scholarly journals Largest pheochromocytoma reported in Canada: A case study and literature review

2014 ◽  
Vol 8 (5-6) ◽  
pp. 374 ◽  
Author(s):  
Druvtej Ambati ◽  
Kunal Jana ◽  
Trustin Domes
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Current Literature ◽  
Case Reports ◽  
Abdominal Mass ◽  
Screening Tests ◽  
Retroperitoneal Mass ◽  
Palpable Abdominal Mass ◽  
Rule Out

Most giant pheochromocytomas do not present with classic symptoms, as documented by published case reports. Given this, clinicians have to consider a wide differential diagnosis for any retroperitoneal mass and perform screening tests to rule out a pheochromocytoma. We describe the largest pheochromocytoma reported in Canada, where the patient presented with a palpable abdominal mass and dyspnea. The 19 × 18 × 12-cm right retroperitoneal mass was biochemically active and was radiologically and pathologically consistent with a giant pheochromocytoma. We present this case and review the relevant current literature.

scholarly journals Atrophic upper pole of a duplex collecting system masquerading as suprarenal mass: a case study and literature review

2013 ◽  
Vol 4 (4) ◽  
pp. 94 ◽  
Author(s):  
Alex Kavanagh ◽  
Iain McAuley ◽  
Michelle Longpre ◽  
Andrew E. MacNeily
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Surgical Resection ◽  
Fetal Ultrasound ◽  
Duplex Kidney ◽  
Suprarenal Mass ◽  
Collecting System ◽  
Radiologic Characteristics ◽  
Rule Out

The growing use of maternal fetal ultrasound is leading to thediscovery of an increasing number of suprarenal masses. Ourexperience with a cystic suprarenal mass detected on antenatalultrasound is described. Location and radiographic features couldnot rule out the possibility of a cystic neuroblastoma; therefore,surgical resection of the mass was performed. Despite the absenceof common radiologic characteristics, the pathology of the specimenrevealed a non-functioning upper pole of a duplex kidney withcomplete duplication of the collecting system. Neonatal evaluationand management and the differential diagnosis are discussed.

scholarly journals Schwannoma of the abdominal wall: updated literature review

2021 ◽  
Author(s):  
Tommaso Panici Tonucci ◽  
Andrea Sironi ◽  
Eleonora Pisa ◽  
Benedetta Di Venosa ◽  
Luigi Bonavina
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Abdominal Wall ◽  
Single Case ◽  
Case Reports ◽  
Rectus Abdominis ◽  
Malignant Neoplasms ◽  
Palpable Mass ◽  
Surgical Specimen ◽  
Benign Schwannoma

Summary Background Schwannoma is a benign tumor arising from Schwann cells of the peripheral nerves. It is often asymptomatic and can develop in the retroperitoneum, mediastinum, head and neck region, and upper and lower extremities. Schwannoma of the abdominal wall is extremely rare, but differential diagnosis with malignant neoplasms is important to reduce the risk of undertreatment. Methods A narrative review of abdominal wall schwannoma was performed using PubMed, EMBASE, and Web of Science database and the search terms “schwannoma”, “neurinoma”, “neurilemmoma”, “soft tissue tumors”, “neurogenic tumor”, “rectus abdominis mass”, “abdominal wall”. In addition, the hospital charts were reviewed to report the personal experience. Results Only 9 single case-reports of benign schwannoma of the abdominal wall were found in the English medical literature over the past decade. None of the patients received preoperative biopsy and all were resected with clear margins. In addition to the literature review, we report the case of a 58-year-old man referred for a palpable mass in the left upper abdominal quadrant. Ultrasonography and magnetic resonance imaging revealed a solid and well-encapsulated mass inside the left rectus abdominis muscle. A core biopsy of the lesion provided the diagnosis of cellular schwannoma and this was confirmed by histopathologic examination of the surgical specimen. Conclusions Benign schwannoma of the abdominal wall is extremely rare. Percutaneous core needle biopsy is important for the differential diagnosis with more common and biologically more aggressive malignancies, such as desmoid tumors and sarcomas, and may be relevant for planning the most appropriate management.

scholarly journals Diabetes mellitus in the last weeks of life – case study and current literature review

2019 ◽  
Vol 11 (2) ◽  
pp. 67-72
Author(s):  
Tomasz Grądalski ◽  
Alicja Hołoń
Keyword(s):  
Diabetes Mellitus ◽  
Literature Review ◽  
Current Literature

scholarly journals Remission of Thymoma on Steroid Therapy in a Patient With Atypical Thymoma-Associated Multiorgan Autoimmunity: A Case Report and Literature Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Ewa Wrona ◽  
Sylwia Dębska-Szmich ◽  
Marta Pastuszka ◽  
Marcin Braun ◽  
Rafał Czyżykowski ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Symptom Management ◽  
Partial Remission ◽  
Skin Lesions ◽  
Humoral Autoimmunity ◽  
Rare Phenomena ◽  
Tumor Remission

