a dry ipsilateral eye after surgical treatment of JNA. CONCLUSION: The location of the pterygopalatine ganglion and its associated fibers in the pterygopalatine fossa is directly adjacent to the location of origin of JNA. Lacrimal innervation passes through the pterygopalatine ganglion. Given the extensive nature of advanced JNA and mandate for complete surgical excision, lacrimal dysfunction should be considered an expected consequence of surgery. SIGNIFICANCE: The loss of reflex tearing has not been reported as a consequence of JNA or its surgical treatment. EBM Rating: C.

Systemic neoadjuvant chemotherapy in non-resectable invasive squamous cell carcinoma of ocular surface

2021 ◽  
pp. 112067212110143
Author(s):  
Rachna Meel ◽  
Rebika Dhiman ◽  
Seema Kashyap ◽  
Sahil Agrawal ◽  
Neelam Pushker ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Ocular Surface ◽  
Tumor Imaging ◽  
Case Series ◽  
Surgical Excision ◽  
Response To Treatment ◽  
High Morbidity ◽  
Complete Regression ◽  
Invasive Squamous Cell Carcinoma ◽  
Retrospective Case

Background/objectives: The conventional modality for management of advanced invasive ocular surface squamous neoplasia (OSSN) (AJCC grade T4 and T3 with fornicial involvement) is surgical excision which is not only challenging in terms of ability to achieve tumor free margins and tissue reconstruction but also has high morbidity. We describe the use of systemic neoadjuvant chemotherapy (NAC) in cases of advanced invasive OSSN. Subjects/methods: This is a retrospective case series. Five cases of histopathologically proven advanced OSSN that were challenging to manage with surgical excision or required exenteration were treated with NAC. Demographic details, previous treatment history, location and extent of tumor, imaging findings, number of cycles and duration of NAC, response to treatment, and final outcome on follow-up were noted. Results: A remarkable response to NAC was seen in 4/5(80%) cases. Complete regression was seen in 2/5, partial regression in 2/5, and no response in 1/5 cases. In 75% (3/4) cases who showed response to NAC, minimal or no surgery was required. Exenteration was avoided in 2/3 cases with orbital extension. Conclusion: NAC appears to be an exciting option for management of surgically challenging cases of invasive OSSN and may be helpful in avoiding orbital exenteration. However, more studies are required to explore this treatment option.

Periorbital lipogranuloma after facial injection of autologous fat: A retrospective study of 18 cases

2020 ◽  
pp. 112067212093857
Author(s):  
Xiuting Yu ◽  
Huan Yan ◽  
Lihua Xiao ◽  
Yan Hei
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Clinical History ◽  
Retrospective Case ◽  
Palpable Mass ◽  
Autologous Fat ◽  
Radiologic Findings ◽  
Eyelid Swelling ◽  
Facial Augmentation ◽  
Eye Symptoms

Objective: To investigate the clinical features of patients who develop periorbital lipogranuloma after injection of autologous fat. Methods: This retrospective case series included 18 patients who developed a periorbital mass or swelling after undergoing injection of autologous fat for facial augmentation. The patients’ medical records were reviewed for clinical history, radiologic findings, and treatment outcomes. Results: All patients were women aged 24 to 50 years (mean, 31.6 years). Five patients (27.8%) involved both orbits. Presenting eye symptoms were a palpable mass (61.1%), eyelid swelling (44.4%), and ptosis (16.7%). The interval between the final injection and onset of eye symptoms ranged from 1 to 36 months (mean, 11.5 months). Thirteen patients underwent radiologic imaging. Fifteen patients received only one injection of autologous fat and three received two injections with the cryopreserved fat used in the second injection. Surgical excision was performed in 12 patients to remove the mass and identify the pathologic abnormalities. No recurrence was found during 1 year of follow-up. Two of the six patients who had refused treatment showed spontaneous resolution at the 6-month visit. Conclusion: Periorbital lipogranuloma after facial injection of autologous fat should be considered as a specific orbital disease entity for which MRI is an effective examination method. Surgery is warranted for this condition when conservative treatment is ineffective.

