scholarly journals Nasolabial Cyst Associated with Odontogenic Infection

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eveline Claudia Martini ◽  
Fabiana Madalozzo Coppla ◽  
Eduardo Bauml Campagnoli ◽  
Marcelo Carlos Bortoluzzi
Keyword(s):  
Differential Diagnosis ◽  
Slow Growth ◽  
Histopathological Examination ◽  
Facial Asymmetry ◽  
Nasolabial Fold ◽  
Right Wing ◽  
Upper Lip ◽  
Odontogenic Abscess ◽  
The Right ◽  
Alar Region

The nasolabial cyst or Klestadt cyst is a relatively uncommon nonodontogenic cyst that develops in the nasal alar region; it has uncertain pathogenesis. This lesion has slow growth and variable dimensions and is characterized clinically by a floating tumefaction in the nasolabial fold area around the bridge of the nose, causing an elevation of the upper lip and relative facial asymmetry. Diagnosis is primarily made clinically; if necessary, this is complemented by imaging. This paper reports the case of a 39-year-old male patient who complained of pain in the right upper premolar region and poor aesthetics due to a firm tumor in the right wing of the nose. Initially, this was thought to be due to an odontogenic abscess; however, the differential diagnosis was that a nasolabial cyst was communicating with the apex of teeth 14 and 15. Surgical treatment was carried out, followed by histopathological examination and concomitant endodontic treatment of the teeth involved.

scholarly journals Giant dentigerous cyst of maxillary sinus associated with impacted maxillary canine

2019 ◽  
Vol 7 (10) ◽  
pp. 3901
Author(s):  
P. P. G. Krisna Bayu Pramana Rimbawan ◽  
I. Putu Gede Windhu Saputra ◽  
Ratna Rayeni Natasha Roosseno
Keyword(s):  
Histopathological Examination ◽  
Dentigerous Cyst ◽  
Facial Asymmetry ◽  
Aesthetic Surgery ◽  
Maxillary Canine ◽  
General Physician ◽  
Post Surgery ◽  
Stratified Squamous Epithelium ◽  
Ectopic Tooth ◽  
The Right

Dentigerous cyst is a cyst that encapsulates enamel of the unerupted tooth, thus causing the tooth become unable to complete the eruption process. This cyst is defined as a developmental cyst as it generally occurs in first until the third decades of life. Dentigerous cyst commonly affect the mandibular area of the teeth. This article describes the case of a young patient with dentigerous cyst which affect maxillary canine. A 6-year-old girl was admitted to Plastic Reconstructive and Aesthetic Surgery Clinic at Mangusada Hospital Bali with facial asymmetry on her right cheek, noticed since the past one week. She got some medicines from the general physician, but there was no improvement. From the CT scan, we found a solitary mass on the size of 3 x 3.2 x 3.6 cm on the right maxillary area. Enucleation was done and the Caldwell-Luc approach was performed under general anesthesia. The cyst revealed to have an ectopic maxillary canine inside. The cyst and ectopic tooth were extracted from the pathological site and the incisional specimens were sent for histopathological examination. The result revealed a cyst lined by non-keratinized stratified squamous epithelium without any malignancy. She had antibiotics therapy post-surgery, and her symptoms were resolved within a week. In one month follow up, there was no sign of recurrence.

scholarly journals Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

2014 ◽  
Vol 7 (2) ◽  
pp. 76-79
Author(s):  
Vishal Prasad ◽  
Chandrakala Srinivas ◽  
Sheetal Krishnappa ◽  
Suresh T Narayan Rao ◽  
Harshitha T Rajanna
Keyword(s):  
Elderly Patient ◽  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Histopathological Examination ◽  
Middle Turbinate ◽  
The Elderly ◽  
Nasal Discharge ◽  
Fungal Sinusitis ◽  
Nasal Mass ◽  
The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

Lymphangioma of the skull base bones leading to cerebrospinal fluid rhinorrhea

2008 ◽  
Vol 2 (4) ◽  
pp. 273-276 ◽  
Author(s):  
Eiji Ito ◽  
Kiyoshi Saito ◽  
Tetsuya Nagatani ◽  
Masaaki Teranishi ◽  
Yuzuru Kamei ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Differential Diagnosis ◽  
Skull Base ◽  
Histopathological Examination ◽  
Bone Destruction ◽  
Lytic Lesion ◽  
Csf Rhinorrhea ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Csf Leakage ◽  
The Right

Lymphangioma localized to the bones of the skull base is rare. The authors report herein the case of a 5-year-old boy who presented with lymphangioma of the bone, localized to the skull base and leading to cerebrospinal fluid (CSF) rhinorrhea with meningitis. Neuroimaging demonstrated lytic destruction with a cyst in the right middle skull base. The patient was successfully treated with resection of the tumor and prevention of CSF leakage. Histopathological examination revealed a lymphangioma. An enlarging lymphangioma can lead to bone destruction. A differential diagnosis of a lytic lesion for a cyst at the skull base is important for proper case management.

