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December 2016

Volume 2  Issue 6

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Clinical Case Report

A Rare Penetrating Cervical Spine Injury by Scissors: A Case Report and Literature Review

Zhenggang Zhou, Dechun Wang*, Yini Wang, Mingbo Guo

Penetrating neck injuries are frequent problems in an emergency. It represents approximately 5–10 % of all trauma cases that present to the emergency department. The neck region contains a high density of vital organ structures in a relatively small and unprotected anatomic region, making it one of the most vulnerable areas of the body for all types of injuries. Management requires a logical approach with a swift assessment of the adequacy of airway and circulation and of the possible presence of any skeletal or neurological damage prior to operative intervention. We report a rare case with penetrating cervical spine injury by scissors.

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Clinical Case Report

Isolated Mediastinal Myeloid Sarcoma: A Rare Presentation of Extramedullary Leukemic Tumor

John Khoury, MD, Jurgen Rademaker, MD, Jinjuan Yao, MD and Carol Portlock, MD*

Myeloid sarcoma is a rare solid tumor consisting of myeloid blasts that proliferate in any extramedullary site. It can present before, concurrent with or after the diagnosis of acute myeloid leukemia [AML] or other myeloproliferative disorders. The most common sites include skin, gum, lymph nodes, soft tissue, periosteum, and bone. Here, we present a 66-year-old male with a history of bladder cancer and colon cancer who presented with intermittent fever, chest heaviness, dry cough and dyspnea on exertion. CT scan of the chest showed a bulky mediastinal mass.

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