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141. Esophageal duplication cyst presenting with stridor in a child with congenital pulmonary airway malformation: A case report and literature review. Full Text available with Trip Pro

Esophageal duplication cyst presenting with stridor in a child with congenital pulmonary airway malformation: A case report and literature review. Esophageal duplication cyst (EDC) is a rare developmental aberration originated from the embryonic foregut. It may remain asymptomatic but produce local mass effect on surrounding organs if rapid enlarges. EDC may sometimes accompany with other congenital malformations. Congenital pulmonary airway malformation (CPAM) is a congenital lung malformation (...) with an unknown chance of developing symptoms. Here we report a rare case of esophageal duplication cyst with type 2 congenital pulmonary airway malformation (CPAM).A 16-month old boy with a prenatal diagnosis of type 2 CPAM presented progressive stridor and respiratory distress and was admitted to our hospital under the diagnosis of pneumonia. The patient responded poorly to antibiotics. A chest Xray (CXR) showed consolidation over the left upper lobe with trachea deviated to right side. A chest computed

2019 Medicine

142. A suprasellar bronchogenic cyst: A case report. Full Text available with Trip Pro

A suprasellar bronchogenic cyst: A case report. Bronchogenic cysts are mainly benign, congenital abnormalities, originating from the remnants of the primitive foregut. However, intracranial bronchogenic cysts have been rarely observed. Hence, better understanding of the suprasellar bronchogenic cysts is of great significance to properly perform perioperative management.A 62-year-old Chinese female was admitted to our hospital due to impairment of memory and asthenia.Magnetic resonance imaging (...) (MRI) confirmed presence of cystic lesion in the suprasellar region. The patient underwent craniotomy with resection of the cystic mass. The histopathological examinations confirmed diagnosis of bronchogenic cyst as well.The cystic lesion was removed without complications. No drugs during follow-up were recommended.After discharge, the patient was advised to undergo MRI for 6 months to 1 year. No evidence of recurrence was found in the first postoperative review.Bronchogenic cysts should

2019 Medicine

143. Fetal giant right cervical cyst causing severe tracheal compression: A case report. Full Text available with Trip Pro

Fetal giant right cervical cyst causing severe tracheal compression: A case report. Fetal giant cervical cyst (FGCC) is a rare congenital anomaly. Sometimes FGCC may extend into the mediastinum, and result in severe tracheal compression, which is a life-threatening event at birth.We present a rare case of FGCC, which extended from the right neck into the superior mediastinum, and resulted in severe tracheal compression.An FGCC was observed by ultrasonography and magnetic resonance imaging (MRI (...) ) at 27+4 weeks' gestation (WG). Fetal MRI at 35+1 WG showed that the FGCC was 3.3 × 8.2 × 7.5 cm and extended from the right neck into the superior mediastinum. Severe tracheal compression was observed and the inside diameter of the narrowest section of tracheostenosis appeared thread-like and measured only 0.1 cm.Cervical cyst reduction was performed prenatally under ultrasound guidance to alleviate the tracheal compression and maximize the chance of fetal survival 2 days before birth. At 36+3 WG

2019 Medicine

144. Prenatal diagnosis of HNF1B-associated renal cysts: Need to differentiate intragenic variants from 17q 12 microdeletion syndrome? Full Text available with Trip Pro

Prenatal diagnosis of HNF1B-associated renal cysts: Need to differentiate intragenic variants from 17q 12 microdeletion syndrome? 17q12 microdeletions containing HNF1B and intragenic variants within this gene are associated with variable developmental, endocrine and renal anomalies, often already noted prenatally as hyperechogenic/cystic kidneys. Here, we describe pre- and postnatal phenotypes of seven individuals with HNF1B aberrations and compare their clinical and genetic data to previous

2019 Prenatal diagnosis

145. One-year follow-up of ovarian reserve by three methods in women after laparoscopic cystectomy for endometrioma and benign ovarian cysts. (Abstract)

One-year follow-up of ovarian reserve by three methods in women after laparoscopic cystectomy for endometrioma and benign ovarian cysts. To determine the long-term impact of laparoscopic cystectomy for endometriomas and benign cysts on ovarian reserve and selection of the most effective method of assessment.The present study was carried out between November 2013 and December 2016. Participants were assigned to laparoscopic cystectomy for diagnosed unilateral benign ovarian cysts and divided

2019 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

146. [Analysis of COâ‚‚ laser and conventional laryngomicrosurgery treatments for vocal cord cyst: an evaluation of short-term voice acoustics outcomes]. (Abstract)

[Analysis of COâ‚‚ laser and conventional laryngomicrosurgery treatments for vocal cord cyst: an evaluation of short-term voice acoustics outcomes]. Objective: To compare the short-term outcomes of CO₂ laser and conventional laryngeal microsurgery for vocal cord cyst. Method: Patients with vocal cord cyst were divided randomly into two groups. One group was treated with CO₂ laser (laser group) and the other underwent Micro-flap surgery(Micro-flap group). For the objective assessment, Amulti (...) that of the Micro-flap group after 1 to 3 months of follow-up(P<0.05). But no significant differences of the parameters of G and VHI-10 was noted between the laser group and Micro-flap group(P>0.05). Conclusion: CO₂ laser laryngeal microsurgery for vocal cord cyst can significantly improve pronunciation quality.Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.

