A Bizarre Parosteal Osteochondromatous Proliferation – Case Report and Review of Similar Hand Lesions Recorded Since 1983

2017 ◽  
Vol 19 (3) ◽  
pp. 213-226
Author(s):  
Miroslav Killian ◽  
Lenka Tarabčáková ◽  
Radovan Vaňatka ◽  
Iveta Mečiarová ◽  
Radoslav Zamborský
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Fibrous Tissue ◽  
Bone Surface ◽  
Bizarre Parosteal Osteochondromatous Proliferation ◽  
First Report ◽  
Unusual Lesion

Bizarre parosteal osteochondromatous proliferation (BPOP) is an unusual lesion mostly affecting the bones of the hand. The mass grows from the bone surface and consists of cartilaginous, osseous and fibrous tissue. The lesion is commonly under/misdiagnosed and confused with other lesions, mostly the osteochondromas. We present a patient with BPOP that initially confused the practitioner and radiologist in their diagnosis. We discuss the clinical, radiologic and histologic characteristics of BPOP of the hand since its first report in 1983 and present its main differential diagnosis. We reviewed 184 cases. Female were affected in 52% and male in 48%. Pro ximal phalanges were most commonly affected, followed by middle phalanges and metacarpals. Pain was reported in 47,9 % of all reported papers. The most common surgical treatment was by excision, and the rate of recurrence was 47.3%.

scholarly journals Ossifying chondrolipoma of the tongue

2012 ◽  
Vol 69 (11) ◽  
pp. 1009-1012 ◽  
Author(s):  
Desanka Tasic ◽  
Milorad Pavlovic ◽  
Dragan Stankovic ◽  
Irena Dimov ◽  
Goran Stanojevic ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Connective Tissue ◽  
Dorsal Surface ◽  
Osseous Metaplasia ◽  
Fibrous Connective Tissue ◽  
Lamellar Bone ◽  
Cartilaginous Tissue ◽  
Unusual Lesion ◽  
Lipomatous Tumors

Introduction. Chondrolipomas and osteolipomas are uncommon variants of lipomatous tumors. Case report. We presented a 60-year-old woman with ossifying chondrolipoma of the tongue. Clinical examination revealed a firm nodular mass, located in the midline of the posterior region on the dorsal surface of the tongue. Histologically, the lesion was well-delimited showing areas of mature adipocytes arranged in lobules and separated by fibrous connective tissue septa, islands of mature cartilaginous tissue and osseous metaplasia. Trabeculae of lamellar bone within a fibro-fatty background were visible throughout the tumor. The cartilaginous areas merging centrally with bone formation and fatty marrow tissue were present, as well as the hematopoietic elements in the fatty marrow. The bone forming was found to be through both membranous and enchondral mechanisms. Conclusion. Ossifying chrondrolipoma with hematopoietic elements is extremely unusual lesion. This interesting entity should be kept in mind in the differential diagnosis of lingual lesions.

scholarly journals Pterygoid hamulus syndrome: a case report

2020 ◽  
Vol 26 (4) ◽  
pp. 42
Author(s):  
Paul Galvez ◽  
Nathan Moreau ◽  
Mathilde Fenelon ◽  
Jean-Marie Marteau ◽  
Sylvain Catros ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Orofacial Pain ◽  
Review Of The Literature ◽  
Traumatic Origin ◽  
Post Traumatic ◽  
Mucosal Lesions ◽  
Type 2 Diabetic

Introduction: Pterygoid hamulus syndrome (PHS) is a little-known differential diagnosis of orofacial pain. It is characterized by oropharyngeal pain, secondary to inflammatory bursitis of the tensor veli muscle of post-traumatic origin, frequently fostered by an associated hypertrophy of the hamular process. Observation: A 64-year-old female patient, type 2 diabetic, consulted for constant posterior palatal pain located near to 17, lasting for 10 years. The inspection did not reveal any mucosal lesions. Right hamulus palpation increased the pain and revealed hamulus hypertrophy. A diagnosis of PHS was evoked. Comment: A review of the literature is proposed. The treatment of PHS is initially conservative, but a surgical treatment can be proposed in case of morphological anomalies. Conclusion: PHS is a little-known syndrome whose diagnosis must be mentioned by the oral surgeon faced with chronic oropharyngeal pain. The diagnosis is clinical and radiological, the treatment is medical and/or surgical.

