Quiste dermoide cervical / Cervical dermoid cyst

Los quistes dermoides presentan una incidencia de 1,6 hasta 6,9 % en la región de cabeza y cuello. Se realiza el siguiente reporte de caso clínico con el objetivo de enfatizar en la importancia de un adecuado manejo diagnóstico preoperatorio, para establecer una acertada planificación quirúrgica en la exéresis de este tipo de lesiones de la región cervicofacial. Se presenta el caso clínico de un paciente masculino, de 13 años de edad, quien hacía 3 años se notaba un crecimiento redondeado en región submentoniana, lo cual le ocasionaba molestias al hablar y ligera afectación de su estética facial. Una vez realizados los estudios complementarios preoperatorios, se decide tratamiento quirúrgico, empleando una cervicotomía medial para la extirpación de la lesión quística, dada la ubicación anatómica por debajo del músculo milohiodeo y su gran dimensión. El diagnóstico histopatológico se corresponde con un quiste epidérmico. Se concluye que resulta imprescindible realizar un exhaustivo examen físico e imagenológico, para lograr resultados satisfactorios en el tratamiento quirúrgico del quiste dermoide cervical.

Dermoid cysts have an incidence rate of 1.6 to 6.9 % in the head and the neck. This is the report of a clinical case aimed at making emphasis on the importance of an adequate preoperative diagnostic management in order to set a right surgical planning in the excision of this type of lesions in the cervicofacial region. A 13 years-old patient, who had noticed a rounded growth under his chin for three years, which caused discomfort on speaking and mild effects on its facial esthetics. After the preoperative supplementary studies, it was decided to make surgery by using medial cervicotomy for excision of cystic lesion due to the anatomical location of the cyst below the mylohyoid muscle and to its great dimension. The histopathological diagnosis was epidermal cyst. It was concluded that it is indispensable to make thorough physical and imaging examination to achieve satisfactory results in the surgical treatment of a cervical dermoid cyst.

Tumourlike Lesions of Skin - A Clinicopathological Analysis of 175 Cases.

As the skin is the largest and complex organ, a wide variety of tumourlike lesions are encountered in the clinical practice. The ability to properly diagnose & treat these common lesions & to distinguish them from malignant tumours is the vital skills for all clinicians. Objective: To analyse retrospectively tumourlike lesions of skin with respect to age, sex, clinical features and histopathological features in a tertiary referral centre in Maharashtra, India. Methods : The present study consisted of analysis of tumourlike lesions of skin received in the histopathology section of department of pathology over a period of 5 years that is from August 2005 to July 2010 .The material comprised of biopsies and excision specimens. The clinical and histopathological details were noted. The findings were compared with those reported by other authors. Results : One hundred and seventy five (175) cases of tumourlike lesions of skin were seen .These lesions presented as skin swellings or tumours. Maximum cases (34.8%) of tumourlike lesions occurred in fourth & fifth decades with male preponderance (1.35:1). The maximum number of cases was encountered in the head & neck region (63.4%). Their size ranged from 0.4 to 9 cms. Epidermal cyst was the commonest tumourlike lesion (59.4%) followed by dermoid cyst (13.1%).Other lesions were trichilemmal cyst, fibroepithelial polyp, keloid, hypertrophic scar and epidermal nevus. Conclusion : Tumourlike lesions are clinically diagnosed by their presentation. However, the histopathological examination confirms the clinical diagnosis. The pathologic evaluation of all tumourlike lesions is mandatory to avoid patient’s and family’s anxiety.

[Nasal dermoid sinus-cyst,review article and case report]

Nasal dermoid sinus cyst [NDSC] is an uncommon congenital lesion presenting as a large panel of midline craniofacial anomalies. These congenital disorders often extend to intracranial and can lead to serious complications. The aim of this study was to assessment of frequency, sign, symptoms, treatment and outcome of nasal dermoid sinus cyst. In this study, an 8 years old female with nasal dermoid sinus cyst and nasal tip sinus opening [4 years previous history] was evaluated

Congenital inclusion tumours in spinal dysraphism.

Objective. To review the presentation, diagnosis and management of children with spinal dysraphism and CIT. Methods. It is a retrospective review of 146 children of spina bifida over 9 years (2000-2008) and details the clinical course and outcome of seven with associated congenital inclusion tumors. Results. 7/146 (4.7%) had spina bifida with CIT, 5 dermoid cysts and 2 mature teratoma. The diagnosis was missed by the primary physician even in the presence of a neurocutaneous marker. Spinal imaging with MRI was conclusive. All were managed with multilevel laminectomy, near total/total excision of the CIT and detethering of cord. Intramedullary involvement and established neurological deficits at presentation were associated with persistent deficits. Conclusion. Early detection and comprehensive management of CIT with spinal dysraphism ensures social fecourinary continence, preserves renal function, achieves ambulation and enables patients to lead an acceptable quality of life.

