GNET of small bowell

2020 ◽  
Vol 74 (6) ◽  
pp. 543-546
Author(s):  
Šárka Málková ◽  
Zdeněk Papík ◽  
Blanka Navrátilová
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Surgical Resection ◽  
Malignant Tumor ◽  
S100 Protein ◽  
Duodenojejunal Junction ◽  
Visceral Peritoneum

The case report presents a rare malignant tumor of the duodenojejunal junction with generalization in an elderly polymorbid woman, which showed symptoms of high ileus. The tumor infiltrated almost the entire with of the wall with the exception of the mucosa layer and metastatically affected the lymph nodes and the wall and visceral peritoneum. The diagnosis was determined after surgical resection based on histological and immunohistochemical examinations which proved the positivity of S100 protein and synaptophysin.

scholarly journals Guide Flange Prosthesis with Acrylic Guidance Ramp for Management of Deviation following Segmental Mandibulectomy and Partial Maxillectomy for Gingivobuccal Mucosal Cancer: A Case Report.

2021 ◽  
Vol 4 (1) ◽  
pp. 69-73
Author(s):  
Anjali Tandukar ◽  
Bodh Bikram Karki ◽  
Saroj Singh ◽  
Pramod Raj Joshi
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Malignant Tumor ◽  
Segmental Resection ◽  
Prosthetic Replacement ◽  
Occlusal Contact ◽  
Segmental Mandibulectomy

Surgical resection of maxilla and /or mandible due to the presence of benign or malignant tumor is most common. Segmental resection frequently causes deviation of mandible towards the defective side and disturbances in maxillomandibular relationship. Variety of materials and techniques have been used for the construction of prosthetic replacement of acquired surgical defects. This case report describes prosthodontic management of a patient who has undergone partial maxillectomy and segmental mandibulectomy using the mandibular guide flange prosthesis with acrylic guidance ramp. This not only helps to correct the deviation but also guides the mandible for achieving occlusal contact with opposing teeth.

scholarly journals Extramedullary Plasmacytoma of False Vocal Cord: Case Report

2020 ◽  
pp. 014556132097192
Author(s):  
Guowei Lu ◽  
Qiang Zhang
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Surgical Resection ◽  
Malignant Tumor ◽  
Adjuvant Radiotherapy ◽  
Plasma Cells ◽  
Extramedullary Plasmacytoma ◽  
False Vocal

Extramedullary plasmacytoma (EMP) is a malignant tumor formed by monoclonal abnormal proliferation of plasma cells, which is mainly characterized by localized masses and very rare in the larynx, particularly in the false vocal cord. We present a larynx EMP that arises from the false cord without systematic involvement. After surgical resection, the patient received adjuvant radiotherapy and was recurrence-free during the 8-month follow-up.

Non-Hodgkins Lymphoma of the Infratemporal Fossa: A Case Report

1978 ◽  
Vol 86 (5) ◽  
pp. ORL-704-ORL-709 ◽  
Author(s):  
Alter G. Peerless ◽  
Keatjin J. Lee ◽  
Stanley I. Friedman
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Lymph Nodes ◽  
Cell Carcinoma ◽  
Malignant Tumor ◽  
Unusual Case ◽  
Infratemporal Fossa ◽  
Cervical Lymph Nodes ◽  
Hodgkins Lymphoma ◽  
Non Hodgkins Lymphoma

Lymphomas are statistically the second most common malignant tumor of the head and neck, following squamous cell carcinoma. They may present in the cervical lymph nodes or in extranodal areas. This paper presents an unusual case of a non-Hodgkins lymphoma that presented in the infratemporal fossa of a 25-year-old woman. The anatomy of the infratemporal fossa is reviewed, and evaluation and therapy of lesions in this area are discussed.

Fabricating a Partial Denture Obturator for the rehabilitation of Maxillectomy Patient - A Case Report

2013 ◽  
Vol 1 (2) ◽  
pp. 25-28
Author(s):  
Md Ali Afzal Khan ◽  
Md Nazmul Hasan ◽  
Newaz Mohsina ◽  
Aleya Begum
Keyword(s):  
Case Report ◽  
Speech Production ◽  
Surgical Resection ◽  
Partial Denture ◽  
Functional Capabilities ◽  
Palatal Obturator ◽  
Maxillary Defects ◽  
Normal Speech

Obturator prostheses are considered to be the preferred choice for the restoration of maxillary defects. Patients with palatal insufficiency, speech and deglutition becomes impaired, thereby requiring prosthodontic rehabilitation. The prosthodontic rehabilitation of patients with acquired defects of the maxilla after surgical resection is the complete responsibility of a maxillofacial prosthodontist. He has to recreate an artificial barrier between the cavities and thus restore the functional capabilities of speech, mastication and swallowing. Palatal obturator is the only substitute which covers the defect and contributes to normal speech production. It eliminates hypernasality and improves the communication.DOI: http://dx.doi.org/10.3329/updcj.v1i2.13983 Update Dent. Coll. j. 2011: 1(2): 25-28

