Cavernoma is benign tumour of the orbit. It results in proptosis, visual disturbance, diplopia and ptosis of the eye. It is amenable to surgery and this results in complete after surgical removal without recurrence. We report a case of right orbital cavernoma in a female, who presented with non-pulsatile painless proptosis, slight ptosis and double vision while looking at the right side. Her MRI revealed that she had a cavernoma of the right orbit. She was operated by the lateral orbitotomy. This easily removed the tumour, cosmetically acceptable and she became symptom free. Bang. J Neurosurgery 2020; 10(1): 102-105
Background: Ovarian malignancy is one of the most common causes of cancer deaths in females in Bangladesh. Due to poor early symptoms and lack of screening protocol, it is detected later in the clinical course of the disease. It is also one of the most treatable tumors because majorities are sensitive to chemo-radiation. An accurate histology is often a critical factor in achieving optimum treatment response. Objective: To study the frequency and histological patterns of neoplastic ovarian lesions. Methodology: A retrospective cross sectional study was done. We analyzed the data compiled from ovarian lesions biopsied and reported in a private diagnostic center from January 2008 to December 2015. Results: Out of 231 ovarian specimens only 66 were neoplastic lesions, while the rest were nonneoplastic cysts. The age range was 9 to 65 years with a mean of 36.58 ±10.45. 73 percent (48) were benign, 6.01 percent (4) were borderline and 21.21 percent (14) were malignant. Surface epithelial tumors were the most common ovarian neoplasm (n=48; 72.73%) followed by germ cell tumor (n=14; 21.21%) and sex cord stromal tumor (n=4; 6.01%). Serous cystadenoma was the commonest benign tumor (23) followed by dermoid cyst (11), and mucinous cystadenoma (10). Only 4 borderline malignant tumors were found; 03 of which were mucinous and 01 serous. The number of malignant tumor was 18. Malignant mucinous neoplasm was the commonest, in both invasive carcinoma (05) and borderline group (03). Conclusion: Benign ovarian neoplasm was more common than malignant ones. Surface epithelial tumor was the frequent group followed by germ cell tumor. Serous cystadenoma was most common among benign tumors whereas mucinous cystadenocarcinoma was the commonest malignant tumor. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 25-28
Gliosarcoma is a rare tumour of the brain. It is a type of the gliobalstoma. This tumour has high complication rate as well as mortality. In our Institution, a 30 year old female was admitted with the complaints of headache and vomiting and weakness of rt. side of the body. She had history of radiotherapy on the frontal bone at four years age and following enucleation of the left eye. Now her recent MRI showed features of a tumor compatible with olfactory groove meningioma. She underwent craniotomy and her tumour was removed. Her histopathological exam was compatible with gliosarcoma which was confirmed with immunohistochemistry. And she was referred to oncologist for further management. Gliosarcoma is a rare intracranial tumour which has variable presentation. The aim of this case report is to present a secondary gliosarcoma which had presented as olfactory groove meningioma. Bang. J Neurosurgery 2019; 8(2): 108-111
Intradural arachnoid cysts involving the spine are uncommon and especially rare in an anterior cervical location. In the literature, among 15 patients, 8 were in the paediatric age group and in 3 patients the cyst was localized to the full length of the cervical spinal canal. Although they occur secondary to trauma, haemorrhage, surgery or inflammation, most of them are known to be idiopathic or congenital. Although the disease shows a dramatic neurological course, early diagnosis and treatment could provide good results. In the paediatric age group, cervical anterior intradural arachnoid cyst is an unusual cause of quadriparesis. The rarity of this condition and the relevance of MRI in the accurate and early diagnosis is discussed here. A 4 year-old girl with a intradural arachnoid cyst extending from C4 to C7 situated anteriorly is reported here; diagnosis and treatment modalities are discussed.
Objective: Carotid body tumour is a rare tumour. This is a case report of carotid body tumour of the right side involving the right hypoglossal nerve with MRI appearance and pathological features. The objective is to present a case of Hypoglossal nerve palsy due to carotid body tumour involving the right carotid artery bifurcation. Method: A 18-year old male presented with a welldefined swelling of his right neck, increasing hoarseness, and left ward tongue deviation on protrusion present for two years CT neck and MRI were done. The tumour was identified and the patient underwent surgery. His Histopathology report commented it to be carotid body tumour. Result: The patient showed significant improvement after surgery. His tongue deviation improved and his hoarseness of voice had been begun to improve. Conclusion: Carotid body tumours are benign lesion mimicking other pathology. High level of suspicision, imaging and careful resection is important for avoiding complications. Bangladesh Heart Journal 2019; 34(1) : 68-72
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