scholarly journals A Rare Case of a Cervical Thymic Cyst Presenting in Adulthood

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Blaine D. Smith ◽  
Michael H. Schild ◽  
Xiaoyin “Sara” Jiang ◽  
Russel R. Kahmke
Keyword(s):  
Rare Case ◽  
Pediatric Population ◽  
Neck Mass ◽  
Cystic Mass ◽  
Thymic Cyst ◽  
Diagnostic Process ◽  
Male Predominance ◽  
Local Structures ◽  
Left Neck ◽  
Benign Process

The cervical thymic cyst (CTC) is a rare, benign neck mass that most commonly presents in the pediatric population. These entities can occur anywhere along the normal path of descent of the thymus from the mandible to the sternal notch, and extension into the mediastinum has been observed. The presentation of these masses is often characterized by a painless, enlarging neck mass in a child during the first decade of life. Although most patients are asymptomatic, abutment of the cyst against local structures has led to a variety of presentations including respiratory distress. These rare lesions are noted to have a male predominance and most commonly present on the left side of the neck. We present the rare case of a 19-year-old male who presented with a left-sided painless, cystic neck mass. He underwent a computed tomography scan of the neck which showed a large cystic mass in the left neck deep to the sternocleidomastoid muscle. Preoperatively, the diagnosis of an infected third branchial cyst was favored. The lesion was completely excised in the operating room. Final pathology was consistent with a CTC. The CTC is an uncommon benign process that often presents as an asymptomatic cystic neck mass. Knowledge of the clinical presentation, diagnostic process, and treatment of these rare lesions is essential for the Otolaryngologist.

A Diagnostic Dilemma of Lateral Neck Cyst: A Lesson Learnt

2021 ◽  
Vol 27 (1) ◽  
pp. 92-95
Author(s):  
Dayang Anis Asyikin Ahmad Nazari ◽  
Mohamad Khir Abdullah ◽  
Noorizan Yahya ◽  
Siti Halimahtun Sahab ◽  
Loo Lit Yee ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Metastatic Lymph Node ◽  
Neck Mass ◽  
Cystic Mass ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Diagnostic Dilemma ◽  
Appropriate Treatment ◽  
Left Neck

Large cystic mass is an unusual presentation of papillary thyroid carcinoma, accounting for less than 10% of cases. To make a diagnosis of papillary thyroid carcinoma is challenging since the tumour can mimic a benign lateral neck mass. Therefore, a systematical approach to a patient with neck lump is required so that accurate diagnosis and appropriate treatment can be made. We present a case of a 25-year-old female presenting with an asymptomatic left neck cystic mass diagnosed as a metastatic lymph node of papillary thyroid carcinoma only after surgery. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 92-95

scholarly journals Infected open depressed skull fracture complicated with tetanus grade I in an unimmunized child: a rare case report with literature review

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Dzulfikar D. L. Hakim ◽  
Ahmad Faried ◽  
Adila Nurhadiya ◽  
Ericko H. Laymena ◽  
Muhammad Z. Arifin ◽  
...  
Keyword(s):  
Rare Case ◽  
Pediatric Population ◽  
Skull Fracture ◽  
Pediatric Intensive Care ◽  
Toxin Production ◽  
Clostridium Tetani ◽  
Anesthetic Care ◽  
Middle Income ◽  
Depressed Skull Fracture ◽  
Low Middle Income Countries