Anesthesia in Carvajal syndrome; the first case report

2020 ◽  
Vol 24 (1) ◽  
pp. 105-107
Author(s):  
Sedighe Shahhosseini ◽  
Reza Aminnejad ◽  
Amir Shafa ◽  
Mehrdad Memarzade
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Surgical Resection ◽  
Genetic Disorder ◽  
Anesthetic Technique ◽  
Close Monitoring ◽  
Anesthesia Management ◽  
Rare Genetic Disorder ◽  
First Case ◽  
Anesthetic Considerations

Carvajal syndrome is a rare genetic disorder. Patients reporting for surgery pose some difficulties in anesthesia management. In this case report we present the case of a 12-year-old boy, who was a known case of Carvajal syndrome, referred for surgical resection of perianal condyloma. Close monitoring of hemodynamic status is the mainstay of anesthetic considerations in such patients. As in any other challenging scenario, it should be kept in mind that ‘there is no safest anesthetic agent, nor the safest anesthetic technique; there is only the safest anesthesiologist’. Citation: Shahhosseini S, Aminnejad R, Shafa A, Memarzadeh M. Anesthesia in Carvajal syndrome; the first case report. Anaesth pain intensive care 2020;24(1):___ DOI: https://doi.org/10.35975/apic.v24i1.

COMPLEX PROSTHETIC REHABILITATION OF THE PATIENT WITH MALIGNANT TUMOR OF OROPHARYNGEAL REGION DURING ANTITUMOR TREATMENT: CASE REPORT

2019 ◽  
Vol 65 (2) ◽  
pp. 287-293
Author(s):  
Yekaterina Izhnina ◽  
Yekaterina Kochurova ◽  
Natalya Lapina ◽  
Karina Seferyan
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Methodological Approach ◽  
Difficult Problem ◽  
Prosthetic Rehabilitation ◽  
Anatomic Structure

Treatment of patients with malignant tumor of oropharyngeal region is a difficult problem due to the last detection of diseases and complex anatomic structure, despite the emergence new and improvement methods of the treatment of cancer of oropharyngeal region. Complex rehabilitation of this patients presents great difficulties due to the disturbance of breath, swallowing, speech, and the lack of a single methodological approach to treatment. It is needs to improve the effectiveness of prosthetic care for patients with malignant tumor of oropharyngeal region.

Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein mimicking a retroperitoneal lymphadenopathy: A case report

2020 ◽  
Vol 16 ◽  
Author(s):  
Sevtap Arslan ◽  
Yasin Sarıkaya ◽  
Musturay Karcaaltincaba ◽  
Ali Devrim Karaosmanoglu
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Testicular Cancer ◽  
Renal Vein ◽  
Medical Center ◽  
Left Renal Vein ◽  
Severe Bleeding ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein ◽  
Communicating Vein

Introduction: Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein is extremely rare with only anecdotal reported cases. Unless detected and recognized promptly, this rare condition may give rise to severe bleeding in patients undergoing retroperitoneal surgery. It may also closely mimic enlarged retroperitoneal lymph nodes, paragangliomas, adrenal masses, or renal artery aneurysms. Case report: In this case study, we reported the imaging findings of this rare entity which was falsely diagnosed as enlarged retroperitoneal lymph node in an outside medical center, reported as to be consistent with metastatic disease, in a patient with newly diagnosed testicular cancer. Conclusion: The aneurysm of the communicating vein should be considered in the differential diagnosis in patients with testicular cancer and other disease processes where lymph nodes are commonly affected.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals A case report of Kuttner tumor mimicking a malignant tumor, leading to overtreatment

2021 ◽  
Author(s):  
Daisuke Baba ◽  
Keiichi Sotome ◽  
Ichiro Maeda ◽  
Kosuke Takabayashi ◽  
Kensuke Kiyomizu ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Küttner Tumor

scholarly journals EP22 A manifestation of severe sarcoid arthropathy in the distal interphalangeal joint

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Rajiv Ark
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Cardiac Sarcoidosis ◽  
Treatment Options ◽  
Nasal Discharge ◽  
Pulmonary Manifestations ◽  
Distal Interphalangeal ◽  
The Right ◽  
Little Finger

