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221. Management of congenital microphthalmos and anophthalmos with orbital cyst. (Abstract)

Management of congenital microphthalmos and anophthalmos with orbital cyst. To study the effects of an individualized treatment approach to children with congenital microphthalmos and anophthalmos.Patients with congenital microphthalmos or anopthalmos with orbital cysts who were referred to Beijing Tongren Hospital between July 2009 and July 2017 were included in this retrospective case series study. For patients ≤6 years of age, the cyst was retained to promote orbital development unless (...) a prosthesis could not be fitted at all or disproportionate orbital growth was detected. Hydrogel orbit expanders were implanted initially if orbital volume was poor. For patients >6 years of age, the cyst was removed if it caused cosmetic problems or unsatisfactory prosthesis fitting. Eyelid procedures were performed after puberty to improve appearance.The study included 26 orbits of 24 patients. Of the 14 patients ≤6 years, 3 underwent cyst excision, 8 were treated with conformers only, and 3 had

2019 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

222. Growth Pattern of Kidney Cyst Number and Volume in Autosomal Dominant Polycystic Kidney Disease. (Abstract)

Growth Pattern of Kidney Cyst Number and Volume in Autosomal Dominant Polycystic Kidney Disease. To evaluate the growth pattern of kidney cyst number and cyst volume in association with kidney size, demographics, and genotypes in autosomal dominant polycystic kidney disease.Kidney cyst number and cyst volume were measured from serial magnetic resonance images, giving a maximum follow-up of 14.23 years, from 241 patients with autosomal dominant polycystic kidney disease (15-46 years old (...) strength groups.Imaging and genetic data were collected (at least one visit) for 236 participants. The mean height-adjusted total cyst number increased exponentially over time from a baseline value of 762 to 1715 at the last clinic visit, while the mean height-adjusted total cyst volume increased exponentially from 305 to 770 ml. Height-adjusted total kidney volume, height-adjusted total cyst number, and height-adjusted total cyst volume were all highly correlated over time. Female participants

2019 Clinical Journal of the American Society of Nephrology

223. Symptomatic Tarlov cysts are often overlooked: ten reasons why-a narrative review. (Abstract)

Symptomatic Tarlov cysts are often overlooked: ten reasons why-a narrative review. Tarlov cysts (TCs) are dilations of nerve roots arising from pathologically increased hydrostatic pressure (HP) in the spinal canal. There is much controversy regarding whether these cysts are a rare source of pain or often produce symptoms. The aim of this review was to identify the reasons that symptomatic TCs (STCs) are easily overlooked.The literature was searched for data regarding pathogenesis (...) ; (7) examinations and treatments usually focus on the cysts as an underlying mechanism; however, essentially, increased HP is the main underlying mechanism for producing symptoms. Consequently, STCs may relapse after surgery; (8) bladder, bowel and sphincter dysfunction are not inquired about during history taking. (9) Unexplained pain is often attributed to depression, whereas depression is more likely the consequence of debilitating neuropathic pain. (10) The recognition of STCs is subject

2019 European Spine Journal

224. Thyroid Rosai-Dorfman disease with infiltration of IgG4-bearing plasma cells associated with multiple small pulmonary cysts. Full Text available with Trip Pro

Thyroid Rosai-Dorfman disease with infiltration of IgG4-bearing plasma cells associated with multiple small pulmonary cysts. Rosai-Dorfman disease (RDD) is a rare histiocytosis which involves principally lymph nodes. Thyroid involvement in RDD is a very rare situation, and lung involvement is even rarer.We report the case of a 46-year-old woman presenting a painless mass in the right side of the neck and subacute dyspnoea. Computerised tomography (CT) scans of the neck and thorax showed a large (...) indicates a benign course of nodal RDD with thyroid and tracheal infiltration following surgical resection, association of typical histological signs of RDD (emperipolesis) with IgG4-related disease features, and that lung cysts might be a manifestation of RDD.

