Azita S. Khorsandi

Outcomes of Rejected Journal of Vascular and Interventional Radiology Manuscripts

PURPOSE To track the publication fate of rejected Journal of Vascular and Interventional Radiology (JVIR) manuscript submissions. MATERIALS AND METHODS All manuscripts submitted to JVIR for consideration in 2004, but subsequently rejected, were retrospectively evaluated. The PubMed database was searched for subsequent manuscript publication. Manuscript type, journal type and title, publication delay, journal publication volume, journal circulation volume, and journal impact factor were evaluated. RESULTS Two hundred thirteen of the 366 rejected JVIR submissions (58%) were subsequently published in 72 different journals as of December 15, 2007. Fifty-five of the published manuscripts (26%) were revised resubmissions to JVIR and 45 (21%) were published in Cardiovascular and Interventional Radiology, with 113 manuscripts published in other journals. The mean time from manuscript rejection to subsequent publication was 15.5 months. Half of the 366 rejected manuscripts were ultimately published within 25 months. CONCLUSIONS A majority of rejected JVIR mauscripts were ultimately published. Rejection of a manuscript by JVIR does not preclude publication.

Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure.

The successful harvest and transplant of a fibular flap depends on many factors, including healthy inflow and outflow systems. A contraindication to harvesting a fibular flap is disease of the lower extremity arterial system; therefore, preoperative evaluation of the arterial system is routine. Preoperative evaluation of the venous system is not routine, unless there is clinical suspicion of venous disease.

Intraoral sebaceous carcinoma metastatic to the lung and subcutis: Case report and discussion of the literature

Intraoral sebaceous carcinoma is a rare form of sebaceous carcinoma with only 9 published cases in the world literature to date. We present a 10th case of intraoral sebaceous carcinoma located in the anterior maxillary gingiva with metastases to the lung and subcutis and discuss 3 possible etiologies for this unique presentation.

Pediatric odontogenic fibromyxoma of the mandible: Case report and review of the literature

Odontogenic fibromyxoma is an uncommon benign tumor arising from the maxillofacial bones. Fibromyxomas are rare in children under 10 years of age. Although this tumor is reported most frequently in the mandible for the general population, it has rarely been reported in the mandible in children <10 years of age.

Oral cavity squamous cell carcinoma metastatic to central compartment (level 6) lymph nodes.

Alterations to drainage pathways in the head and neck as a result of surgical manipulation are not well understood. We present two unusual cases of oral squamous cell carcinoma metastatic to the level 6 nodal compartment following extensive treatment. Both oral squamous cell carcinoma cases exhibited metastases to the central neck compartment following extensive surgery and radiation. Each patient had prior history of multifocal oral cavity disease and recurrent neck metastases requiring salvage lymphadenectomy. Surgical interventions may alter the usual lymphatic drainage patterns. In cases of extensive treatment, all levels of the neck should be monitored for lymph node recurrence. Laryngoscope, 126:1803–1805, 2016

Radiological challenges in distinguishing keratocystic odontogenic tumor from ameloblastoma: an extraordinary occurrence in the same patient ☆

OBJECTIVES The aims of this study are to describe the radiological appearance of two common odontogenic lesions (keratocystic odontogenic tumor and ameloblastoma) arising in the same patient simultaneously with their radiological differences and histological correlates, and to describe challenges in radiological diagnosis. DESIGN Single case report. SETTING Tertiary referral center. PARTICIPANTS Forty-one year-old African-American male patient. MAIN OUTCOME MEASURE Lesion appearance on computed tomography (CT) scan and pathological correlates. RESULTS A 41year-old African-American male presented with asymptomatic right maxillary swelling. A CT scan of the maxillofacial skeleton showed and expansile and cystic lesion of the right hemimaxilla with trabecular osseous expansion, and a left cystic lesion in the left hemimaxilla expanding into the pterygopalatine fossa. Biopsy confirmed the suspected diagnoses of right ameloblastoma and left keratocystic odontogenic tumor. CONCLUSION Although they are among the most common odontogenic tumors, the presence of concurrent ameloblastoma and KOT is an exceedingly rare occurrence in the same patient. The appearance on CT scan may help in distinguishing ameloblastoma from KOT by looking at bone expansion and high density areas, although the gold standard diagnostic test remains open biopsy.

Quantitative assessment of changes in diffusion tensor imaging (DTI) metrics along the courses of the cortico-ponto-cerebellar tracts secondary to supratentorial human brain glial tumors

The cortico‐ponto‐cerebellar tract (CPCT) is the largest projection pathway, which synapses at the pons. Remote effects of supratentorial brain tumors have not been evaluated along the infratentorial course of the CPCT.

Primary mucinous eccrine carcinoma of the buccal space: A case report and review of the literature

IMPORTANCE Mucinous eccrine carcinoma is a rare entity that most commonly affects the head and neck. Due to its low frequency of occurrence, review of its etiology, histopathology, and treatment strategies is beneficial to all clinicians who may encounter similar appearing masses. OBSERVATION An 84-year-old male presented with a blue mass on the left cheek. This mass started as a small bump and grew significantly over one year. His primary care physician monitored its growth and ultimately referred to an otolaryngologist. Imaging findings revealed a multi-lobular solid and cystic left buccal lesion. FNA was suggestive of low grade mucoepidermoid carcinoma. INTERVENTION Patient underwent surgical excision with primary closure of the defect. Frozen section was consistent with low grade salivary malignancy. Final pathology revealed primary mucinous eccrine carcinoma of the skin. CONCLUSIONS AND RELEVANCE Mucinous eccrine carcinoma is a rare entity commonly seen in the head and neck region. Mucinous deposits to the skin from primaries elsewhere in the body are much more common than primary lesions of the skin. Histology is a key component of the diagnosis but full oncologic workup is required. Treatment typically includes wide local excision with possible adjuvant chemotherapy or radiation for high risk features.

Metastatic squamous cell carcinoma to the superior cervical ganglion mimicking a retropharyngeal lymph node

BACKGROUND Metastasis of squamous cell carcinoma (SCC) to the superior cervical ganglion (SCG) has never been reported. Its anatomic location may easily be mistaken for a retropharyngeal lymph node. We present the first case of SCC metastasis to the SCG. METHODS We report a case of a 69year-old never smoking male, who presented with right retropharyngeal PETCT-avid disease following chemoradiation for squamous cell carcinoma of the tonsil. He was brought to the operating room for resection, intraoperative radiation and reconstruction. RESULTS Intraoperatively, visualization and frozen section confirmed squamous cell carcinoma located in the superior cervical ganglion. The ganglion was resected, intraoperative radiation was given and the patient was reconstructed with a radial forearm free flap. Postoperatively, the patient displayed features of a Horners syndrome. CONCLUSIONS The superior cervical ganglion may be mistaken for a retropharyngeal lymph node. Although extremely rare, these entities may be differentiated on the basis of radiological studies.

The importance of recognizing a cervical origin of the right subclavian artery.

Cervical origin of the right subclavian artery is rare and is associated with DiGeorge syndrome. During total thyroidectomy and right lateral neck dissection for metastatic thyroid cancer in a 26‐year‐old female, the right subclavian artery was found to be cervical in origin. This was identifiable on preoperative computerized tomography. Screening for DiGeorge syndrome and other cardiovascular abnormalities in this patient was negative. However, all reported cases of this right subclavian artery anomaly tested positive for DiGeorge syndrome. Cervical origin of the right subclavian artery may present in the absence of DiGeorge syndrome. Laryngoscope, 126:2497–2499, 2016