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Query: UMLS:C0030193 (pain)
261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Treatment of large sessile polyps or tumors of the rectum is a challenging surgical problem. A retrospective review of the posterior surgical approach for the treatment of rectal tumors was conducted to assess the efficacy of this operative technique. Thirty-three patients were reviewed. Thirteen patients underwent transanal excision, and 3 of these patients had malignant disease. One patient returned to the operating room because of postoperative bleeding. Twelve patients underwent transsacral excision of tumors, 6 of which were malignant lesions in the mid to high rectum. One patient developed a fistula. One benign tumor recurred. Eight patients underwent abdomino-sacral excision, and seven of these were for rectal cancer. Local control was unsuccessful with this technique in one patient. There were no deaths in this series. The complication rate was acceptable, and the morbidity of local pain was offset by sphincter preservation and return of normal bowel function. This approach seems very useful for a variety of rectal tumors.
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PMID:Rectal tumors: treatment with a posterior approach. 827 64

A case of cysticercosis was initially diagnosed by fine needle aspiration biopsy (FNAB). A tender, hard mass in a muscle was clinically suspected of being a benign tumor. An FNAB smear showed many eosinophils and a part of cestode. After 10 minutes the patient felt a short-lived local hot sensation and pain. The diagnosis was confirmed on a histologic section of an incisional biopsy specimen from another site.
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PMID:Fine needle aspiration biopsy diagnosis of cysticercosis. A case report. 829 64

Osteomyelitis of the temporal bone is a rare disease. The diagnosis and treatment of atypical osteomyelitis of the temporal bone in a 54-year-old woman was reported. The left temporal bone swelling grew slowly from age 9 with only slight deep-seated pain in the temporal area. This condition was assumed to be due to fibrous dysplasia or some benign tumor. It is supposed that exploratory and inadequate mastoidectomies performed on patients age 16 to 19 years might trigger temporal bone osteomyelitis. Extensive surgical debridement followed by antibiotic therapy for 4 weeks yielded good results, and now 2 years after treatment, no signs of recurrence have been observed. The utility of the gallium scan was confirmed for evaluation of disease activity.
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PMID:Atypical osteomyelitis of the temporal bone. 874 Aug 20

A case of mediastinal venous hemangioma is reported. It's a benign tumor rarely found in the mediastinum. In the last six years, we only know three cases reported and none of them in our country. Clinical manifestations were cough and pleuritic pain. The diagnosis was suggested by radiologic examination and was confirmed by histologic study after thoracotomy. The mass was totally removed surgically and the evolution of the patient was favorable.
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PMID:[Venous hemangioma of the mediastinum: apropos of a case]. 892 29

We retrospectively studied the results of arthrodesis of the knee with a modular titanium intramedullary nail that couples at the knee. The study group consisted of thirteen patients who had a malignant tumor around the knee, five who had failure of a total knee arthroplasty, and three who had a locally destructive benign tumor about the knee. All of the patients were followed for a minimum of two years. Through a single incision at the knee, one nail was inserted retrograde into the femur and the other, antegrade into the tibia; the two nails were joined at the level of the knee by a conical couple and were secured with locking screws. The diameters of the nails were different, to accommodate the dissimilar sizes of the tibial and femoral intramedullary canals. A solid osseous fusion was achieved in nineteen (90 per cent) of the twenty-one patients (sixteen who had had resection of a tumor and three who had had a failed arthroplasty), at an average of 8.4 months (range, three to nineteen months) after the operation. One patient had a delayed union, but fusion was achieved after additional bone-grafting. Of the sixteen patients who were available for clinical and radiographic evaluation at the time of the study, fifteen were satisfied with the over-all outcome and thirteen had either less pain or the same amount of pain as they had had preoperatively. There were no mechanical failures of the implant and no recurrences of tumor. Complications occurred in eight (38 per cent) of the twenty-one patients: three patients had a stress fracture, three had a peroneal nerve palsy (one of which was transient), one had a superficial wound infection, and one had reflex sympathetic dystrophy.
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PMID:Arthrodesis of the knee with a modular titanium intramedullary nail. 953 Dec 16

