RESUMEN
Primary vaginal malignant melanoma (PVMM) is an extremely rare tumor of the female genital tract, accounting for only 3% of melanomas of the female genital tract and 0.3%-0.8% of all melanomas in females. Vaginal melanoma is a very aggressive tumor with a 5-year survival rate of 5%-25%. High incidence of recurrence, spread to regional lymph nodes, and distant metastasis are responsible for poor prognosis of PVMM. Grossly, amelanotic melanoma of the vagina may be mistaken for other primary vaginal malignancies. Differentiation of malignant melanoma from other primary vaginal melanomas is essential because of better prognosis of most of other vaginal malignancies as compared to melanoma. Despite having poor prognosis, early detection and early treatment of PVMM may improve the prognosis.
Asunto(s)
Melanoma/diagnóstico , Neoplasias Vaginales/diagnóstico , Anciano , Biomarcadores , Biopsia , Femenino , Humanos , Inmunohistoquímica , Melanoma/mortalidad , Melanoma/terapia , Neoplasias Vaginales/mortalidad , Neoplasias Vaginales/terapiaRESUMEN
Hemangioma of bone is a rare bone tumor accounting for <1% of all osseous tumors. Hemangiomas are common in skull and vertebrae but uncommon in rib. Rib hemangiomas may increase in size over a period and may cause symptoms due to increasing size. Preoperative diagnosis is not always possible due to overlapping radiological features between benign and malignant lesions. Use of preoperative aspiration and biopsy has their own risks and benefit. Excision of rib in case of monostotic rib lesions is the treatment of choice due to low risk of recurrence and no reported postoperative complications. We report a case of rib hemangioma which mimicked a malignancy preoperatively.
Asunto(s)
Neoplasias Óseas/diagnóstico , Diagnóstico Diferencial , Hemangioma/diagnóstico , Neoplasias/diagnóstico , Biopsia , Neoplasias Óseas/diagnóstico por imagen , Neoplasias Óseas/patología , Hemangioma/diagnóstico por imagen , Hemangioma/patología , Hemangioma/cirugía , Humanos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/diagnóstico , Recurrencia Local de Neoplasia/diagnóstico por imagen , Recurrencia Local de Neoplasia/cirugía , Neoplasias/diagnóstico por imagen , Neoplasias/patología , Neoplasias/cirugía , Radiografía , Costillas/diagnóstico por imagen , Costillas/patología , Costillas/cirugía , Tomografía Computarizada por Rayos XAsunto(s)
Embolia/complicaciones , Neoplasias Cardíacas/complicaciones , Mixoma/complicaciones , Arteria Subclavia/diagnóstico por imagen , Enfermedad Aguda , Anciano , Ecocardiografía , Embolia/diagnóstico por imagen , Embolia/cirugía , Atrios Cardíacos/diagnóstico por imagen , Atrios Cardíacos/cirugía , Neoplasias Cardíacas/diagnóstico por imagen , Neoplasias Cardíacas/cirugía , Humanos , Masculino , Mixoma/diagnóstico por imagen , Mixoma/cirugía , Arteria Subclavia/cirugíaRESUMEN
Collagenous spherulosis (CS) is a rare and interesting entity associated with benign breast lesions. CS is an incidental finding picked up only on 0.2% of cytology specimen. Typically cytologically of CS of breast consists of central spherical hyaline spherule surrounded by myoepithelial cells. The central hyaline spherule has been found to be basement membrane material histochemically and immunohistochemically. The importance of recognizing CS of breast lies in the fact that similar hyaline globules can occur in adenoid cystic carcinoma of the breast (ACCB). The two lesions need to be differentiated on cytology failing which inappropriate treatment can be given for either of the two lesions. We present here a case of CS associated with benign breast lesion and a case of ACCB to describe their cytological features and key points to differentiate them cytologically.
RESUMEN
Choriocarcinoma is malignancy arising from the trophoblastic tissue. Pure choriocarcinoma is rare in testis. Choriocarcinoma of testis is more commonly associated with other germ cell tumors. The usual age of presentation is 2nd-3rd decade. Distant metastasis is known to occur in choriocarcinoma. We present a rare case of testicular pure choriocarcinoma in a male patient. The patient was treated with orchidectomy, lymphadenectomy, and chemotherapy. Three months later the patient presented with hemoptysis and a lung mass. The aspiration cytology of the lung mass revealed metastatic deposits of syncytiotrophoblastic and cytiotrophoblastic cells. We are reporting this case due to its rarity, rare age of presentation, and characteristic cytology at metastatic focus.