176 results match your criteria extending superiorly

Radiotherapy as a Single Modality in Primary Seminoma of the Prostate.

Cureus 2021 Apr 2;13(4):e14264. Epub 2021 Apr 2.

Medical Oncology, Grand River Regional Cancer Centre, Kitchener, CAN.

Extragonadal germ cell tumors (EGCTs) are uncommon, and those involving the prostate are rare. We report on a primary seminoma of the prostate in a 56-year-old male presenting with scrotal pain, urinary frequency and urgency, and erectile dysfunction. Digital rectal examination revealed a hard, markedly enlarged prostate projecting posteriorly into the rectum. Read More

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A vacillating swelling in maxillary anterior region-Diagnostic challenges and management.

Natl J Maxillofac Surg 2020 Jul-Dec;11(2):292-297. Epub 2020 Dec 16.

General Practitioner, Thiruvananthapuram, Kerala, India.

In most of the cystic lesions appearing in the oral cavity, proper diagnosis and treatment remains a challenge. As glandular odontogenic cyst (GOC) is a rare type of developmental odontogenic cyst, it was not included in our differential diagnosis. The report of GOC was quite surprising as it was rare and never came in this discussion. Read More

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December 2020

Vocal-cord Only vs. Complete Laryngeal radiation (VOCAL): a randomized multicentric Bayesian phase II trial.

BMC Cancer 2021 Apr 22;21(1):446. Epub 2021 Apr 22.

Radiation Oncology Department, Western University, London, Ontario, Canada.

Background: Radiotherapy, along with laser surgery, is considered a standard treatment option for patients with early glottic squamous cell cancer (SCC). Historically, patients have received complete larynx radiotherapy (CL-RT) due to fear of swallowing and respiratory laryngeal motion and this remains the standard approach in many academic institutions. Local control (LC) rates with CL-RT have been excellent, however this treatment can carry significant toxicities include adverse voice and swallowing outcomes, along with increased long-term risk of cerebrovascular morbidity. Read More

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Large concealed paravaginal haematoma: A case report of an occult postpartum haemorrhage.

Case Rep Womens Health 2021 Apr 26;30:e00311. Epub 2021 Mar 26.

Department of Obstetrics & Gynaecology, Sutherland Hospital, Caringbah, NSW 2232, Australia.

Paravaginal haematomas are common but rarely do they cause severe postpartum haemorrhage. While surgical evacuation is classically recommended for large haematomas, conservative management may be an appropriate strategy. We present the case of a 30-year-old primiparous woman with a large paravaginal haematoma causing a postpartum haemorrhage managed conservatively. Read More

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Bilateral superiorly based malar transposition flaps for nasal tip reconstruction: A case report.

SAGE Open Med Case Rep 2021 24;9:2050313X21993280. Epub 2021 Feb 24.

Goodman Dermatology P.C., Roswell, GA, USA.

The Peng flap was originally described in 1987 as a viable option for re-creation of the convexity of the dorsum and nasal tip in a one step. Defects extending into the sidewall can result in multi-stage procedures. Beustes-Stefanelli in 2015 published a midline-based nasolabial transposition flap utilizing a single-stage repair for large defects of the nasal tip. Read More

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February 2021

Myoepithelial Carcinoma of the Floor of the Mouth: A Rare Salivary Gland Tumor in an Unusual Location.

Cureus 2020 Dec 27;12(12):e12321. Epub 2020 Dec 27.

Pathology, Liaquat National Hospital and Medical College, Karachi, PAK.

Myoepithelial carcinomas are rare malignant salivary gland tumours encountered most commonly in the parotid gland and are amenable to surgical resection. However, when they occur at complex anatomical locations, complete resection becomes difficult due to their locally aggressive nature. Here we describe a case of a large myoepithelial carcinoma arising in the floor of the mouth and involving major structures at the skull base. Read More

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December 2020

Supraorbital transciliary keyhole approach for removal of tuberculum sellae meningioma: 3D surgical video.

Surg Neurol Int 2021 5;12. Epub 2021 Jan 5.