Abstract Background Tetanus is a rare disease caused by Clostridium tetani, which produces tetanolysin and tetanospasmin. In 2018, there were only approximately ten tetanus cases reported in Indonesia. Despite widespread vaccination, especially in low–middle-income countries, tetanus still occurs (mostly in adults) due to the lack of immunization related to religious tenets, cultural belief, or inaccessibility to medical care. In addition, tetanus in the pediatric population shows features which are quite distinct from the adult group. Case presentation We report a case of a 7-year-old girl presented to our institution with a history of falling 10 days prior to admission, with only skin laceration on her forehead. For 1 day prior to admission, the patient looked drowsy and difficult to be awakened, accompanied with stiffness of her jaw; we diagnosed her as an unimmunized child with an open depressed skull fracture of her frontal bone and wound infection complicated with “lockjaw.” Perioperative management of this rare case is reported and discussed. Conclusion The pediatric intensive care of such patients requires halting further toxin production, neutralization of circulating toxin, and control of the clinical manifestation induced by the toxin that has already gained access to the central nervous system. The basic tenets of anesthetic care in such case must be well-managed and planned prior to surgery.

scholarly journals P040: Epidemiology of gun related injuries among Canadian children and youth from 2005-2013: a CHIRPP study

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S91
Author(s):  
C.M. Cox ◽  
S. Stewart ◽  
K.F. Hurley
Keyword(s):  
Pediatric Population ◽  
Gun Control ◽  
Simple Linear Regression ◽  
Eye Injuries ◽  
Unintentional Injuries ◽  
Exact Test ◽  
Male Predominance ◽  
Self Harm ◽  
Ed Visits ◽  
Injury Reporting

Introduction: Gun related injuries were last reported by the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) in 2005. Since that time, Canadian gun control is less stringent and non-powder guns are increasingly popular. We aim to describe trends in pediatric gun related injuries and deaths since 2005. Methods: This is a retrospective review of CHIRPP data. The dataset included pediatric (age 0-19 years) gun-related injuries and deaths reported by participating CHIRPP emergency departments (ED) from 2005-2013. Variables were tested using Fisher’s exact test and simple linear regression. Results: There were 421 records of gun-related injuries in the database. Three hundred and twenty-nine occurred from use of non-powder guns, 85 occurred from use of powder-guns, and in 7 cases the type of gun was not clear. The number of gun-related injuries per 100 000 ED visits remained stable from 2005-2013 with a male predominance (n=366, 87%). Most injuries resulted from non-powder guns and were unintentional. Injuries most often occurred in the context of recreation (n=181) and sport (n=51). One hundred fifty four eye injuries were reported, 98% of which were from a non-powder gun. Forty-six individuals required admission to hospital and 2 died in the ED. Nine of 10 intentional self-harm injuries were inflicted with a powder gun. Conclusion: This study describes the injuries and circumstances in which pediatric gun-related injury and death occur in Canada. Unintentional injuries caused by non-powder guns were most common. Though less fatal than powder guns, non-powder guns can still cause life-altering eye injuries. This evidence can inform injury prevention programs to target specific circumstances in which the pediatric population is most vulnerable.

scholarly journals Is it always Wilms’ tumor? Localized cystic disease of the kidney in an infant. An extremely rare case report and review of the literature

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Christos Kaselas ◽  
Charikleia Demiri ◽  
Vasilios Mouravas ◽  
Eleni Koutra ◽  
Kleanthis Anastasiadis ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Wilms Tumor ◽  
Pediatric Population ◽  
Benign Disease ◽  
Cystic Disease ◽  
Proper Treatment ◽  
Review Of The Literature ◽  
Rare Case Report ◽  
Renal Malignancies

Localized Cystic Disease of the Kidney (LCDK) is an extremely rare benign disease in pediatric population. Although its management is conservative and generally requires no treatment, the unfamiliarity with the disease can expose such patients to misdiagnosis as renal malignancies or uncertainty for proper treatment. We report such a case in an infant and review the current literature.

scholarly journals A Rare Case of Functional Ectopic Hyperthyroidism: Struma Ovarii

2016 ◽  
Vol 8 (3) ◽  
pp. 212-213
Author(s):  
Indu Lata ◽  
Deepa Kapoor
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Thyroid Tissue ◽  
Signs And Symptoms ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cystic Mass ◽  
Surgical Removal ◽  
Struma Ovarii ◽  
Lower Abdomen

