scholarly journals Dermoscopy of Dermatofibrosarcoma Protuberans: What Do We Know?

2019 ◽  
pp. 139-145 ◽  
Author(s):  
Gabriela F. Escobar ◽  
Caroline  K.  Ribeiro ◽  
Leandro L. Leite ◽  
Carolina R. Barone ◽  
André Cartell
Keyword(s):  
Literature Search ◽  
Single Case ◽  
Delayed Diagnosis ◽  
Dermatofibrosarcoma Protuberans ◽  
Clinical Suspicion ◽  
Mesenchymal Tumor ◽  
Benign Lesions ◽  
Common Features ◽  
Slow Progression

Background: Dermatofibrosarcoma protuberans (DFSP) is an uncommon mesenchymal tumor of intermediate malignancy. Its rarity and slow progression often imply a delayed diagnosis. There are few previous reports of dermoscopic features of DFSP and most are single case descriptions. Objectives: To report 2 cases of DFSP and their dermoscopic features, as well as conduct a review of all previous cases published addressing the use of dermoscopy in this tumor. Methods: We conducted a literature search for all dermoscopic cases of DFSP. In addition, we presented 2 additional cases and compared them to the earlier findings. Results: We summarized the main dermoscopic findings of DFSP based on analysis from 32 patients. The most common features of this tumor are the presence of vessels (81%), followed by a pigmented network (78%) and a pinkish background (66%). Conclusions: DFSP can mimic benign lesions and the diagnosis may be challenging. Dermoscopy is an important tool that may enhance clinical suspicion toward the diagnosis of DFSP.

scholarly journals Giant dermoid cyst mimicking posterior fossa tumors in a child: A Case Report and Review of the Literature

2020 ◽  
Vol 2 (2(May-August)) ◽  
pp. e452020
Author(s):  
Leopoldo Mandic Ferreira Furtado ◽  
José Aloysio da Costa Val Filho ◽  
Bruno Lacerda Sandes ◽  
Plínio Duarte Mendes ◽  
Patrícia Salomé Gouvea Braga
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Clinical Suspicion ◽  
Review Of The Literature ◽  
Benign Lesions ◽  
Posterior Fossa Tumors ◽  
Case Presentation ◽  
High Clinical Suspicion ◽  
Neuroimaging Data ◽  
Epidemiological Characteristics

Introduction: Intracranial dermoid cysts are rare, congenital and, benign lesions. The etiology of these lesions is related to an embryonic defect during neurulation. Case presentation: The present study describes a case of a 3-year-old girl with a giant cerebellar dermoid cyst, which initially manifested as hydrocephalus. Discussion: We discuss its epidemiological characteristics as well as diagnostic and therapeutic management. The combination of high clinical suspicion, anamnesis, thorough physical examination, and adequate interpretation of neuroimaging data is crucial for the early diagnosis and timely therapeutic intervention for such cysts. Conclusion: Surgical approach involving complete lesion resection considerably improves prognosis.

Immunoglobulin G4 related chronic sclerosing sialadenitis

2015 ◽  
Vol 129 (3) ◽  
pp. 226-231 ◽  
Author(s):  
E L Culver ◽  
A Hunt ◽  
E Crewe ◽  
K A Shah ◽  
P Martinez-Devesa
Keyword(s):  
Literature Search ◽  
Systemic Disease ◽  
Clinical Suspicion ◽  
Cochrane Library ◽  
Disease Entity ◽  
Immunoglobulin G4 ◽  
Related Disease ◽  
Chronic Sclerosing Sialadenitis ◽  
Search Terms ◽  
Salivary Gland Disease

AbstractBackground:ENT surgeons may be the first specialists to encounter and diagnose patients with salivary gland disease. A new entity involving the salivary glands has recently been described of which ENT surgeons need to be aware: immunoglobulin G4 related chronic sclerosing sialadenitis.Method:A literature search of Medline, Embase and Cochrane Library databases was performed, using the search terms ‘IgG4’, ‘hyperIgG4 syndrome’ and ‘IgG4 related chronic sclerosing sialadenitis’.Results:Knowledge concerning immunoglobulin G4 related chronic sclerosing sialadenitis is rapidly increasing. This new entity is part of a fibro-inflammatory corticosteroid-responsive systemic disease (immunoglobulin G4 related disease) and has been described in almost every organ. Biopsy of the submandibular gland can be diagnostic. However, the diagnosis can easily be overlooked if: clinical suspicion is not high, one is unaware of the classical morphology and/or immunoglobulin G4 staining is not performed. This paper presents a summary of the current understanding of the disease and its management.Conclusion:ENT surgeons should be aware of this new disease entity. Patients with systemic disease should be managed under a multidisciplinary team, with input from clinicians who have an interest in such diseases (such as gastroenterologists and rheumatologists), and input from histopathologists and radiologists.

