Diagnostic and therapeutic difficulties in the case of angiomatous polyps of the paranasal sinuses. Case presentation

2018 ◽  
Vol 7 (4) ◽  
pp. 1-5
Author(s):  
Edward Mollin ◽  
Andrzej Skorek
Keyword(s):  
Paranasal Sinuses ◽  
Final Diagnosis ◽  
Surgical Removal ◽  
Benign Lesions ◽  
Case Presentation ◽  
Course Of Disease ◽  
Blood Clots ◽  
Vascular Proliferation ◽  
Diagnostic Difficulties ◽  
Inflammatory Polyposis

Preface: angiomatous nasal type polyps (SAP ‒ sinonasal angiomatous polyp) are benign lesions. The clinical and radiological picture of SAP may suggest other diseases of the nose and paranasal sinuses. Diagnostic imaging is based on computed tomography and magnetic resonance. SAP treatment involves their surgical removal. A case report: he aim of the study is to present diagnostic and therapeutic difficulties in a 17-year-old female patient with an inflammatory polyposis of the angiomatous of the paranasal sinuses. The course of disease, diagnostic difficulties and its treatment are presented. No complications were observed during hospitalization and in the postoperative period. Summary: SAP is one of the types of nasal polyps characterized in the histological picture of vascular proliferation with the presence of blood clots. Accurate diagnostic and histological diagnostics allow to determine the final diagnosis and differentiation of SAP with nasal and sinus hyperplasia.

scholarly journals A Rare Case of Retroperitoneal Leiomyoma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Rajiv Mahendru ◽  
Geetinder Gaba ◽  
Shweta Yadav ◽  
Gurmeet Gaba ◽  
Chinky Gupta
Keyword(s):  
Pressure Effect ◽  
Final Diagnosis ◽  
Abdominal Hysterectomy ◽  
Preoperative Imaging ◽  
Surgical Removal ◽  
Rare Entity ◽  
Provisional Diagnosis ◽  
Case Presentation ◽  
Abdominal And Pelvic Pain ◽  
Primary Retroperitoneal

Introduction. Leiomyoma uteri is one of the most common benign conditions for which women undergo hysterectomy every year. Fibroids found retroperitoneally are a rare entity, especially, primary retroperitoneal fibroid.Case Presentation. We report a case of 42-year-old para 1 who presented to our hospital with recurring retention of urine, lower abdominal and pelvic pain, and dyspareunia . Provisional diagnosis on the basis of examination and imaging was large subserosal fibroid with mild right-sided hydroureteronephrosis, due to pressure effect of the fibroid. Abdominal hysterectomy was done for the patient, and intraoperatively, a bulky uterus was found with multiple small fibroids on anterior and posterior walls, and a large fibroid approx.10×8 cm was found arising from the posterior surface at the level of internal os retroperitoneally, which was confirmed by histopathology as leiomyoma.Conclusion. Retroperitoneal fibroids are rare neoplasms and treatment is surgical removal. Preoperative imaging can only give provisional diagnosis and can be misguiding. Final diagnosis of retroperitoneal fibroid can be made only intraoperatively.

Significance of 18F-fluorocholine PET/CT positive pulmonary lesions in prostate cancer patients

2015 ◽  
Vol 54 (05) ◽  
pp. 211-216 ◽  
Author(s):  
A. Baskin ◽  
G. Amzalag ◽  
F. Buchegger ◽  
R. Miralbell ◽  
O. Ratib ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Lung Cancer ◽  
Final Diagnosis ◽  
Papillary Adenocarcinoma ◽  
Bronchioloalveolar Carcinoma ◽  
Maximum Diameter ◽  
Benign Lesions ◽  
Pulmonary Carcinoid ◽  
Pulmonary Lesions ◽  
Pet Ct

SummaryAim: To assess the frequency and the significance of incidental pulmonary lesions with 18F-fluorocholine (18F-FCH) PET/CT in prostate cancer (PCa) patients. Patients, methods: 225 consecutive PCa patients referred for 18F-FCH PET/CT (median age 68 years) were retrospectively evaluated for the presence of lesions in the lungs: 173 referred for restaging and 52 for initial staging regarding their high risk of extra prostatic extension. The final diagnosis was based on histopathological or on clinical and radiological follow-up. Results: 13 patients had 18F-FCH positive pulmonary and 8 patients malignant lesions: 5 patients (38%) had a primary lung cancer (2 squamous cell carcinomas, 1 papillary adenocarcinoma, 1 typical pulmonary carcinoid, 1 bronchioloalveolar carcinoma) and 3 patients (23%) PCa metastases. Benign lesions were found in 5 subjects (38%). SUVmax and maximum diameter were neither significantly different in primary and metastatic tumors nor between malignant and benign lesions. Conclusions: Although our results suggest that incidental uptake in the lungs in PCa patients are nonspecific, their detection may have a significant impact on patient management knowing that more than 60% represent malignant diseas.

