scholarly journals Giant mesenteric lipoblastoma; a rare presentation of childhood abdominal mass

2022 ◽  
Vol 76 ◽  
pp. 102118
Author(s):  
Ahmed Elrouby ◽  
Saber Waheeb ◽  
Basma Elsabaa ◽  
Mohamed Abdelmalak
Author(s):  
Rashmi Monteiro ◽  
Shikha Sharma ◽  
Sonal Gupta ◽  
Indu Choudhary

Angiomyolipoma is a benign neoplasm composed of variable admixture of blood vessels, smooth muscle cells and adipose tissue. Cervical angiomyolipoma are extremely rare and to the best of our knowledge only five cases of angiomyolipoma in cervix have been reported in the literature till date. Authors are presenting a case of angiomyolipoma arising from the uterine cervix. 43 years old female presented with mass descending per vagina for 6 months. This case had no association with tuberous sclerosis. Microscopic examination showed an ill-defined polypoidal, non-encapsulated lesion covered by keratinized stratified epithelium. The lesion is made up of three components, predominantly by fascicles of spindle shaped cells, varying sized blood vessels and multiple foci of mature adipocytes with no evidence of atypia or increased mitotic activity. Smooth muscle component showed strong immunoreactivity to SMA and absence of elastic fibres in the blood vessels were confirmed by histochemistry. Non-vascular smooth muscle cells were negative for HMB-45 in contrast to renal and other extra-renal angiomyolipoma in which HMB-45 immunoreactivity in seen in these cells. To conclude, the differential diagnosis of lower abdominal mass and dysfunctional uterine bleeding should include the angiomyolipoma, even though the uterine cervix is an extremely rare location where they occur.


2000 ◽  
Vol 43 (6) ◽  
pp. 872-875 ◽  
Author(s):  
P. Meyer ◽  
O. Nwariaku ◽  
R. N. McCelland ◽  
D. Gibbons ◽  
F. Leach ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 62
Author(s):  
Budi Martono ◽  
Sri Inggriani

Background: Rhabdomyosarcoma (RMS) is the most common type of soft tissue sarcoma in children, however, RMS is a rare malignancy in adults. Head and neck are the most common site for RMS, while intrabdominal RMS are rare in adults. Case: We present a rare case of a retroperitoneal abdominal mass, treated surgically with histopathology results of a retroperitoneal RMS. We discuss the clinical presentation, image findings, and treatment for this case. Conclusion: Intraabdominal tumours need to be identified quickly and precisely. CT scan or MRI can help clinicians to determine the staging, therefore plans the best treatment for the patient. In our case, surgery and radiotherapy showed promising outcome. The lack of literature and consensus on a standardized approach to systemic treatment and outcome in retroperitoneal pleomorphic RMS in adults makes our case a rare presentation of rhabdomyosarcoma and thus the need for reporting.  


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Hossein Karami ◽  
Maryam Ghasemi ◽  
Seyed Abdollah Mousavi ◽  
Homina Saffar ◽  
Pegah Mahmoudi Molaei ◽  
...  

Introduction: Germ cell tumors account for 3.5 % of pediatric tumors and yolk sac tumors are the most common pure malignant germ cell tumors in children. Testis and ovary are the most common sites of involvement in children older than 2 years. Case Presentation: A 20-month-old boy with a complaint of limping was described in this case report. Abdominal ultrasonography showed a 52 × 50 mm solid abdominal mass. Abdominal and pelvic computed tomography scans showed a left paraspinal heterogeneous mass. The tumor was extended into the spinal column with spinal cord compression. Four months later, at the end of chemotherapy, the tumor was completely resolved. Conclusions: Spinal cord compression is a rare presentation of yolk sac tumor (YST) and although this tumor is an uncommon malignancy, it can be cured completely.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid Riaz ◽  
Mutahir A. Tunio ◽  
Mushabbab AlAsiri ◽  
Asim Ali Elbagir Mohammad ◽  
Muhammad Mohsin Fareed

Background.Renal cell carcinoma (RCC) has unpredictable and diverse behavior. The classic triad of hematuria, loin pain, and abdominal mass is uncommon. At time of diagnosis, 25%–30% of patients are found to have metastases. Bones, lungs, liver, and brain are the frequent sites of metastases. RCC with metastasis to the head and neck region and thyroid gland is the rarest manifestation and anaplastic carcinoma behaving metastatic thyroid mass is an extremely rare presentation of RCC.Case Presentation.A 56-year-old Saudi man with past history of right radical nephrectomy 5 years back presented with 3 months history of rapid increasing neck mass with dysphagia, presenting like anaplastic thyroid carcinoma. Tru-cut biopsy turned out to be metastatic renal cell carcinoma. Patient was treated with radiation therapy 30 Gy in 10 fractions to mass. Patient died 4 months after the discovery of anaplastic thyroid looking metastasis.Conclusion.Rapidly progressing thyroid metastases secondary to RCC are rare and found often unresectable which are not amenable to surgery. Palliative radiotherapy can be considered for such patients.