Abdominal desmoid-type fibromatosis – a case report and an overview of treatment options

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Justyna Koszarska-Mirek ◽  
Jakub Orleański
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Treatment Options ◽  
Fibrous Tissue ◽  
Distant Metastases ◽  
Desmoid Tumour ◽  
Recurrence Rates ◽  
Abdominal Organs ◽  
Appropriate Treatment

Fibromatosis (desmoid, desmoid tumour) is a tumour belonging to the group of fibrous tissue proliferative diseases. Although the tumour cannot produce distant metastases, it shows local malignancy by invading adjacent tissues, as well as high recurrence rates after local resection. The incidence of fibromatosis is 2-4 cases per 1 million inhabitants per year. Three types of fibromatosis have been distinguished: extra-abdominal, abdominal wall and intra-abdominal type. Although the most common types are sporadic, coexistence with familial adenomatous polyposis (FAP), known as the Gardner’s syndrome, is observed. Available therapeutic options include surgical treatment, watchful waiting, hormone therapy, non-steroid anti-inflammatory drugs, chemotherapy and radiation therapy. This case report aims to draw attention to the difficulties in selecting an appropriate treatment option, limited surgical treatment, the psychological aspect of the disease, as well as the need to actively search for modern diagnostic and therapeutic solutions. We present a case of a 26-year-old patient who was ultimately diagnosed with a desmoid tumour invading the abdominal wall and internal abdominal organs. The patient presented to a county hospital due to suspected gastrointestinal obstruction. It was found from medical history that the patient had palpated a tumour of the abdominal wall 9 months before admission.

scholarly journals Pancreatic Tuberculosis: A Case Report

2009 ◽  
Vol 22 (2) ◽  
pp. 264-268
Author(s):  
H Sarkar ◽  
M Hassan ◽  
S Ali ◽  
RN Laila
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Pancreatic Carcinoma ◽  
Preoperative Diagnosis ◽  
Histopathological Analysis ◽  
Pancreatic Tuberculosis ◽  
High Index Of Suspicion

The pancreas is rarely affected by Mycobacterium tuberculosis infections, probably because of the presence of pancreatic enzymes and only few cases are reported. The differential diagnosis with pancreatic carcinoma represents a challenge because of clinical and radiological similarities. We report a case of 30 year-old women presented with pain and lump in epigastric region with constitutional symptoms - weight loss, nausea and occasional vomiting. Preoperative diagnosis of pancreatic tuberculosis requires a high index of suspicion and usually its diagnosis is established after surgical treatment. The diagnosis of this reported case was confirmed by histopathological analysis following laparotomy. The response of the disease to anti tubercular drugs was good.TAJ 2009; 22(1): 264-268

scholarly journals Paget Disease of the Vulva: Diagnosis by Immunohistochemistry

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Andressa Gonçalves Amorim ◽  
Brunelle Batista Fraga Mendes ◽  
Rodrigo Neves Ferreira ◽  
Antônio Chambô Filho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Present Report ◽  
Macroscopic Appearance ◽  
Rare Neoplasm ◽  
Paget Disease ◽  
Eccrine Glands ◽  
Espirito Santo ◽  
Labium Majus

The objective of this paper is to report a case of extramammary Paget disease of the vulva, to describe its diagnosis, surgical treatment, and outcome, and to discuss the general characteristics of this pathology. This is a rare neoplasm, found principally in areas in which apocrine and eccrine glands are numerous. This case report is relevant to the literature since the differential diagnosis of extramammary Paget disease is difficult to be done only with the macroscopic appearance of the lesion and even with the microscopic characteristics, requiring further studies, immunohistochemistry, as to differentiate pathologies. The present report describes the case of a 63-year-old patient at the Santa Casa de Misericórdia Hospital in Vitória, Espírito Santo, Brazil, who presented with a hardened, ulcerated, and purplish lesion with hyperchromic and hypochromic spots, measuring 4 cm in diameter, located on the lower third of right labium majus, close to the vaginal fourchette. A right hemivulvectomy was performed, leaving wide margins all around. The patient progressed satisfactorily following surgery. Although extramammary Paget disease is rare, its incidence increases as a function of the patient’s age. Patients should be followed up closely because of the risk of persistence and/or recurrence of the disease.

scholarly journals Episodic ventriculomegaly due to hypernatremia mimicking shunt malfunction: case report