Carcinomas in the bladder with papillary and pseudopapillary morphology - not always urothelial

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Daniel Abensur Athanazio ◽  
Maiara Ferreira de Souza ◽  
Maria Estela Pompeu do Amaral
Keyword(s):  
Urinary Tract ◽  
Urothelial Carcinoma ◽  
Final Diagnosis ◽  
Prostate Adenocarcinoma ◽  
High Grade ◽  
Case Presentation ◽  
Carcinoma Prostate ◽  
Papillary Urothelial Carcinoma ◽  
Primary Bladder ◽  
Bladder Adenocarcinoma

Abstract Background Urothelial carcinoma shows wide plasticity and broad morphologic spectrum. In many instances, the presence of papillary morphology is reassuring of the urothelial histogenesis of a high-grade invasive lesion but is not pathognomonic. Case presentation We reported herein four cases of carcinomas in the bladder with papillary morphology that had a final diagnosis different from urothelial carcinoma (3% of cases in a 42-month period). In high-grade tumors involving the urinary tract, the presence of papillary/pseudopapillary morphology is not sufficient to render a diagnosis of papillary urothelial carcinoma. Prostate adenocarcinoma, primary bladder adenocarcinoma or metastasis must be excluded in selected case scenarios.

scholarly journals A Case of Ectopic Odontogenic Ghost Cell Tumor: Histogenetic Features of a New Entity

2021 ◽  
Author(s):  
Yuri Noda ◽  
Chisato Ohe ◽  
Mitsuaki Ishida ◽  
Kimiaki Okano ◽  
Kaori Sando ◽  
...  
Keyword(s):  
Final Diagnosis ◽  
Cell Tumor ◽  
Clinicopathological Features ◽  
Rare Entity ◽  
Ghost Cell ◽  
Case Presentation ◽  
Floor Of The Mouth ◽  
Odontogenic Origin ◽  
Odontogenic Neoplasm

Abstract Background: Odontogenic tumors arising from extra-alveolar sites are extremerly rare. Dentinogenic ghost cell tumor (DGCT) is an uncommon odontogenic neoplasm characterized by CTNNB1 mutation, ghost cell appearance, and dentinoid-like calcification. We present a case of an ectopic DGCT arising from a calcifying odontogenic cyst in the floor of the mouth. Case presentation: A 72-year-old man presented with a painless sublingual swelling. Imaging revealed a multi-lobulated, solid-cyst mass on the floor of the mouth. Cytology showed folded epithelial clusters composed of basaloid cells, keratinized material, and dentinoid matrix. Histology also revealed a multi-cystic, cribriform to solid nest. Immunohistochemically, CK19, CK5/6, bcl-2, and p63 were diffuse positive. CTNTTB1 mutation was detected, leading to the final diagnosis of an ectopic DGCT. There was no recurrence during a 6-month follow-up. Conclusion: This is the first report to comprehensively describe the clinicopathological features of an ectopic DGCT of odontogenic origin, developing similarly to that of a true odontogenic DGCT. Accurate diagnosis of this rare entity is necessary to avoid overtreatment.

scholarly journals DIAGNOSTIC PROBLEMS ACCOMPANYING BRANHYOGENIC CANCER – A CLINICAL CASE

2020 ◽  
Vol 73 (3) ◽  
pp. 614-618
Author(s):  
Uliana D. Matolych ◽  
Svetlana V. Ushtan ◽  
Victoria V. Pankevych ◽  
Kateryna V. Horytska
Keyword(s):  
Head And Neck ◽  
Morphological Analysis ◽  
Clinical Case ◽  
Ultrasound Examination ◽  
Transitional Cell ◽  
Final Diagnosis ◽  
Surgical Removal ◽  
Invasive Squamous Cell Carcinoma ◽  
Bronchial Cancer ◽  
Neck Vessels

