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Supraclavicular

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https://www.readbyqxmd.com/read/29148237/supraclavicular-flap-repair-in-the-free-flap-era
#1
REVIEW
Jodie Trautman, Sinclair Gore, Matthew Potter, Jonathan Clark, Dylan Hyam, Ngian C Tan, Quan Ngo, Bruce Ashford
BACKGROUND: Supraclavicular flap (SCF) repair is widely reported in head and neck surgery in select patients and defects. The authors' objective is to present our series of 30 patients who underwent SCF repair for varying defects and to review the scope and outcome of SCF repair in the literature. METHODS: The authors contributed primary evidence of 30 cases of SCF repair. Our outcomes are compared with those reported in the last 5 years' literature; 33 articles published between January 2012 and January 2017 that present original clinical experience of 528 SCFs...
November 17, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29145904/-an-older-man-with-a-supraclavicular-mass
#2
A M Heerink, P Noë, P H P Groeneveld
An 80-year-old man, originally from Vietnam, was examined for a painful supraclavicular mass on the right side. Puncture and aspiration of the mass revealed purulent fluid. Examination of the aspirate showed acid-fast bacteria, consistent with tuberculous lymphadenitis. The patient was successfully treated with a 4-drug regimen.
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29145318/an-unusual-cause-of-fever-of-unknown-origin-with-enlarged-lymph-nodes-relapsing-polychondritis-a-case-report
#3
Wei Liu, Hongli Jiang, Han Jing, Bing Mao
INTRODUCTION: Fever of unknown origin (FUO) is a common initial presentation leading to a diagnostic challenge. PATIENT CONCERNS: A 3-month history of moderate-to-high fever was reported in an otherwise healthy 54-year-old man. Enhanced computed tomography (CT) scans of his chest showed a remarkable progressive enlargement of bilateral cervical, supraclavicular, hilar, and mediastinal lymph nodes within 2 weeks. Bronchofibroscopy manifested obvious luminal stenosis with swelling, thick pale mucosa, and disappearing of structures of trachea cricoid cartilage, followed by a 18F-fluorodeoxyglucose positron-emission tomography-computed tomography (18F-FDG PET/CT) with intense symmetric FDG uptake in larynx, tracheobronchial tree, and hilar, mediastinal, and axillary lymph nodes being demonstrated...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29141290/-the-significance-of-preservation-of-the-supraclavicular-nerve-in-endoscopic-thyroidectomy-via-gasless-anterior-chest-approach
#4
Z W Zhou, F Y Liang, P Han, P L Lin, X M Huang
Objective: To evaluate the significance for the preservation of the supraclavicular nerve in endoscopic thyroidectomy via gasless anterior chest approach. Methods: We retrospectively evaluated 168 patients who underwent unilateral endoscopic thyroidectomy via gasless anterior chest approach, with preservation of the medial branch of the supraclavicular nerve in 110 patients and not in other 58 patients. Semmes-Weinstein monofilament (SWM) test and a visual analogue scale (VAS) were used to assess the recovery of sensation in anterior chest within 1-12 months postoperatively...
November 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29140806/florid-granuloma-annulare-like-reaction-in-regional-lymph-nodes-after-regression-of-red-pigment-in-tattoos
#5
Michael D Carter, Jonathan Trites, Shelly A McNeil, Noreen N M Walsh, Martin J Bullock
A healthy 50-year-old woman had a tattoo performed on the posterior aspect of her neck and another on the dorsum of her left foot. Several weeks later, she noted redness, tenderness, and intense pruritis at both tattoo sites. Treatment with cephalexin and hydrocortisone cream was instituted, without success. Within a few months, the red, but not black, pigment had disappeared from both tattoos and was replaced by pale areas of scarring. Persistently enlarged left supraclavicular and suboccipital lymph nodes were excised 7 and 10 months after receipt of the tattoos, respectively...
