A 3-cm painless epigastric mass was found on examination in 53-year-old man with abdominal pain and vomiting for the past 6 months. An abdominal computed tomography (CT) scan showed asymmetric thickening of the distal esophagus, and upper endoscopy showed a neoplastic lesion in the distal esophagus (histological examination of the biopsy revealed adenocarcinoma). In the duodenum, we found a sub...

663 skeletal muscle metastasis are uncertain. A previous report recommended that skeletal muscle metastases be treated palliatively if they occur together with systemic metastasis, but an isolated metastatic neoplasm can be resected operatively with or without radiotherapy [3,4]. Although some authors have proposed performing contralateral prophylactic mastectomy, randomized controlled trials t...

BACKGROUND AND OBJECTIVES Many cases of gastrointestinal (GI) tumors as lymphoma, adenocarcinoma, and most of submucosal tumors (SMT) such as gastrointestinal stromal tumor (GIST) and leiomyoma are difficult to diagnose as they frequently yield negative endoscopic biopsies. We evaluated the accuracy of endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration (EUS-FNA) in the diagnosis ...

OBJECTIVE In recent years, endoscope started to be used for the excision of the brainstem lesions or those localized in the anterior part of the brainstem. In this paper a case of clival meningioma resected through endoscopic endonasal transclival route has been presented with illustrations, live surgery videos demonstrating the surgery step by step. CASE REPORT A 35-year-old male patient con...

© 2015 Egyptian Journal of Neurosurgery. All rights reserved Background: Colloid cysts typically presents with manifestations of increased intracranial pressure due to association with obstructive hydrocephalus. Many management options exist including expectant observation, ventriculo-peritoneal (v/p) shunt, microsurgical resection and endoscopic transventricular cyst excision. Endoscopic appro...

OBJECTIVE To describe an endoscopic transnasal approach to the pterygopalatine fossa (PPF). DESIGN Case series of 3 patients. SETTING An academic medical center. Patients One patient presented with an asymptomatic PPF schwannoma. The second patient presented after a sudden onset of complete unilateral vision loss with a complete ipsilateral sphenoid sinus opacification and radiographic sign...

Natural-orifice transluminal endoscopic surgery (NOTES) using flexible endoscopy has attracted attention as a minimally invasive surgical method that does not cause an operative wound on the body surface. However, minimizing the number of devices involved in endoscopic, compared to laparoscopic, surgeries has remained a challenge, causing endoscopic surgeries to gradually be phased out of use. ...

Abstract Background Angiofibroma is a rare, histologically benign but locally aggressive vascular tumour that typically arises within the nasopharynx. in sites other than nasopharynx extremely uncommon. Despite histological similarities, clinical features of this are very much different from typical nasopharyngeal angiofibroma and pose diagnostic challenge, hence emphasizing importance thorough...

The management of medically intractable epilepsy is frequently assisted by the identification of structural abnormalities made possible by modern imaging techniques. The association between meningoencephaloceles and epileptic seizures is well reported in the literature. We report a patient with refractory right frontal lobe epilepsy caused by a right nasal meningoencephalocele who was rendered ...