Tumours and tumorous lesions of head and neck account for 10% of all oncological pathologies. Branhyogenic cancer is found in 4.5% of patients with lateral cysts in the neck. The article highlights the results of research the clinical case of branhyogenic cancer, provide its clinical and morphological analysis. The aim of our work was to study the clinical case of bronchial cancer, providing clinical and pathomorphological analysis. Examination and treatment was conducted in accordance with the clinical protocol using the diagnostic criteria necessary for management of patients diagnosed with tumours and tumorous lesions in a particular clinical case. We applied ultrasound examination of the locus, angiography of head and neck vessels with tomohexol and with 3D reconstruction, histological examination of surgical specimens (macroscopy and microscopy). On the basis of clinical investigaton, ultrasound examination, angiography clinical diagnosis was formulated – lateral cyst on the left side of the neck. A radical surgical removal of the mass was conducted. Histopathological conclusion: there is a proliferation of cystic transitional cell epithelium with the locus of invasive squamous cell carcinoma in the cystic wall that suggests malignant transformation of bronchogenic cyst. Final diagnosis: branhyogenic cancer. Thorough examination and analysis of a clinical case demonstrates that the development of branhyogenic cancer, is histo-genetically associated with lateral cysts in the neck. Complexity of diagnosing and high percentage of malignancy induces to more early discovery and removal of lateral cysts in the neck .

scholarly journals Giant dermoid cyst mimicking posterior fossa tumors in a child: A Case Report and Review of the Literature

2020 ◽  
Vol 2 (2(May-August)) ◽  
pp. e452020
Author(s):  
Leopoldo Mandic Ferreira Furtado ◽  
José Aloysio da Costa Val Filho ◽  
Bruno Lacerda Sandes ◽  
Plínio Duarte Mendes ◽  
Patrícia Salomé Gouvea Braga
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Clinical Suspicion ◽  
Review Of The Literature ◽  
Benign Lesions ◽  
Posterior Fossa Tumors ◽  
Case Presentation ◽  
High Clinical Suspicion ◽  
Neuroimaging Data ◽  
Epidemiological Characteristics

Introduction: Intracranial dermoid cysts are rare, congenital and, benign lesions. The etiology of these lesions is related to an embryonic defect during neurulation. Case presentation: The present study describes a case of a 3-year-old girl with a giant cerebellar dermoid cyst, which initially manifested as hydrocephalus. Discussion: We discuss its epidemiological characteristics as well as diagnostic and therapeutic management. The combination of high clinical suspicion, anamnesis, thorough physical examination, and adequate interpretation of neuroimaging data is crucial for the early diagnosis and timely therapeutic intervention for such cysts. Conclusion: Surgical approach involving complete lesion resection considerably improves prognosis.

scholarly journals Case report of the successful removal of a haemangioma of the left ventricle in a paediatric patient

2020 ◽  
Vol 24 (3) ◽  
pp. 132
Author(s):  
U. G. Kolbik ◽  
A. V. Gorustovich ◽  
Yu. I. Linnik ◽  
M. M. Shved ◽  
V. V. Drozdovskaya ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Paediatric Patient ◽  
Conflict Of Interest ◽  
Recovery Period ◽  
Final Diagnosis ◽  
Surgical Removal ◽  
Capillary Haemangioma ◽  
Cardiac Tumours ◽  
Post Surgery ◽  
Choice Of Treatment

<p>This publication presents the clinical observation in a paediatric patient with haemangioma of the left stomach. The effectiveness of surgical treatment of this disease is also noted. We assess the challenges in diagnosis and the choice of treatment of this pathology in children and the effectiveness of surgical treatment disease.<br />Primary cardiac tumours are rare; vascular tumours and haemangiomas are rarer. The clinical picture of heart haemangioma is non-specific and varies as per its location and size. Echocardiography is the main diagnostic method for this disease. However, in most cases of preoperative diagnostic examination, the pre-surgery diagnosis is not confirmed. The final diagnosis of capillary haemangioma is established following immunohistochemical staining of the surgical material. Thus far, owing to the rare occurrence, a generally accepted tactic for the treatment of such patients with vascular heart tumours has not been developed.<br />This clinical case describes our experience of treating a rare pathology in children with unusual localisation as well as the rapid successful surgical removal of the tumour without complications and with a favourable post-surgery recovery period.</p><p>Received 14 May 2020. Revised 15 June 2020. Accepted 26 June 2020.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p><p><strong>Author contributions</strong> <br />Literature review: U.G. Kolbik, A.V. Gorustovich, Y.I. Linnik<br />Illustrations: U.G. Kolbik, I.V. Sakharov, V.V. Drozdovskaya <br />Drafting the article: U.G. Kolbik, A.V. Gorustovich, I.V. Sakharov<br />Critical revision of the article: I.V. Sakharov, M.M. Shved, Yu.I. Linnik<br />Surgical treatment: A.V. Gorustovich, M.M. Shved, U.G. Kolbik<br />Final approval of the version to be published: U.G. Kolbik, A.V. Gorustovich, Yu.I. Linnik, M.M. Shved, V.V. Drozdovskaya, <br />I.V. Sakharov, K.V. Drozdovski</p>

End Results of Surgical Treatment of 622 Cases of Tumors of the Salivary Glands.