Department of Neurosurgery, Northeast National Medical Center, Monterrey, Nuevo Leon, Mexico.

Background: Tuberculum sellae meningiomas have an incidence from 5 to 10% of all intracranial meningiomas[2] and tend to be surgically difficult and challenging tumors given their proximity to important structures such as the internal carotid artery (ICA), anterior cerebral artery (ACA), and optic nerves.[3] Typically, their growth is posteriorly and superiorly oriented, thereby displacing the optic nerves and causing visual dysfunction, which is the primary indication for surgical treatment.[1] The main goals of the treatment are the preservation or restoration of visual abilities and a complete tumor resection. Read More

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January 2021

Regional differences in zygapophysial joint cavities: A histological study of human fetuses.

Anat Rec (Hoboken) 2021 05 15;304(5):979-990. Epub 2020 Oct 15.

Department of Histology and Embryology, Tokyo Dental College, Tokyo, Japan.

Human zygapophysial joints (ZJ) have regional differences in shape and orientation during prenatal growth. However, there is limited knowledge of the synovial recess during fetal development. We examined sagittal and horizontal histological sections of the vertebral columns of 30 human fetuses at gestational ages of 8-37 weeks. Read More

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Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report.

J Med Case Rep 2020 Oct 2;14(1):174. Epub 2020 Oct 2.

Department of Ophthalmology, St. John's Episcopal Hospital, Far Rockaway, NY, USA.

Background: New York City has a heterogeneous population with many undocumented and uninsured immigrants from equatorial areas who have a higher incidence of ocular surface squamous neoplasia. To the best of our knowledge, this is the first documented selection of this cost-effective treatment of ocular surface squamous neoplasia (the use of absolute ethanol along the corneal margin, primary excision, double freeze-thaw cryopexy, and primary conjunctival closure) for an undocumented and uninsured New York City patient.

Case Presentation: A 35-year-old man from Ecuador presented to a New York City emergency department due to worsening discomfort of a long-standing left eye pterygium. Read More

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October 2020

Noncystic cerebellopontine angle hemangioblastoma: A case of an atypical location.

Int J Surg Case Rep 2020 29;74:234-237. Epub 2020 Aug 29.

Department of Medicine, Universidade Federal de Sergipe, Aracaju, Brazil; Division of Neurosurgery, Fundação de Beneficência Hospital de Cirurgia, Aracaju, Brazil. Electronic address:

Introduction: Extra-axial cerebellopontine angle (CPA) hemangioblastoma is a rare condition in which the correct differential diagnosis from other CPA lesions can affect the best treatment choice. These are benign tumors that are highly vascularized and mostly present in the cystic form. About twenty-six cases have been reported in the literature with this same location and with a noncystic aspect. Read More

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Role of 68-Ga-PSMA-PET/CT in pelvic radiotherapy field definitions for lymph node coverage in prostate cancer patients.

Radiother Oncol 2020 10 28;151:222-227. Epub 2020 Aug 28.

Department of Radiation Oncology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Purpose: To evaluate the distribution of metastatic lymph nodes (LN) detected on Ga-PSMA-positron emission tomography/computed tomography (PET/CT) in treatment-naïve prostate cancer (PC) patients and to analyze the LN coverage rates of the pelvic fields defined in the GETUG trial and RTOG guidelines and a pelvic field extending superiorly from the L4/L5 interspace.

Materials And Methods: Ga-PSMA-PET/CT images obtained at diagnosis of 138 PC patients were retrospectively analyzed. The number and locations of Ga-PSMA-positive LNs were co-registered with one single-planning CT. Read More

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October 2020

Castleman Disease: An Unusual Cause of an Isolated Neck Mass.

J Craniofac Surg 2021 Jan-Feb 01;32(1):e37-e38

Department of Radiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Abstract: A 15-year old female patient was complaining from swelling in the left side of the neck since 3 months. Physical examination showed palpable and mobile left supraclavicular neck mass in the carotid triangle, uvula deviation to the left side and normal vocal cords position and function. Neck imagings showed well-defined, well-encapsulated left neck mass in the left carotid sheath pushing the internal jugular vein anteriorly and the common carotid artery posteriorly. Read More

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Reconstruction of Complex Cranial and Orbit Fractures with Associated Hemorrhages: Case Report and Review of the Literature.

