Publications by authors named "Ina Kola"

7 Publications

  • Page 1 of 1

Ectopic Thyroid Papillary Carcinoma with Cervical Lymph Node Metastasis as the Initial Presentation, Accompanied by Benign Thyroid Gland.

Med Arch 2021 Apr;75(2):154-157

University of Medicine, Tirana University, Albania.

Background: Ectopic thyroid papillary carcinoma presenting as bilateral neck lymph nodes metastasis is very rare. Ectopic thyroid tissue may appear in any location along the trajectory of the thyroglossal duct from the foramen cecum to the mediastinum. It is subject to malignant transformation and is classically accompanied by a similar transformation of the native thyroid gland. Similar to that of the native thyroid gland, the most common malignancy found is Papillary thyroid carcinoma. Unusual cases in which ectopic thyroid carcinoma presents with normal native tissue support an alternative hypothesis that ectopic thyroid tissue may develop malignancies independently from the native thyroid gland.

Objective: We present an extremely rare case of a 30-year-old woman previously diagnosed with Hashimoto's thyroiditis, presenting with a palpable mass in the lateral neck suspicious for malignancy.

Results: After several examinations and surgical removal of the mass, histopathologic evaluation of the continuous sections of the thyroid, demonstrated metastatic disease from papillary carcinoma of the thyroid. Total thyroidectomy and biopsy revealed benign thyroid tissue without any foci of microcarcinoma. A hypothesis of ectopic thyroid tissue and its malignant transformation was made.

Conclusion: By presenting this case, our goal is to highlight and make the physicians aware of the possibility of developing primary carcinoma of the ectopic thyroid tissue, without an active tumor of the thyroid gland.
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http://dx.doi.org/10.5455/medarh.2021.75.154-157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228584PMC
April 2021

Popliteal vein aneurysm in a teenager with knee swelling.

Radiol Case Rep 2021 Jun 10;16(6):1410-1419. Epub 2021 Apr 10.

Department of Radiology, Regional Hospital, Durres, Albania.

Primitive vein popliteal aneurysms are rare and potentially fatal vascular disorders. The most dangerous complications of popliteal vein aneurysms are thromboembolic events, mainly pulmonary embolisms, a life-threatening event that requires a timely diagnosis and prompt management. As a treatable cause of recurrent pulmonary embolisms, their actual incidence is believed to be underestimated. Herein, we present a case report of a popliteal vein aneurysm in a previously healthy16-year old male, presenting with a swelling behind his left knee that causes minimal discomfort while walking. When feasible, early surgical repair of both symptomatic and asymptomatic popliteal venous aneurysms is advised, since they are associated with an ill-defined possibility of pulmonary embolism and mortality, if left untreated.
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http://dx.doi.org/10.1016/j.radcr.2021.03.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063711PMC
June 2021

Silent Moyamoya disease - A rare case report.

Radiol Case Rep 2021 Jun 9;16(6):1368-1373. Epub 2021 Apr 9.

University Clinical Center, Clinic of Radiology, University For Business and Technology -Radiology, Pristina, Kosovo.

Moyamoya is a rare cerebrovascular disorder marked by chronic, gradual blockage of the circle of Willis arteries, leading to characteristic collateral vessels, specifically cerebral angiography. The disease can develop in children and adults, although there are different clinical characteristics. Moyamoya disease occurs mainly in Japanese people but has been reported in all races of varying age distributions and clinical features. As a reason, Moyamoya disease has been under-recognized as a cause of hemorrhagic and ischemic strokes in Western nations. There is no proven solution at this time, and there is debate over current care methods. The authors identify a case of a 40-year-old male with a small subcutaneous nevus-like mass in his left orbit who was diagnosed with Moyamoya disease.
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http://dx.doi.org/10.1016/j.radcr.2021.03.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055531PMC
June 2021

A case report of Joubert syndrome with renal involvement and seizures in a neonate.

Radiol Case Rep 2021 May 24;16(5):1075-1079. Epub 2021 Feb 24.

Department of Surgery, Mayo Clinic, MN, 32224 USA.

Joubert Syndrome is a rare autosomal recessive genetic disorder characterized by a distinctive midbrain-hindbrain malformation that gives the appearance of "" on axial magnetic resonance imaging (MRI). Mutations in the implicated genes, affect proteins integral to cellular structures like the primary cilium, basal bodies and centromeres, categorizing Joubert syndrome as a ciliopathy. The most common clinical manifestations include moderate to severe hypotonia in early infancy with ataxia developing later in life, abnormal breathing patterns (tachypnea, apnea), atypical eye movements, development delay and intellectual disabilities. Differential diagnosis between different ciliopathies is challenging due to the overlapping clinical features. French neurologist Marie Joubert was the first to describe the clinical findings in 1969 and later the disorder was named after her. In this report, we present the case of a newborn female patient who was admitted to the neonatal intensive care unit 12 hours after birth, presenting with dyspnea, cyanosis, signs of respiratory distress and seizures. During the course of her hospitalization elevated levels of urea and creatinine were detected and after an abdominal ultrasound and CT evaluation bilateral renal hyperplasia and polycystic kidney disease were discovered. An MRI of the head and neck revealed the presence of inferior vermis agenesis, with a medial crack in cerebellum, a partial dysgenesis of corpus callosum, an underlying and thicker cerebral peduncle, as well as suggesting a diagnosis of Joubert syndrome. The diagnosis was ultimately confirmed through molecular genetic testing. Through this case report, we hope to draw attention to this rare and elusive group of disorders and emphasize the value of a prompt diagnosis and a proactive and multidisciplinary approach in the management of these patients.
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http://dx.doi.org/10.1016/j.radcr.2021.02.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921194PMC
May 2021

