ABSTRACT
BACKGROUND: Gastric duplication cysts are uncommon congenital anomalies found primarily in children and rarely seen in the adult population. Accurate diagnosis of cysts before resection is difficult even using the most advanced imaging techniques. CASE PRESENTATION: In this report, we describe a 28-year-old Moroccan patient with a history of autoimmune hemolytic anemia who presented with an asymptomatic abdominal cystic mass detected during abdominal computed tomography performed before splenectomy. Magnetic resonance imaging performed for accurate characterization showed a high-signal-intensity cystic mass on T2-weighted images, located between the patient's stomach and spleen. The patient underwent a complete cyst resection during exploratory laparotomy. The histological examination showed a cyst lined by three different epithelia with bundles of smooth muscle, which suggested a gastric duplication cyst. CONCLUSIONS: We report a case of gastric cyst duplication in an adult with autoimmune hemolytic anemia, and we discuss this rare association, radiological findings, and the unique histological findings of this case.
Subject(s)
Anemia, Hemolytic, Autoimmune/therapy , Cysts/pathology , Spleen/pathology , Splenectomy , Stomach Diseases/pathology , Adult , Anemia, Hemolytic, Autoimmune/physiopathology , Cysts/diagnostic imaging , Humans , Magnetic Resonance Imaging , Male , Remission Induction , Spleen/diagnostic imaging , Stomach Diseases/diagnostic imaging , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
[This retracts the article DOI: 10.1016/j.ijscr.2011.05.008.].
ABSTRACT
Adenomatosis (adenoma, papillary adenoma, florid papillomatosis) of the nipple is a rare benign disorder involving the nipple witch can be mistaken clinically for Paget's disease and pathologically can be misinterpreted as an adenocarcinoma. It occurs mostly in middle-aged women and is extremely rare in adolescents and children. We report a 55-year-old man with an adenomatosis of the nipple evolving positively after surgery.
ABSTRACT
INTRODUCTION: Primary malignant schwannomas are rare neoplasms of nerve sheath origin, especially in the location of the head and neck where few cases are described in the literature. REPORT CASE: We report the case of a 65-year-old male diagnosed with malignant schwannoma in the left cheek. The patient underwent surgery with wide local excision, reconstruction were made later by skin graft. DISCUSSION: The treatment of choice is radical excision of the lesion with wide margins. In fact, to reduce local tumor recurrence, the use of adjuvant radiation or chemotherapy is still controversial.
Subject(s)
Cheek/innervation , Cranial Nerve Neoplasms/diagnosis , Facial Nerve Diseases/diagnosis , Neurilemmoma/diagnosis , Aged , Biomarkers, Tumor/analysis , Biopsy , Cheek/pathology , Cheek/surgery , Cranial Nerve Neoplasms/pathology , Cranial Nerve Neoplasms/surgery , Facial Nerve Diseases/pathology , Facial Nerve Diseases/surgery , Humans , Male , Mitotic Index , Neoplasm Grading , Neurilemmoma/pathology , Neurilemmoma/surgery , Reoperation , S100 Proteins/analysis , Skin TransplantationABSTRACT
INTRODUCTION: Osteosarcoma of the craniofacial bones location is less common, usually with low grade of malignancy; it has better prognosis when surgical excision is complete. REPORT CASE: We report a case of a 35-year-old male diagnosed with a low-grade chondroblastic osteosarcoma of the mandible. The patient was treated with surgery alone and recovered with pectoralis major myocutaneous flap. After 48 months, the oncology's and aesthetics results are good. DISCUSSION: We will discuss the treatment of chondroblastic osteosarcoma of the mandible.
Subject(s)
Mandibular Neoplasms/surgery , Osteosarcoma/surgery , Plastic Surgery Procedures/methods , Adult , Esthetics , Follow-Up Studies , Humans , Male , Mouth Floor/pathology , Neck Dissection , Neoplasm Invasiveness , Pectoralis Muscles/transplantation , Skin Transplantation/methods , Surgical Flaps , Tomography, X-Ray Computed , Tongue/pathology , Treatment OutcomeABSTRACT
Breast cancer occurring in the mammary gland of men is infrequent. It accounts for 0.8% of all breast cancers, which is less than one per cent of all newly diagnosed male cancers and 0.2% of male cancer deaths. However, Paget disease of the male nipple is extremely rare. We report a single case of Paget disease with infiltrative ductal carcinoma of the breast in a 61-year-old man.
Subject(s)
Breast Neoplasms, Male/pathology , Nipples/pathology , Paget's Disease, Mammary/pathology , Breast Neoplasms, Male/therapy , Chemotherapy, Adjuvant , Humans , Male , Mastectomy , Middle Aged , Paget's Disease, Mammary/therapy , Radiotherapy, AdjuvantABSTRACT
Epithelioid vascular tumors are a heterogeneous group characterized by epithelioid-appearing endothelial cells. Included are benign vascular tumors (epithelioid haemangioma), borderline tumors (epithelioid haemangioendothelioma), and malignant tumors (epithelioid angiosarcoma). We describe a case of epithelioid haemangioma.
Subject(s)
Hand/surgery , Hemangioma/pathology , Soft Tissue Neoplasms/pathology , Female , Hemangioma/surgery , Humans , Middle Aged , Soft Tissue Neoplasms/surgeryABSTRACT
AIM: The aim of this study was to report the feasibility and efficiency of a new approach, called post-RF trans-metastasis hepatectomy (PRFTMH). This technique consists in using RF to first ablate an ill-located liver metastasis (LM) along the planned hepatectomy resection line, the only one possible for volumetric reasons, and then to perform the hepatectomy passing via this initially ablated LM. MATERIAL AND METHODS: Twenty-one patients were treated with PRFTMH between January 2000 and May 2004. Thirteen of them had a primary colorectal tumour, four had a primary endocrine tumour and four had miscellaneous primaries. The mean number of LMs per patient was 13.8 (10.7 for primary colorectal tumours and 22.2 for primary endocrine tumours). Pre-operative hypertrophy of the future remaining liver was obtained by selective portal vein embolisation in 11 patients. RESULTS: One patient died post-operatively (4.7%) and five developed complications (24%). No local recurrence has occurred at the site of PRFTMH after a median follow-up of 19.4 months (range: 47-7), demonstrating the efficacy of this technique. All patients, except the patient who died post-operatively, are currently alive, and the median survival rate has not yet been attained, after a median follow-up of 19.4 months. CONCLUSION: PRFTMH combining RF ablation and trans-metastasis hepatectomy is a new and safe technique, allowing a curative approach to be proposed to some patients with unresectable bilateral LMs.