Nodular fasciitis (NF) is a benign reactive or inflammatory condition of mesenchymal fibroblasts. Rapid growth and histological features make nodular fasciitis a mimicker of malignancies such as sarcomas, however, nodular fasciitis is a benign lesion and does not metastasize. Although the etiology of nodular fasciitis is uncertain, histopathologically, it bears a close resemblance to organizing granulation tissue, and myofibroblastic proliferation may be initiated by a local injury or local inflammatory process, which
supports a reactive proliferation theory triggered by trauma. Surgical excision is recommended for diagnosis and treatment to exclude malignancy. We are hereby reporting a case of nodular fasciitis on the front surface of the neck, 86 years old patient. Tumor grew rapidly and reached 9-10 cm., and which was clinically suspected as a malignancy located. An ultrasound examination was performed. Based on the clinical and ultrasound data, it was decided to perform an extended biopsy to establish the final diagnosis it. Tumor has been removed as a solid mass. The material was sent for histopathological examination. Based on the history, clinical picture, and histopathological examination, the lesion was diagnosed as nodular fasciitis. After surgery patient expressed satisfaction with the result of treatment. In cases of nodular fasciitis, proactive efforts are needed to perform histopathologic evaluation and treatment because nodular fasciitis
tends to grow rapidly.
Аномальное отхождение левой коронарной артерии от ствола легочной артерии, или синдром Бланда-Уйата-Гарланда (СБУГ),-врожденный порок сердца, представляющий собой уже в раннем возрасте серьезную угрозу здоровью больных и сопровождающийся высокой смертностью вследствие ишемии большого участка миокарда. Аномалии развития коронарных артерий (КА) у детей могут встречаться как в изолированном виде, так и сочетании с другими врожденными пороками, такими как тетрада Фалло, коарктация аорты и др. В литературе [1, 2-6] встречаются следующие варианты отхождения венечных артерий от легочного ствола (ЛС): 1. Отхождение левой коронарной артерии (ЛКА) от ЛС (синдром Бланда-Уайта-Гарланда). 2. Отхождение правой коронарной артерии (ПКА) от ЛС. 3. Отхождение обеих или добавочной коронарной артерии от ЛС. Наибольший практический интерес представляет аномальное отхождение ЛКА, так как аномалии ПКА часто протекают бессимптомно, без признаков ишемии на ЭКГ и высокого риска развития жизнеугрожающих осложнений, в том числе внезапной смерти. Дети с аномалией обеих венечных артерий нежизнеспособны [7]. По разным данным, описанным в литературе, встречаемость аномального отхождения ЛКА от ствола ЛА составляет около 90% от числа всех остальных вариантов.
The purpose of this clinical report is to evaluate the clinical performance of customized titanium implants (PSI) using virtual 3D planning and computer-assisted implant fabrication (CAD/CAM process) and based on preoperative CT data, the placement accuracy and the risk of postoperative complications. This work has shown that 3D printed titanium base implants can significantly improve the outcomes of patients requiring skull reconstruction surgery. By choosing the appropriate design method, manufacturing process, and implant
material, you can get a more accurate procedure, reduce surgery time, prevent various complications that can occur with the traditional method, and get predictable results compared to the traditional method.
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