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https://read.qxmd.com/read/38694656/whispers-in-the-neck-unmasking-cystic-metastases-from-hidden-papillary-thyroid-carcinoma
#1
Kelly Lee Pak Hup, Yan Yu Chai, Yi Jing Kaw, Ranveer Singh Gill, Phei Fern Wang
Papillary thyroid carcinoma is the most common thyroid malignancy and it frequently causes lymph node metastases. Approximately 50% of patients with papillary thyroid carcinoma have cervical lymph node metastases at the time of their initial presentation. Here we report a case of a young female who presented with a benign-appearing cystic neck mass, which was revealed to be metastases from occult papillary thyroid carcinoma. Completion thyroidectomy and neck dissection were done after the diagnosis of papillary thyroid carcinoma...
April 2024: Curēus
https://read.qxmd.com/read/38694186/do-paralympic-athletes-suffer-from-brittle-bones-prevalence-and-risk-factors-of-low-bone-mineral-density-in-paralympic-athletes
#2
JOURNAL ARTICLE
Vera C R Weijer, Jan-Willem van Dijk, Lotte van Dam, Linn Risvang, Judith Bons, Truls Raastad, Luc J C van Loon, Kristin L Jonvik
BACKGROUND: Bone health may be a concern in Paralympic athletes, given the presence of multiple risk factors predisposing these athletes to low bone mineral density (BMD). Objective: We aimed to assess the prevalence of low BMD among Paralympic athletes participating in various sport disciplines, and to identify potential risk factors for low BMD. METHODS: Seventy Paralympic athletes, of whom 51 % were wheelchair-dependent, were included in this cross-sectional study...
June 2024: Bone Reports
https://read.qxmd.com/read/38694005/effectiveness-of-comparing-calf-circumference-with-neck-circumference-regarding-their-association-with-skeletal-muscle-indices-in-japanese-nursing-home-residents
#3
JOURNAL ARTICLE
Akira Kubo, Masahiro Ishizaka, Sho Tsukahara, Shunya Numaguchi, Ayaka Takayama
[Purpose] This study aimed to determine the association between calf and neck circumferences and skeletal muscle indices, including phase angle, among Japanese nursing home residents. [Participants and Methods] A cross-sectional study of a single nursing home was conducted, in which 72 nursing home residents (aged 85.9 ± 8.4 years, mean ± standard deviation [SD]) were enrolled. Calf and neck circumferences were measured using a measuring tape, and body composition assessment was measured using a bioimpedance device...
May 2024: Journal of Physical Therapy Science
https://read.qxmd.com/read/38693024/multiple-maxillofacial-desmoid-tumours-a-case-report
#4
Y Wu, X Li, F Guo, X Wu
Desmoid tumors (DTs) are rare benign neoplasms but cause significant mortality due to their locally infiltrative nature and propensity to recur. Most DTs occur in the extremities and trunk. Head and neck DTs are uncommon but can have a significant impact on a patient's facial appearance. However, there is limited information available about the diagnosis and treatment for multiple DTs located in head and neck. We report the first case of multiple maxillofacial DTs in a 14-year-old boy. He had painless submandibular masses for three months and MRI imaging reveals abnormal high signals on the submandibular and bilateral zygomatic regions...
April 30, 2024: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38689790/a-novel-skin-incision-for-posterior-fossa-midline-and-paramedian-lesions-a-technical-note-and-case-series
#5
Mohammad Sadegh Masoudi, Sina Zoghi, Reza Taheri, Adrina Habibzadeh, Ali Ansari
Approaching posterior fossa pathologies is fairly challenging. Poor exposure, cerebrospinal fluid (CSF) leak following surgery, post-operative suboccipital and neck pain, as well as wound healing are all common complications following traditional suboccipital midline incision. Herein, we present a novel incision for approaching posterior fossa pathologies. The incision is shaped like a question mark and makes a musculofascial flap supplied by the occipital artery on top as well as a wide area for craniotomy...
