scholarly journals A CASE REPORT OF GIANT GENITAL WARTS

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
L. Grimaldi ◽  
R. Cuomo ◽  
R. Bilenchi ◽  
F. Roviello ◽  
G. Nisi ◽  
...  
Keyword(s):  
Transmitted Disease ◽  
Genital Warts ◽  
Rare Form ◽  
En Bloc ◽  
Immediate Reconstruction ◽  
Sexually Transmitted ◽  
En Bloc Excision ◽  
Bloc Excision ◽  
Sporadic Tumour

Giant genital warts (GGW) represent a rare form of sexually transmitted disease caused by the human papillomavirus, arising more frequently in the vulvar and perianal regions as large exophytic cauliflower-like mass. Estimated rate of recurrence is 60 to 66%, while malignant transformation is possible and it has been reported in 30 to 56% of cases. A 45- years-old woman was admitted to our Structure of Plastic and Reconstructive Surgery, Siena, Italy with an extensive cauliflower- like masses diffused on vulvar and perianal region. The patient was treated in general anaesthesia, with a wide en bloc excision up to free clinical edges and immediate reconstruction of the vulvar continuity. Buschke Lowenstein tumour or giant genital warts is a sporadic tumour with an elevate local recurrence rate. In some cases, surgery can be very difficult and it must be associated to other strategies. An accurate follow-up is always necessary

scholarly journals Endoscopic ampullectomy

2012 ◽  
Vol 03 (S 05) ◽  
pp. 065-067 ◽  
Author(s):  
Michael Bourke
Keyword(s):  
Treatment Decision ◽  
Ampulla Of Vater ◽  
En Bloc ◽  
Non Invasive ◽  
Relative Safety ◽  
Invasive Method ◽  
En Bloc Excision ◽  
Bloc Excision ◽  
Careful Assessment

AbstractEndoscopic ampullectomy offers a minimally invasive method of effectively treating non-invasive neoplasms of the ampulla of Vater and surrounding peri-ampullary region with high success and relative safety. These lesions would otherwise require surgical intervention, including pancreatico-duodenectomy. However, major complications may occur and a careful assessment of the patients comorbidities and their ability to tolerate adverse events needs to be factored into the treatment decision. Careful staging, often multi-modality is required, particularly for extensive lesions. Complete en-bloc excision of the entire neoplasm should be the goal with conventional papillary adenomas. Large lesions with extra-papillary extension currently require extended piecemeal excision, however with meticulous technique, recurrence is uncommon in longterm follow up.

Human Papillomavirus Infection and Prevention In The Adolescent

2020 ◽  
Author(s):  
Alexandria Richards ◽  
Joanna Stacey
Keyword(s):  
Human Papillomavirus ◽  
Hpv Vaccination ◽  
Transmitted Disease ◽  
Cervical Dysplasia ◽  
Vaccine Safety ◽  
Genital Warts ◽  
Hpv Infection ◽  
Sexually Transmitted ◽  
Papillomavirus Infection

Human papillomavirus, or HPV, is a common sexually transmitted disease, most often acquired during the adolescence or the early 20s. It can be divided into oncogenic and nononcogenic serotypes. It is responsible for genital warts as well as pathologic diseases that can lead to genital cancers and cancers of the oropharyngeal tract in both males and females. The majority of adolescents who acquire HPV infections do not go on to develop cancer. New discoveries about the virus’ persistence and latency direct how we treat adolescents with HPV infections. Recommendations for prevention of HPV include use of the 9-valent vaccine against the most common oncogenic HPV serotypes. Screening should be delayed until the age of 21, with the exception of immunocompromised women. The HPV vaccination is safe and effective, and does not encourage sexual activity among adolescents. Both boys and girls should be vaccinated against HPV at 11 to 12 years of age but may receive the vaccination as early as 9 or as late as 21 (males) or 26 (females) years of age. The vaccine may now also be given in only two doses if the series was started before the age of 15. Follow-up studies in the years after the vaccine’s introduction have shown large decreases in HPV infection rates. This review contains 7 figures, 7 tables and 63 references Key Words: Oncogenic subtype, Oropharyngeal cancer, Infection persistence, Immune tolerance, Cervical dysplasia, Genital warts, 9-valent vaccine, Vaccine safety  

scholarly journals Solitary Osteochondroma Arising from the Dorsal Vertebral Spinous Process