Difficulties in diagnosing vertebral osteomyelitis in a child

2021 ◽  
Vol 14 (1) ◽  
pp. e236037
Author(s):  
Jonathan Holzmann ◽  
Sunday Pam ◽  
Geoffrey Clark
Keyword(s):  
False Negative ◽  
Vertebral Osteomyelitis ◽  
Delayed Diagnosis ◽  
Abdominal Ultrasound ◽  
Clinical Suspicion ◽  
Thoracic Vertebrae ◽  
Negative Results ◽  
False Negative Results ◽  
The Face ◽  
Initial Imaging

Vertebral osteomyelitis is a rare diagnosis and often delayed diagnosis in children. This is a case of a child presenting with fever, back pain and raised C reactive protein who was found to have a Staphylococcus aureus (S.aureus) bacteraemia. Initial imaging with CT, MRI of the spine and abdominal ultrasound failed to demonstrate a vertebral osteomyelitis or identify another source of the bacteraemia. Due to the high clinical suspicion of a spinal source of the infection, second-line investigations were arranged. A bone scan identified an area of increase metabolic activity in the 12th thoracic vertebrae (T12) and subsequently a diagnosis was confirmed with a focused MRI of T12. This serves as an opportunity to discuss the diagnostic difficulty presented by paediatric vertebral osteomyelitis and more generally the need for clinicians to pursue their clinical suspicion in the face of false negative results to make an accurate and timely diagnosis.

scholarly journals Primary Lymphangioma of the Palatine Tonsil in a 9-Year-Old Boy: A Case Presentation and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Eleftheria Iliadou ◽  
Nektarios Papapetropoulos ◽  
Eleftherios Karamatzanis ◽  
Panagiotis Saravakos ◽  
Konstantinos Saravakos
Keyword(s):  
Literature Review ◽  
Histological Examination ◽  
Current Literature ◽  
Short Review ◽  
Clinical Suspicion ◽  
Palatine Tonsil ◽  
Benign Lesions ◽  
Case Presentation ◽  
The Right ◽  
Made In

Primary lymphangiomas or lymphangiomatous polyps of the palatine tonsil are rare benign lesions that are described infrequently in the literature. The majority of the published cases concern adults. We report a case of a lymphangiomatous lesion of the right palatine tonsil of a 9-year-old boy. Our clinical suspicion was confirmed by the histological examination after tonsillectomy and the diagnosis of primary lymphangioma of the tonsil was made. In this case we discuss the clinical and histopathological features of this lesion and present a short review of the current literature.

Subungual Schwannoma, a Rare Entity: A Case Report and Literature Review

2020 ◽  
Vol 25 (04) ◽  
pp. 508-512
Author(s):  
Jason D. Wink ◽  
Olatomide Familusi ◽  
Ines C. Lin
Keyword(s):  
Case Report ◽  
Literature Search ◽  
Glomus Tumor ◽  
Single Case ◽  
Case Reports ◽  
Ring Finger ◽  
Dominant Male ◽  
Rare Entity ◽  
Single Case Report ◽  
Slow Growing

We present a case of a 26-year-old right hand dominant male landscaper with a slow growing right ring finger subungual mass. MRI confirmed a 0.9 × 1.5 × 0.9 cm well circumscribed subungual mass believed to be consistent with a glomus tumor, although size and symptoms were not consistent with that diagnosis. The mass was completely excised and diagnosis of schwannoma was confirmed by H&E histology. A literature search was performed utilizing the term “subungual schwannoma.” Four case reports were found describing this diagnosis in the hand as well as a single case report describing it in the foot. In summary, this is a 26-year-old male who presents with a schwannoma in the unusual subungual location. Although rare, based on our case and the existing literature, subungual schwannomas should be included in the differential diagnosis of a slow growing subungual mass, particularly if symptoms and exam are inconsistent with more common etiologies.

scholarly journals Damage Control Laparotomy with Appendectomy and Cesarean Section in the Setting of Perforated Appendicitis