Cureus 2020 Apr 16;12(4):e7694. Epub 2020 Apr 16.

Neurological Surgery, The University of Toledo Medical Center, Toledo, USA.

We present our experience following a unique case of coincident intracranial hemorrhage and comminuted fractures of both the squamous temporal bone and zygomaticofrontal orbit. Surgical techniques and outcome for this presentation have yet to be sufficiently described. A 55-year-old male presented following trauma with Glasgow Coma Scale score of 7. Read More

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Assessing the spatial distribution of cervical spinal cord activity during tactile stimulation of the upper extremity in humans with functional magnetic resonance imaging.

Neuroimage 2020 08 6;217:116905. Epub 2020 May 6.

Department of Neurological Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Dermatomal maps are a mainstay of clinical practice and provide information on the spatial distribution of the cutaneous innervation of spinal nerves. Dermatomal deficits can help isolate the level of spinal nerve root involvement in spinal conditions and guide clinicians in diagnosis and treatment. Dermatomal maps, however, have limitations, and the spatial distribution of spinal cord sensory activity in humans remains to be quantitatively assessed. Read More

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Martius labial fat pad graft (use in rectovaginal fistula repair).

Int Urogynecol J 2020 Nov 6;31(11):2427-2429. Epub 2020 May 6.

Division of Gynecologic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: The objective is to demonstrate the utility of the Martius labial fat pad graft in pelvic fistula repair.

Methods: An incision is made over the labium majus from the level of the clitoral hood superiorly and extending inferiorly to the level of the labiocrural fold. The fibrofatty graft is then mobilized from the adjacent labium majus. Read More

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November 2020

Unilateral progressive epitheliopathy after LASIK.

J Cataract Refract Surg 2020 04;46(4):646-651

A 36-year-old man was referred back to our clinic after an uneventful laser in situ keratomileusis (LASIK) surgery 6 months previously, with a chief complaint of declining vision in the left eye for the last several months. His pertinent ocular history prior to the LASIK surgery was significant for episodic left eye irritation and inflammation of the superior part of the left cornea secondary to contact lens-induced keratopathy, according to his optometrist.This was a femtosecond-assisted LASIK surgery using the WaveLight FS200 femtosecond laser (Alcon) with the Allegretto EX500 excimer laser (Alcon) for attempted correction of -4. Read More

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Retrolental fibroplasias: What lies beneath?

GMS Ophthalmol Cases 2020 18;10:Doc14. Epub 2020 Mar 18.

Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, India.

A nine-month-old female baby with normal birth history presented with her mother complaining of a white spot in the baby's right eye, which the mother had noticed at five months of age. External photograph showed a retrolental fibroplastic membrane visible in the superior half of the dilated pupil. Retcam fundus photo revealed myelinated nerve fibers extending from the disc till the ora superiorly and forming a membranous fold. Read More

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Near-Infrared Fluorescence with Second-Window Indocyanine Green as an Adjunct to Localize the Pituitary Stalk During Skull Base Surgery.

World Neurosurg 2020 Apr 26;136:326. Epub 2020 Jan 26.

Department of Neurosurgery at the Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address:

A potential application of near-infrared (NIR) fluorescence imaging using second-window indocyanine green (SWIG) is demonstrated. We hypothesized that because the pituitary lacks a blood-brain barrier, we might visualize the pituitary stalk using SWIG. A 52-year-old, right-handed man presented to our clinic for evaluation of progressive loss of vision. Read More

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Anatomic and histologic features of diaphragma sellae that effects the suprasellar extension.

J Clin Neurosci 2020 Jan 13;71:234-244. Epub 2019 Dec 13.