2014 ◽  
Vol 2 (1) ◽  
pp. 25
Author(s):  
Ruban Raj Joshi ◽  
Gabriel David Sundararaj
Keyword(s):  
Spinous Process ◽  
Benign Tumors ◽  
Excision Biopsy ◽  
En Bloc ◽  
X Ray ◽  
Lower Back ◽  
Solitary Osteochondroma ◽  
En Bloc Excision ◽  
Bloc Excision

Introduction: Osteochondroma are benign tumors which arise from aberrant cartilage nodules within the periosteum. They can be either pedunculated or sessile and are more common in the extremities and rarely seen in spine. En-bloc excision is the preferred treatment. Case Report: We present a case of 20 year female, who came with a swelling and pain in lower back for two years which was diagnosed to be thoracic vertebra(D11) osteochondroma on x-ray and computed tomography. Excision biopsy was done and confirmed it to be osteochondroma. There has been no recurrence even after 16 months of follow up. Conclusion: Although rare, osteochondroma of the vertebra should be kept in mind as a differential diagnosis when evaluating mass in spine. En bloc excision should be performed.

Bizarre Parosteal Osteochondromatous Proliferation (Nora's Lesion) in the Medial Sesamoid of the First Toe

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Onur Tetik ◽  
Lercan Aslan ◽  
Kadir Buyukdogan ◽  
Mehmet Chodza ◽  
Onder Kilicoglu
Keyword(s):  
Young Adults ◽  
Bizarre Parosteal Osteochondromatous Proliferation ◽  
En Bloc ◽  
Nora’S Lesion ◽  
Bony Lesion ◽  
En Bloc Excision ◽  
Small Bones ◽  
Bloc Excision ◽  
Hands And Feet

Bizarre parosteal osteochondromatous proliferation, or Nora's lesion, is a unique bony lesion that generally originates from the small bones of the hands and feet in young adults. We report a case of a bizarre parosteal osteochondromatous proliferation originating from the medial sesamoid of the first toe that was managed surgically by en bloc excision. At 5-year follow-up, there was no evidence of recurrence.

scholarly journals Cold en bloc excision (CEBE) of bladder tumours using Zedd excision scissors: a prospective, pilot, safety and feasibility study

2020 ◽  
Vol 12 ◽  
pp. 175628722097223
Author(s):  
Hameed BMZ ◽  
Padmaraj Hegde ◽  
Milap Shah ◽  
Bhavan Prasad Rai ◽  
Joseph Thomas ◽  
...  
Keyword(s):  
Bladder Tumour ◽  
Posterior Wall ◽  
Bladder Perforation ◽  
Detrusor Muscle ◽  
En Bloc ◽  
En Bloc Excision ◽  
The Mean ◽  
Bloc Excision ◽  
Bladder Tumours

Background: Transurethral resection of bladder tumour (TURBT) is the traditional technique of choice for endoscopically suspected bladder tumours. Cold En Bloc Excision (CEBE) using novel Zedd scissors is proposed for endoscopic treatment of patients with non-muscle invasive bladder cancer (NMIBC). The aim of this study was to evaluate feasibility and safety of CEBE of bladder tumours using Zedd scissors. Methods: A pilot prospective study of patients who underwent a CEBE of suspicious bladder tumours using Zedd scissors was conducted. A total of 23 patients underwent CEBE for suspected bladder tumours using Zedd scissors. New and recurrent tumours <3 cm were included in the study. The outcome measures were the presence of detrusor muscle (DM) and obturator nerve reflex (ONR), bladder perforation rates, specimen cautery artefacts, recurrence rates and complication rates. The mean age was 64 years ± 10.41 (range: 49–83 years). The median follow up was 4 months (range 1–9 months). The mean tumour size was 1.8 cm ± 0.40 (range: 0.8–2.6 cm). Tumours were located in the lateral wall ( n = 11), dome ( n = 2), posterior wall ( n = 6), trigone ( n = 2), anterior wall ( n = 4) and the junction of lateral and posterior wall ( n = 4). Results: There was no ONR or bladder perforation and none of the patients had any complications. DM was present in 21 patients (91%). There was no tumour identified at the circumferential margins. There was no cautery artefact reported in any case. No patients had a recurrence at first follow up cystoscopy and two patients had out of field recurrence at subsequent cystoscopies. Conclusion: CEBE with Zedd scissors is a promising en bloc excision technique for bladder tumour. It is a safe and feasible for excision of tumours less than 3 cm. The early oncological outcomes are comparable with existing en bloc resection techniques (ERBT) for NMIBC.

