Neurofibroma is a benign tumor of cutaneous nerves. These are benign tumors which may have a varied presentations ranging from a cosmetic problem to a spinal tumor which may lead to neural complications. We here by present a case where the patient has become an appendage of the tumor and its the mass of the tumor that has handicapped the patient.
A 33-year-old male patient presented with multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons and sacral region. The lesions started developing around 25 years ago and have gradually progressed to their present size. The patellar and tendoachilles swellings were excised and histopathology proved the swellings to be xanthomas. This 33 years old nondiabetic, non-hypertensive male patient presented with gradually progressive multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons ( Figure 1, 2) and sacral region for last 25 years (Figure 3), few of which demonstrated surface scarring due to friction. The patient had social problems with regards to the cosmetic deformity the lesions caused and hence attended our outpatient department. On clinical examination, the swellings were free from the underlying bone at all places. They were not associated with pain, fever, weight loss or any other conditions. The patient also provided with history of similar swellings over both triceps tendons, which were operated two years back outside our hospital. The patient has denied any recurrence of the operated lesions. The patient did not have past history of any other illness. He was non-smoker, non-alcoholic and bowel-bladder habit was regular. General and systemic examinations were within normal limit. There were no other swellings or lesions present in any other part of his body other than those already described.
BACKGROUND: Ultrasound therapy for Rotator Calcification is a conservative method of treatment. METHOD: 74 patients with rotator cuff calcification was included in this study. PERIOD OF STUDY: 2008-2014 December. RESULTS: All the cases were clinically and radiologically improved, except two (2) cases who were clinically symptoms free but radiological calcification even after 20 days of ultrasound therapy was still visible. CONCLUSION: Ultrasound therapy is a definite alternative method of treatment.
<p>Fibrous dysplasia is a developmental anomaly of bone formation that may exist in monostotic or polyostotic form. Monostotic fibrous dysplasia of fibula is a rare case with unusual site and most common sites being facial bones, ribs, proximal femur and tibia. We report a case of 10-year-old boy attended our hospital with occasional pain in left leg while having strenuous activity. On clinical examination there was no obvious swelling with normal appearing skin. Radiographic examination revealed lesion with both radiopaque and radiolucent features showing a “ground-glass” appearing lesion in proximal one third of fibula. Differential diagnosis considered are simple bone cyst, non-ossifying fibroma, osteo-fibrous dysplasia, adamantinoma. As a definitive treatment curettage was done and biopsy sent for histopathological examination, which confirmed he diagnosis. Follow up after 10 months shows normal bone growth as evidenced radiologically and patient is asymptomatic. Case in detail and recent review of literature has been discussed. From our case, we have shown that it is possible to treat uncomplicated fibrous dysplasia with minimally invasive approach of simple curettage. Patient is symptomatically relieved within 2 months without any complications.</p>
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