2015 ◽  
Vol 16 (4) ◽  
pp. 406-409 ◽  
Author(s):  
Sarah C. Jernigan ◽  
Scellig S. D. Stone ◽  
Joshua P. Aronson ◽  
Melissa Putman ◽  
Mark R. Proctor
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Clinical Picture ◽  
Altered Mental Status ◽  
Shunt Malfunction ◽  
Shunt Failure ◽  
Nonsurgical Therapy ◽  
Ventricle Size

Patients with shunted hydrocephalus presenting with altered mental status and ventriculomegaly are generally considered to be in shunt failure requiring surgical treatment. The authors describe a case of shunted hydrocephalus secondary to a disseminated neuroectodermal tumor in a pediatric patient in whom rapid fluctuations in sodium levels due to diabetes insipidus repeatedly led to significant changes in ventricle size, with invasively confirmed normal shunt function and low intracranial pressure. This clinical picture exactly mimics shunt malfunction, requires urgent nonsurgical therapy, and underscores the importance of considering serum osmolar abnormalities in the differential diagnosis for ventriculomegaly.

scholarly journals Juvenile ossifying fibroma: case report and literature review. Management and differential diagnosis

2018 ◽  
Vol 24 (2) ◽  
pp. 67-71
Author(s):  
Sarah Lemoine ◽  
Elisabeth Cassagnau ◽  
Hélios Bertin ◽  
Maria Poisson ◽  
Pierre Corre ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Rapid Growth ◽  
Benign Tumor ◽  
Early Stage ◽  
Bone Matrix ◽  
Fibrous Tissue ◽  
Ossifying Fibroma ◽  
Juvenile Ossifying Fibroma ◽  
Review Management

Introduction: Juvenile ossifying fibroma (JOF) is a rare neoplasm characterized by the replacement of the normal bone matrix with osteo-fibrous tissue. It has the tendency to be locally aggressive despite its benign character and to have a strong tendency for recurrence. Observation: In this case report, the patient is a young man, aged 16, with rapidly advancing maxillary swelling. We describe the diagnostic procedure, the surgical procedure and the differential diagnosis to be eliminated. Discussion: The clinical presentation of JOF, and its rapid growth, can cause fear of other pathologies such as osteosarcoma. The radiological characteristics should reassure the practitioner and a histological examination confirmed the diagnosis. Conclusion: JOF is a benign tumor. It should be operated on at an early stage because of its rapid growth. In its clinical and histological presentation, its trabecular form may mimic an osteosarcoma.

scholarly journals Sphenoid rhinosinusitis associated with abducens nerve palsy – Case report

2018 ◽  
Vol 8 (30) ◽  
pp. 125-130
Author(s):  
Lucian Lapusneanu ◽  
Marlena Radulescu ◽  
Florin Ghita
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Nasal Endoscopy ◽  
Sphenoid Sinusitis ◽  
Tumor Pathology ◽  
Mri Examination

Abstract The cases with sphenoid sinusitis associated with abducens nerve palsy are rarely cited in the literature. We present the case of a 41-year-old patient who was hospitalized for right hemicrania and ipsilateral paresis of the abducens nerve, without any other ENT previous pathology. The ENT, ophthalmologic, neurological and paraclinical evaluations (nasal endoscopy, MRI examination) have established the diagnosis of right sphenoid rhinosinusitis complicated with unilateral abducens nerve palsy. In such cases, it is important to make a differential diagnosis with tumor pathology as well as that of an infection outbreak located intracranially. In this case, the patient’s evolution was favourable after endoscopic surgical treatment of the sphenoid rhinosinusitis.

Angiomyofibroblastoma of the Spermatic Funiculus. A Case Report of this Lesion of the Spermatic Funiculus

2008 ◽  
Vol 75 (1) ◽  
pp. 54-56
Author(s):  
G. Calabrò ◽  
A. Vallone ◽  
F. Vitale ◽  
V. Calabrò ◽  
M. Pizzarelli ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Treatment ◽  
Rare Case ◽  
Left Region

The authors are hereby presenting a rare case of angiomyofibroblastoma of the funiculus in a 20-year-old patient, having a non-aching tumefaction at the left region of the scrotum. This tumefaction was solid and non homogeneous, both on ultrasonography and MRI, of about 5cm in diameter, fully separated from the testicle. The markers were all negative. We proceeded with surgical treatment of the neoformation. It is mandatory to include this lesion within the differential diagnosis of testicle masses. The case is presented for its absolute histopathologic rarity and for the difficulty in diagnosis.

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