scholarly journals Nodular fasciitis on the arm

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Physical Examination ◽  
Gold Standard ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Nodular Fasciitis ◽  
Histopathologic Examination ◽  
Trauma History ◽  
History Of ◽  
Fibroblastic Proliferation

A 20-year old female with no trauma history presented to our department of dermatology with a 6-month history of a painful tumor of the arm. Physical examination revealed a 5-cm hard-elastic and friable tumor, which were movable and unattached to the underlying tissues. Surgical excision of the tumor was performed. Histopathologic examination concluded to nodular fasciits. Nodular fasciitis is a benign pseudosarcomatous tumour composed of a vascular and fibroblastic proliferation. Surgical excision is the gold standard treatment and recurrence is rare.

scholarly journals Angioleiomyoma of the Larynx: A Case Report and Literature Review

2020 ◽  
Vol 99 (10) ◽  
pp. 658-663
Author(s):  
Federica Perardi ◽  
Giuseppe Abbate ◽  
Leonardo R. Iannuzzelli ◽  
Rossella Contini ◽  
Manuela De Munari ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Gold Standard ◽  
Carbon Dioxide Laser ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Laser Technology ◽  
Complete Surgical Excision

Angioleiomyoma is a benign smooth muscle and vessel tumor; laryngeal localization is extremely rare with only 24 cases described in the literature; moreover, it should be considered in the differential diagnosis of laryngeal mass. Endoscopic complete surgical excision with dissection along capsule is now considered the gold-standard treatment for small and well-circumscribed laryngeal angioleiomyoma. We present a case of laryngeal angioleiomyoma successfully treated with carbon dioxide laser technology which resulted in a bleeding reduction and adequate hemostasis with less tissue damage and good functional outcome.

scholarly journals Adrenal Schwannoma: a rare adrenal incidentaloma

2018 ◽  
Vol 5 (5) ◽  
pp. 1967 ◽  
Author(s):  
Mebin B. Thomas ◽  
Jayan Stephen
Keyword(s):  
Adrenal Incidentaloma ◽  
Surgical Excision ◽  
Abdominal Discomfort ◽  
Histopathologic Examination ◽  
Solid Mass ◽  
Rare Type ◽  
History Of

Adrenal schwannoma is a rare type of adrenal incidentaloma and is found in the medulla. There have been only 33 reported cases worldwide. We present a 56-year-old female referred to our institution for a history of abdominal discomfort and a left adrenal solid mass incidentally discovered in USG. Patient underwent surgical excision of the tumour. Histopathologic examination showed a neoplasm composed of cells arranged in interlacing fascicles with alternating hyper and hypo cellular areas, Immunohistochemistry (IHC) showed positive for S100 compatible with adrenal schwannoma.

scholarly journals A Rare Clinical Report of Intramuscular Hemangioma of the Middle Scalene Muscle

2021 ◽  
pp. 014556132110038
Author(s):  
Konstantinos Garefis ◽  
Vasilios Nikolaidis ◽  
Anastasia Kipriotou ◽  
Konstantinos Tigkiropoulos ◽  
Apostolos Vlahodimos ◽  
...  
Keyword(s):  
Gold Standard ◽  
Skeletal Muscles ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Vascular Lesion ◽  
Accurate Diagnosis ◽  
Clinical Report ◽  
Radiological Findings ◽  
Scalene Muscle ◽  
Intramuscular Hemangioma

Intramuscular hemangioma (IMH) is an uncommon benign vascular lesion, which develops in skeletal muscles and it accounts for <1% of all hemangiomas. The accurate diagnosis is often difficult because the clinical and radiological findings are not specific. The gold standard treatment of IMH is surgical resection. We present a rare clinical report of IMH of the middle scalene muscle that was treated successfully with preoparative embolization and surgical excision.

Primary umbilical endometriosis with cyclic bleeding

2018 ◽  
Vol 10 (4) ◽  
pp. 190-192
Author(s):  
Phornsawan Wasinghon ◽  
Ying-Chi Wang ◽  
Kuan-Gen Huang
Keyword(s):  
Physical Examination ◽  
Ovarian Cyst ◽  
Microscopic Examination ◽  
Surgical Excision ◽  
Uterosacral Ligament ◽  
Menstrual Period ◽  
Rare Clinical Entity ◽  
History Of ◽  
Laparoscopic Enucleation ◽  
Umbilical Endometriosis