2019 BMC pulmonary medicine

225. Laparoscopic management for aberrant hepatic duct in children with choledochal cysts. (Abstract)

Laparoscopic management for aberrant hepatic duct in children with choledochal cysts. The aim of the current study is to evaluate efficacy of laparoscopic treatment for aberrant hepatic duct (AHD) in children with cholecochal cysts (CDC).CDC children with AHDs who successfully underwent laparoscopic ductoplasties and hepaticojejunostomies between October 2001 and October 2017 were reviewed. The AHD variations were categorized into four subtypes and the surgical management varied according (...) patients with giant cysts had fluid collections, and were cured by drainages. One patient encountered duodenal injury at perforation site, and underwent laparoscopic repair. None of the patients had anastomotic stenosis, bile leak, cholangitis, intrahepatic reflux, pancreatic leak, pancreatitis, Roux-loop obstruction, or adhesive intestinal obstruction. Postoperative liver function tests and serum amylase level normalized within 1 year.Recognition and treatment based on different subtypes of AHDs

2019 Surgical endoscopy

226. Atypical thyroglossal duct cyst with intra-laryngeal and para-glottic extension. (Abstract)

Atypical thyroglossal duct cyst with intra-laryngeal and para-glottic extension. Thyroglossal duct cysts (TDC) are the most common congenital neck masses. Although they are anatomically closely related to the larynx, intra-laryngeal extension is very rare. We present a case, review the literature and discuss the challenges of intra-laryngeal TDC. A 55-year-old man presented with a neck mass associated with dysphagia. Computer Tomography neck scan showed a midline cyst extending to the pre (...) -epiglottic space with partial obliteration of the right pyriform sinus and narrowing of the larynx. The cyst was excised en-bloc via Sistrunk procedure. Intra-laryngeal TDC are surgically challenging due to risk of perforation into the aerodigestive tract.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Otolaryngology

227. Incidence and clinical predictors of cystic squamous cell carcinoma metastases in lateral cervical cysts. (Abstract)

Incidence and clinical predictors of cystic squamous cell carcinoma metastases in lateral cervical cysts. This study aimed to determine the incidence of metastatic squamous cell carcinoma in patients with an isolated cervical cystic mass, and to describe the clinical features that might predict the origin of cystic tumours.Adult patients with isolated lateral cervical cystic masses who were scheduled for surgery from 1st January 2010 to 31st August 2016 in two tertiary care referral centres (...) in Slovakia were analysed retrospectively.The incidence of cystic metastases in the whole cohort and in patients aged over 40 years were 9.9 per cent and 18.5 per cent, respectively. The incidence in patients aged over 40 years (18.5 per cent) was statistically significant (p = 0.003).The incidence of cystic squamous cell carcinoma metastases in lateral cervical cysts in patients aged over 40 years is high enough to call for excisional biopsy with frozen section, panendoscopy with direct biopsies

2019 Journal of Laryngology & Otology

228. Preoperative ultrasound for the diagnosis of thyroglossal duct cysts: A validation study. (Abstract)

Preoperative ultrasound for the diagnosis of thyroglossal duct cysts: A validation study. To evaluate the use of ultrasound to distinguish between thyroglossal duct cysts (TGDC) and dermoid cysts (DC) for surgical planning. To validate the SIST (septae + irregular wall + solid components = TGDC) scoring system proposed by Oyewumi et al. [1].This was a retrospective chart review of pediatric patients with midline neck masses who presented between the years of 2005 and 2014 and underwent

2019 International Journal of Pediatric Otorhinolaryngology

229. Preventing Restenosis of Marsupialized Rathke Cleft Cysts Using a Nasoseptal Flap Lining. (Abstract)

Preventing Restenosis of Marsupialized Rathke Cleft Cysts Using a Nasoseptal Flap Lining. Rathke cleft cysts (RCCs) are rare, benign lesions formed from remnants of Rathke pouch during embryologic development. However, following marsupialization, maintaining tract patency remains a challenge. Several techniques for decreasing stenosis have been described, including free mucosal grafting, silastic spacing, and using steroid-eluting stents. Nasoseptal flaps (NSFs) have a reliable vascular supply (...) symptomatic control, surgical complications, and RCC cavity patency.Seven patients underwent RCC marsupialization with no intraoperative cerebrospinal fluid leak, followed by circumferential lining of the marsupialized cavity with an NSF. In each case, no cyst re-accumulation or recurrent symptoms were noted, and the NSF lining provided long-term patency of the tract in all cases to a mean of 6.7 ± 10.1 months of follow-up, including one patient with sustained patency at 29 months follow-up.Utilization

2019 Laryngoscope

230. Symptomatic aneurysmal bone cysts of the spine: clinical features, surgical outcomes, and prognostic factors. (Abstract)

Symptomatic aneurysmal bone cysts of the spine: clinical features, surgical outcomes, and prognostic factors. The aim of the study was to report the long-term outcomes and analyze the potential prognostic factors that may contribute to symptomatic patients with aneurysmal bone cyst (ABC) of the spine undergoing surgical treatments.A retrospective analysis of consecutive patients with ABCs of the spine was performed. The clinical features were reviewed, and the disease-free survival (DFS