October 30, 2017: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29134042/direct-nerve-sutures-in-extended-upper-obstetric-brachial-plexus-repair
#6
J Bahm, A Gkotsi, S Bouslama, W El-Kazzi, F Schuind
Background  In rare, selected cases of severe (extended) upper obstetric brachial plexus palsy (OBPP), after supraclavicular exposure and distal mobilization of the traumatized trunks and careful neuroma excision, we decided to perform direct nerve coaptation with tolerable tension and immobilized the affected arm positioned in adduction and 90-degree elbow flexion for three weeks. Objectives  We present our surgical technique and preliminary results in a prospective open patient series, including 22 patients (14 right and 8 left side affected) between 2009 and 2016, operated at a mean age of 8...
January 2017: Journal of Brachial Plexus and Peripheral Nerve Injury
https://www.readbyqxmd.com/read/29122761/effect-of-an-arm-traction-device-on-image-quality-and-radiation-exposure-during-neck-ct-a-prospective-study
#7
Y J Choi, J H Lee, D H Yoon, H J Kim, K J Seo, K-H Do, J H Baek
BACKGROUND AND PURPOSE: The image quality of neck CT is frequently disturbed by streak artifact from the shoulder girdles. Our aim was to determine the effects of an arm traction device on image quality and radiation exposure in neck CT. MATERIALS AND METHODS: Patients with lymphoma with complete remission who were scheduled to undergo 2 consecutive follow-up neck CT scans for surveillance within a 1-year interval were enrolled in this prospective study. They underwent 2 consecutive neck CT scans (intervention protocol: patients with an arm traction device; standard protocol: no positioning optimization) on the same CT system...
November 9, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29121378/myopericytoma-of-the-neck-originating-in-the-middle-scalene-muscle-a-case-report
#8
Mark B Chaskes, John W Bishop, Matthew Bobinski, D Gregory Farwell
We report a case of myopericytoma of the neck. A 23-year-old woman noticed a small, nontender mass in her left supraclavicular fossa. The mass had grown over a period of 5 months, prompting her to seek evaluation. On examination, no motor or sensory deficits were present. Imaging suggested that a mass had originated in the middle scalene muscle. Computed-tomography-guided core needle biopsy demonstrated a spindle-cell neoplasm with smooth-muscle differentiation. Complete surgical excision was performed. Histopathologic and immunohistochemical evaluations of the tissue sample suggested a myopericytoma...
October 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29119718/glucocorticoids-suppress-brown-adipose-tissue-function-in-humans-a-double-blind-placebo-controlled-study
#9
Moe Thuzar, W Phillip Law, Jeyakantha Ratnasingam, Christina Jang, Goce Dimeski, Ken Ky Ho
AIM: To investigate the effect of glucocorticoids on BAT function in humans MATERIALS & METHODS: In a randomised double-blind cross-over design, 13 healthy adults underwent 1 week of oral prednisolone (15mg/day) and placebo treatment with an intervening 2-week wash-out period. BAT function was assessed in response to cooling (19(0) C) and to a standardised meal, by measuring fluoro-deoxyglucose (FDG) uptake using Positron Emission Tomography-Computed Tomography and skin temperatures overlying the supraclavicular (SCL) BAT depots using infrared thermography...
November 8, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/29118480/cytological-profile-of-a-case-of-malignant-mesothelioma-of-pleura-with-supraclavicular-lymph-node-metastasis
#10
P V Priya, S Deepa, P L Jayalakshmy
Malignant mesothelioma of pleura is a locally aggressive rare neoplasm of mesothelial cells, which produces distant metastasis in advanced stages of its course. It is exceptional for patients to present with metastasis prior to the detection of primary tumor in the pleura. Here, we report a case of malignant mesothelioma of pleura in a 65-year-old quarry worker where the initial diagnosis was offered by fine needle aspiration of an enlarged supraclavicular lymph node. Subsequent pleural fine needle aspiration cytology (FNAC), tumor biopsy, and immunohistochemical analysis confirmed the diagnosis...