ABSTRACT Struma ovarii (SO) is a rare special type of monodermal teratoma of ovary that predominantly consists of thyroid tissue (> 50%). In only 5 to 20% of cases hyperthyroidism is seen due to functional SO. We are reporting here a case of unilateral benign cystic SO in a 50-year-old postmenopausal lady presented with pain and heaviness in lower abdomen without any signs and symptoms of hyperthyroidism. Pelvic ultrasonogram showed right side tubo-ovarian mass and was planned for laparotomy. In preoperative investigation subclinical hyperthyroidism was diagnosed. Abdominal exploration showed cystic mass lesion in right ovary. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Histopathological examination diagnosed the mass as benign cystic SO. Patient became euthyroid after surgical removal of tumor. How to cite this article Lata I, Kapoor D. A Rare Case of Functional Ectopic Hyperthyroidism: Struma Ovarii. World J Endoc Surg 2016;8(3):212-213.

Characteristics of patients with lymphoma presenting initially as a neck mass referral to otolaryngology.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18054-e18054
Author(s):  
Andrew Lynch ◽  
Meredith Anderson ◽  
Rijul Kshirsagar ◽  
David M. Baer ◽  
Joan C. Lo ◽  
...  
Keyword(s):  
Head And Neck ◽  
Smoking Status ◽  
Healthcare Delivery ◽  
Pairwise Comparison ◽  
B Cell Lymphoma ◽  
Neck Mass ◽  
Aggressive Lymphoma ◽  
Healthcare Delivery System ◽  
Male Predominance ◽  
Comparison Results

e18054 Background: Lymphomas that present initially as a neck mass can be challenging to diagnose as their onset is often insidious, frequently without classic symptoms, and fine-needle aspiration has limited utility for diagnosis. Understanding their clinical presentation may facilitate recognition and diagnosis, essential for timely treatment of aggressive lymphoma subtypes. Methods: Using data from a large integrated healthcare delivery system, adults aged 18-89 years without known previous cancer who were referred to Head and Neck Surgery for evaluation of a “neck mass” in 2017 were identified. Among the subset of 205 patients found to have malignancy, 76 had lymphoma (N = 69) or leukemia (N = 7) and 129 had a non-lymphoma/leukemia malignancy. The demographic characteristics of patients with and without lymphoma/leukemia were compared. Among the 69 with lymphoma, tumor histology and stage were examined. Differences between subgroups were compared using Chi-squared, Fisher’s exact, Student’s t-test, F-tests, and Tukey’s range tests for pairwise comparison. Results: Among 205 patients identified with a malignant neck mass, 76 (37%) were diagnosed with lymphoma/leukemia. Patients with lymphoma/leukemia were more likely to be female (47% vs. 27%, p = 0.003) and under age 50 years (36% vs. 13%, p = 0.001). There were no statistically significant differences in race, smoking status, or BMI between the two groups. Among the lymphoma/leukemia subset, 18 (24%) had Diffuse Large B-Cell Lymphoma (DLBCL), 13 (17%) had Follicular Lymphoma (FL), and 25 (33%) had Hodgkin’s Lymphoma (HL). The HL subset was significantly younger than both the FL and DLBCL subsets (mean age 41.6 years vs. 62.2 and 66.6, p < 0.001). A range of findings was seen when examining sex (72%, 44% and 46% male), race/ethnicity (60%, 72% and 69% non-Hispanic White), smoking status (36%, 33% and 62% current/former) and tumor stage at presentation (52%, 50% and 69% late stage (III-IV)) for HL, DLBCL and FL subtypes, respectively, but the differences were not statistically significant in these smaller subsets. Conclusions: Significant differences in baseline characteristics exist between lymphoma and non-lymphoma patients presenting with a malignant neck mass. Notably, the lymphoma subset was younger and, except for those with HL, did not demonstrate a male predominance. Within the lymphoma subset, HL patients were significantly younger than patients with other lymphoma subtypes. Further studies in a larger population identifying demographic differences by cancer subtype may inform efforts to prevent diagnostic delays in head and neck lymphoma. Characterizing the diagnostic pathway is also needed to quantify room for improvement in the treatment approach of patients with neck mass considered at higher risk for lymphoma.

