1/30. Giant hairy nevus: preventable cause of amblyopia.An infant with a congenital giant hairy nevus causing occlusion of the visual axis of the right eye is presented. The nevus was removed at the early age of three weeks because of concern that the child would develop deprivation amblyopia. Since such nevi can undergo malignant changes, early removal may be justified for that reason alone.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/30. Does the tuberous sclerosis complex include intracranial aneurysms? A case report with a review of the literature.BACKGROUND: tuberous sclerosis is a protean, genetically determined disease that may involve any organ or tissue and lead to a great number of symptoms and clinical features. OBJECTIVE: diagnosis can be very difficult in cases with incomplete manifestations (formes fruste) lacking the classic signs of the disease. MATERIALS AND methods: We report a case fulfilling the diagnostic criteria for tuberous sclerosis (shagreen patches, hypomelanotic macules, renal cysts and angiomyolipomas, and "migration tracts" in the cerebral white matter) in association with a giant intracranial aneurysm, but lacking mental retardation, epilepsy and facial angiofibroma. RESULTS: Fourteen other cases of tuberous sclerosis and intracranial aneurysms, all but one without any clear sign of polycystic kidney disease, were found in the literature. CONCLUSION: We suggest that vascular dysplasias in general and aneurysms (mainly intracranial) in particular can be added to the other non-primary diagnostic features for the clinical diagnosis of tuberous sclerosis.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/30. skin ulcer at the blunt apex of a giant Warthin's tumor.An unusual finding of Warthin's tumor or papillary cystadenoma lymphomatosum with ulceration of the overlying skin is described in a patient who refused surgical removal of this growth. The present article is the second case published in the English language dermatological literature on this fascinating tumor. To our knowledge, the clinical presentation and course of the disorder in this individual are unique.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
4/30. Long-term results of surgical excision and skin grafting for a giant hairy naevus of the face: time for a return to conventional wisdom?In a publication climate demanding modern innovative treatments for congenital giant hairy naevi, we report a case with excellent long-term results following early surgical excision and split-thickness skin grafting.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
5/30. Giant infiltrating lipoma of the face: CT and MR imaging findings.Infiltrating lipoma is an uncommon mesenchymal neoplasm that characteristically infiltrates adjacent tissues and tends to recur after excision. This type of lipoma is extremely rare in the head and neck region. We report a case of a giant infiltrating lipoma of the face, studied with CT and MR imaging.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/30. One-stage reconstruction of facial paralysis associated with severe skin scar deformity, using combined flexor carpi radialis muscle and radial forearm free flap.The authors present a case of free microsurgical transfer of combined flexor carpi radialis muscle and radial fasciocutaneous forearm flap in reconstruction of facial paralysis associated with severe ipsilateral skin scar deformity after removal of a giant cavernous hemangioma 22 years previously. The flexor carpi radialis muscle was used to reanimate the paralyzed face, and its fasciocutaneous radial forearm part restored overlying hemifacial skin, with good functional and rather pleasing aesthetic results. The follow-up period was 5 years.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
7/30. Giant basal cell carcinoma: improvement in the quality of life after extensive resection.We describe a rare case of giant basal cell carcinoma which invaded the orbital tissue and the anterior skull base. Though the eyeball in the right orbit was preserved with the tumour at the patient's request, the improvement in the quality of the patient's life was achieved.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
8/30. Expanded midline forehead flap for coverage of nonnasal facial defects.A 13-month-old infant with a giant hairy nevus of the superior portion of the right cheek, which measured 3.5 x 5.5 cm, was treated by excision and coverage using expanded midline forehead flap. This approach stands in contrast both to the standard technique of excision and full-thickness grafting for large facial defects as well as to the use of the midline forehead flap for nonnasal reconstruction. Although this approach did necessitate the placement of a midline forehead scar, the overall result was sufficiently superior to justify its use. The child has good, stable, soft coverage with no contour or landmark distortion. The child is presented in an 18-month follow-up with photographic documentation.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
9/30. PHACE syndrome: report of one case.PHACE syndrome indicates a neurocutaneous syndrome including Posterior fossa malformation, large facial hemangioma, Arterial malformation, Coarctation of the aorta and/or other Cardiac anomalies, and eye abnormalities. We here report a female infant who presented a giant facial hemangioma. Dandy-Walker malformations with hydrocephalus was found subsequently. We treated the hemangioma with prednisolone, methylprednisolone, interferon-alpha, and local injections of corticosteroid. encephalomalacia was found later and it was attributed to carotid artery anomalies. brain image studies, thorough ophthalmologic and cardiac examinations are strongly recommended in infants with large, plaquelike facial hemangiomas. Carotid angiography should also be considered if carotid artery anomalies are suspected.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
10/30. Plexiform fibrohistiocytic tumor.We report the case of a 6-year-old Japanese boy with a plexiform fibrohistiocytic tumor on the right perioral region. Clinically, the tumor, 5 mm in diameter, was a solitary, hard, erythematous, slowly growing, painless nodule. There was no preceding trauma. histology revealed a well-circumscribed plexiform lesion with a biphasic appearance. Immuno-histochemistry demonstrated CD68 positivity in many of mononuclear macrophages. The lesion was negative for S-100 protein, lysozyme, CD57 and factor xiiia. Interestingly, the tumor showed an intradermal location from superficial to deep dermis, and lacked osteoclast-like giant cells. During the follow-up for 9 months after the resection, there was no recurrence or metastasis.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
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