scholarly journals Calvarial Tuberculosis: A Diagnostic Quandary: A Case Report

2019 ◽  
Vol 57 (217) ◽  
Author(s):  
Sushan Homagain ◽  
Suraj Shrestha ◽  
Sushil Sah ◽  
Gopal Sedain
Keyword(s):  
Slow Growth ◽  
Histopathological Examination ◽  
Healthy Person ◽  
The Body ◽  
Biopsy Material ◽  
Early Management ◽  
History Of ◽  
Anti Tubercular Therapy ◽  
The Right ◽  
Excised Tissue

Primary Calvarial Tuberculosis, a rare entity of skull is even rarer after second decade of life in a healthy person without evidence of tuberculosis elsewhere in the body. Most of the cases are often misdiagnosed as osteomyelitis/syphilis/bony metastasis. We report a case of primary skull tuberculosis in 26-year-old male with complains of headache and swelling in the right frontal region with no history of previous tuberculosis. The patient was operated and the histopathological examination of excised tissue was suggestive of tubercular pathology. The patient is doing well after anti-tubercular therapy. Being a rare disease, tubercular osteomyelitis of skull bones is often missed and misdiagnosed due to lack of clinical suspicion and slow growth of mycobacterium cultures. Histopathological examination of biopsy material and demonstration of acid-fast bacilli in the pus are helpful for diagnosis and early management of the disease.

scholarly journals A case report of ectopic salivary gland tissue in the larynx

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Sleurs K ◽  
◽  
Heijden S Van Der ◽  
Vries B De ◽  
Smit J ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Vocal Fold ◽  
Histopathological Examination ◽  
Anterior Portion ◽  
Salivary Gland Tissue ◽  
Gland Tissue ◽  
Submucosal Mass ◽  
The Right ◽  
False Vocal

Submucosal laryngeal masses are challenging for ENT specialists as the diagnosis usually remains uncertain until histopathological examination is carried out. We report a case of a 54-year old man complaining of dysphonia and globus sensation. Flexible laryngoscopic examination showed a submucosal swelling in the right anterior laryngeal ventricle. Microlaryngoscopic excision of the submucosal mass was performed. Histological examination revealed salivary gland tissue. We found only a few cases in the literature of ectopic salivary gland tissue situated in the larynx. In these cases, the salivary gland tissue was also located at the anterior portion of the true or false vocal fold. Thus, it is necessary to consider this condition in the differential diagnosis of a submucosal mass in the anterior true or false vocal fold or laryngeal ventricle.

scholarly journals Trichoblastoma of lid: a masquerading tumour

2019 ◽  
Vol 12 (12) ◽  
pp. e232599
Author(s):  
Praveen Subudhi ◽  
Prateek Agarwal ◽  
Sweta Patro ◽  
Nageswar Rao Subudhi
Keyword(s):  
Differential Diagnosis ◽  
Gradual Increase ◽  
Histopathological Examination ◽  
Skin Grafting ◽  
Positive Staining ◽  
Self Healing ◽  
Rare Entity ◽  
Wide Margin ◽  
The Right ◽  
Systemic Abnormality

A 62-year-old woman came to our hospital with complaints of painless gradual increase in dark coloured mass along inner canthus of the right eye. The surface of the mass was rough with a well-defined margin. No other systemic abnormality was detected. Wide margin excision was done and the excised mass was sent for histopathological examination. No skin grafting was done and the raw area was left for self-healing. In the next 3 weeks, skin growth over the raw area was observed and it was cosmetically acceptable. Histopathological examination revealed well-circumscribed tissue composed of aggregation of basaloid cells suggestive of trichoblastoma. Immunohistochemistry revealed positive staining of CD34 and CD10. Trichoblastoma is a rare entity seen in our clinical practice. Hence, a patient presenting with darker masses trichoblastoma can be considered as differential diagnosis.

scholarly journals Primary Heterotopic Meningioma of Nasal Cavity: Case Report and Literature Review

2020 ◽  
pp. 014556132097486
Author(s):  
Xianwen Hu ◽  
Maoyan Jiang ◽  
Zelong Feng ◽  
Juan Wang ◽  
Pan Wang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Ectopic Meningioma ◽  
Pathological Type ◽  
Immunohistochemistry Analysis ◽  
The Right ◽  
Histopathological Subtype

Primary heterotopic meningiomas are lesions that are not associated with a cranial nerve foramen, vertebral canal, or intracranial structure. The most common histopathological subtype is meningeal epithelioma. In clinical practice, primary heterotopic nasal meningioma occurs relatively rarely, and its most common pathological type is psammomatous meningioma, whereas nasal fibrous meningioma is infrequent. In our case, a 31-year-old male patient was admitted to the hospital with “progressive nasal obstruction on the right side for half a year.” Computed tomography examination of the paranasal sinuses revealed a polyploid mass in the right nasal cavity. The patient underwent surgical resection of the mass under nasal endoscopy. Histopathological examination confirmed that the mass was an ectopic meningioma of the nasal cavity. The patient was regularly followed up for 2 years without recurrence of the tumor. Primary heterotopic fibrous meningioma of the nasal cavity is clinically rare but should be considered as a differential diagnosis for hemangioma of the nasal cavity, inverted papilloma, and nasal polyp. The final diagnosis is based on pathology and immunohistochemistry analysis results.

