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1.
Pan Afr Med J ; 41: 7, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35145599

RESUMO

The diagnosis of adenomyoepitheliomas is difficult and relies on the presence of a double component of epithelial and myoepithelial cells belonging to the breast lobules and ducts. The clinical and imaging characteristics are not specific; thus, the diagnosis is histological. In this article, we present a case of a young female who presented with a 2 cm lump in the breast without other clinical symptoms, which revealed a benign adenomyoepithelioma (AME). We performed a large excisional lumpectomy, and the patient recovered well with no complication or recurrence within two years follow-up. When it comes to adenomyoepitheliomas, the published literature is mainly composed of case reports, so much so that there are no evidence-based guidelines. Our case shows that an excisional lumpectomy is often enough when facing a small size tumor with no signs of malignancy, which contributes to the limited data on the subject.


Assuntos
Adenomioepitelioma , Neoplasias da Mama , Adenomioepitelioma/diagnóstico , Adenomioepitelioma/cirurgia , Mama , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/cirurgia , Feminino , Humanos , Mastectomia Segmentar
2.
Pan Afr Med J ; 38: 67, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33889233

RESUMO

Prior to 1970, maternal alloimmunization was the leading cause of perinatal death. Currently, it has become rarer thanks to screening and monitoring in high-risk pregnancies. The advent of transcranial doppler has been a turning point in the monitoring of these pregnancies, as it is a reliable, non-invasive method for the diagnosis of fetal anemia. This helps clinicians decide whether or not to perform intrauterine transfusion. Anti-D immunoprophylaxis has also played an important role in preventing fetal and neonatal hemolytic anemia and its administration is currently well codified. Adequate management helps to avoid the effects of alloimmunization on the fetus and newborn as well as to reduce the risks of alloimmunization in subsequent pregnancies. We here report a case of severe fetomaternal rhesus (Rh) alloimmunization during unmonitored pregnancy complicated by fetoplacental anasarca.


Assuntos
Doenças Fetais/diagnóstico , Isoimunização Rh/diagnóstico , Trombocitopenia Neonatal Aloimune/diagnóstico , Adulto , Edema/etiologia , Feminino , Doenças Fetais/fisiopatologia , Humanos , Recém-Nascido , Masculino , Gravidez , Isoimunização Rh/complicações , Índice de Gravidade de Doença , Trombocitopenia Neonatal Aloimune/etiologia
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