Unusual location of myxopapillary ependymoma in the sacrum: Case report and review of the literature.

Myxopapillary ependymoma, a rare variant of ependymoma, commonly occurs in the conus medullaris or filum terminale. The rarity of these tumors can make their diagnosis and treatment challenging. This case report presents an atypical occurrence of myxopapillary ependymoma within the sacrum in a 68-year-old patient presented with a 3-month history of persistent left-sided low back pain radiating to the legs and fecal dysfunction. The patient underwent a sacral laminectomy and subtotal excision of the tumor, followed by adjuvant radiotherapy with favorable outcomes. This report highlights the significance of tailored approaches for unconventional tumor locations emphasizes the potential benefits of multimodal treatment strategies and provides insights from a comprehensive literature review on similar cases.

A closer look at nasopharyngeal cancer: A typical case report.

Nasopharyngeal cancer is a relatively rare cancer type, it is most common in southeast Asia and north Africa, it can be presented with nonspecific symptoms, making it challenging to diagnose. However, it remains a significant cancer to diagnose and treat early, as it can be aggressive and difficult to manage in its advanced stages. We report the case of a 48-year-old man who presented with isolated neck swelling, which was later found to be caused by multiple lymphadenopathies and suspected nasopharyngeal neoplasm. Imaging confirmed a large mass in the nasopharynx and bilateral cervical adenopathy. The patient underwent neoadjuvant chemotherapy and concomitant chemo-radiation, which resulted in a partial response. However, residual tumor persisted in the nasopharynx and cervical lymph nodes, and the patient requires cervical dissection. This case highlights the importance of early diagnosis and prompt treatment of nasopharyngeal cancer.

Testicular Radiotherapy: A Challenging Irradiation Site.

Testicular radiation therapy is a crucial component of the overall treatment of certain neoplasms. Yet, it remains challenging due to the unique anatomic location of the testicles, their specific radiation tolerance, and the lack of a standardized treatment workflow. In this article, we present the case of a 78-year-old patient with primary testicular lymphoma and describe the technical aspects of his radiation therapy. The challenge was to achieve a comfortable, reproducible, and effective treatment position while protecting the penis and covering the superficial layers of the scrotum. We used a total body restraint system and performed a second simulated CT scan with a bolus. The entire scrotum was delineated as the clinical target volume, with an additional 1 cm margin to obtain the planning target volume. This case highlights the importance of careful planning and personalized treatment approaches in testicular irradiation and underscores the need for further research and standardization in this complex irradiation site.