1974 ◽  
Vol 60 (4) ◽  
pp. 307-316 ◽  
Author(s):  
Carmelo Vinicio Catania ◽  
Emanuele Galante ◽  
Gaetano Bandieramonte ◽  
Bruno Salvadori
Keyword(s):  
Salivary Glands ◽  
Radical Surgery ◽  
Malignant Tumors ◽  
Survival Rates ◽  
High Rate ◽  
Surgical Removal ◽  
Minor Salivary Glands ◽  
Benign Lesions ◽  
Submandibular Glands ◽  
Mixed Tumors

Surgery was performed on 622 patients with tumors of the salivary glands from 1929 to 1972; the gland affected was the parotid in 527 cases, the submandibular glands in 50, and minor salivary glands of palate and other sites in 45. The analysis of distant results point out that both for benign and malignant tumors total sialoadenectomy must be the treatment of choice, as demonstrated by the high rate of recurrence after local excision or partial resection of the gland, even in cases of surely benign lesions such as mixed tumors. It is worthy of being quoted the high rate of recurrence from cylindromas, especially of the palate (48.5%), after surgical removal. As to malignancies of parotid and submandibular glands 5-years survival rates after radical surgery were of 52 % and 30 % respectively.

scholarly journals Introducing a New Feature to Allergy and Rhinology

2014 ◽  
Vol 5 (1) ◽  
pp. 215265671400500
Keyword(s):  
Case Reports ◽  
Short Review ◽  
Final Diagnosis ◽  
Open Access Journal ◽  
Original Research ◽  
Tissue Samples ◽  
Case Presentation ◽  
New Type ◽  
New Feature ◽  
Case Data

In this issue of Allergy and Rhinology, we are pleased to introduce a new type of article, “Pathology Quiz Case,” to complement the original research articles, case reports, and reviews that we currently publish. This special submission should consist of a case presentation that includes the following elements – 1) patient history, exam and initial case data, 2) pathological description of tissue samples, 3) differential diagnosis, 4) final diagnosis, and 5) a short review of the disease entity and the patient course. This feature should be educational for all trainees and practicing otolaryngologists. In particular, we welcome medical student, resident, and fellow submissions from otolaryngology training programs. Allergy and Rhinology is an open access journal cited in PubMed.

scholarly journals Controversies Regarding the Interpretation of Follicular Thyroid Nodules

2019 ◽  
Vol 143 (12) ◽  
pp. 1472-1476 ◽  
Author(s):  
Saul Suster
Keyword(s):  
Personal Experience ◽  
Thyroid Nodules ◽  
Follicular Carcinoma ◽  
Malignant Neoplasms ◽  
Common Source ◽  
Low Grade ◽  
Review Of The Literature ◽  
Benign Lesions ◽  
Follicular Variant ◽  
Diagnostic Difficulties

Context.— Follicular nodules are the most common source of diagnostic difficulties in the practice of surgical pathology of the thyroid. This is due to a variety of factors, the most salient of which is the lack of well-defined criteria and evidence-based data for the diagnosis of these lesions. Objectives.— To discuss some of the assumptions that have been accrued over the years regarding the criteria by which we evaluate such lesions. Data Sources.— The information presented herein is based on review of the literature and the author's personal experience. Conclusions.— Thyroid nodules with a predominant follicular growth pattern span the range from benign lesions (hyperplastic nodules, adenomatoid nodules, follicular adenomas) to malignant neoplasms (follicular carcinoma, follicular variant of papillary carcinoma) with a host of intermediate or indeterminate lesions found in between. Advances in immunohistochemistry and molecular pathology have not yet provided a reliable way of separating the borderline or intermediate cases. Low-grade and intermediate or borderline follicular-patterned thyroid lesions are those most often prone to difficulties for interpretation. Newer and potential future approaches for the evaluation of these lesions are discussed.

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