ABSTRACT
Breast cancer is usually associated with metastases to lungs, bones and liver. Breast carcinoma metastasizing to the gallbladder is very rare. We report the case of 45-year-old female with clinical presentation of acute Cholecystitis, who underwent cholecystectomy in emergency. The Gallbladder showed a nodule on the Gallbladder wall. Histological examination disclosed a metastasis from a lobular breast carcinoma with positive hormone receptors. The patient had received three months previously a right mastectomy with axillar dissection followed by chemotherapy and radiotherapyfor lobular breast cancer stage III, PT3N1M0, showing hormone receptors. We present a rare case of acute cholecystitis from metastatic breast cancer three months after management of primary cancer.
Subject(s)
Breast Neoplasms/pathology , Carcinoma, Lobular/pathology , Cholecystitis, Acute/etiology , Gallbladder Neoplasms/diagnosis , Breast Neoplasms/therapy , Carcinoma, Lobular/therapy , Cholecystectomy/methods , Cholecystitis, Acute/diagnosis , Cholecystitis, Acute/surgery , Female , Gallbladder Neoplasms/pathology , Gallbladder Neoplasms/secondary , Humans , Mastectomy/methods , Middle AgedABSTRACT
In this work, we discuss the preliminary results of the effectiveness of the hemorrhoidal artery ligation under control Doppler as a new technique for the treatment of hemorrhoids. We report the results of patients with hemorrhoids we have followed over a period of one year who were treated with HAL Doppler. The intra-and postoperative complications were monitored. Patient follow-up was established on the immediate postoperative period, after one month, six months and one year of evolution. Monitoring parameters were both objective (prolapse) and subjective (pain, discomfort, bleeding, satisfaction). 120 patients, all stages combined, were treated with HAL Doppler. The pain is easily controlled with painkillers. Residual rectal bleeding was noted in 3% of the cases. In addition, there was one case of recurrent prolapse which underwent reoperation. After one month, 86,5% patients were satisfied. The hemorrhoidal artery ligation under control Doppler is an easy technique, well accepted by patients who are increasingly demanding it. It is less invasive, less painful and gives fewer complications. It is not only effective for stage III and IV hemorrhoids for which the effect is spectacular but also for stages I and II symptoms, which can expand its indications.
Subject(s)
Arteries/surgery , Hemorrhoids/surgery , Ligation/methods , Adult , Aged , Cohort Studies , Female , Hemorrhoids/diagnostic imaging , Humans , Male , Middle Aged , Pilot Projects , Rectum/blood supply , Rectum/surgery , Treatment Outcome , Ultrasonography, Doppler , Ultrasonography, Interventional , Vascular Surgical Procedures , Young AdultSubject(s)
Buschke-Lowenstein Tumor , Carcinoma, Verrucous , Rectal Neoplasms , Adult , Aged , Anus Neoplasms/diagnosis , Anus Neoplasms/epidemiology , Anus Neoplasms/therapy , Buschke-Lowenstein Tumor/diagnosis , Buschke-Lowenstein Tumor/epidemiology , Buschke-Lowenstein Tumor/therapy , Carcinoma, Verrucous/diagnosis , Carcinoma, Verrucous/epidemiology , Carcinoma, Verrucous/therapy , Cohort Studies , Disease Progression , Female , Humans , Male , Middle Aged , Rectal Neoplasms/diagnosis , Rectal Neoplasms/epidemiology , Rectal Neoplasms/therapy , Young AdultABSTRACT
Hydatid disease is an endemic problem in some areas of the world. Common sites include liver and lungs. We report an unusual case of isolated primary Hydatid cyst of small gut mesentery. Characteristics of this uncommon location, mechanism, diagnostic difficulties, and treatment are discussed.