2019 Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery Controlled trial quality: uncertain

147. Comparison of the impact of single-port laparoscopic and conventional laparoscopic ovarian cystectomy on the ovarian reserve in adult patients with benign ovarian cysts. (Abstract)

Comparison of the impact of single-port laparoscopic and conventional laparoscopic ovarian cystectomy on the ovarian reserve in adult patients with benign ovarian cysts. Objective: The surgical approach, hemostatic approach, histologic findings, and cyst size and location may have a role in reducing the ovarian reserve. The aim of this study was to investigate the impact of single-port laparoscopic cystectomy (SLC) and conventional laparoscopic cystectomy (CLC) on the ovarian reserve based (...) on serum anti-Mullerian hormone (AMH) concentrations. Material and methods: This non-randomized concurrent control trial enrolled 79 female patients aged 18-45 years with benign ovarian cysts, including 47 patients in the SLC group and 32 patients in the CLC group. Outcome measures, including hospital stay, operative time, blood loss, analgesic use, body temperature, hospitalization cost, and serum AMH concentration, were evaluated preoperatively, two to three days postoperatively, and four to six

2019 Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy Controlled trial quality: uncertain

148. Modified Mini-laparoscopic Surgery Optimized the Laparoscopic Decortication of Renal Cyst. (Abstract)

Modified Mini-laparoscopic Surgery Optimized the Laparoscopic Decortication of Renal Cyst. This study was to introduce the modified mini-laparoscopic surgery for renal cyst and investigate its advantages on operative time, cosmetic effect and pain reduction by comparison with laparo-endoscopic single site surgery (LESS) and conventional laparoscopic surgery.Between May 2015 and October 2018, 140 consecutive patients with benign renal cyst underwent laparoscopic decortication of renal cyst (...) ). Mean VAS pain scores in M group were significantly lower than that of LESS group and C group on postoperative day (POD) 1 and 3 (P<0.01). The SCAR scale of POD 30 in C group (6.25±1.0) was significantly higher than that in M group (0.77±0.59) and LESS group (0.98±0.70). The postoperative course was uneventful with no morbidity within 1to 6 months of follow-up.Modified mini-laparoscopic decortication of renal cyst have more comprehensive advantages comparing with LESS and conventional laparoscopic

2019 Urology journal Controlled trial quality: uncertain

149. Pineal cyst surveillance in adults - a review of 10 years' experience. (Abstract)

Pineal cyst surveillance in adults - a review of 10 years' experience. Objective: Pineal cysts are common benign incidental findings in adults. There are no commonly accepted criteria for follow up or indications for intervention. We looked at our outcomes for this condition to explore their natural history and review our surveillance criteria. Method: Retrospective review of multidisciplinary team meetings at a tertiary neurosurgical centre over 10 years. Data relating to demographics (...) , presenting symptoms, maximum diameter, duration of surveillance, final diagnosis and overall outcome were extracted from electronic patient records and available MRI. Data were analysed using IBM SPSS version 24. Result: Seventy-seven pineal cysts were identified. Female to male ratio was 1.43, female mean age was 38.6 and male mean age was 50.4. An increase in referral frequency was observed over the study period (mean increase of 1.4 cases per year). Presenting symptoms of headache in 45% and visual

2019 British Journal of Neurosurgery

150. Sonographic appearance of sebaceous cysts. Our experience and a review of the literature. (Abstract)

Sonographic appearance of sebaceous cysts. Our experience and a review of the literature. Sebaceous cysts are benign enveloped nodules resulting from an obstruction of a hair follicle. Although they are very common, differential diagnosis is not obvious and may include many diseases. Ultrasound examination with high frequency probes, in the hands of a skilled operator, is the gold standard for noninvasive evaluation of these diseases. The aim of our study was to describe sonographic patterns (...) found in our experience with high frequency probes. We decided to reevaluate the sonographic appearance of the last 100 patients with sebaceous cysts that were under our observation through conducting a retrospective study. All lesions were examined by a skilled radiologist with an Esaote MyLab 70 XVG ultrasound unit and a dedicated 18 MHz linear probe, sometimes supplemented by 20 MHz. In these skin lesions, we evaluated morphology, size, vascularity, and especially the visibility of skin pores

