scholarly journals Leiomyoma of the Greater Saphenous Vein Mimicking Inguinal Lymphadenopathy

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Dionysios Dellaportas ◽  
Thomas Kotsis ◽  
Eleni Carvounis ◽  
Lazaros Samanides
Keyword(s):  
Saphenous Vein ◽  
Malignant Tumors ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Pathological Examination ◽  
Palpable Mass ◽  
Wide Surgical Excision ◽  
Diagnostic Modalities

Introduction. Leiomyoma is a benign vascular tumor affecting the greater saphenous vein rarely. Proper histopathological examination sets the diagnosis after complete and wide surgical excision along with a normal portion of the GSV.Case Presentation. A 36-year-old woman was admitted to our hospital complaining of a dull ache on her right groin for the last three months, along with a palpable mass on the mentioned area. An ultrasound (U/S) scan revealed a solid mass measuring3×2 cm. After wide surgical excision, pathological examination revealed a leiomyoma of the GSV.Discussion. Benign and mostly malignant tumors arising from the GSV are reported in the literature before. Diagnostic modalities and clinical examination cannot set a correct diagnosis preoperatively due to no specific characteristics of these tumors. Possible sarcomatous behaviour has to be kept in mind when treating tumors arising from a vessel wall and wide surgical excision as negative margins should be attempted.

scholarly journals A Case of Incidental Schwannoma Mimicking Necrotic Metastatic Lymph Node from Bladder Cancer

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 728
Author(s):  
Jeong-Hyouk Choi ◽  
Koo-Han Yoo ◽  
Dong-Gi Lee ◽  
Gyeong-Eun Min ◽  
Gou-Young Kim ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Metastatic Lymph Node ◽  
Imaging Study ◽  
Surgical Excision ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Tumor ◽  
Complete Surgical Excision ◽  
Ultrasound Computed Tomography ◽  
Retroperitoneal Schwannoma

Background and Objectives: Retroperitoneal schwannoma is a very rare case of schwannoma which commonly occurs in the other part of the body. However, it is difficult to distinguish schwannoma from other tumors before pathological examination because they do not show specific characteristics on imaging study such as ultrasound, computed tomography (CT), and magnetic resonance image (MRI). Case summary: A 60-year-old male showed a retroperitoneal cystic tumor which is found incidentally during evaluation of coexisted bladder tumor. Neurogenic tumor was suspicious for the retroperitoneal tumor through pre-operative imaging study. Finally, a schwannoma was diagnosed by immunohistochemical examination after complete surgical excision laparoscopically. Conclusion: As imaging technology is developed, there may be more chances to differentiate schwannoma from other neoplasm. However, still surgical resection and histopathological examination is feasible for diagnosis of schwannoma.

scholarly journals Schwannoma neck: a diagnostic dilemma

2019 ◽  
Vol 5 (5) ◽  
pp. 1422
Author(s):  
Babu Manohar ◽  
Raees Abdurahiman
Keyword(s):  
Schwann Cells ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
The Body ◽  
Pathological Examination ◽  
Diagnostic Dilemma ◽  
Diagnostic Difficulties ◽  
Trucut Biopsy ◽  
Diagnostic Modalities

<p>Schwannomas are less common benign slow growing tumors originating from Schwann cells. In the head and neck region, schwannomas arise most commonly from the vagus nerve or the sympathetic chain. We present this case as the location of schwannoma is extremely rare and due to the diagnostic difficulties it posed. A 48 year old male presented with right neck swelling and breathing difficulty to our OPD. Patient underwent ultrasonogram of neck, MRI neck and Fine needle aspiration cytology (FNAC) of the lesion. Each of the investigations suggested different pathology which made the diagnosis challenging. During surgery, the lesion was found to arise from right recurrent laryngeal nerve. After excision of the lesion, the patient developed hoarse voice and the pathological examination revealed schwannoma. Schwannomas that originate from Schwann cells can affect any part of the body. MRI, CT, USG and FNAC have been suggested in the literature for diagnosing the lesion. Trucut biopsy should be considered in situations where FNAC becomes inconclusive. Surgical excision is the treatment of choice. Histologically, five variants of schwannomas have been described in the literature namely common, plexiform, cellular, epithelioid and ancient schwannoma. To conclude, schwannoma arising from RLN which masqueraded as a thyroid swelling is a rare entity. The diagnostic modalities suggested in the literature were unable to pin point the diagnosis. Once, FNAC shows an inadequate specimen, a trucut biopsy should be considered as the next investigation modality.</p>

scholarly journals Ovarian Hemangioma: a rare entity

2018 ◽  
Vol 7 (6) ◽  
pp. 2490
Author(s):  
Mona Dahal ◽  
Paricha Upadhyaya ◽  
Purbesh Adhikari ◽  
Diksha Karki ◽  
Niraj Regmi
Keyword(s):  
Abdominal Pain ◽  
Cavernous Hemangioma ◽  
Cystic Lesion ◽  
Radical Surgery ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Vascular Tumors ◽  
Rare Entity