Umbilical endometriosis is a rare clinical entity with unclear pathogenesis. A 36-year-old woman who presented with painless umbilical bleeding during the menstrual period for 9 months, history of dysmenorrhea for 10 years ago without medial used for relieving pain. A painless, 2-cm superficial hyperpigmented dark nodule with an orifice located in an umbilicus had been revealed during physical examination. The ultrasonography showed a 2.6-cm right hypoechogenic ovarian cyst and a 2.37-cm umbilical mass. The operation was umbilical lesion excision, laparoscopic enucleation of right endometrioma and surgical excision of endometriosis at the uterosacral ligament which revealed endometriosis on microscopic examination. The umbilicus had performed for neo-umbilicus suturing. Postoperative was uneventful. The concomitant endometriosis of the umbilicus, right endometrioma and the uterosacral ligament is rarely reported in the literature.

scholarly journals A rare cause of clitoromegaly: Epidermoid cyst

2019 ◽  
Vol 91 (2) ◽  
Author(s):  
Selman Karaci ◽  
Deniz Kulaksiz ◽  
Cagri Akin Sekerci
Keyword(s):  
Physical Examination ◽  
Spinal Anesthesia ◽  
Epidermoid Cyst ◽  
Female Circumcision ◽  
Epidermal Cyst ◽  
Histopathologic Examination ◽  
History Of

Clitoromegaly due to non-hormonal causes is rare. In this case, we aimed to present an epidermal cyst that caused clitoromegaly after traditional female circumcision. A 22-year-old African female was referred to our clinic with enlarged clitoris. There is a mobile, soft, nonfluctuant mass with a size of 6 cm originating from the clitoral region at physical examination. Under spinal anesthesia the clitoral mass was excised totally and labioplasty was performed. Histopathologic examination was reported as epidermal cyst. Epidermal cyst should be considered after hormonal reasons are excluded in patients with clitoromegaly who have a history of trauma.

Laparoscopic adrenalectomy for suspected adrenal mass in lung cancer: ganglioneuroma

2021 ◽  
pp. 030089162110200
Author(s):  
Ozgur Elvan Gokten
Keyword(s):  
Gold Standard ◽  
Laparoscopic Adrenalectomy ◽  
Benign Tumor ◽  
Standard Treatment ◽  
Final Diagnosis ◽  
Adrenal Tumors ◽  
Histopathologic Examination ◽  
Clinical Appearance ◽  
The Right ◽  
Adrenal Ganglioneuroma

Background: Adrenalectomy is the gold standard for the treatment of primary adrenal ganglioneuroma. Preoperative differential diagnosis of ganglioneuroma is difficult and histopathologic examination is required to confirm the diagnosis. Patient: A 61-year-old woman, who was followed and treated by the medical oncology department because of lung carcinoma pathology squamous cell T4N0Mx, presented to our clinic due to a 15×8-mm nodule with a calculated relative wash-out rate of 40% in the right adrenal gland lateral edge, which was observed on computed tomography examination. Conclusion: Adrenal ganglioneuroma is a rarely seen, hormonally inactive, benign tumor. Final diagnosis can be made with histopathologic examination. Adrenalectomy is the standard treatment preferred for ganglioneuroma. Knowing the clinical appearance and good pathologic specialization are important adjunct matters in diagnosis. Laparoscopic adrenalectomy has become the gold standard in most patients with adrenal tumors.

scholarly journals Extra-articular osteochondromatosis: A collection of four clinical cases of different localization

2018 ◽  
Vol 8 (2) ◽  
pp. 1
Author(s):  
Anna Caruso ◽  
Riccardo La Macchia ◽  
Sana Boudabbous
Keyword(s):  
Gold Standard ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Synovial Chondromatosis ◽  
Plain Radiography ◽  
Resonance Imaging ◽  
Imaging Characteristics ◽  
Longus Muscle ◽  
Brachialis Muscle ◽  
Magnetic Resonance Imaging Show

Synovial chondromatosis is known to be frequently intra-articular and more rarely extra-articular. We present four cases of extra-articular chondromatosis in four different localizations: in the retro-olecranon bursa, in the sheath of the flexor of hallucis longus muscle, in the extra-synovial space of the knee and within the muscle’s fibers of brachialis muscle. Plain radiography, ultrasonography, tomodensitometry and magnetic resonance imaging show imaging characteristics, which help in differential diagnosis. Surgical excision is the gold standard treatment to avoid recurrence or malignancy transformation and to achieve a normal articular mobility.

scholarly journals Endometriosis in cesarean section surgical scar

2007 ◽  
Vol 54 (2) ◽  
pp. 79-81 ◽  
Author(s):  
D. Stefanovic ◽  
M. Kerkez ◽  
Z. Djordjevic ◽  
S. Knezevic ◽  
Lj. Markovic ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Abdominal Wall ◽  
Uterine Cavity ◽  
Surgical Excision ◽  
Histopathologic Examination ◽  
Surgical Scar ◽  
Decidual Tissue ◽  
History Of ◽  
One Year