scholarly journals A rare case of intraosseous lipoma of distal tibia – A case report and review of literature

2021 ◽  
Vol 7 (1) ◽  
pp. 29-33
Author(s):  
Kuenzang Wangdi ◽  
Sonam Choden
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Histopathological Examination ◽  
Osteolytic Lesion ◽  
Plain Radiograph ◽  
Distal Tibia ◽  
Medial Aspect ◽  
Intraosseous Lipoma ◽  
Male Predominance ◽  
The Right

Introduction: Intraosseous lipoma is a very rare neoplasm accounting for < 0.1 % of primary bone tumors. Pain is the leading symptom in majority of the reported cases but it can be asymptomatic. There is slight male predominance in occurrence of this lesion. The plain radiological findings are not specific and requires differential diagnosis. The lesion is mostly diagnosed by histopathological examination. Case report: A 31-year-old male presented with localized pain around the medial aspect of right ankle joint for one week. Examination revealed mild tenderness over the distal part of the right tibia over the medial aspect. Plain radiograph of the right leg showed well-defined expansile osteolytic lesion with sclerotic rim and calcified matrix at metaphysis of distal tibia. MRI showed enhancing T1-weighted hypo intense and T2-weighted hyperintense lesion. For this case, radiological impression was giant cell tumor with differential diagnosis of aneurysmal bone cyst and fibrous dysplasia. However, the histopathological examination showed intraosseous lipoma, consistent with stage II of Milgram’s classification. Conclusions: Although the diagnosis of intraosseous lipoma can be very challenging due to its rarity and indistinct plain radiograph findings, combination of computed tomography or magnetic resonance imaging may be useful by being able to show the presence of fat within the lesion. However, the clinicians, surgeons and radiologist should be familiar and be aware of these findings to be able to come to a correct diagnosis since not all cases need surgery and can be managed conservatively.

scholarly journals Chromoblastomycosis: a case report with literature review

2016 ◽  
Vol 2 (4) ◽  
pp. 135 ◽  
Author(s):  
Padmanaban K. Govindaraman ◽  
Marimuthu V. ◽  
Senthil G.
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Specific Treatment ◽  
Cutaneous Infections ◽  
Cutaneous Tuberculosis ◽  
Granulomatous Lesions ◽  
Cutaneous Fungal Infection ◽  
The Right

<p class="abstract">Chromoblastomycosis is a chronic progressive cutaneous fungal infection caused by several naturally pigmented fungi that is frequently misdiagnosed clinically because of its polymorphic clinical presentation. We present a case of cutaneous chromoblastomycosis in a 52 year male in the right leg that was mimicking mycetoma/cutaneous tuberculosis clinically. Later, it was diagnosed as chromoblastomycosis in histopathological examination on identification of characteristic sclerotic/medlar bodies. We found combination of chemotherapy and wide local excision was effective in the management of localized chromoblastomycosis with favorable outcome. To conclude, chromoblastomycosis should be considered in the differential diagnosis of chronic cutaneous infections and one has to look for sclerotic bodies particularly in granulomatous lesions as it has specific treatment<span lang="EN-IN">.</span></p>

Successful removal of a huge hypervascular tentorial cavernous angioma after preoperative endovascular embolization

2014 ◽  
Vol 14 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Junichi Yoshimura ◽  
Yoshihiro Tsukamoto ◽  
Masakazu Sano ◽  
Hitoshi Hasegawa ◽  
Kazuhiko Nishino ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Histopathological Examination ◽  
Cavernous Angioma ◽  
Endovascular Embolization ◽  
Preoperative Embolization ◽  
Intraoperative Bleeding ◽  
Left Posterior ◽  
Successful Removal ◽  
The Right ◽  
Posterior Meningeal Artery

The authors report a rare case of a huge hypervascular tentorial cavernous angioma treated with preoperative endovascular embolization, followed by successful gross-total removal. A 15-year-old girl presented with scintillation, diplopia, and papilledema. Computed tomography and MRI studies revealed a huge irregularly shaped tumor located in the right occipital and suboccipital regions. The tumor, which had both intra- and extradural components, showed marked enhancement and invasion of the overlying occipital bone. Angiography revealed marked tumor stain, with blood supply mainly from a large branch of the left posterior meningeal artery. Therefore, this lesion was diagnosed as a tentorium-based extraaxial tumor. For differential diagnosis, meningioma, hemangiopericytoma, and malignant skull tumor were considered. Tumor feeders were endovascularly embolized with particles of polyvinyl alcohol. On the following day, the tumor was safely gross totally removed with minimum blood loss. Histopathological examination confirmed the diagnosis of cavernous angioma. To date, there have been no reports of tentorium-based cavernous angiomas endovascularly embolized preoperatively. A tentorial cavernous angioma is most likely to show massive intraoperative bleeding. Therefore, preoperative embolization appears to be quite useful for safe maximum resection. Hence, the authors assert that the differential diagnosis of tentorium-based tumors should include tentorial cavernous angioma, for which preoperative endovascular embolization should be considered.

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