October 2017: Journal of Cytology
https://www.readbyqxmd.com/read/29104746/multimodal-imaging-for-the-detection-of-brown-adipose-tissue-activation-in-women-a-pilot-study-using-nirs-and-infrared-thermography
#11
Valentina Hartwig, Letizia Guiducci, Martina Marinelli, Laura Pistoia, Tommaso Minutoli Tegrimi, Giorgio Iervasi, Alfredo Quinones-Galvan, Antonio L'Abbate
Purpose: A clear link between obesity and brown adipose tissue (BAT) dysfunction has been recently demonstrated. The purpose of this pilot study is to determine if near-infrared spectroscopy (NIRS) 2D imaging together with infrared thermography (IRT) is capable of identifying thermal and vascular response in the supraclavicular (SCV) areas after the ingestion of an oral glucose load as a thermogenic stimulation. Method: We studied two groups of women (obese versus lean) for discerning their different responses...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29102312/ultrasonography-study-of-the-suprascapular-nerve
#12
M Faruch Bilfeld, F Lapègue, N Sans, H Chiavassa Gandois, P Laumonerie, A Larbi
PURPOSE: The aim of the study was to evaluate the assessability of the suprascapular nerve (SSN) by ultrasonography in cadavers and healthy volunteers. MATERIALS AND METHODS: With ultrasonography guidance, needles were placed at origin of the SSN of four cadavers and evaluated by dissection. Two blinded radiologists performed 60 ultrasonography scans in 30 healthy volunteers to study the entire SSN at five anatomical landmarks. RESULTS: Dissection revealed that the needles were correctly located at the nerve's origin...
October 25, 2017: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/29100788/deep-inspiration-breath-hold-intensity-modulated-radiation-therapy-to-the-mediastinum-for-lymphoma-patients-setup-uncertainties-and-margins
#13
Michalis Aristophanous, Pai-Chun M Chi, Jeremy Kao, Ryan Williamson, Sam Tung, Therese Andraos, Sarah A Milgrom, Chelsea C Pinnix, Bouthaina S Dabaja
PURPOSE: Patient setup for treating large target volumes can be challenging. In the present study, we measured the local uncertainties in the treatment of mediastinal lymphoma and investigated the need for region-specific planning target volume (PTV) margins. METHODS AND MATERIALS: The data from 30 patients who had undergone radiation therapy for mediastinal lymphoma were retrospectively analyzed. A computed tomography (CT)-on-rails (CTOR) system in the treatment room was used for daily image guidance...
September 25, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29099369/hodgkin-lymphoma-diagnosed-during-dental-treatment-the-importance-of-neck-palpation
#14
Marisol Miranda Galvis, Leonardo Amaral Dos Reis, Alan Roger Santos-Silva, Pablo Agustin Vargas, Marcelo Brum Corrêa, Marcio Ajudarte Lopes
Hodgkin lymphoma (HL) is a malignant lymphoproliferative disease that originates from alterations in germinal center B cells. HL generally affects cervical and supraclavicular nodes, and the most common clinical presentation is adenopathy. It can be symptomatic and detected by the patient or asymptomatic and identified during a physical examination. This article reports the case of a 17-year-old girl who was diagnosed with HL during dental treatment, highlighting the importance of a complete physical examination in dental practice...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29095317/large-malignant-granular-cell-tumor-with-suprascapular-nerve-and-brachial-plexus-invasion-a-case-report-and-literature-review
#15
REVIEW
Xiaotian Jia, Chao Chen, Lin Chen, Cong Yu, Tadashi Kondo
RATIONALE: Malignant granular cell tumor is a kind of rare and highly aggressive malignant tumor that commonly occurs in lower extremity, trunk, and peritoneal cavity. Huge malignant granular cell tumor (MGCT) with suprascapular nerve and brachial plexus invasion was extremely rare. PATIENT CONCERNS: We present a special case of a 48-year-old orthopedist who suffered from MGCT. The orthopedist had regarded that he suffered from scapulohumeral periarthritis. DIAGNOSES: The disease was noticed until a painless mass on his right neck was discovered 9 months later...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29089122/outcomes-and-patterns-of-relapse-after-definitive-radiation-therapy-for-oligometastatic-cervical-cancer
#16
Matthew S Ning, Vamsi Ahobila, Anuja Jhingran, Shane R Stecklein, Michael Frumovitz, Kathleen M Schmeler, Patricia J Eifel, Ann H Klopp
PURPOSE: Survival rates for women with metastatic cervical cancer are low, with limited management options. Definitive radiation therapy (RT) for oligometastatic disease has led to prolonged survival in other malignancies, but this approach has yet to be systematically studied for cervical cancer. METHODS AND MATERIALS: We evaluated 38 patients who received definitive RT to oligometastatic sites of cervical cancer at a single institution from 2002 to 2015. Patients presented with synchronous (n=9) or metachronous (n=15) oligometastatic disease to supraclavicular (SCV) nodes, or with recurrent disease in mediastinum (n=10) or lung (n=7)...