Abstract Case report - Introduction In 2011 a gentleman in his 50s presented with nasal blockage and bloody discharge. He was diagnosed with sarcoidosis and after 9 years of failed strategies to control his disease, he developed dactylitis. X-ray of the hands showed severe arthropathy in the distal interphalangeal joints. This case demonstrates an uncommon extrapulmonary manifestation of sarcoidosis. Although most of his follow up was with a respiratory clinic, his main symptoms were not due to interstitial lung disease, highlighting the importance of a multidisciplinary approach. To reduce the need for steroids, several DMARDs were tried illustrating that there are limited treatment options. Case report - Case description This gentleman presented in June 2011 with left epiphora, bloody nasal discharge and fatigue. He had no family history of sarcoidosis and was of Caucasian ethnicity. He was referred by his GP to Ophthalmology and ENT. Septoplasty showed a 95% blockage at the lacrimal sac. A biopsy was performed, and histology showed a nasal sarcoid granuloma. He was referred to the respiratory team who requested a high-resolution CT scan showing sizeable lymph nodes. One inguinal node was biopsied confirming sarcoid granulomas before starting treatment. Calcium was briefly raised, and serum ACE was initially 123. He was started on 40mg of prednisolone for 6 weeks, which was tapered to 20/25mg on alternating days. There was a recurrence of his nasal discharge; steroids were increased again but he developed symptoms of muscle weakness from long term steroid use. He was referred to an interstitial lung disease clinic at a tertiary centre where he was investigated for cardiac sarcoidosis with MRI due to ventricular ectopics. Hydroxychloroquine was started to reduce the steroid use however he developed symptoms of tinnitus, so it was stopped. Methotrexate, Azathioprine and Leflunomide were all trialled to however they did not have any impact on controlling his disease. His Prednisolone was slowly reduced by 1mg a month. When he had recurrence of his symptoms, he was given IV methylprednisolone. Nine years after his first presentation he presented with stiffness of the right thumb base. This progressed to dactylitis and slight fixed flexion deformity of right index finger and left little finger. An x-ray of his hands showed disease in the distal interphalangeal joints bilaterally with severe changes in the left little finger. The effects of long-term steroids led him to request a letter to support early retirement. Case report - Discussion The main rationale for changing treatment options was to reduce the prednisolone dose. Steroids were the only treatment option that showed evidence of controlling his disease when the dose was between 25mg and 40mg a day. Each of the DMARDs that were trialled had a different side effect profile and did not show any evidence of suppressing disease as symptoms recurred. Dose changes later in treatment fluctuated, reflecting a balancing act between disease recurrence and side effects of long-term steroids. There are many extra pulmonary manifestations of sarcoidosis that were investigated in this case. The first being the nasal granuloma, which can occur in sarcoid patients with symptoms of epistaxis, crusting, congestion, and pain. There were granulomatous changes seen in the hila as well as other lymph nodes such as the inguinal region; inguinal lymphadenopathy can lead to pain in the groin area. In addition to this it was important to exclude uveitis with ophthalmology review as he had symptoms of epiphora. Uveitis can be diagnosed in ophthalmological assessment of sarcoid patients in the absence of ocular complaints. Cardiac sarcoidosis was excluded with an MRI at a specialist heart and lung centre due to ventricular ectopics. Cardiac sarcoidosis can lead to heart block, arrhythmias, and congestive cardiac failure. Finally, he developed sarcoid arthropathy, review of his radiological images over time showed extensive damage to the joints of the hand. This gentleman had poor outcomes due to limited treatment options for his disease. Being restricted to long term steroid as the mainstay of treatment led to early retirement due to fatigue and muscle weakness. Conversely, under dosing steroids led to recurrence in symptoms. His disease is still not controlled as shown by an evolving sarcoid arthropathy. Case report - Key learning points An illustration of sarcoid arthropathy is also shown in this case. Sarcoid arthropathy is an uncommon manifestation of the disease primarily affecting joints in the hands and feet. In this case the distal interphalangeal joints and proximal interphalangeal joints were affected. The first symptom of arthropathy was stiffness of the base of the right thumb in 2017, this could fit with an osteoarthritic picture and could be mistaken for it in undiagnosed sarcoidosis. The most severe disease was in the DIP of the left little finger, which is not commonly affected. An oligoarthritic pattern with involvement of the ankle is seen more often. This is also an unusual case of sarcoidosis as there was no family history of the disease and his ethnicity did not predispose him to the condition. He also had a few uncommon extra pulmonary manifestations of sarcoidosis. The importance of a multidisciplinary approach in managing sarcoidosis was demonstrated in this case. Most of his follow up was with a respiratory clinic. However, respiratory symptoms were not the main issue during the patient journey; early ENT and rheumatology input was significant in managing his disease. Although pulmonary lymph nodes were enlarged, they did not affect his lung function.

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