A 75-year-old man presented a twelve-day history of double vision and retro-ocular pain with rapid deterioration of visual acuity. Neurological examination on admission demonstrated right oculomotor palsy and abducence palsy, visual loss in the right eye, and hypesthesia and pain in the right supraorbital nerve. CT scan and MRI disclosed a mass in the right orbital apex. An emergency operation via a frontotemporal extradural approach was performed to decompress the optic nerve. The anterior clinoid process and minor wing of the sphenoid were drilled to expose the optic canal and superior orbital fissure. When the periorbita just beside the optic sheath was opened, a grayish colored mass was observed beneath the superior rectus muscle. The mass was dissected from the surrounding intraorbital tissue and was removed completely. The postoperative course was uneventful. The patient experienced complete disappearance of the ocular pain and complete restoration of his visual acuity. Orbital neurinoma is a benign tumor accounting for between 2.1 and 6.8% of all orbital tumors in the large series. The salient clinical symptom is exophthalmos followed by mass palpability. However, an orbital neurinoma presenting orbital apex syndrome is quite rare. In the case with orbital apex syndrome, it is sometimes impossible to recover visual acuity even though the optic nerve decompression is promptly performed. In such a case, only an emergency approach to the lesion can rescue the visual acuity.
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PMID:[Orbital neurinoma presenting orbital apex syndrome]. 914 8

With a varied presentation and a difficult preoperative diagnosis, schwannoma accounts for only a small percentage of retroperitoneal tumors. Moreover, malignant schwannoma of the adrenal gland, kidney and renal pelvis has previously been described. We report the first case of benign schwannoma causing obstruction by external compression of the ureteropelvic junction. A case report of a male patient who complained of a 3-month history of dull lumbar pain on the right side is reported. Using intravenous pyelogram, sonography and computed tomography a benign tumor of the retroperitoneum was suspected. Upon exploration, the suspected diagnosis of the tumor's retroperitoneal origin was confirmed. After the histological and immunohistochemical studies the diagnosis was verified. The diagnosis, treatment and histological features of benign schwannoma are discussed. A brief review of the literature is also included.
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PMID:Benign schwannoma surrounding and obstructing the ureteropelvic junction. First case report. 926 44

Mural nodules associated with mucinous and serous tumors of the ovary may represent a reactive process, a benign tumor, or a malignant neoplasm. Mural leiomyomatous nodule in mucinous cystadenoma is extremely rare. Two such cases had been described previously. In this case a 43-year-old white female presented with 24-h history of left quadrant pain and a left adenexal cystic mass on ultrasound examination. An exploratory laparotomy revealed a left ovarian mass with torsion on its pedicle. Frozen section of the cystic mass showed a mucinous cystadenoma with mural smooth muscle proliferation. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. Histologic examination of the mass revealed a mucinous cystadenoma with a mural leiomyomatous nodule and an enlarged ovary with massive stromal edema. This is the first case of a mural leiomyomatous nodule in association with a mucinous cystadenoma in an ovary with massive edema. This case broadens the histologic spectrum in which a mural leiomyomatous nodule may be encountered.
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PMID:Ovarian mucinous cystadenoma associated with mural leiomyomatous nodule and massive ovarian edema. 936 13

Osteochondroma is a common benign tumor of the axial skeleton. Despite its preference for long bones, osteochondroma may occur in any bone developing by endochondral ossification, therefore it concerns mandibular condyle as well. This lesion is more common in males than in females and it can occur singly or as a part of an autosomal dominant syndrome known as osteochondromatosis. Solitary osteochondroma has a low incidence of sarcomatous change (1%) while patients with osteochondromatosis have a higher risk of sarcomatous transformation (11%). Symptoms of this lesions are mandibular asymmetry, malocclusion with cross-byte, temporomandibular joint intermittent pain hypomobility, clicking, and the presence of a palpable painless mass in the temporomandibular area. Therapy needs a surgical treatment which can consist in a one-stage or in a two-stage surgical approach. Prognosis is generally favourable.
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PMID:[Osteochondroma of the mandibular condyle]. 988 99

Glomus tumor is a neuro-myo-arterial benign tumor accounting for 1 to 5% of hand tumors which occurs principally in young adult females. It may be unique or multiple. Acute, focalized, pain is the main sign, the pressure of a small trigger zone induces a syncopal pain and immediate hand withdrawal. Differential diagnoses includes neurinoma, melanoma, hematoma, osteoid osteoma, fibrokeratoma, mucoid cyst, angioma, and exostosis. The diagnosis is suspected on clinical grounds, and X rays exhibits a bone erosion in one third of the cases. Magnetic resonance angiography is now the first line non invasive tool for both diagnosis and precise localization. Treatment consists in complete surgical tumor resection (J Mal Vasc 1999; 24: 364-367).
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PMID:[Glomus tumor of the extremities]. 1064 48


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