2019 European Spine Journal

231. Editorial Commentary: Acetabular Paralabral Cysts…It's All About Location, Location, Location…. Full Text available with Trip Pro

Editorial Commentary: Acetabular Paralabral Cysts…It's All About Location, Location, Location…. With our increased understanding about the causes of young adult hip pain and femoroacetabular impingement, magnetic resonance imaging has become an important diagnostic tool for identifying labral pathology. However, arthroscopic evaluation is paramount to understanding whether a labral tear truly exists in these patients. Orthopaedic dogma suggests that acetabular paralabral cysts form due (...) to an associated acetabular labral tear. Nevertheless, a cause and effect relationship has not yet been proven in the literature. The location of these paralabral cysts may influence the clinical symptoms that they cause and their diagnostic utility. Further work is needed to fully understand the relevance of acetabular paralabral cysts in patients with femoroacetabular impingement.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

232. Perineural cyst with intracystic hemorrhage following aneurysmal subarachnoid hemorrhage: A case report. Full Text available with Trip Pro

Perineural cyst with intracystic hemorrhage following aneurysmal subarachnoid hemorrhage: A case report. Most perineural cysts are asymptomatic and discovered incidentally at the time of imaging. Although enlargement of the perineural cyst (PC) through a ball-valve mechanism and resultant compression of the adjacent neural or bony structures are known to be a source of pain in PCs, the reason why asymptomatic PCs become symptomatic is unclear. The authors report a case of PC, which was presumed

2019 Medicine

233. Helicobacter cinaedi Hepatic Cyst Infection with Bacteremia. Full Text available with Trip Pro

Helicobacter cinaedi Hepatic Cyst Infection with Bacteremia. Helicobacter cinaedi is an enterohepatic bacillus that causes infections of various manifestations. We report a novel case of hepatic cyst infection with bacteremia caused by H. cinaedi in an immunocompetent woman in Japan. Further research is warranted to identify the epidemiologic and clinical features of H. cinaedi infection.

2019 Emerging Infectious Diseases

234. Surgical management of tailgut cysts: A rare case report. Full Text available with Trip Pro

Surgical management of tailgut cysts: A rare case report. Tailgut cysts are a type of very rare congenital polycystic lesions that are always located posterior to the rectum and anterior to the sacrum. The symptoms of tailgut cysts are nonspecific and misleading. Therefore, a full understanding of the characteristics of tailgut cysts is important for their diagnosis and treatment.We report a 46-year-old female with a sacrococcygeal mass that had been present for about 2 years.Pelvic magnetic (...) resonance imaging (MRI) indicated several cystic masses, the largest of which had a diameter of about 2.8 cm, near the ligaments of the sacrospinous and rectum. Pathological examination confirmed the tailgut cysts, with no signs of malignant transformation.The patient received complete surgical cysts resection, which was performed through the sacrococcygeal region.The patient recovered well with no obvious complication and was discharged on the sixth-day post-surgery. Follow-up 6 months later revealed

2019 Medicine

235. Intracranial endodermal cyst presenting with nonobstructive hydrocephalus: A case report. Full Text available with Trip Pro

Intracranial endodermal cyst presenting with nonobstructive hydrocephalus: A case report. Endodermal cysts are rare benign lesions in the central nervous system. Their common symptoms include headache and neck pain caused by mass effect or inflammatory reaction. We report the case of an elderly woman with intracranial endodermal cyst who presented with nonobstructive hydrocephalus.A 78-year-old woman presented with acute deterioration of consciousness caused by acute hydrocephalus. She (...) subsequently underwent ventriculoperitoneal shunt placement. Eighteen months after this operation, she developed numbness of extremities and gait and progressive cognitive disturbances.Initially, the endodermal cyst could not be recognized, but it became clinically evident in the craniocervical junction after ventriculoperitoneal shunt placement. MRI revealed multiple cystic lesions in the pontomedullary cistern. Postoperative pathology confirmed the diagnosis of endodermal cyst.Subtotal resection

2019 Medicine

236. The scolicidal activity of the essential oil obtained from the needles of Pinus nigra Arn. subsp. pallasiana (Lamb.) Holmboe on hydatid cyst. (Abstract)