In up to 34% of cases, thymoma, itself a rare neoplasm, is accompanied by autoimmune disorders, two of which are thymoma-associated multiorgan autoimmunity (TAMA) and paraneoplastic autoimmune multiorgan syndrome (PAMS). Unfortunately, differential diagnosis between these two entities can be challenging since no strict PAMS definition exists and PAMS can overlap with a subgroup of TAMA patients with skin lesions as leading presentation. We present a case of a 68-year-old woman with a diagnosis of thymoma accompanied by myasthenia gravis, hypothyroidism and GvHD-like mucocutaneous lesions that initially could account to both TAMA and PAMS diagnosis. However, following the exclusion of humoral autoimmunity against components of epithelial cells junction, TAMA was finally established. Interestingly, the introduction of corticosteroid therapy for TAMA symptom management resulted in unexpected partial remission of thymoma with no impact on mucocutaneous lesions. Our case study is an example of two extremely rare phenomena accompanying thymomas: unprecedented TAMA presentation with GvHD-like mucositis, which as we postulate should be placed in the spectrum of TAMA, and tumor remission on steroids.

Heterogeneity in the psychiatric presentation of behavioural variant frontotemporal dementia (bvFTD)

2019 ◽  
Vol 27 (5) ◽  
pp. 491-495
Author(s):  
Reece Bretag-Norris ◽  
Lara Gallur ◽  
Patrick Flynn
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Psychiatric Disorder ◽  
Frontotemporal Dementia ◽  
Psychiatric Symptoms ◽  
Case Reports ◽  
Relevant Literature ◽  
Important Differential Diagnosis

Objective: This article describes how the onset of bvFTD can be heralded by psychiatric symptoms. Method: Case reports are described with reference to the relevant literature review. Results: Three patients were admitted with psychiatric symptoms, including depression, mania, psychosis and catatonia. Two had been previously diagnosed with a psychiatric disorder. All three were diagnosed with probable bvFTD. Conclusion: bvFTD is an important differential diagnosis to consider when patients present with atypical psychiatric symptoms.

scholarly journals Fuchs Syndrome: Medical Treatment of 1 Case and Literature Review

2017 ◽  
Vol 9 (1) ◽  
pp. 114-120 ◽  
Author(s):  
Rémy Gossart ◽  
Eve Malthiery ◽  
Fanny Aguilar ◽  
Jacques-Henri Torres ◽  
Marie-Alix Fauroux
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Treatment Program ◽  
Erythema Multiforme ◽  
Clinical Case ◽  
Multiple Drug ◽  
Clinical Case Study ◽  
Ocular Symptoms ◽  
Erythema Multiforme Major

Fuchs syndrome is a particular type of erythema multiforme major; the lesions are only found on the mucosae and specifically affect oral, ocular, and genital mucosae. The cause is not always immediately apparent, which is why this pathology requires a rigorous, detailed clinical examination to eliminate a differential diagnosis. The severity of the symptoms, particularly of oral and ocular symptoms, requires immediate treatment. The treatment of this pathology requires a multiple-drug regime. Through a clinical case study, the objective of this work is to help guide practitioners when diagnosing and treating this pathology as no current consensus exists on these 2 subjects. The authors present the case of a 29-year-old patient who was suffering from a recurring outbreak of Fuchs syndrome, suspected of having been triggered by Mycoplasma pneumoniae. After completing the treatment program based on colchicine and prednisolone, the patient was relieved from pain and has not suffered from any further periodic eruptions of erythema multiforme.

scholarly journals Glycogenic acanthosis on mouth clinically present as white plaque

2018 ◽  
Vol 66 (3) ◽  
pp. 274-277
Author(s):  
Maykon Kennedy SCHULZ ◽  
Mariel Ruivo BIANCARDI ◽  
Darcy FERNANDES ◽  
Luciana Yamamoto de ALMEIDA ◽  
Andreia BUFALINO ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Older Patients ◽  
English Language ◽  
Squamous Epithelium ◽  
Case Reports ◽  
Endoscopic Examination ◽  
Current Case ◽  
Benign Condition ◽  
Language Literature ◽  
Rule Out