October 28, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/29075525/chest-wall-underappreciated-structure-in-sonography-part-i-examination-methodology-and-ultrasound-anatomy
#17
REVIEW
Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz
Chest wall ultrasound has been awarded little interest in the literature, with chest wall anatomy described only in limited extent. The objective of this study has been to discuss the methodology of chest wall ultrasound and the sonographic anatomy of the region to facilitate professional evaluation of this complex structure. The primarily used transducer is a 7-12 MHz linear one. A 3-5 MHz convex (curvilinear) transducer may also be helpful, especially in obese and very muscular patients. Doppler and panoramic imaging options are essential...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29067910/first-rib-and-venous-anomalies-anatomical-challenges-for-transvenous-implantation-of-cardiac-electronic-devices
#18
Ernest W Lau
Atypical anatomy may be encountered unexpectedly and undiagnosed in clinical practice, and this is especially important during the performance of interventional procedures such as transvenous implantation of cardiac electronic devices. The body of the first rib can be absent. If this not noticed, pneumo-/haemothroax may be induced during subclavian vein puncture as the needle may enter the first intercostal space rather than the costo-clavicular angle. The cephalic vein may pursue a supraclavicular course, the axillary vein may drain into an intercostal vein rather than the axillary vein, and the entire length of the axillary-subclavian-brachio-cephalic vein may be absent...
July 2017: Indian Pacing and Electrophysiology Journal
https://www.readbyqxmd.com/read/29063447/stage-iv-gastric-cancer-successfully-treated-by-multidisciplinary-therapy-including-chemotherapy-immunotherapy-and-surgery-a-case-report
#19
Makoto Kawamoto, Hideya Onishi, Norihiro Koya, Hiroyuki Konomi, Kenji Mitsugi, Risa Tanaka, Junichi Motoshita, Takashi Morisaki, Masafumi Nakamura
BACKGROUND: The prognosis of stage IV gastric cancer (GC) still remains unfavorable. Multidisciplinary approaches should therefore be considered to improve the survival of patients with stage IV GC. We report here a case of primary GC with potentially unresectable metastasis, successfully treated by a multidisciplinary approach including chemotherapy, immunotherapy, and surgery. CASE PRESENTATION: A 74-year-old man presented with multiple left neck masses. Abdominal computed tomography showed a thickened gastric wall and multiple lymphadenopathies including left supraclavicular lymph node...
October 23, 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/29058949/lipomas-of-the-brachial-plexus-a-case-series-and-review-of-the-literature
#20
Alexander Graf, Kai Yang, David King, William Dzwierzynski, James Sanger, Patrick Hettinger
BACKGROUND: Lipomas are common benign tumors. When they develop in proximity to peripheral nerves, they can cause neurologic symptoms secondary to mass effect. Previous reports have shown symptom resolution after removal of lipomas compressing various upper extremity peripheral nerves. However, brachial plexus lipomas are relatively rare. Our multidisciplinary experience with brachial plexus lipoma resection is reviewed in the largest case series to date. METHODS: A retrospective chart review of all patients undergoing resection of brachial plexus lipomatous tumors between 2006 and 2016 was performed...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
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