2017 ◽  
Vol 15 (2) ◽  
pp. 65-69
Author(s):  
Roshan Ghimire ◽  
Uttam Laudari ◽  
Deepak Raj Singh

Introduction: Abdominal tuberculosis is common in developing world, and abdominal tuberculosis is most common presentation of extra pulmonary tuberculosis. High index of suspicion is needed in patient from endemic area with chronic abdominal pain and constitutional symptom for diagnosis of abdominal tuberculosis. In abdominal tuberculosis although intestinal, cecal and lymph node involvement are common, isolated mesenteric tuberculosis is rare presentation and very few cases has been reported. Here we are presenting rare case of a young male with isolated mesenteric tuberculosis who presented with abdominal mass.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sumaira Khalil ◽  
Tariq Ghafoor ◽  
Amna Kaneez Fatima Raja

Inflammatory myofibroblastic tumor (IMT) is a rare entity of neoplastic origin. It usually occurs in children and adolescents and most commonly involves pulmonary and gastrointestinal sites. Here, the authors present two cases; one is the nine months old boy with a subcutaneous IMT in the left temporal region that was treated successfully with surgical resection. To the best of our knowledge, this is the first reported case of a subcutaneous IMT in this particular region. The second is an eight years old girl with an IMT of the right hemi-pelvis. The mass had complete surgical excision with clear margins and no residual disease. She was kept on regular follow-up with ultrasound abdomen. However, her disease relapsed with the appearance of lesions in right iliac fossa, right ovary, and liver. Biopsy of the relapsed abdominal mass confirmed ALK-positive IMT. She was treated with ALK inhibitor Crizotinib. She was monitored with regular blood complete picture, hepatic and renal function test, and ultrasound abdomen. Her lesions started regressing within one month, and she achieved complete remission after 6 months of treatment.


2021 ◽  
Vol 14 (11) ◽  
pp. e241163
Author(s):  
Nikolai Juul ◽  
Stig Søgaard Dahl ◽  
Deepthi Jermaly Chiranth ◽  
Luit Penninga

A 44-year-old patient with known ulcerative colitis presented with abdominal pain and an abdominal mass. CT revealed cecal stranding, a mass at the left colonic flexure involving the pancreas and multiple lesions in the lungs, retroperitoneum and liver. The patient had also developed a scalp rash as well as impaired hearing. Biopsies from the abdominal mass and lungs revealed necrotic inflammation, and the clinical suspicion of malignancy could not be ruled out. After further examination, the patient was treated with high-dose steroids, which rapidly reduced the extraintestinal manifestations. Due to a persistent abscess formation at the left colonic flexure and pancreas, the patient was referred to our hospital for a total colectomy. Histology showed acute and chronic inflammation with cryptitis, indicating ulcerative colitis. Our case is a rare presentation of extensive extraintestinal disease in organs such as the lungs and liver, as well as necrotic mass formation at the colon site which mimicked malignancy.


2021 ◽  
pp. 16-17
Author(s):  
Rujuta fuke ◽  
Monika singh

Most of the leiomyomas are situated in the body of uterus. Fibroids arising from cervix are rare tumours accounting for 2% of all broids. Cervical leiomyomata are mostly single and are subserous or interstitial in origin. Generally these tumors present with retention of urine, constipation, sensation of something coming out of vagina and rarely at times present with abdominal mass which may mimic ovarian cancer. We report a case of 55 yr. married patient with complaints of something coming out of vagina and postmenopausal bleeding of short duration. Provisional diagnosis was a huge cervical broid protruding through the introitus on examination. Vaginal hysterectomy was done for patient along with removal of cervical broid which was conrmed on histopathology as leiomyoma. Conclusion: Huge cervical broids are rare entity and treatment is surgical removal.


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