ABSTRACT
Histiocytic sarcoma, proliferation araising from immunoregulatory effector system cells, is a very rare and recently recognised tumor. Diagnosis is based on immunohistochemistry and molecular genetic techniques, which allow to distinguish histiocytic sarcoma from lymphocytic proliferation, such as non-Hodgkin's. We report this rare case of multivisceral histiocytic sarcoma revealed by lung localization and for which the evolution was fatal.
Subject(s)
Histiocytic Sarcoma/diagnosis , Lung Neoplasms/diagnosis , Histiocytic Sarcoma/diagnostic imaging , Histiocytic Sarcoma/pathology , Humans , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Male , Middle Aged , Radiography, Abdominal , Radiography, ThoracicABSTRACT
Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare congenital developmental abnormality, representing about 25% of all congenital lung lesions. It is very rare that presentation is delayed until adulthood. We report a case of 63-year-old woman without notable pathological antecedents in whom a systematic chest X-ray revealed multiple bilateral pulmonary nodules. The patient was asymptomatic and her physical examination was normal. CT scan showed bilateral liquid rounded thin-walled densities of various size, with a homogeneous non calcified content. The diagnosis was based on radiological findings and surgery. The result of histopathological examination obtained by thoracic surgery confirmed CCAM without malignancy. The postoperative follow up showed an excellent recovery.
Subject(s)
Cystic Adenomatoid Malformation of Lung, Congenital/complications , Multiple Pulmonary Nodules/etiology , Cystic Adenomatoid Malformation of Lung, Congenital/diagnosis , Female , Humans , Middle AgedSubject(s)
Candidiasis/complications , Kidney Papillary Necrosis/complications , Urinary Tract Infections/complications , Antifungal Agents/therapeutic use , Candida albicans/isolation & purification , Candidiasis/drug therapy , Ciprofloxacin/therapeutic use , Female , Humans , Middle Aged , Urinary Tract Infections/drug therapyABSTRACT
UNLABELLED: Endometrial removal represents a therapeutic alternative to hysterectomy. AIMS: Through a retrospective study of 20 cases of endometrial removal colleted over a period of 4 years, the authors try to determine the indications of this therapeutic method, its efficiency, its advantages as well as its contra indications. RESULTS: Average age of the patients was 44 years. Average parity was 4. Functional menstrual disorders were found in 90% of cases. Gynaecological examination revealed a uterus of normal size in 85% of cases, and increased in size in 15% of cases. All the women had a preoperative diagnostic hysteroscopy. A simple endometrectomy was performed in 70% of the cases, an endometrectomy with a polypectomy in 25% of the cases and an endométrectomy with a myomectomy in 5% of the cases. The rate of success was 90%. We had a case of uterine perforation, because of uncontrollable bleeding a hysterectomyhad to be carried out in 2 cases. CONCLUSION: Endometrectomy is an alternative to hysterectomy in cases of menorrhagia due to mild functional disorders resistant to medical treatment.