2024: Bulletin of Emergency and Trauma
https://read.qxmd.com/read/38689628/low-grade-myofibrosarcoma-of-the-maxillary-sinus-two-case-reports
#6
Anna Mydlak, Łukasz Ścibik, Monika Durzynska, Jakub Zwoliński, Karolina Buchajska, Olga Lenartowicz, Jakub Kucharz
BACKGROUND: Low-grade myofibroblastic sarcoma (LGMS) is an extremely rare tumor characterized by the malignant proliferation of myofibroblasts. LGMS most commonly develops in adults, predominantly in males, in the head and neck region, oral cavity, especially on the tongue, mandible, and larynx. This article presents 2 cases of LGMS localized to the maxillary sinus and provides an overview of the available literature. CASE SUMMARY: Two patients with LGMS located in the maxillary sinus underwent surgery at the Department of Head and Neck Surgery...
April 24, 2024: World Journal of Clinical Oncology
https://read.qxmd.com/read/38689445/two-cases-of-synchronous-hodgkin-lymphoma-and-papillary-thyroid-carcinoma-in-18f-fdg-pet-ct
#7
JOURNAL ARTICLE
Ru Wang, Haidong Cai, Changcun Liu, Zhongwei Lv, Chao Ma
The concurrence of Hodgkin lymphoma and papillary thyroid carcinoma is a rare clinical event. Two women presented with a painless mass in the neck that was suspected malignancy by ultrasonography. Both cases shown in the 18F-FDG PET/CT images demonstrated multiple foci of increased FDG uptake in the neck, mimicking thyroid carcinoma with contralateral cervical lymph node metastases. Unexpectedly, the postoperative pathologies confirmed the thyroid lesion of papillary carcinoma and contralateral cervical lymph nodes of classical Hodgkin lymphoma...
May 1, 2024: Clinical Nuclear Medicine
https://read.qxmd.com/read/38689037/prevalence-and-risk-factors-of-postoperative-laryngeal-edema-in-patients-undergoing-neck-dissection
#8
JOURNAL ARTICLE
Joo Hyun Park, Goeun Park, Kyu Hyeon Hwang, Hee Chun Cho, Junyoung Kim, Subi Oh, Han-Sin Jeong
PURPOSE: Postoperative laryngeal edema (PLE) is a common complication in patients undergoing head and neck surgery, leading to symptoms such as odynophagia, dysphagia, or potential airway obstruction. However, the prevalence and risk factors of PLE in patients undergoing neck dissection (ND) have not been well investigated. METHODS: A retrospective analysis was conducted in three steps. Initially, a pilot study of 50 consecutive ND patients revealed a preliminary PLE prevalence of 0...
April 30, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38688433/dynamic-hyperinflation-on-exercise-and-its-relationship-with-lung-mechanics-at-rest-in-adults-with-central-obesity
#9
JOURNAL ARTICLE
Carlos Eduardo Santos, Luis Felipe da Fonseca Reis, Sidney Fernandes da Silva, Iasmim Maria Pereira Pinto Fonseca, Wellington de Oliveira Pereira, Laura Franco Pessoa, Paolo Blanco Villela, Agnaldo José Lopes
This study aimed to evaluate the presence of dynamic hyperinflation (DH) during the Glittre-ADL test (TGlittre) coupled to the dynamic ventilation measurements in people with central obesity (pwCO) and to correlate it with lung mechanics at rest. Sixty-four pwCO underwent TGlittre and the following resting lung function tests: spirometry and impulse oscillometry system (IOS). On TGlittre, 22 participants presented DH at the end of the test (DH group), while 42 did not present DH (NDH group). Body mass index (BMI), waist circumference (WC), and hip circumference (HC) were higher in the DH group than in the NDH group...
April 28, 2024: Respiratory Physiology & Neurobiology
https://read.qxmd.com/read/38686601/sound-exposure-promotes-intratympanic-drug-delivery-to-the-inner-ear
#10
JOURNAL ARTICLE
Omer J Ungar, Yumai Situ, Jennifer L Spiegel, Joseph M Chen, Vincent Y W Lin, Trung N Le
OBJECTIVE: To investigate the impact of sound exposure, with the resultant windows vibration on perilymphatic concentrations following intratympanic (IT) dexamethasone and gentamicin in an animal model. STUDY DESIGN: Animal model blinded study. SETTING: Animal facility of a tertiary medical center. METHODS: Bilateral IT dexamethasone or gentamicin was applied to 15 tested rats. Following injections, each rat was exposed for 3 minutes to free field 30 dB sound pressure level (SPL), 512 vHz noise, with 1 external auditory canal plugged (contralateral control)...