Introduction: Endometriosis is the presence of endometrial glands and stroma outside of uterine cavity. It may occur in the abdominal wall scar after the operation in which uterus was opened. In cesarean section scar it occurs in 0.4%. It is in 2/3 patients characterized with triad of: tumor, periodic pain associated with menses and history of cesarean section. The mechanism of endometriosis occurring in the cesarean scar is felt to be secondary to iatrogenic transplantation of endometrium or extrauterine decidual tissue into the incision during the cesarean section. Case outline. Forty years old patient with tumor 4,5x4 cm that appeared in abdominal wall scar one year after second cesarean section, followed by periodic pain and macroscopic changes associated with menses. First diagnosis was granuloma in the surgical scar, but as she had periodic symptoms, diferential diagnosis was endometriosis. Hormonal therapy with contraceptive drugs was ordered. As it was no improvement she was operated. The surgical excision of the tumor including fascia and muscle tissue was done. Sample revealed endometrium after histopathologic examination. Patient was completely recovered and without relapse of symptoms during follow up to date. Conclusion. When there is a tumor in the cesarean section scar or scar after the operation in which uterus or ovarial tube was opened, followed with periodical pain and macroscopic changes associated with menses, endometriosis should be considered. Surgical excision of the tumor is sufficient and patohistological examination confirms diagnosis. .

scholarly journals UTILITY OF CLINICAL AND RADIOLOGICAL SIGNS IN AIRWAY FOREIGNBODIES

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Deepchand . ◽  
Pooja D Nayak ◽  
Vivek Samor ◽  
Ramchandra Bishnoi
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Chest Radiograph ◽  
Gold Standard ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Grave Problem ◽  
Delays In Diagnosis

Background: Foreign Body Aspiration (FBA) is a grave problem in children and delays in diagnosis and management can be devastating. The history is very often vague, with subtle physical and chest radiograph abnormalities Aim: To assess the diagnostic accuracy of the triad: history of chocking, unilateral reduction in air entry to lungs, unilateral hyperinflation or collapse on chest X-ray. Results: In our study sensitivity of history of chocking in detection of FB was 80.47%, specificity was 20.45%. Sensitivity of examination finding of unilateral decrease in air entry to lungs in detection of FB was 71.59%%, specificity was 4.545%.  Sensitivity and specificity of chest radiograph in detection of FB was 54.43% and 47.72% respectively. When the triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse was considered in detection of FB in airway sensitivity was 59.76% while specificity was 79.54%. Conclusion: Bronchoscopy is a gold standard in diagnosis of FBA. History, physical examination and radiologic studies have a very low specificity in detection of FBA. The triad of history of chocking, decreased air entry on examination and chest radiograph finding of hyperinflation or collapse has a better specificity in detection of FBA than individual parameters.

Intraneural Nodular Fasciitis of the Dorsal Scapular Nerve: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Ivan Domazet ◽  
Niko Njiric ◽  
Antonia Jakovcevic ◽  
Andrija Bitunjac ◽  
Krešimir Domazet ◽  
...  
Keyword(s):  
Case Report ◽  
Subcutaneous Tissue ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Left Shoulder ◽  
Nodular Fasciitis ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Histopathologic Analysis ◽  
Rare Diagnosis

Abstract Background Nodular fasciitis is a benign neoplasm occurring predominantly in the subcutaneous tissue. There have been nine intraneural occurrences described in the literature. Case report A 37-year-old woman presented with numbness and tenderness in her left shoulder and scapula and a slightly dropped left shoulder, without history of trauma. A magnetic resonance imaging (MRI) of the cervical spine showed a well-circumscribed oval mass deep to the levator scapula muscle. Due to persisting symptoms and an unknown nature of the process, surgical excision was performed, and histopathologic analysis confirmed diagnosis of a benign fibroblastic/myofibroblastic neoplasm, nodular fasciitis. The postoperative course was uneventful and the patient was without symptoms at 4 months of follow-up. Methods We reviewed the available literature (PubMed, Google Scholar), with nine published cases of intraneural nodular fasciitis. The reported clinical, radiologic, and histopathologic parameters were evaluated and compared. Discussion Most of the cases reported in the literature were symptomatic, with tenderness and palpability being the main symptoms. Six of the reported cases occurred in the forearm, whereas three were in the leg. To the best of our knowledge, ours is the first reported case of nodular fasciitis occurring in the trunk. Ours is the only case to display desmin positivity, which supports the reactive hypothesis of nodular fasciitis. Conclusion Intraneural nodular fasciitis is an extremely rare diagnosis. Due to its benign natural course, a multidisciplinary approach with this extremely rare diagnosis in mind is needed to avoid overtreatment.

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