scholarly journals Median raphe cyst: A clinically challenging diagnosis

2019 ◽  
Vol 9 (3) ◽  
Author(s):  
Chadi Hajar ◽  
Ibrahim R. Hajjali ◽  
Laura Oscar ◽  
Daniel C. Mayes
Keyword(s):  
Conservative Therapy ◽  
English Literature ◽  
Surgical Excision ◽  
Median Raphe ◽  
Septic Thrombophlebitis ◽  
Computed Tomography Scan ◽  
Scrotal Pain ◽  
Skin Erythema ◽  
Tomography Scan ◽  
Median Raphé

Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. Only a few hundred cases have been published in the English literature and the lack of awareness of this entity can lead to confusion and misdiagnosis. We report here a case of median raphe cyst located in the midline of the anterior scrotum of a 35-year-old man. Clinically, the patient presented with a scrotal mass increasing substantially in size over two days associated with tenderness, skin erythema, and scrotal pain. Radiologic interpretation of a sonogram and computed tomography scan suggested a thrombosed vessel. The patient was diagnosed with septic thrombophlebitis associated with overlying cellulitis. Despite conservative therapy with antibiotics, the patient developed pyrexia, tachycardia, and leukocytosis prompting surgical excision of the lesion. Histopathologic examination revealed an infected median raphe cyst. The cyst wall was lined by a stratified epithelium that included numerous Alcian blue positive goblet cells. The epithelial cells showed reactive changes with infiltration by numerous neutrophils. Our objective is to bring attention to and thereby facilitate the diagnosis of this unusual entity.

scholarly journals Epidermal Inclusion Cyst Presenting as a Palpable Scrotal Mass

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Andres F. Correa ◽  
Bishoy A. Gayed ◽  
Mitchell E. Tublin ◽  
Anil V. Parwani ◽  
Jeffrey R. Gingrich
Keyword(s):  
Subcutaneous Tissue ◽  
Surgical Excision ◽  
Rare Entity ◽  
Median Raphe ◽  
Inclusion Cyst ◽  
Scrotal Mass ◽  
Medial Thigh ◽  
Complete Surgical Excision ◽  
Epidermal Inclusion Cyst ◽  
Median Raphé

We report a scrotal epidermal inclusion cyst located outside the median raphe which a rare entity in the absence of trauma and few cases have been reported. 47 year old male presents with a complaint of right sided testicular swelling and discomfort. On examination a 3 cm mass was palpated between the scrotum and the medial thigh on the subcutaneous tissue with a positive slip sign. Complete surgical excision of the cyst was performed. Histopathology confirmed epidermal inclusion cyst with no evidence of malignancy.

scholarly journals Benign cemento-ossifying fibroma: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 585
Author(s):  
Gurbax Singh ◽  
Jasmine Kaur ◽  
Jai Lal Davessar ◽  
Latika Kansal ◽  
Ajay Singh
Keyword(s):  
Sphenoid Sinus ◽  
Rare Case ◽  
Surgical Excision ◽  
Ossifying Fibroma ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Slow Growing ◽  
Tomography Scan

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>

scholarly journals Ciliated Median Raphe Cyst of Perineum Presenting as Perianal Polyp: A Case Report with Immunohistochemical Study, Review of Literature, and Pathogenesis

2006 ◽  
Vol 6 ◽  
pp. 2339-2344 ◽  
Author(s):  
Jayesh Sagar ◽  
Bethani Sagar ◽  
Adam F. Patel ◽  
D.K. Shak
Keyword(s):  
Immunohistochemical Study ◽  
English Literature ◽  
White Male ◽  
Ciliated Epithelium ◽  
Median Raphe ◽  
Urethral Meatus ◽  
Review Of Literature ◽  
The Third ◽  
First Case ◽  
Median Raphé

Median raphe cyst is a very rare, benign congenital lesion occurring mainly on the ventral aspect of the penis, but can develop anywhere in the midline between the external urethral meatus and anus. We report a case of median raphe cyst in the perineum presenting as a perianal polyp in a 65-year-old, English white male with exceptionally rare ciliated epithelium. According to our knowledge, this is the third such case of ciliated median raphe cyst in the English literature. This case, also the first case of ciliated median raphe cyst in the perineum location, focuses on pathogenesis of median raphe cyst.