April 30, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38686473/-analysis-of-clinical-manifestations-and-imaging-features-of-facial-nerve-schwannomas
#11
JOURNAL ARTICLE
Yu Han, Hongsheng Liu, Runqin Yang, Rui Li, Xiaoxiao Liu, Wenyue Wang, Jiayi Zhang, Jiping Dong, Dingjun Zha
Objective: To explore the clinical manifestations and imaging characteristics, and to clarify the imaging value in the diagnosis of facial nerve schwannomas. Methods: Retrospectively analyze the data of 23 patients with facial nerve schwannomas confirmed by surgery and pathology in the Department of Otorhinolaryngology of the First Affiliated Hospital of the Air Force Military Medical University from September 2020 to September 2022, including 8 males and 15 females, aged 18-66 years old. Summarize and analyze their clinical symptoms, specialized examinations, and imaging findings...
May 2024: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://read.qxmd.com/read/38684356/case-of-metastatic-clear-cell-odontogenic-carcinoma-with-response-to-chemoimmunotherapy
#12
JOURNAL ARTICLE
Ian J Robertson, Quinn C Robbins, Peter C Li
Our patient initially presented with 6 months of left jaw pain and gingival bleeding, leading to the discovery of a radiolucent left maxillary mass on dental evaluation. A biopsy confirmed clear cell odontogenic carcinoma, and the patient was treated with definitive surgery and radiation for localised disease. Unfortunately, the patient was found to have pulmonary metastases 3 months after initial management and was subsequently treated with a combination of cytotoxic chemotherapy and immunotherapy with a partial response...
April 29, 2024: BMJ Case Reports
https://read.qxmd.com/read/38681935/atlanto-occipital-assimilation-with-basilar-invagination-and-atlanto-occipital-dislocation-treated-by-occipitocervical-fixation-a-rare-case-report
#13
Tushar Pisal, Sagar Gurnani, Kaman Kuity
INTRODUCTION: Atlanto-occipital assimilation is the most common osseous anomaly of the cervical-occipital junction. The incidence rate of occipitalization has been reported 1.42.5/1000 children. Most of the patients are asymptomatic initially. Clinical features usually appear after 3rd decade depending on the level and degree of spinal cord compression with surrounding vital structures such as vertebral artery involvement. Hence, early definitive diagnosis and subsequent successful treatment are necessary in such cases to prevent life-threatening complications...
April 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38681735/solitary-large-malignant-lymphoma-in-the-head-and-neck-region
#14
JOURNAL ARTICLE
Dae-Neung Lee, Dong Hoon Lee, Joo Yeon Koo, Sang Chul Lim
The present study examined the clinical characteristics of patients with a final diagnosis of solitary large malignant lymphoma of the head and neck after surgery. Between January 2015 and December 2022, 13 patients with a final diagnosis of solitary large malignant lymphoma of the head and neck after surgery were enrolled. The most common symptom of solitary large malignant lymphoma was a neck mass (n=11; 84.6%). The most common sites of the head and neck were neck level II (eight patients), neck level IV (two patients), parotid glands (two patients) and the tongue (two patients)...
June 2024: Molecular and Clinical Oncology
https://read.qxmd.com/read/38681479/pediatric-intranasal-lobular-capillary-hemangioma-a-case-report-and-review-of-the-literature
#15
Jood K Alotaibi, Osama Ali Alotayf, Mohammed Jihad Almahdi, Mohammed Halwani
Lobular capillary hemangioma is a benign lesion commonly affecting the head and neck region. However, in children, it is commonly seen in the buccal mucosa, gingiva, and the tongue, but its presence in the nasal cavity is less frequent. The most common symptoms of nasal hemangiomas are epistaxis and nasal obstruction. However, we present a case of a thirteen-year-old male having intranasal lobular capillary hemangioma with a 2-day history of left-sided epistaxis. The diagnosis is confirmed by histological examination, and the treatment is done by endonasal endoscopic excision of the hemangioma with cauterization of the feeding vessel has performed to remove the lesion completely...