2020 ◽  
pp. 1-3
Author(s):  
Hossam Abdou ◽  
Hossam Abdou ◽  
Jose J Diaz ◽  
Lindsay B O’Meara
Keyword(s):  
Cesarean Section ◽  
General Surgery ◽  
Damage Control ◽  
Delayed Diagnosis ◽  
Perforated Appendicitis ◽  
Clinical Suspicion ◽  
Operative Intervention ◽  
Maternal Distress ◽  
Damage Control Laparotomy ◽  
High Level

Appendicitis is the most common general surgery problem in pregnant patients, but patients can present with vague symptoms making diagnosis difficult. Misdiagnosis and delayed diagnosis can lead to complications such as perforation, which can result in dire outcomes, including fetal and maternal demise. A high level of clinical suspicion should be maintained to identify the diagnosis and progress to operative intervention quickly. Here we present a case highlighting prompt recognition of perforated appendicitis leading to fetal and maternal distress with emergent operative intervention leading to good outcomes for both mother and baby.

scholarly journals Polypoidal Intestinal Metaplasia and Dysplasia of the External Urethral Meatus

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Mary Mathew ◽  
Bhavna Nayal ◽  
Lakshmi Rao ◽  
Raghunath Narayanan Unni ◽  
Joseph Thomas
Keyword(s):  
Intestinal Metaplasia ◽  
Urethral Stricture ◽  
Single Case ◽  
Clinical Suspicion ◽  
Pathological Examination ◽  
Rare Occurrence ◽  
Urethral Meatus ◽  
High Degree

Urethral mucosa with intestinal metaplasia and dysplasia is a rare occurrence. To date only a single case has been reported in a male with long-standing urethral stricture. We present a 33-year-old female with polypoid intestinal metaplasia and dysplasia of the external urethral meatus in the absence of an inciting factor. Intestinal metaplasia of the urethral mucosa may undergo dysplasia, emphasizing the necessity of a high degree of clinical suspicion and vigilant pathological examination of these lesions.

Dermoscopy of Dermatofibrosarcoma Protuberans

2021 ◽  
Author(s):  
Nissrine Amraoui
Keyword(s):  
Patient Outcome ◽  
Soft Tissue ◽  
Physical Examination ◽  
Delayed Diagnosis ◽  
Dermatofibrosarcoma Protuberans ◽  
Low Grade ◽  
Malignant Tumours ◽  
Soft Tissue Neoplasm ◽  
Clinical Criteria ◽  
Grade Malignancy

ermatofibrosarcoma protuberans (DFSP), also known as dermatofibrosarcoma of Darier and Ferrand, is a soft-tissue neoplasm of intermediate to low-grade malignancy, which accounts for 0.1–1% of all cutaneous malignant tumours [1]. The diagnosis of this entity is based on physical examination and a confirmative biopsy sample [2-5]. However, the lack of reliable clinical criteria suggestive of DFSP results in delayed diagnosis and poorer patient outcome.

scholarly journals Dermatofibrosarcoma Protuberans Arising in a Decorative Tattoo

Sarcoma ◽  
2005 ◽  
Vol 9 (1-2) ◽  
pp. 37-41 ◽  
Author(s):  
Paul A. Baker ◽  
Geraldine J. O'Dowd ◽  
Irfan U. Khan
Keyword(s):  
Delayed Diagnosis ◽  
Dermatofibrosarcoma Protuberans ◽  
Skin Disorders ◽  
Intermediate Grade ◽  
First Case ◽  
Local Trauma ◽  
Grade Malignancy ◽  
Causative Link

Dermatofibrosarcoma protuberans (DFSP) is an uncommon, locally aggressive cutaneous tumour of intermediate grade malignancy. A number of reports have linked local trauma of varying aetiology with the later development of DFSP. In addition, a variety of skin disorders and, in rare cases, cutaneous tumours, have been described in association with decorative tattoos. This is often associated with delayed diagnosis. We report the first case of DFSP arising in a tattoo and discuss the available evidence for a causative link between DFSP and local trauma of this nature.

scholarly journals Delayed diagnosis of occult phosphaturic mesenchymal tumor in the foot

2021 ◽  
Vol 16 (6) ◽  
pp. 1355-1362
Author(s):  
Joana Correia ◽  
Marino Machado ◽  
Rui Gonçalves ◽  
Frederik Jonge ◽  
Manuela Micaelo ◽  
...  
Keyword(s):  
Delayed Diagnosis ◽  
Mesenchymal Tumor ◽  
Phosphaturic Mesenchymal Tumor
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