scholarly journals Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment

2017 ◽  
Vol 63 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Carlos Anselmo Lima ◽  
Angela Silva ◽  
Carlos Alves ◽  
Antonio Alves Jr. ◽  
Sonia Lima ◽  
...  
Keyword(s):  
Young Women ◽  
Survival Rates ◽  
Surgical Excision ◽  
Complete Resection ◽  
Malignant Potential ◽  
Solid Pseudopapillary Tumor ◽  
Computed Tomography Scan ◽  
Complete Surgical Excision ◽  
Low Malignant Potential ◽  
Tomography Scan

Summary Introduction: Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm of low malignant potential with uncertain behavior, diagnosed mainly in young women. Method: Our report comprises a series of cases of SPTP reviewed retrospectively, highlighting clinical, tomographic and immunohistochemical features, treatment performed and outcomes. Results: Thirteen patients were found to have pancreatic [solid] masses on computed tomography scan measuring a mean diameter of 8.8 cm. All patients underwent complete surgical excision. Immunohistochemistry confirmed diagnosis in all cases. Conclusion: SPTP occurs more frequently in young women. Diagnostic suspicion lies on the finding of a bulky, solid and cystic pancreatic mass. Imaging findings might provide diagnostic information before resection. Conservative approaches can be used in selected cases and survival rates are usually excellent following complete resection.

scholarly journals Median raphe cysts-why surgical excision should be performed in childhood.

2021 ◽  
Author(s):  
Xenophon Sinopidis ◽  
Maria Athanasopoulou ◽  
Eleni Kourea ◽  
George Georgiou
Keyword(s):  
Surgical Excision ◽  
Median Raphe ◽  
Median Raphé

scholarly journals Hodgkin Lymphoma and Castleman Disease: When One Blood Disease Can Hide Another

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
L. Filliatre-Clement ◽  
H. Busby-Venner ◽  
C. Moulin ◽  
G. Roth-Guepin ◽  
A. Perrot
Keyword(s):  
Hodgkin Lymphoma ◽  
De Novo ◽  
Surgical Excision ◽  
Castleman Disease ◽  
Emission Tomography ◽  
Excision Biopsy ◽  
Computed Tomography Scan ◽  
Blood Disease ◽  
Positron Emission ◽  
Tomography Scan

We describe a rare case of Castleman disease associated de novo with Hodgkin lymphoma. The incidence of Castleman disease is rare; only a few studies have described it in de novo association with Hodgkin lymphoma. The patient described here complained of unique evolutionary axillary adenopathy. A positron-emission tomography/computed tomography scan revealed hypermetabolic activity in this area. Diagnosis was based on a total excision biopsy of the adenopathy. The patient underwent complete remission with ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) chemotherapy for treating Hodgkin lymphoma after surgical excision of the unicentric Castleman disease lesion.

scholarly journals Lemierre syndrome presenting as acute mastoiditis in a 2-year-old girl with congenital dwarfism

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Jason B. Fischer ◽  
Andrew Prout ◽  
R. Alexander Blackwood ◽  
Kavita Warrier
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Fusobacterium Necrophorum ◽  
Septic Thrombophlebitis ◽  
Computed Tomography Scan ◽  
Older Children ◽  
Acute Mastoiditis ◽  
Lemierre Syndrome ◽  
Congenital Dwarfism ◽  
Tomography Scan

Lemierre syndrome is defined by septic thrombophlebitis of the internal jugular vein caused by <em>Fusobacterium</em>. Historically, these infections originate from the oropharynx and typically are seen in older children, adolescents and young adults. More recently, otogenic sources in younger children have been described with increasing frequency. We present a case of a two-year old, who initially developed an otitis media with perforation of the tympanic membrane and went on to develop mastoiditis and non-occlusive thrombosis of the venous sinus and right internal jugular vein. <em>Fusobacterium necrophorum</em> was grown from operative cultures of the mastoid, ensuing computed tomography scan revealed occlusion of the internal jugular vein and the patient was successfully treated with clindamycin, ciprofloxacin and enoxaparin. This case demonstrates the importance of considering <em>Fusobacterium</em> in otogenic infections and the consideration of Lemierre syndrome when <em>F. necrophorum</em> is identified.

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