Delayed metastasis in patients with intraocular retinoblastoma: A review of three cases

2020 ◽  
pp. 112067212094628
Author(s):  
Vijitha S Vempuluru ◽  
Saumya Jakati ◽  
Swathi Kaliki
Keyword(s):  
Metastatic Disease ◽  
Tumor Regression ◽  
External Beam Radiotherapy ◽  
Case Series ◽  
Surgical Excision ◽  
Primary Treatment ◽  
Retrospective Case ◽  
Temporal Fossa ◽  
Intravitreal Chemotherapy

Purpose: To discuss the clinical presentation, management, and outcome of delayed metastasis in retinoblastoma (RB). Methods: Retrospective case series of three patients. Results: Mean age at diagnosis of RB was 29 months (median, 28 months; range, 11–48 months). All were males with non-familial bilateral intraocular RB. Primary treatment for RB included intravenous chemotherapy in all three cases. Secondary treatment included transpupillary thermotherapy/cryotherapy ( n = 6 eyes), periocular chemotherapy ( n = 2 eyes), intravitreal chemotherapy ( n = 1 eye), intra-arterial chemotherapy ( n = 1 eye), external beam radiotherapy (EBRT; n = 2 eyes), and enucleation ( n = 2 eyes). Primary tumor regression was achieved in all cases and remained status quo at the time of diagnosis of distant metastasis. Two patients developed bone metastasis (ulna; tibia) and one developed soft tissue metastasis (temporal fossa) over a mean follow-up period of 6 years (median, 7 years; range, 5–8 years) from diagnosis of RB. Mean age of detection of metastatic disease was 8 years (median, 8 years; range, 7–9 years). All the lesions were solitary and the diagnosis of metastatic retinoblastoma was confirmed by tissue biopsy. Metastatic disease was treated with surgical excision ( n = 1), chemotherapy ( n = 2), and EBRT ( n = 2). All patients are alive, with two patients free of disease over a mean follow-up period of 23 months (median, 23 months; range, 12–33 months); and 1 in remission 7 months after completion of EBRT. Conclusion: Long-term follow-up of RB cases is mandatory. In spite of intraocular tumor regression, metastasis can still occur many years after treatment of RB.

scholarly journals An Uncommon Occurrence of Pleomorphic Adenoma in the Submandibular Salivary Gland: A Case Report

2018 ◽  
Vol 6 (6) ◽  
pp. 1101-1103
Author(s):  
Farhat Farhat ◽  
Rizalina A. Asnir ◽  
Ashri Yudhistira ◽  
Elvita Rahmi Daulay ◽  
Irwan Pernandi Sagala
Keyword(s):  
Salivary Gland ◽  
Pleomorphic Adenoma ◽  
Surgical Excision ◽  
Malignant Tumour ◽  
Submandibular Salivary Gland ◽  
Soft Tissue Tumour ◽  
Mixed Tumour ◽  
Best Management ◽  
Tissue Tumour ◽  
Left Neck

BACKGROUND: Pleomorphic adenoma is a salivary gland tumour and mostly found in the parotid gland and quite uncommon in the submandibular gland. Pleomorphic tumours are a mixed tumour (benign mixed tumour) consisted of epithelium, myoepithelium, and mesenchyme and made of a view component variation of it.CASE REPORT: We reported a fifty-three years old man with pleomorphic adenoma that has been complaining swelling on the left neck for the last twenty years and treated with surgical excision. Computed tomography of the neck showed soft tissue tumour in the left submandibular.CONCLUSIONS: The best management for pleomorphic adenoma is surgery, the tumour tissue must be removed as a whole because the remaining parts of a tumour can easily become recurrent or turn into a malignant tumour.

scholarly journals Retroauricular Hairline Approach for Excision of Second Branchial Cleft Cysts

2011 ◽  
Vol 2 (1) ◽  
pp. 49-52
Author(s):  
Rohan R Walvekar ◽  
Brad LeBert ◽  
Sean R Weiss ◽  
Jonas T Johnson
Keyword(s):  
Skin Flap ◽  
Relevant Literature ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Surgical Excision ◽  
Surgical Removal ◽  
Retrospective Case ◽  
Radiological Data ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