April 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38681398/lipoma-growing-on-the-back-for-26-years-a-bizarre-case-report
#16
Samiksha V Gupta, Shubham Durge, Nachiket P Rahate, Prashant V Rahate
Lipoma is one of the most typical and benign tumors. They are typically regarded as a mass that is painless, asymptomatic, and slow-growing. It is composed of fat cells of the adult type. It can occur anywhere in the body and is often called a "universal" or ubiquitous tumor. They can develop in any region containing adipose tissue, with a higher prevalence in the subcutaneous tissue of the trunk and the nape of the neck and the limbs and occasionally in other locations, including the hand. There are three main varieties: encapsulated, diffuse, and multiple lipomas...
March 2024: Curēus
https://read.qxmd.com/read/38681349/unraveling-the-enigma-a-five-year-comprehensive-analysis-of-hurthle-cell-tumors-in-south-india-s-tertiary-care-center
#17
JOURNAL ARTICLE
Sumin Sulaiman, Ravindran Chirukandath, Sharath K Krishnan, Niranjana Rajesh, Manoj Antony, Keerthana Mohan, Sowndarya S
BACKGROUND: Hurthle cell tumors of the thyroid gland constitute a rare and enigmatic group of neoplasms, characterized by the presence of Hurthle cells exhibiting abundant eosinophilic cytoplasm and numerous mitochondria. Despite their low incidence, they pose diagnostic challenges and display diverse clinical outcomes. This study aims to provide a comprehensive analysis of the clinicopathological profile of Hurthle cell tumors within a tertiary care center in South India. METHODS: Through a retrospective approach, we analyzed cases of Hurthle cell tumors diagnosed and treated at a tertiary care center over a five-year period...
March 2024: Curēus
https://read.qxmd.com/read/38681111/melanotic-neuroectodermal-tumor-of-infancy-arising-in-the-skull-a-case-report
#18
JOURNAL ARTICLE
Hajar Hamadi, Taib El Amrani El Idrissi, Ayman Gallouli, Lamia Benantar, Khalid Aniba
Melanotic neuroectodermal tumor of infancy is a rare and usually benign neoplasm occurring in children of young age. This pigmented tumor typically presents in the head and neck region, but other locations may be involved. We report in this article a rare case of a 3-month-old girl presenting with a slowly growing mass localized in the anterior fontanelle. The patient's magnetic resonance imaging (MRI) showed a mass extending both extracranial and intracranial, and compressing the adjacent structures. The patient underwent subtotal resection of the mass and a histological study confirmed the diagnosis of melanotic neuroectodermal tumor of infancy...
2024: Pan African Medical Journal
https://read.qxmd.com/read/38680599/papillary-thyroid-carcinoma-in-an-8-year-old-ethiopian-child-a-case-report-with-literature-review
#19
Birhanu Hailu Tirkaso, Gersam Abera Mulugeta, Tewodros Deneke Belete, Melkamu Mitikie Melak
Thyroid nodular disease can present in different forms, such as a solitary nodule, multinodular goiter, nodular goiter caused by autoimmune goiter, and nonpalpable thyroid nodules. Among children, thyroid cancer is the most common type of endocrine cancer. Pediatric thyroid cancer is usually detected as a neck mass without any symptoms, leading to variable stages of progression when diagnosed. Papillary thyroid carcinoma is the most common type of thyroid cancer in children with thyroid nodules. We are presenting a case of an 8-year-old male child who was referred to Jimma Medical Center after he developed swelling on the right side of his neck...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38679740/association-of-serum-sclerostin-levels-with-marrow-adiposity-in-postmenopausal-women-with-glucocorticoid-induced-osteoporosis
#20
JOURNAL ARTICLE
Wei Li, Wei Wang, Minlan Zhang, Qi Chen, Fengyi Li, Shaojun Li
BACKGROUND: Glucocorticoids and sclerostin act as inhibitors of the Wnt signaling pathway, thereby hindering bone formation. Given the pathway's intricate association with mesenchymal stem cells, the hypothesis suggests that heightened sclerostin levels may be intricately linked to an augmentation in marrow adiposity induced by glucocorticoids. This study endeavored to delve into the nuanced relationship between circulating sclerostin and bone marrow adipose tissue in postmenopausal women grappling with glucocorticoid-induced osteoporosis (GIO)...
April 28, 2024: BMC Endocrine Disorders
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