scholarly journals Pathological Fracture of the Mandible, Secondary to Eosinophilic Granuloma in a Medically Compromised Patient

1997 ◽  
Vol 49 (4) ◽  
pp. 384-387
Author(s):  
M. J. Baliga ◽  
E. Darvish ◽  
L. Mallya ◽  
G. K. Singh
2013 ◽  
Vol 30 (3) ◽  
pp. 257-259
Author(s):  
Alper Çıraklı ◽  
Birol Gülman ◽  
Sevgi Çıraklı ◽  
Ali Varlı ◽  
Serdar Ulusoy

2010 ◽  
Vol 16 (2) ◽  
pp. 136-139
Author(s):  
A. I. Snetkov ◽  
S. V. Kolesov ◽  
A. P. Frantov ◽  
S. Yu. Batrakov ◽  
S. A. Kudryakov ◽  
...  

The results of treatment of 72 patients with pathological fracture of vertebra bodies against eosinophilic granuloma a spine are analysed. Orthopedic corset technologies are used in treatment of 42 patients, surgical treatment was applied. Orthopedic corset may be used in patients with eosinophilic granuloma of backbone. This method of treatment was used in a case of the absence of spine secondary deformations and neurologic semiology. Orthopedic corset treatment is associated with long immobilization on the average within 1,5-2 years and never leads to a complete recovery of the damaged spine. Surgical treatment consists in use only at loss of height of a body to 30-40%, when destruction of spine more severe it is necessary to use operative treatment in two stages. Absolute indications to surgical treatment are the neurologic deficit and secondary deformations of a spine. Surgical treatment allows to reduce terms of treatment till 3-4 months and quickly to return the patient to an active life.


1955 ◽  
Vol 28 (3) ◽  
pp. 453-457 ◽  
Author(s):  
Charles S. Judd ◽  
W. Harold Civin ◽  
Mary Lou McIlhany

Swiss Surgery ◽  
2002 ◽  
Vol 8 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Sutter ◽  
Regazzoni

Pathologische Frakturen werden, bedingt durch die Zunahme der Inzidenz von Karzinomen und die längeren überlebenszeiten, in Zukunft häufiger behandelt werden müssen. Das Skelett ist das dritthäufigste Ziel-Organ von Metastasen. Lungentumor-Metastasen scheinen zuzunehmen, das Mammakarzinom bleibt aber der häufigste Primärtumor. Am häufigsten sind Metastasen im Bereiche der Wirbelsäule lokalisiert, Frakturen treten jedoch meistens am Femur auf. Eine pathologische Fraktur sowie fast immer auch eine "drohende pathologische Fraktur" stellen eine absolute Operationsindikation dar. Eine genaue Definition der "drohenden Fraktur" fehlt zwar, doch ist heute allgemein akzeptiert, dass mindestens 50% der Knochenmasse zerstört sein müssen, damit die Metastase im konventionellen Röntgenbild sichtbar wird und somit von einer drohenden Fraktur gesprochen werden kann. Als Hilfe zur Abschätzung des Frakturrisikos hat sich das Score System nach Mirels bewährt. Anhand von 4 Parametern (Lokalisation, Grösse, Typ, Schmerzen) kann das Frakturrisiko abgeschätzt werden. Ziel der (meist operativen) Behandlung ist die Verbesserung der Lebensqualität über eine effiziente Schmerzlinderung, möglichst durch eine einzige Operation mit kurzer Hospitalisationszeit. Für die chirurgische Behandlung sollten im proximalen Abschnitt des Femurs Prothesen verwendet werden, bei subtrochantären und Schaftfrakturen vornehmlich intramedulläre Kraftträger. Eine postoperative Radiotherapie scheint die lokale Tumorprogression zu verhindern. Bei guter Langzeitprognose sollte der Tumor lokal aggressiv ausgeräumt werden.


2017 ◽  
Vol 2 (1) ◽  

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.


1962 ◽  
Vol 267 (12) ◽  
pp. 577-589 ◽  
Author(s):  
Lee Hoffman ◽  
Jerome E. Cohn ◽  
Edward A. Gaensler

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098773
Author(s):  
Kai Xuan Lim ◽  
Karl Wu

Schwannoma or neurilemmoma is a common soft tissue neoplasm arising from the neural sheath of Schwann cells. However, intraosseous schwannoma is rare, accounting for less than 0.2% of primary bone tumours. Several variants of schwannoma have been reported; among them, intraosseous schwannoma with ancient change is extremely rare. This current report presents an extremely rare case of ancient intraosseous neurilemmoma. The patient presented with right elbow pain and disability. A radiolucent, well-defined, lobulated lesion with a thin sclerotic rim in the proximal ulnar metaphysis that had caused a pathological fracture was noted. The mass was surgically excised using marginal resection and bone curettage was undertaken. The bone deficit was grafted with hydroxyapatite and β-tricalcium phosphate and augmented with bone cement. There were no signs of any recurrence after 3 years. This is the first case of an ancient intraosseous schwannoma of the proximal ulna. Although rare, intraosseous schwannoma should be considered in the differential diagnosis of radiographically benign-appearing osseous tumours in the bone. The cement technique is recommended for the treatment of intraosseous schwannoma.


1956 ◽  
Vol 31 (2) ◽  
pp. 226-237
Author(s):  
Milton Virshup ◽  
Alfred Goldman

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