ABSTRACT
Metastasis of breast carcinoma to the colon is a rare occurrence. We report here the case of a 65-year-old patient who presented a stenosing tumor of breast origin, located in the right colon. Some of the regional lymph nodes were infiltrated but no distant metastasis were detected. The primary breast lesion was a 4-cm infiltrating adenocarcinoma, operated 4 years earlier. Surgical removal of the lesion was followed by Endoxan-Epirubicin and 5-Fluororacil chemotherapy and the patient remained disease-free during the 3 years of follow-up. We could find only 2 similar cases reported in the world literature until now. Profound anemia in a patient with a past history of breast carcinoma may indicate colonic metastasis; treatment should be surgery followed by chemotherapy.
Subject(s)
Adenocarcinoma/secondary , Breast Neoplasms/pathology , Colonic Neoplasms/secondary , Anemia/etiology , Female , Humans , Lymphatic Metastasis , Middle AgedABSTRACT
The authors report the case of a 20 year old Senegalese woman in whom pulmonary and bone tuberculosis presented as bilateral, lobulated pleural thickening without effusion, associated with a vertebral abscess at D 9-10. The diagnosis was obtained by histological examination of a CT guided pleural biopsy. After 12 months treatment there was complete resolution of the pleural disease. Tuberculous pleural disease is rarely bilateral and such presentation as a pseudo-tumour is very rare in Europe. Anatomically the pleural disease would seem to have been secondary to the vertebral disease as the result of direct spread.
Subject(s)
Granuloma, Respiratory Tract/diagnosis , Granuloma, Respiratory Tract/microbiology , Tuberculosis, Osteoarticular/complications , Tuberculosis, Pleural/diagnosis , Tuberculosis, Pleural/microbiology , Tuberculosis, Pulmonary/complications , Abscess/microbiology , Adult , Antitubercular Agents/therapeutic use , Biopsy , Drug Therapy, Combination , Female , Granuloma, Respiratory Tract/drug therapy , Humans , Magnetic Resonance Imaging , Radiography, Interventional , Spinal Diseases/microbiology , Thoracic Vertebrae , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Pleural/drug therapyABSTRACT
In the light of a case of CMV cystitis in an HIV 1-sero-positive patient suffering from disabling bladder pain, refractory to the usual treatments, the authors describe the mechanism of infection, the diagnostic approach, and especially the value of deep bladder biopsies by resection, as the endoscopic appearance is not pathognomonic and CMV was only detected in the deep muscle layer.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , AIDS-Related Opportunistic Infections/virology , Biopsy , Cystitis/diagnosis , Cystitis/virology , Cytomegalovirus Infections/diagnosis , Urinary Bladder/pathology , Urinary Bladder/virology , Adult , Biopsy/methods , Cystoscopy , Fatal Outcome , Female , HIV Seropositivity , Humans , Muscle, Smooth/pathology , Muscle, Smooth/virologySubject(s)
Hemangioendothelioma, Epithelioid/diagnostic imaging , Lung Neoplasms/diagnostic imaging , Aged , Biopsy , Diagnosis, Differential , Dyspnea/etiology , Fatal Outcome , Hemangioendothelioma, Epithelioid/complications , Hemangioendothelioma, Epithelioid/pathology , Humans , Lung Neoplasms/complications , Lung Neoplasms/pathology , Male , Respiratory Insufficiency/etiology , Tomography, X-Ray ComputedABSTRACT
The authors report an original case of a recurrence of basal cell carcinoma in a skin graft recipient site. The skin graft was used to resurface the defect following complete excision of basal cell carcinoma in the mandibular angle area. Three answers can be given to the question of the origin of that new carcinoma: recurrence of the primary carcinoma, metastasis to a lymph node or a transfer of a basal cell carcinoma located into the skin graft which grew further. This last hypothesis remains the most probable because the histology of the two carcinomas was different and that the patient presented many others locations of basal cell carcinomas. Skin grafted areas must be checked for recurrence of basal cell carcinoma in such patients because invisible basal cell carcinoma can be transferred within the graft where they can grow for their own.