Ovarian hemangiomas are uncommon benign vascular tumors of ovary. Most of them are asymptomatic and detected incidentally during surgery. Authors report a case of 41 years female, parity 2; with complain of lower abdominal pain for 6 months. Ultrasonography showed a cystic lesion at right adnexa with a heterogeneously echogenic component within and devoid of internal vascularity. Laparoscopic right adnexal cystectomy was done, which on histopathological examination demonstrated features of cavernous hemangioma replacing the ovarian parenchyma. As surgical excision is treatment of choice, correct diagnosis is essential to avoid unnecessary radical surgery and treatment.

scholarly journals Endometrial Stromal Nodule: A Rarity and a Pathological Challenge

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Camilla Skovvang Borg ◽  
Peter Humaidan ◽  
Hanne Noer ◽  
Huda Galib Majeed
Keyword(s):  
Malignant Tumors ◽  
Histopathological Examination ◽  
Pathological Examination ◽  
Diagnostic Tools ◽  
Stromal Tumors ◽  
Tumor Margins ◽  
Stromal Sarcoma ◽  
Preoperative Diagnostic ◽  
Endometrial Sarcoma ◽  
Endometrial Stromal Tumors

Endometrial stromal tumors are rare, and endometrial stromal nodule is the least common. In the region of Middle Jutland, Denmark, only two cases are reported since 1995. The nodules are benign; nevertheless, hysterectomy is the treatment of choice. Tumor margins are required for diagnosis and essential to differentiate it from an invasive stromal sarcoma whose prognosis is very different. We report a rare case of a 38-year-old woman, with presurgical diagnosis of a uterine tumor/polyp. She presented with nausea and changes in bleeding pattern and initially had a transcervical polyp resection performed. Histopathological examination showed the presence of an endometrial stromal tumor with unclear margins, and an invasive malignant endometrial sarcoma could not be excluded. Pathological examination revealed an endometrial stromal nodule with invasion, not exceeding three mm. Endometrial stromal tumors are interesting due to their rare existence and difficulties in establishing a histological diagnosis. Although endometrial stromal nodules are benign entities, they must be differentiated from the other invasive malignant stromal tumors, which may change the final prognosis. No preoperative diagnostic tools are at hand, and benign as well as malignant tumors are treated with hysterectomy.

scholarly journals Extra-Abdominal Fibromatosis (Desmoid Tumor): A Rare Tumor of the Lower Extremity Arising from the Popliteal Fossa

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Ali Kaygin ◽  
Ozgur Dag ◽  
Bilgehan Erkut ◽  
Azman Ates ◽  
Refik Cetin Kayaoglu ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Desmoid Tumor ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
Metastatic Potential ◽  
Vascular Tumor ◽  
Popliteal Fossa ◽  
Surrounding Tissue ◽  
Palpable Mass ◽  
Surgical Specimen

Aggressive fibromatosis is a rare soft tissue tumor. Although it lacks metastatic potential, it can grow aggressively in a locally infiltrating pattern. The tumors frequently recur after surgical excision, which remains the treatment of choice. Optional combinations of radiotherapy and/or chemotherapy have been used postoperatively for recurrent disease and/or inoperable cases. A palpable mass was detected in the popliteal fossa of the right lower extremity in a 48-year-old man. Magnetic resonance imaging showed a contrast-enhancing noncalcified lesion initially felt to represent a vascular tumor. An invasive mass adherent to the surrounding tissue was visualized intraoperatively and extensively debulked. The patient's postoperative course was uneventful. Histologic examination of the surgical specimen was consistent with an extra-abdominal desmoid tumor. After appropriate recognition, wide local excision may be the most appropriate treatment for fibromatosis of the extremity. However, the rarity of this tumor and the difficulty inherent in distinguishing it from similar-appearing tumors are necessitating histologic confirmation of the diagnosis.

scholarly journals A Rare Case Report of Venous Malformation of the Submandibular Gland- Masson’s Haemangioma