scholarly journals Idiopathic Scrotal Calcinosis: A Case Report and Review of Postoperative Outcomes

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Mathew Yamoah Kyei ◽  
Robert Djagbletey ◽  
Afua Darkwa Abrahams ◽  
James Edward Mensah
Keyword(s):  
Rare Condition ◽  
Surgical Excision ◽  
Scrotal Skin ◽  
En Bloc ◽  
Uninvolved Skin ◽  
Normal Configuration ◽  
Skin Nodules ◽  
En Bloc Excision ◽  
Bloc Excision

Idiopathic scrotal calcinosis is a rare condition, characterized by the idiopathic deposition of calcium in the scrotal dermis leading to the formation of a single nodule or multiple nodules of different sizes. Surgical excision of the nodules reduces symptoms and improves cosmesis. We present a case of idiopathic scrotal calcinosis that had an en bloc excision of scrotal skin nodules and primary closure of the scrotal skin. Handling each hemiscrotum as a separate entity and preserving the median raphe with its uninvolved skin improved the cosmesis. Reported outcomes of surgery were satisfactory with no postoperative complications. At 30 months of follow-up, the residual scrotal skin had regained its laxity and the scrotum its normal configuration. There is the risk of recurrence of the calcific nodules post excision, but these may be smaller in size and with regained scrotal configuration that could be amenable to excision with further preservation of the native scrotal skin.

scholarly journals An Unusual Case of Huge Tophaceous Pseudogout Mimicking as a Tumor-Like Lesion around the Ankle Joint: A Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Mohammed Sadiq ◽  
Mayur Nayak ◽  
Ayesha Farheen ◽  
Vijay Digge
Keyword(s):  
Unusual Case ◽  
Histopathological Examination ◽  
Calcium Pyrophosphate ◽  
Calcium Pyrophosphate Dihydrate ◽  
Rare Form ◽  
En Bloc ◽  
Calcium Deposits ◽  
En Bloc Excision ◽  
Pyrophosphate Dihydrate ◽  
Bloc Excision

Pseudogout or calcium pyrophosphate dihydrate deposition disease (CPPD) primarily affects the joints and the periarticular tissues. Tophaceous or tumoral pseudogout is a rare form of this disease which is seen around the joints of extremities. It can be misdiagnosed as a neoplastic condition because of its clinicoradiological similarities, and thus, a proper histopathological examination is indispensable. We report one such case of extra-articular deposition of the CPPD crystals in a 65-year-old man who presented with an asymptomatic swelling around the left ankle. Radiographs showed a dense homogenous calcification, and FNAC revealed dense calcium deposits with numerous rhomboid-shaped crystals. It was managed by en bloc excision, and postoperative biopsy reports confirmed the diagnosis. Possibility of pseudogout should be kept as a differential diagnosis in patients presenting with calcified soft tissue swellings and should be subjected to a detailed histopathological examination for confirmation.

En Bloc Excision of Proximal Nail Fold for Treatment of Chronic Paronychia

2006 ◽  
Vol 32 (3) ◽  
pp. 393-399
Author(s):  
CHANDER GROVER ◽  
SHIKHA BANSAL ◽  
SONI NANDA ◽  
BSN. REDDY ◽  
VIJAY KUMAR
Keyword(s):  
En Bloc ◽  
En Bloc Excision ◽  
Bloc Excision
Sign in / Sign up

Export Citation Format

Share Document