Quiste dermoide de piso de boca: presentación de un caso clínico / Dermoid cyst of the mouth floor: report of a clinical case

El quiste dermoide es una lesión benigna que se origina por atrapamiento del epitelio germinal durante el cierre de los arcos branquiales. Se presenta generalmente entre la segunda y tercera décadas de la vida y no tiene predilección por sexo. El tratamiento es quirúrgico. La recidiva es poco frecuente y el pronóstico es favorable.

Unusual presentation of benign cystic teratoma

Benign Cystic Teratoma [Dermoid cyst] is the most common Germ cell tumor, they rarely grow larger than 15cm in diameter and usually occur in young women with peak incidence between the ages of 20 and 40 years .We report a case of an unusually massive benign cystic teratoma measuring 86cm by 70cm and weighing 21kg, removed from a 58 year old six years post menopausal Para five woman who had been carrying the cyst over a period of twenty years. She had total abdominal hysterectomy and bilateral satpingo-oophorectomy and was discharged on the eighth post operative day

Parenchymal Neurocutaneous Melanosis in Association with Intraventricular Dermoid and Dandy-Walker Variant: A Case Report

Neurocutaneous melanosis (NCM) is a rare congenital disease that is characterized by the presence of large or multiple congenital melanocytic nevi and melanotic lesions of the central nervous system. We report here on the CT and MR imaging findings of an unusual case of NCM that was associated with intraventricular dermoid and Dandy-Walker malformation.

Estado oftalmológico de la población escolar y preescolar de la Isla de Pascua / Ophthalmologic status of school and preschool population at Easter Island

Entre los días 7 al 22 de agosto de 1994, un equipo de oftalmólogos del Hospital San Juan de Dios de Santiago, Chile, atendió a 705 alumnos del Liceo Lorenzo Baeza Vega de Isla de Pascua, lo que representa un 95,27 por ciento de la población preescolar y escolar de esta isla. Un 53.5 por ciento eran mestizos; un 29,4 por ciento continentales y un 17,10 por ciento pascuenses puros. La frecuencia de vicios de refracción y de discromatopsia es mayor en los continentales que en los pascuenses puros y predominan las miopías. La frecuencia de discromatopsia en la población masculina pascuense fue de un 13,5 por ciento. Los preescolares continentales y mestizos tienen una tendencia a tener una excavación papilar más grande que los pascuenses. La patología inflamatoria aguda o crónica de polo anterior fue la que encontramos con mayor frecuencia

Quiste dermoide intramedular: a propósito de un caso / Intramedular dermoid cyst: apropos of the one case

Se presenta un caso de tumor del cono medular, cuyo informe neuropatológico fue compatible con un quiste dermoide. Se analiza la clínica, los neuroradiológicos y la histopatogénesis de la lesión

Lesöes benignas e pseudo neoplasicas da palpebra na Faculdade de Medicina de Botucatu / Lid benign and pseudoneoplastic lesions in Botucatu Medical School

Estudou-se a ocorrência de lesöes pseudoneoplásicas e lesöes benignas da pele e anexos palpebrais na Faculdade de Medicina de Botucatu de 1978 a 1988. Encontrou-se 128 casos que tiveram confirmaçäo diagnóstica através de exame histopatológico: 81 (63,28//) lesöes pseudoneoplásicas, 31 (24,21//) lesöes benignas da pele e 16 (12,50//) lesöes benignas de anexos cutâneos. Nos 3 grupos de lesöes o sexo feminino foi o mais acometido. Lesöes pseudoneoplásicas e benignas da pele ocorreram mais na pálpebra superior e lesöes anexiais, näo tiveram localizaçäo preferencial. Os autores chamam a atençäo para a importância de submeter o material excisado a exame histopatológico, pois o diagnóstico clínico foi incorreto em muitos casos

Neoplasias ovarianas: estatística da Maternidade-Escola de Vila Nova Cachoierinha

Os autores analisaram 126 casos de neoplasias ovarianas no Hospital e Maternidade-Escola de Vila Nova Cachoeirinha. Destes, 112 casos constituíram neoplasias benignas e 14 malignas. A análise visou dados quanto a idade, queixas e estudos histopatológicos. Os achados foram discutidos e comparados com outros dados da literatura