2021 ◽  
Author(s):  
Priya Kanagamuthu ◽  
Aswin Vaishali ◽  
S Rajasekaran ◽  
S Prabakaran ◽  
Balaji Dhanasekaran
Keyword(s):  
Histopathological Examination ◽  
Venous Malformation ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Low Flow ◽  
Submandibular Region ◽  
Complete Surgical Excision ◽  
Incomplete Removal ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri

Masson’s haemangioma was first described by Masson in 1923 as “haemangioendothelioma vegetant intravasculaire”. It is common in skin and subcutis which appears as red blue nodule. It also occurs in fingers, trunk, head and neck, heart, larynx and hypopharynx. Masson’s haemangioma is a rare venous malformation. Treatment is complete surgical excision. It is rarely known to recur. It is a locally occuring lesion with no reports of metastasis. Venous malformation can be distinguished by their characteristic imaging findings at doppler ultrasound vs Magnetic Resonance Imaging (MRI) and direct phlebography. A 30-year-old male presented with swelling in the left submandibular region for one month. On examination a cystic swelling was present in left submandibular region. Ultrasound Sonography test (USG) neck with doppler revealed multilocular cystic swelling with low level internal echoes in left submandibular region suggestive of low flow venolymphatic malformation. The mass was surgically excised and sent for histopathological examination and reported as masson’s haemangioma. Masson’s haemangioma is a rare venous malformation. Appropriate history, clinical examination and investigation leads to the correct diagnosis and treatment. Incomplete removal of the mass leads to recurrence. The patient was still on follow-up and no recurrence was noted.

scholarly journals A Clinical Characters and Prognosis Analysis on 15 Cases With Malignant Melanoma in the Head and Neck

2020 ◽  
Author(s):  
Xiaodong Liu ◽  
Weixian Liu ◽  
Qiuxu Wang
Keyword(s):  
Malignant Melanoma ◽  
Parotid Gland ◽  
Head And Neck ◽  
Histopathological Examination ◽  
Maxillofacial Surgery ◽  
Neck Region ◽  
Surgical Excision ◽  
Pathological Examination ◽  
Oral And Maxillofacial Surgery ◽  
Golden Standard

Abstract Objective: We analyze the pathogenesis, clinical characteristics, diagnosis, treatment and histological feature of Malignant Melanoma in the head and neck. To improve the understanding and help the early diagnosis and treatment of the disease. As a result, improve the treatment and prognosis of Malignant Melanoma in head and neck.Method: We collect 15 cases of Malignant Melanoma in the head and neck region treated in the Department of Oral and Maxillofacial Surgery in Shengjing Hospital of China Medical University. All data were obtained from patient’s medical records which including the pathogenesis, clinical and histological features, diagnosis, treatment and prognosis.Result: This study included 15 cases, there are 9 male and 6 female patients. The average age is 62.9 years lid, the oldest one is 75 years old and the youngest one is 40 years old. 2 cases occurred in the lip, 2 cases occurred in the tongue, 2 cases occurred in the submandibular area, 1 cases occurred in the parotid gland, 1 case occurred in the neck, other 7 cases occurred in the gingiva. The cases occurred in the lip, gingiva, tongue, parotid gland and submandibular area are primary tumor, cases occurred in neck were metastasis. 6 cases were treated by surgical excision. 1 cases occurred in gingiva was treated by surgical excision combine with chemotherapy. 5 years followed up has been taken. 10 cases were dead because of recurrence and metastasis in 5 years after the operation. 5 patients do not have a relapse and still alive.Conclusion: Malignant Melanoma in the head and neck are mostly affected the old people. In this study gingiva is the most commonly primary site, neck is the most commonly transferring site. The diagnosis of malignant Melanoma is mainly relying on the clinical manifestation and pathological examination. Histopathological examination is considered the golden standard for diagnosis. Surgical excision combined with chemotherapy is the main treatment modality for Malignant Melanoma. Cryotherapy and immunotherapy also have been used in the treatment. The prognosis of Malignant Melanoma is poor. So early detection and early treatment is important in the treatment.

scholarly journals Female paraurethral leiomyoma: a case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Farhat Mazhari ◽  
Roopam Singh ◽  
Kirti Anima Kerketta ◽  
Nilay Pathak ◽  
Neha Singh
Keyword(s):  
Histopathological Examination ◽  
Imaging Techniques ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Mri Imaging ◽  
Diagnostic Dilemma ◽  
Palpable Mass ◽  
Dependent Growth ◽  
Paraurethral Leiomyoma ◽  
Reproductive Age Group