Kocaeli University, School of Medicine, Department of Neurosurgery and Kocaeli University, Pituitary Research Center, Kocaeli, Turkey. Electronic address:

This study aimed to determine the anatomical and histological features of diaphragma sellae that affect the suprasellar extension of intrasellar tumours. Twenty-four fresh adult cadavers were dissected for the study. Diaphragma sellae and pituitary capsules with sellar structures were resected. Read More

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January 2020

Surgical treatment of abdominal paragangliomas.

Endokrynol Pol 2019 17;70(6):469-472. Epub 2019 Sep 17.

Department of General, Endocrinological and Vascular Surgery, Medical University of Warsaw, Warsaw, Poland.

Introduction: Extraperitoneal, abdominal paragangliomas most commonly originate from the sympathetic nervous system. Typical features include catecholamine overproduction and the potential for malignancy. Lesions are usually located paravertebrally, but when growing in a more expansive manner they may also appear between the inferior vena cava and aorta. Read More

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Treatment of Synchronous Traumatic Perforations of the Trachea and the Esophagus With Two Inferiorly Based Strap Muscle Interposition Flaps: An Innovative Approach.

J Craniofac Surg 2019 Jun;30(4):e330-e332

Department of Surgery, Division of Plastic Surgery, University of Illinois, College of Medicine, Peoria, IL.

: Traumatic perforations of the esophagus and trachea are devastating injuries that necessitate prompt treatment. Large defects benefit from coverage with well vascularized tissue. Injuries at the level of the thoracic inlet are more challenging, as the options for local tissue coverage are limited. Read More

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Dimensions and Morphologic Variability of the Retro-Orbicularis Oculi and Frontalis Muscle Fat Pad.

Ophthalmic Plast Reconstr Surg 2019 Sep/Oct;35(5):447-450

Cleveland Clinic Cole Eye Institute.

Purpose: To quantify the complete dimensions of the retro-orbicularis oculi fat (ROOF) pad and to determine its relationship to other fat compartments of the forehead.

Methods: The entire forehead of 14 hemifaces of seven fresh frozen human cadavers (four female, three male) was dissected in the subcutaneous and submuscular planes. For each plane, a ruler was placed at the facial midline, and images of the dissection plane were taken at 90° and 45°. Read More

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January 2020

Urachal Mucinous Cystadenocarcinoma.

BMJ Case Rep 2019 Jan 22;12(1). Epub 2019 Jan 22.

Urology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.

A 57-year-old man presented with a 6-month history of pelvic fullness. He had no lower urinary tract symptoms or altered bowel habits. On examination, there was a non-tender pelvic mass which extended from the pubic symphysis to the level of the umbilicus. Read More

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January 2019

Neuroanatomical correlates of sensory deficits in children with neonatal arterial ischemic stroke.

Dev Med Child Neurol 2019 06 12;61(6):667-671. Epub 2018 Dec 12.

Department of Neurology, University of California, San Francisco, CA, USA.

Aim: Our aim was to characterize the sensory processing outcome following neonatal arterial ischemic stroke (NAIS) and identify neuroanatomical correlates of abnormal sensory processing.

Method: We evaluated children with NAIS longitudinally at 12 months, 18 months, and/or 30 months in areas of cognitive, motor, and language development. We gathered sensory processing data using the Sensory Profile-2 Caregiver Questionnaire. Read More

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Radiation recall myelitis following paclitaxel chemotherapy: The first reported case.

J Radiosurg SBRT 2018 ;5(4):331-334

Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, USA.

Introduction: Stereotactic body radiotherapy (SBRT) of the spine has become an increasingly utilized modality in the United States, most commonly for metastatic disease (McClelland et al., 2017). Spinal SBRT in patients with spinal instrumentation has been sparsely examined. Read More

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January 2018

Otopathology in Angiosarcoma of the Temporal Bone.

Laryngoscope 2019 03 11;129(3):737-742. Epub 2018 Dec 11.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts.

Objectives/hypothesis: Investigate the otopathology of angiosarcoma of the temporal bone, which has not been previously described in the literature.

Study Design: Postmortem evaluation and literature review.

Methods: Postmortem histological evaluation of the temporal bones and review of the literature for the treatment and prognosis of this rare disease were performed. Read More

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