A brief communication report highlighting a 69-year-old male with a history of chronic conditions who presented with a persistent neck swelling following an upper respiratory tract infection. Despite multiple benign findings from various diagnostic procedures, the patient's anxiety about a potential malignancy led to repeated investigations, culminating in a left-sided neck dissection. The case underscores the challenges of managing patient-driven demands for certainty in an era of defensive medicine, where physicians may feel compelled to order excessive tests. This over-investigation not only increases healthcare costs and exposes patients to unnecessary risks but also strains healthcare resources.
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http://dx.doi.org/10.1007/s12070-024-05151-3 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
January 2025
Department of Radiodiagnosis, IGMC, Shimla, 171001 Himachal Pradesh India.
Ewing's sarcoma is a rare and highly malignant tumour predominantly affecting the bones. Extra skeletal Ewing's sarcoma of Sino nasal tract, encompassing the nasal cavity and paranasal sinuses is an exceedingly rare location for this tumour. We present a case of a 16 year-old boy who presented with right nasal obstruction, epistaxis and right facial swelling since 3 months.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of Pathology, Dr. D.Y. Patil Medical College and Research Institute, Kolhapur, Maharashtra India.
Hibernomas are infrequent brown adipose tissue neoplasms. The thighs, shoulder, neck, and back are the most common places they appear. These are benign lipomatous neoplasms.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of Otorhinolaryngology and Head and Neck surgery, J.J.M Medical College, Davangere, Karnataka India.
Benign swellings of the thyroid gland are a common occurrence, frequently seen in surgical practice. Regardless of their appearance, however, it is a must to ultrasonologically analyse them in order to confirm their morphology and pick up any warning signs which might point towards a malignant transformation. In this particular study, we analyzed the morphological features (ultrasonological) associated with benign goitrogenous lesions.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of Otorhinolaryngology, St Johns Medical College, Bangalore, Karnataka 560034 India.
A brief communication report highlighting a 69-year-old male with a history of chronic conditions who presented with a persistent neck swelling following an upper respiratory tract infection. Despite multiple benign findings from various diagnostic procedures, the patient's anxiety about a potential malignancy led to repeated investigations, culminating in a left-sided neck dissection. The case underscores the challenges of managing patient-driven demands for certainty in an era of defensive medicine, where physicians may feel compelled to order excessive tests.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of ENT, Shaikh Zayed Hospital, Shaikh Zayed Medical Complex, Lahore, Pakistan.
Unlabelled: Cavernous hemangiomas are venous malformations characterized by interconnected channels of abnormally dilated blood vessels having low flow of blood. Whilst venous malformations most commonly affect the head and neck region, isolated cavernous hemangiomas of the palatine tonsils are extremely rare; with only 4 cases being reported in the English Literature. We report a case of a 43-year-old female who was referred to us for the evaluation and management of a right tonsillar swelling.
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