Abstract Background Leiomyoma is a benign fibromuscular neoplasm originating from smooth muscle cells. Paraurethral leiomyoma is an extremely rare, benign, hormone-dependent growth from the mesenchymal cells in paraurethral space of female urethra. They usually appear in the reproductive age group women, mean age of presentation being approximately 41 years. Case presentation A 48-year-old woman presented with palpable mass at vagina and weak urinary stream. She underwent clinical examination and CT scan and MRI imaging followed by transvaginal excision of the mass. Histopathological examination confirmed paraurethral leiomyoma. Conclusions Paraurethral leiomyoma owing to its rare incidence poses a diagnostic dilemma for the gynecologists. Radiological imaging techniques help in diagnosis. Surgical excision via vaginal route is the treatment of choice. Diagnosis is confirmed by histopathology.

scholarly journals Pyogenic granuloma under nail: A rare localization

2021 ◽  
Vol 12 (e) ◽  
pp. e61-e61
Author(s):  
Aida Oulehri ◽  
Zakia Douhi ◽  
Kaoutar Acheboune ◽  
Hanane Baybay
Keyword(s):  
Negative Impact ◽  
Malignant Tumors ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Amelanotic Melanoma ◽  
Primary Role ◽  
X Rays ◽  
Vascular Structures

Pyogenic granuloma (PG) – also known as lobular capillary hemangioma – is a benign vascular tumour that occurs on the skin and mucous membranes, it’s can arise spontaneously, in sites of injury, or within capillary malformations [1]. Because malignant tumors, such as amelanotic melanoma, can be misdiagnosed as PG, histopathology is mandatory for the correct diagnosis, even though dermoscopy can play a primary role in the prompt recognition of PG, showing highly repetitive patterns that can support the diagnosis [2]. In particular, the presence of reddish homogeneous area, white rail lines are strongly suggestive of PG; even more so when associated together. On the other hand, with dermoscopy, it is not uncommon to detect ulceration and vascular structures that do not rule out malignancies [3]. Vascular structures are observed in 45% of cases, they can be linear-irregular or polymorphic and atypical [2]. Despite its benign nature, GP can have a significant negative impact on patients’ quality of life, and therefore appropriate therapy is needed. This is a 35-year-old patient with a history of trauma to his left hand dating back 3 months before his admission. He presents with a nodule under his left thumb, which has been evolving for 2 months, fixed in depth and sometimes-bleeding (Fig. 1). The nodule was slightly painful. X-rays of the thumb were normal. On dermoscopy (Fig. 2), we noted the presence of vascular lagoons with fibrous septal and linear vessels. We suspected a botryomyoma or achromic melanoma. Surgical excision was performed (Fig. 3) with an anatomopathological study in favour of a pyogenic granuloma.

Cavernous Hemangioma of the Gallbladder Case Report and Review of the Literature

2005 ◽  
Vol 91 (5) ◽  
pp. 432-435 ◽  
Author(s):  
Antonio Crucitti ◽  
Antonio La Greca ◽  
Armando Antinori ◽  
Vincenzo Antonacci ◽  
Paolo Magistrelli
Keyword(s):  
Cavernous Hemangioma ◽  
Liver Tumors ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Final Diagnosis ◽  
Additional Patient ◽  
Pathological Examination ◽  
Benign Tumors ◽  
Review Of The Literature ◽  
Adjacent Structures

Hemangiomas are common benign tumors; they frequently occur in the liver but very rarely in the gallbladder, with only seven cases reported in the scientific literature to date. We here report an additional patient, a 49-year-old white woman presenting with an echogenic lesion of the gallbladder that was incidentally discovered. Cholecystectomy was performed after computed tomography had revealed a gallbladder neoplasm; pathological examination showed the mass to be a cavernous hemangioma. No postoperative complications occurred and the patient is alive and free of recurrence five years after the operation. We present a review of the literature on this topic with special emphasis on the diagnostic and therapeutic challenges these lesions may entail. Hemangiomas of the gallbladder may have extremely variable presentations (from non-specific abdominal pain to acute syndromes resembling cholangitis or choledocholithiasis) and can mimic different lesions (liver tumors, sarcoma). Only surgical exploration can provide a correct diagnosis. Excision is indicated as these lesions may grow to huge sizes, compress adjacent structures or bleed. Conclusions Gallbladder hemangiomas are uncommon benign tumors. A preoperative diagnosis is difficult to make. Surgical excision is mandatory both in reaching a final diagnosis and in preventing bleeding or compression of vital structures.

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