ABSTRACT Objective To report our preliminary experience with a retroauricular hairline incision (RAHI) for excision of second branchial cleft cysts (SBCC) and to present a relevant literature review. Study design Retrospective case series. Methods A retrospective chart review was conducted of two consecutive patients diagnosed with SBCC who underwent surgical removal via a RAHI. Relevant demographic, clinicopathological and radiological data were recorded. A web-based search was conducted to identify relevant scientific literature on “retroauricular hairline incision/approach” in order to present a systematic review of current literature. Results In both cases, the SBCC (6.0 and 3.8 cm) could be safely excised without major complications. One patient developed a temporary hypoesthesia of earlobe. None of the patients had a postoperative infection, hematoma, spillage of cyst fluid or necrosis of the skin flap. All patients were satisfied with the cosmetic outcome of the procedure (100%). The incisions healed well without any evidence of hair loss or keloid formation. Conclusion In conclusion, the RAHI offers an excellent surgical outcome and superior cosmetic result with no proven increased risks to the patients who require surgical excision of a benign SBCC.

scholarly journals Pleomorphic Adenoma of Three Different Sites: a Consecutive Case Series

2021 ◽  
Vol 28 (2) ◽  
pp. 253-256
Author(s):  
Felice FAIZAL ◽  
◽  
Ankur AHUJA ◽  
R. CHATTERJEE ◽  
◽  
...  
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Salivary Gland Tumor ◽  
Case Series ◽  
Neck Region ◽  
Surgical Excision ◽  
Histopathological Analysis ◽  
Superficial Lobe ◽  
Utmost Care

Background: Pleomorphic adenomas are benign salivary gland tumors predominantly arising from the superficial lobe of the parotid gland and rarely from the small salivary glands located at various locations including parotid, lacrimal duct, lip, floor of the mouth etc. Surgical excision of the tumor mass is the treatment of choice with utmost care taken to preserve the facial nerve in cases involving the parotid gland. Case details: This case series highlights three consecutive cases of pleomorphic adenoma arising from three different locations. Conclusion: Pleomorphic adenoma is the commonest salivary gland tumor characterized by diverse histomorphological features and can occur at any site where salivary tissue is present. Careful histopathological analysis should be done in all tumors arising especially in the head and neck region.

scholarly journals To Tie or Not to Tie: A Systematic Review of Postaxial Polydactyly and Outcomes of Suture Ligation Versus Surgical Excision

Hand ◽  
2018 ◽  
Vol 15 (3) ◽  
pp. 303-310
Author(s):  
Mustafa Chopan ◽  
Lohrasb Sayadi ◽  
Harvey Chim ◽  
Patrick J. Buchanan
Keyword(s):  
Systematic Review ◽  
Cohort Analysis ◽  
Case Series ◽  
Surgical Excision ◽  
Patient Characteristics ◽  
Retrospective Case ◽  
Suture Ligation ◽  
The Difference ◽  
Meta Analyses

Background: Ulnar polydactyly is frequently encountered in the newborn nursery and is commonly treated with bedside suture ligation. However, growing concern about the complications associated with suture ligation has led some practitioners to advocate for primary surgical excision instead. Thus, we set out to compare outcomes of suture ligation and surgical excision by systematic appraisal of the literature. Methods: Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic review was performed to identify studies published between 1950 and 2017 that described outcomes of suture ligation, surgical excision, or both. Baseline characteristics, complications, and study quality were extracted for each included article. Results: A total of 900 articles were reviewed, of which 10 studies (8 case series, 2 comparative analyses) met the inclusion criteria. There was considerable heterogeneity among the studies with respect to patient characteristics and reported outcomes. There were 2 retrospective case series of suture ligation that reported no acute complications and a variable proportion of patients with residual remnants or neuromas. Studies evaluating surgical ligation reported no acute or long-term complications, with only 1 case series reporting a small percentage of residual remnants. However, in the largest cohort analysis, the difference in complication rate was reported to be as high as 23.5% for suture ligation compared with 3% for surgical excision. Conclusions: There is a paucity of literature limiting the comparison of suture ligation and surgical excision for ulnar polydactyly. Further studies are required to determine the optimal treatment.

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