The scolicidal activity of the essential oil obtained from the needles of Pinus nigra Arn. subsp. pallasiana (Lamb.) Holmboe on hydatid cyst. This study aimed to evaluate the in vitro activity of the essential oil of Pinus nigra subsp. pallasiana against protoscoleces of Echinococcus granulosus sensu lato. In traditional Turkish folk medicine, the essential oils and resin of P. nigra and P. sylvestris are used externally for wound healing. They are also used in cattle for treating worms (...) and as boiling essence against cold and stomachache. Protoscoleces were aseptically aspirated from sheep livers having hydatid cysts.Three concentrations (10, 30, and 50 mg/mL) of the essential oil from P. nigra subsp. pallasiana cones were used for 10-60 min. The essential oil was applied to protoscoleces of hydatid cyst to determine the scolicidal activity of the essential oil. Viability of protoscoleces was observed by 0.1% eosin staining.The rate of dead protoscoleces was found to be 2.27% in the control

2019 Journal of Ethnopharmacology

237. Epiduroscopic decompression of a symptomatic perineural cyst: A case report. Full Text available with Trip Pro

Epiduroscopic decompression of a symptomatic perineural cyst: A case report. Perineural cysts in the spinal canal are usually asymptomatic. However, symptoms can occur when the cyst becomes large enough to compress a nerve root. There are still no established treatment options for this disease. In this report, we describe a case of successful decompression of the large symptomatic perineural cyst using epiduroscope.A 42-year-old male patient visited our pain center complaining of discomfort (...) and pain in his right posterior thigh. Magnetic resonance imaging of the patient showed a large perineural cyst (53 × 31 × 21 mm) compressing the right S1 nerve. No other abnormalities that would explain the patient's symptoms were identified.Perineural cyst at the right S1 nerve.We performed an epiduroscopic decompression of the perineural cyst. After advancing the epiduroscope and locating the cyst, we used the laser to make a hole in the cyst wall. Then, the epiduroscope was advanced into the cyst

2019 Medicine

238. A case report of aneurysmal bone cyst of the thoracic spine treated by serial anterior and posterior fusion. Full Text available with Trip Pro

A case report of aneurysmal bone cyst of the thoracic spine treated by serial anterior and posterior fusion. Aneurysmal bone cyst (ABC) is a benign, reactive, non-neoplastic, proliferative, highly vascular osseous lesion. Because of the rarity of aggressive ABC cases, diagnostic and treatment protocols remain controversial and problematic. Treatment of ABC includes surgery, radiotherapy, selective arterial embolization (SAE), and a combination of these modalities. Successful outcomes have been

2019 Medicine

239. Solitary cystic metastatic lymph node of occult human papillomavirus-related oropharyngeal cancer mimicking second branchial cleft cyst: A case report. Full Text available with Trip Pro

Solitary cystic metastatic lymph node of occult human papillomavirus-related oropharyngeal cancer mimicking second branchial cleft cyst: A case report. Human papillomavirus (HPV)-related oropharyngeal cancer is becoming more common, the primary cancer AQ4 usually occult and appearing only as cystic cervical lymph node (LN) metastasis. Distinguishing between a benign cystic lesion and cystic LN metastasis is challenging given their similar radiologic and histologic appearances.A 54-year-old man (...) presented with a bulging cystic mass measuring 6.4cm on the right side of neck.Postexcision diagnosis was second branchial cleft cyst. After 2 years, the cystic mass recurred, and HPV-related tonsillar squamous cell carcinoma with cystic metastatic LNs was confirmed after wide tonsillectomy and neck dissection. The previous cystic lesion proved to be a cystic metastatic LN from the same malignancy with additional p16 immunostain.The patient was treated with adjuvant concurrent chemoradiation therapy.The

2019 Medicine

240. Compressive peroneal neuropathy by an intraneural ganglion cyst combined with L5 radiculopathy: A case report. Full Text available with Trip Pro

Compressive peroneal neuropathy by an intraneural ganglion cyst combined with L5 radiculopathy: A case report. Most cases of foot drop are known to result from lower motor neuron pathologies, particularly lumbar radiculopathy and peripheral neuropathy, including common peroneal neuropathy. To improve the prognosis of foot drop, it is important to quickly and accurately diagnose the etiology and provide appropriate treatment.A 65-year-old female patient with a history of L4-5 intervertebral disc (...) herniation presented with right foot drop that had developed 1 month previously.Electrodiagnostic examination revealed common peroneal neuropathy combined with L5 radiculopathy, with the former being the main cause of the foot drop. MRI of the right knee was performed to identify the cause of the peroneal nerve lesion, which revealed an intraneural ganglion cyst in the common peroneal nerve.The patient was treated by ultrasound-guided percutaneous cyst aspiration and corticosteroid injection

2019 Medicine

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