2019 International Journal of Dermatology

151. An Unusual Cause of Pulmonary Arterial Hypertension: Hydatid Cyst. (Abstract)

An Unusual Cause of Pulmonary Arterial Hypertension: Hydatid Cyst. Hydatid cyst is an important health problem throughout the world and it is caused by the larval form of Echinococcus granulosus. Although it is most commonly located in the liver and lungs, hydatid cyst can also affect other organs because the oncospheres spread through the bloodstream. The disease may have many different clinical presentations. Although it is a benign disease, sometimes it can cause serious morbidity and even (...) mortality. Here, the case of a 33-year-old male patient who underwent surgery for a right ventricle and bilateral lung hydatid cyst 9 years ago and had pulmonary hypertension is presented.Copyright © 2019. Published by Elsevier Inc.

2019 Annals of Thoracic Surgery

152. Facet joint cyst haematoma: a rare cause of cauda equina syndrome. (Abstract)

Facet joint cyst haematoma: a rare cause of cauda equina syndrome. Facet joint cysts are a feature of lumbar spondylosis and are an uncommon cause of radiculopathy. Facet joint cyst haematoma is a very rare entity and has previously been reported as a subacute cause of leg pain, back pain, sensory deficit and lower limb weakness. We present the unique case of facet joint cyst haematoma presenting as cauda equina syndrome. An 81 year old lady presented with a 7 day history of back pain and left

2019 British Journal of Neurosurgery

153. Spinal intradural arachnoid cyst associated with diastematomyelia in an adult: a case report and review of literature. (Abstract)

Spinal intradural arachnoid cyst associated with diastematomyelia in an adult: a case report and review of literature. We report a case of a spinal intradural arachnoid cyst in a thirty year old female with a previously undiagnosed and untreated diastematomyelia. The cyst was located exactly between the two hemi-cords of the split cord malformation. The patient was treated successfully by laminoplasty and total removal of the cyst. Additionally, sectioning of the filium terminale was done (...) in the same sitting by a separate incision. This case posed a diagnostic dilemma. Though the clinical findings favoured an extramedullary lesion, the possibility of cystic degeneration in the spinal cord due to the tethered cord syndrome could not be completely negated. Spinal intradural arachnoid cysts have been reported in association with various neural tube defects, mainly in the paediatric age group. However, such a lesion associated with diastematomyelia in an adult, to the best of our knowledge

2019 British Journal of Neurosurgery

154. Spinal intradural arachnoid cyst as a complication of insertion of an interspinous device. (Abstract)

Spinal intradural arachnoid cyst as a complication of insertion of an interspinous device. Spinal intradural arachnoid cysts (SACs) account for approximately 10% of total arachnoid cysts, and iatrogenic attribution is rare. A 50-year-old male presented with low back pain and severe radiating pain in his right leg along the S1 dermatome. He had an interspinous device (ISD) inserted 10 years earlier. Plain radiographs showed breakage and angular movement of the ISD at L4/5. Magnetic resonance (...) imaging (MRI) of the lumbosacral spine disclosed multiple intradural cystic tumors in the entire lumbar region. He underwent removal of the ISD, laminectomy, and resection of the intradural cyst. The pathologic finding of the cystic tumor was compatible with arachnoid cyst. Antibodies to parasites, including cysticercosis, were negative in both the serum and cerebrospinal fluid (CSF). The ventral surface of the implant was clearly broken.

2019 British Journal of Neurosurgery

155. Supratentorial arachnoid cysts and seizures/epilepsy: A population study in community dwellers aged ≥20 years. (Abstract)

Supratentorial arachnoid cysts and seizures/epilepsy: A population study in community dwellers aged ≥20 years. Literature on the association between arachnoid cysts and seizures/epilepsy is inconsistent, and most series have been flawed due to recruitment bias. In this study, we aimed to assess the prevalence of supratentorial arachnoid cysts (SACs) in Atahualpa residents aged ≥20 years, and to estimate whether these lesions were associated with seizures/epilepsy. A total of 1157 individuals

2019 Epilepsia

156. Exploring the complex associations over time among albendazole treatment, cyst evolution, and seizure outcomes in neurocysticercosis. (Abstract)

Exploring the complex associations over time among albendazole treatment, cyst evolution, and seizure outcomes in neurocysticercosis. To develop a causal model for the occurrence of neurocysticercosis (NC)-related seizures and test hypotheses generated from the model.We used data from a randomized controlled trial comparing albendazole with placebo among patients newly diagnosed with NC. Based on our causal model, we explored the associations among albendazole treatment, NC cyst evolution (...) increased over the first few months following treatment, then decreased over time. Generalized seizures exhibited a more complex association; those in the albendazole group had fewer seizures compared with those in the placebo group for the first few months after treatment, and then the association reversed and those in the placebo arm had fewer seizures. Adjusting for the number of NC cysts in each phase resulted in an attenuation of the strength of association between albendazole and seizure outcomes

