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< Back to all issues

Volume 128 - July 2014

Contents

Page 14 of 16

Back Cover (IBC, OBC) and matter

  • JLO volume 128 issue 10 Cover and Back matter

  • Published online by Cambridge University Press:
    13 October 2014, pp. b1-b2
    • Article
      • You have access
    • PDF
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Clinical Records

  • Synovial sarcoma of the ethmoidal sinus

  • H-T Wong, C-Y Ho, A R Nazarina, N Prepageran
  • Published online by Cambridge University Press:
    02 October 2014, pp. 1022-1023
  • Background:

    Synovial sarcoma is a high-grade, soft tissue, malignant disease associated with poor outcome. Typically, synovial sarcoma involves the extremities, with less than 10 per cent of cases occurring in the head and neck region. Synovial sarcoma of the paranasal sinuses is a rare entity. This paper presents a case of an elderly patient with synovial sarcoma of the ethmoidal sinus.

    Case report:

    An 80-year-old woman who had right epistaxis underwent nasal endoscopy and biopsy. The pathology indicated synovial sarcoma and the patient underwent endoscopic excision of the tumour.

    Conclusion:

    Synovial sarcoma of the ethmoidal sinus is very rare. Patients should undergo excision of the tumour with post-operative radiotherapy. However, the prognosis remains poor and usually the patient succumbs to death within a year.

Book Reviews

Clinical Records

  • Salivary gland pathology in the paediatric population: implications for management and presentation of a rare case

  • L Jablenska, A Trinidade, V Meranagri, P Kothari
  • Published online by Cambridge University Press:
    10 February 2014, pp. 104-106
  • Introduction:

    Salivary gland pathology in the paediatric population is rare and can present management challenges regarding both investigation and treatment.

    Method:

    Case report and review of available literature.

    Results:

    A seven-year-old, fit, well girl presented with a two-month history of a painless mass over the left parotid area. Ultrasonography confirmed the presence of a well-defined, 1.5 × 2 cm, predominantly solid lesion with minor internal cystic spaces arising from the superficial part of the gland. Magnetic resonance imaging showed no invasion of the deep lobe or skeletal erosion. Superficial parotidectomy was performed via a facelift incision. Histopathology confirmed a diagnosis of pleomorphic adenoma. Review of the literature emphasised important differences in managing this pathology in the paediatric population when compared with adults.

    Conclusion:

    We present the youngest reported case of a pleomorphic adenoma of the parotid gland, detail its management, and discuss the general approach to parotid pathology management in the paediatric population.

Book Reviews

Clinical Records

  • Non-recurrent inferior laryngeal nerve identification during robotic thyroidectomy

  • C-C Wang, C-H Wu
  • Published online by Cambridge University Press:
    30 January 2014, pp. 199-202
  • Objective:

    A non-recurrent inferior laryngeal nerve is a rare anomaly in which the nerve enters the larynx directly off the cervical vagus nerve, without descending to the thoracic level. It is very susceptible to damage during surgery. This report describes the important pre-operative radiological evaluations and surgical landmarks in a case of a non-recurrent inferior laryngeal nerve, identified during the recently developed technique of robotic thyroidectomy.

    Case report:

    A 38-year-old woman presented with suspected papillary microcarcinoma, as indicated by aspiration cytology. Pre-operative computed tomography showed a right aberrant subclavian artery that indicated a possible right non-recurrent inferior laryngeal nerve. Using robotic thyroidectomy methods, it was possible to carefully dissect along the thyroid capsule. The laryngeal entrance point of the right non-recurrent inferior laryngeal nerve (a constant anatomical landmark) was successfully identified via the three-dimensional, high-magnification views provided by the robotic endoscope.

    Conclusion:

    With proper knowledge of radiological and surgical anatomy, and the benefits of high-magnification endoscopic views, a non-recurrent inferior laryngeal nerve can be safely preserved during robotic surgery.

Book Reviews

Book Review

Book Reviews

Clinical Records

  • Clinicoradiological characteristics of patients with differentiated thyroid carcinoma and renal metastasis: case series with follow up

  • P Kand, S Basu
  • Published online by Cambridge University Press:
    30 January 2014, pp. 203-208
  • Background:

    Renal metastasis is relatively unusual in patients with differentiated thyroid carcinoma.

    Methods:

    The clinicoradiological parameters of a series of patients with differentiated thyroid carcinoma and renal metastasis were assessed, together with follow-up data.

    Results and conclusion:

    The series comprised 4 male patients over the age of 45 years with extensive disease at the primary site. Retro-sternal extension of a large goitre was observed in three patients. The primary tumour was 4 cm or larger in all patients (range, 4–14 cm), and three patients had associated lymph node metastasis. None had any genito-urinary symptoms at presentation. Two patients had isolated renal metastases with no other distant metastases, while the others had extensive multi-organ involvement. The bilateral occurrence of lesions was a hallmark, being observed in all cases. Ultrasound-guided fine needle aspiration cytology and 131I scintigraphy were pivotal in confirming the diagnosis. Evidence of ‘flip-flop’ between 131I study and fluoro-deoxyglucose positron emission tomography was noted in one patient, while the other three demonstrated concordant lesions in both modalities. At a minimum follow-up period of four years after diagnosis, three patients demonstrated stable disease with radioiodine therapy, and one had expired due to a poorly differentiated lung carcinoma which developed subsequently.

Erratum

Book Reviews

Front Cover (OFC, IFC) and matter

  • JLO volume 128 issue 6 Cover and Front matter

  • Published online by Cambridge University Press:
    20 June 2014, pp. f1-f4
    • Article
      • You have access
    • PDF
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Book Reviews

Clinical Records

  • Critical airway induced by formalin injection: case report

  • C-F Yeh, T-L Lee
  • Published online by Cambridge University Press:
    13 December 2013, pp. 107-109
  • Background:

    Formalin is a saturated aqueous solution comprising 37–40 per cent formaldehyde. It is often used in histopathology laboratories as a tissue preservative. The ingestion or injection of formalin has an immediate, powerful and destructive impact on humans. This paper reports a case of formalin injection and reviews the relevant world literature.

    Case report:

    A 36-year-old male attempted suicide by injecting formalin into the right side of his neck, resulting in a critical airway situation. An endotracheal tube was inserted and a tracheostomy was then performed to secure his airway. After receiving medical treatment, including antibiotics and N-acetyl cysteine, the status of the patient's airway improved.

    Conclusion:

    When examining patients who have injected substances into their neck, the possibility of deep neck inflammation with airway compromise should be considered. Immediate management, which should include establishment of a definitive airway and prophylactic infection control, is crucial.

Page 14 of 16