Unusual case presentation of fungal ball infection causing diabetes insipidus and seizure disorder.

Radiol Case Rep 2021 Apr 26;16(4):789-794. Epub 2021 Jan 26.

Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.

Sphenoid sinus fungal ball (FB) is a noninvasive fungal infection affecting predominantly immunocompetent middle-aged female patients. Common clinical manifestations include headaches, postnasal drip, and nasal discharge. In this case report, we present a 56-year-old female with a 10-year history of occasional dizziness, vertigo, nystagmus, feeling disoriented and feeling her eyes moving rapidly. Complaints of restlessness, insomnia, anxiety, stress and anger were also present. Due to the nonspecific nature of her symptoms, a diagnosis of sphenoid sinus FB was overlooked. Definitive diagnosis was established after performing a nasal endoscopy and subsequent histopathological examination of the collected sinus tissues. The histopathology report disclosed Aspergillosis FB with chronic sinusitis. Due to the decade long delay in diagnosis and proper treatment, septal wall collapse occurred, with the patient developing diabetes insipidus with hyponatremia that led to a massive seizure and fall, resulting in multiple disc herniations. Surgical removal of the FA elicited a complete resolution of her symptoms and a full recovery. Although fungal rhinosinusitis is a well recognized spectrum of diseases by ENT specialists, through this case report we hope to draw attention to this particular pathological entity within fungal infections, while simultaneously underlining the broad spectrum of symptoms with which it may manifest and the importance of including FA infections when considering the differential diagnosis in patients with long-standing chronic sinusitis.
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http://dx.doi.org/10.1016/j.radcr.2021.01.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841227PMC
April 2021

Undesirable Outcomes from Liposuction of the Calves and Ankles, what to Avoid?

Med Arch 2020 Oct;74(5):396-398

Department of Pathology, Genius Lab, Tirana, Albania.

Introduction: Liposuction, is amongst the most popular cosmetic surgical procedures worldwide and is pretty safe with a very low incidence of major complications in the hands of skilled plastic surgeons. As a matter of fact, a faultless liposuction of the calves and ankles is near the top of the list in providing a high satisfaction rate.

Aim: We present a case of 38-year old female with severe complication from liposuction of the thighs, calves and ankles with dimples and contour irregularity.

Results: The results were very bad aesthetically with over correction liposuction of the calves and a lot of contour surface irregularity, asymmetry, dimples and grooves. We recommended her several procedures of autologous fat grafting in the calves, to improve the contour irregularities, and the patient agreed to it.

Conclusion: The surgeon should be very cautious in examining the patient in details to see if liposuction of the calves and ankles is the proper procedure to address their interest. Several times it is required to combine different refinement techniques to achieve patients' aesthetic requests and enhance their appearance.
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http://dx.doi.org/10.5455/medarh.2020.74.396-398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780796PMC
October 2020

Treatment of vascular soft tissue malformations: A retrospective study of 90 patients from Albania.

Dermatol Ther 2020 11 26;33(6):e14006. Epub 2020 Jul 26.

Central Michigan University, Saginaw, Michigan, USA.

Vascular malformations (Vascular Malformation) of soft tissue are a consequence of abnormal development of vascular elements during embryogenesis. They are named after the vessel responsible. Their presence at birth raises the hypothesis of an intrauterine etiology of Vascular Malformation, but the influence of other factors may play an important role in their appearance, localization, and size. The literature suggests that treatment of Vascular Malformation is rarely surgical. Surgery is applied in cases of voluminous malformations and in cases of possible hemorrhagic complications. Meanwhile, patient outcomes have improved with new discoveries in laser technology for the treatment of Vascular Malformation, especially those of capillaries and the results are, in most of the cases, quite satisfactory and without significant complications. After institutional review board approval, we collected and analyzed the medical records of 90 patients diagnosed with Vascular Malformation, between January 2015 and December 2019 at the service of Burns and Plastic Surgery, "Mother Teresa" University Hospital Center of Tirana, Albania and from another private clinic in Tirana. Data were collected from the medical records on patient's charts. The aim of this study is to analyze different treatment modalities and the outcomes achieved for each group.
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http://dx.doi.org/10.1111/dth.14006DOI Listing
November 2020
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