2019 Epilepsia Controlled trial quality: predicted high

157. Cell block processing is optimal for assessing endoscopic ultrasound fine needle aspiration specimens of pancreatic mucinous cysts. (Abstract)

Cell block processing is optimal for assessing endoscopic ultrasound fine needle aspiration specimens of pancreatic mucinous cysts. The cell block technique for assessing endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) specimens from pancreatic mucinous cystic lesions (MCLs) was systematically evaluated for the first time, including comparisons with three traditional methods of assessing such specimens.The prospective arm comprised EUS-FNA specimens from EUS-suspected pancreatic (...) MCLs. The retrospective arm comprised EUS-FNA specimens from pancreatic MCLs surgically resected before the study start. For each specimen, these data points were collected: macroscopic likelihood of mucin, cyst fluid carcinoembryonic antigen (CEA) level and presence of mucin in air-dried, direct smears and in cell block preparations.The prospective and retrospective arms of the study comprised 80 and 30 EUS-FNA specimens, respectively. Seven prospective cases led to surgical resections during

2019 Journal of Clinical Pathology

158. "Trivial" Cysts Redefine the Risk of Cancer in Presumed Branch-Duct Intraductal Papillary Mucinous Neoplasms of the Pancreas: A Potential Target for Follow-Up Discontinuation? (Abstract)

"Trivial" Cysts Redefine the Risk of Cancer in Presumed Branch-Duct Intraductal Papillary Mucinous Neoplasms of the Pancreas: A Potential Target for Follow-Up Discontinuation? The management of small and incidental branch duct intraductal papillary mucinous neoplasms (BD-IPMNs) still is of concern. The aim is assessing the safety of a surveillance protocol through the evaluation of their progression to malignancy.All presumed BD-IPMNs observed from 2000 to 2016 were included. Only patients (...) a median of 62 months. The median cyst growth rate was 0 mm/yr. A growth rate ≥2.5 mm/yr and the development of WF resulted independent predictors of PC. The standardized incidence ratio of PC for trivial BD-IPMN (n = 378) was 22.45 (95% confidence interval 8.19-48.86), but considering only patients aged >65 years (n = 198), it decreased to 3.84 (95% confidence interval 0.77-11.20).Surveillance of the vast majority of presumed BD-IPMNs is safe, as the risk of PC is comparable to postoperative mortality

2019 American Journal of Gastroenterology

159. Evaluating the discordant relationship between Tarlov cysts and symptoms of pudendal neuralgia. Full Text available with Trip Pro

Evaluating the discordant relationship between Tarlov cysts and symptoms of pudendal neuralgia. Pudendal neuralgia is a painful neuropathic condition involving the pudendal nerve dermatome. Tarlov cysts have been reported in the literature as another potential cause of chronic lumbosacral and pelvic pain. Notably, they are often located in the distribution of the pudendal nerve origin at the S2, S3, and S4 sacral nerve roots and it has been postulated that they may cause similar symptoms (...) to pudendal neuralgia. Literature has been inconsistent on the clinical relevance of the cysts and if they are responsible for symptoms.To evaluate the prevalence of S2-S4 Tarlov cysts at the pudendal nerve origin (S2-S4 sacral nerve roots) in patients specifically diagnosed with pudendal neuralgia, and establish association of patient symptoms with location of Tarlov cyst.A retrospective study was performed on 242 patients with pudendal neuralgia referred for pelvic magnetic resonance imaging from

2019 American Journal of Obstetrics and Gynecology

160. Proposal for the surgical management of children with laryngeal saccular Cysts: A case series. (Abstract)

Proposal for the surgical management of children with laryngeal saccular Cysts: A case series. This case series aims to determine the optimal surgical approach for pediatric laryngeal saccular cysts. A retrospective chart review of patients who underwent surgical treatment for laryngeal saccular cysts was completed; 5 patients were diagnosed and surgically treated. Treatment approaches included aspiration, supraglottoplasty, injection of bleomycin, endoscopic subtotal resection (...) (marsupialization with the laser or endoscopic instrumentation of the cyst), endoscopic extended subtotal excision (subtotal resection plus removal of false vocal fold with lasering or coblation of the inner cyst wall), and transcervical approaches for resection. Based on our outcomes, an endoscopic extended subtotal resection of the cyst will achieve the best outcomes for cysts confined to the larynx or for Type 1 cysts. A transcervical approach for resection of the cyst will achieve the best outcomes for Type

2019 International Journal of Pediatric Otorhinolaryngology

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