ABSTRACT Glycogenic acanthosis is a benign condition, commonly observed during endoscopic procedures in older patients, which present as slightly elevated whitish plaques often on the lower third of the oesophagus. Microscopically, glycogenic acanthosis is composed of hyperplastic squamous epithelium with intracytoplasmic glycogen deposits. The extraoesophageal glycogenic acanthosis is extremely rare, with only three case reports in the English-language literature. We report a white lesion showing glycogenic acanthosis-like features located on the left posterolateral border of the tongue, affecting a 56-year-old male patient. The medical history was non-contributory and the patient did not show any lesions during endoscopic examination of the oesophagus, stomach, and upper duodenum. Glycogenic acanthosis is a benign condition, which should be included in the differential diagnosis when assessing oral white lesions. It is important also to recognize this benign condition early and rule out the possibility of other more severe diseases, but further studies were necessary for better define their potential for persistence or recurrence, as observed in the current case.

scholarly journals Intradural lumbar disc herniations at the L1–L2 level: A case study and literature review

2020 ◽  
Vol 11 ◽  
pp. 67
Author(s):  
Giancarlo Ponzo ◽  
Massimo Furnari ◽  
Giuseppe Emmanuele Umana ◽  
Massimiliano Giuffrida ◽  
Giovanni Federico Nicoletti ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Literature Review ◽  
Current Literature ◽  
Lumbar Disc ◽  
Cauda Equina ◽  
Acute Onset ◽  
Case Description ◽  
Lumbar Mri ◽  
Disc Herniations

Background: Intradural disc herniations (IDHs) are rare occurrences (0.26–0.30%), and most frequently involve the lumbar spine at the L4–L5 level. Here, we present a patient with an L1–L2 IDH and reviewed the current literature. Case Description: A 65-year-old female presented with the acute onset of bilateral paraparesis accompanied by urinary dysfunction. The lumbar MRI showed a mass at the L1–L2 level with caudal migration, accompanied by a positive “hawk-beak” sign. At surgery, consisting of a L1–L2 laminectomy, a large IDH was encountered responsible for marked cauda equina/root compression. Postoperatively, the patient immediately fully recovered. The literature we identified cited just seven similar studies of L1–L2 IDH. Conclusion: In a 65-year-old female, an IDH was anticipated at the L1–L2 level due to the combined MR findings of a large L1–L2 mass with caudal migration and the positive “hawk-beak” sign.

scholarly journals Cushing's, Dilated Cardiomyopathy and Stroke: Case Report and Literature Review

1970 ◽  
Vol 11 (2) ◽  
Author(s):  
Aasha Gill MBBS ◽  
Naeem Dean MBBS ◽  
Rany Al-Agha MD
Keyword(s):  
Coronary Artery Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Dilated Cardiomyopathy ◽  
Case Reports ◽  
Rare Complication ◽  
Screening Tests ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Non Invasive ◽  
Artery Disease

Dilated cardiomyopathy(DC) is a rare complication of Cushing ’s syndrome. Hypertension and coronary artery disease tend to persist even after treatment of source of hypercortisolism as evidenced by previous studies. Based on a few case reports, Dilated Cardiomyopathy appears to be completely reversible with treatment of Cushing’s. We suggest that, in patients with idiopathic dilated cardiomyopathy, Cushing’s syndrome should be considered in the differential diagnosis. In patients with clinical features of Cushing’s, appropriate screening tests for Cushing’s should be carried out, which are inexpensive, non-invasive and readily available.

scholarly journals Giant adrenal myelolipoma: A case report

2014 ◽  
Vol 2 (1) ◽  
pp. 33-35
Author(s):  
P Gurung ◽  
MR Joshi ◽  
S Hirachand ◽  
M Lakhey
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Abdominal Mass ◽  
Benign Tumors ◽  
Retroperitoneal Mass ◽  
Hematopoietic Tissue ◽  
Adrenal Myelolipoma ◽  
Medical College ◽  
Retroperitoneal Liposarcoma ◽  
Palpable Abdominal Mass

Adrenal myelolipomas are rare benign tumors. Most are detected incidentally on imaging for non adrenal relatedsymptoms. We report a case of a 78 year old female who presented with non- specifi c complaint of itching all over the bodyand a palpable abdominal mass. CT scan abdomen revealed a large right-sided retroperitoneal mass with thin capsulemeasuring 20.8x15.4x12.7cm. Differential diagnoses considered were retroperitoneal liposarcoma, retroperitonealteratoma and retroperitoneal myelolipoma. The tumor was resected and sent for histopathological examination.Microscopic examination revealed mature adipocytes, islands of hematopoietic tissue and compressed adrenal tissue atthe periphery clinching a diagnosis of adrenal myelolipoma.DOI: http://dx.doi.org/10.3126/jkmc.v2i1.10554Journal of Kathmandu Medical College, Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013, Page: 33-35

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