scholarly journals Pediatric Parathyroid Carcinoma: A Case Report and Review of the Literature

2019 ◽  
Vol 3 (12) ◽  
pp. 2224-2235 ◽  
Author(s):  
Aditya Dutta ◽  
Rimesh Pal ◽  
Nimisha Jain ◽  
Pinaki Dutta ◽  
Ashutosh Rai ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Serum Calcium ◽  
Parathyroid Carcinoma ◽  
Pediatric Population ◽  
Surgical Excision ◽  
Neck Mass ◽  
Hormone Levels ◽  
Metastatic Relapse ◽  
Right Lobe ◽  
The Right

Abstract Primary hyperparathyroidism (PHPT) is a rare endocrine disease in the pediatric population. Sporadic parathyroid adenomas remain the most common cause of pediatric PHPT. Parathyroid carcinoma (PC) is an extremely rare cause of pediatric PHPT. We report a 16-year-old boy presenting with a nonhealing fragility fracture of the right leg along with florid features of rickets. Examination revealed a neck mass, mimicking a goiter. Biochemical findings were consistent with PHPT. Imaging was suggestive of a right inferior parathyroid mass infiltrating the right lobe of thyroid. The patient underwent en bloc surgical excision of the parathyroid mass along with the right lobe of thyroid. Histopathology was suggestive of a PC. He achieved biochemical remission with normalization of serum calcium and parathyroid hormone levels. At follow-up, there was no biochemical or imaging evidence of recurrence or metastasis. Genetic analysis revealed heterozygous germline deletion of CDC73. An extensive literature search on PC was conducted, with an emphasis on the pediatric population. Thirteen cases of pediatric PC were identified. The median age of presentation was 13 years; there was no sex predilection. All cases were symptomatic; 31% had a visible neck mass. The median serum calcium and intact parathyroid hormone levels were 14.3 mg/dL and 2000 pg/mL, respectively. All patients underwent surgical excision, with 27% showing metastatic relapse. Our findings indicate that the preoperative features that could point toward a diagnosis of PC in a child with PHPT are a tumor size of >3 cm, thyroid infiltration on imaging, and severe hypercalcemia at presentation.

Rare case of cervical thymic cyst diagnosed on pre‐operative imaging

2019 ◽  
Vol 89 (11) ◽  
pp. 1504-1505
Author(s):  
Samuel T. Roberts ◽  
Luke O'Neil ◽  
Chee Chung Hiew ◽  
Andrew J. Gifford ◽  
Ian Jacobson
Keyword(s):  
Rare Case ◽  
Thymic Cyst

scholarly journals A rare case of infiltrative hepatocellular carcinoma presented with neck mass

2020 ◽  
Author(s):  
Yu‐Kwang Lee ◽  
Chung‐Chieh Wang ◽  
Yu‐Tse Chiu ◽  
Tai‐Chung Tseng
Keyword(s):  
Hepatocellular Carcinoma ◽  
Rare Case ◽  
Neck Mass

Intrathyroidal Parathyroid Cancer Presenting as a Left Neck Mass

Thyroid ◽  
1998 ◽  
Vol 8 (7) ◽  
pp. 597-599 ◽  
Author(s):  
DONALD G. CRESCENZO ◽  
MOHSEN SHABAHANG ◽  
DAVID GARVIN ◽  
STEPHEN R.T. EVANS
Keyword(s):  
Neck Mass ◽  
Parathyroid Cancer ◽  
Left Neck
Sign in / Sign up

Export Citation Format

Share Document