scholarly journals Rare case of gigantic ulcerating phyllodes tumour in developed country with a review of the literature

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Yi Th’ng Seow ◽  
Bindu Kunjuraman
Keyword(s):  
Wide Spectrum ◽  
Treatment Protocol ◽  
Breast Tumour ◽  
Metaplastic Carcinoma ◽  
Rare Presentation ◽  
Rare Type ◽  
Developed Country ◽  
Aged Woman ◽  
Compliant Patient ◽  
Phyllodes Tumour

Abstract Phyllodes tumour (PT) is a rare type of fibroepithelial breast tumour that can present in a wide spectrum of biological behaviours, accounting for <1% of breast malignancies. Herein, we present a case of a rare gigantic ulcerating PT in a middle-aged woman from regional Western Australia, who presented with a rapidly growing right breast mass. Core biopsy showed spindle cell lesion with differentials being PT of at least borderline variety or metaplastic carcinoma. The ulcerations over the fungating tumour showed heavy growth of Staphylococcus aureus. The treating team subsequently proceeded to right total mastectomy with level 1 and 2 axillary clearance. This report emphasizes the rare presentation of PT, dilemma in investigations and the difficulties in managing non-compliant patient where treatment protocol needs to be modified.

scholarly journals An Unusual and Rare Presentation of Pulmonary Aspergillosis: Endobronchial Aspergilloma

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Mohammed Ali ◽  
Aisha Mujahid ◽  
Rahul Dadhwal ◽  
Abhay Vakil ◽  
Humayun Anjum ◽  
...  
Keyword(s):  
Treatment Guidelines ◽  
Wide Spectrum ◽  
Disease Process ◽  
Current Treatment ◽  
Pulmonary Aspergillosis ◽  
Rare Presentation ◽  
Rare Type

Aspergillosis is a wide spectrum of the disease process that is caused by the fungus Aspergillus. Endobronchial aspergilloma is a very rare type of aspergillosis which is not yet included in the classification of aspergillosis. Due to its rare nature and a limited number of cases, there are no current treatment guidelines. Here we present the case of a 57-year-old female with an endobronchial aspergilloma. The patient was started on intravenous voriconazole and subsequently discharged on oral voriconazole.

scholarly journals Problems and Complications During the Treatment of Infertility in Women with Polycystic Ovary Syndrome

2016 ◽  
Vol 22 (2) ◽  
Author(s):  
Müberra Namlı Kalem ◽  
Ziya Kalem ◽  
Timur Gürgan
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Reproductive Medicine ◽  
Chromosomal Abnormalities ◽  
Polycystic Ovary ◽  
Wide Spectrum ◽  
Treatment Protocol ◽  
Success Rates ◽  
Ovary Syndrome ◽  
Detailed Evaluation ◽  
Selection Of

<p>Polycystic ovary syndrome (PCOS) is the most frequent endocrine disorder existing in women in their reproductive years and it is one of the most evaluated and discussed subjects of reproductive medicine with regard to its diagnosis and treatment.<br />Patients with PCOS constitute the most difficult population in the management of infertility. The factors that increase the success rates in the treatment of PCOS infertility are: pretreatment changes in life style, dietetic and psychological support, a detailed evaluation of the couple and the appropriate selection of the treatment protocol, a wide-spectrum approach to maintaining ovarian and endometrial synchronization in the management of the cycle, and well-developed laboratory conditions to support embryonic quality. However, even if these conditions are provided, OHSS, cancellations of the cycle, poor oocyte, and embryo qualities, unsuccessful fertilization and implantation, chromosomal abnormalities and early losses may still be experienced.</p>

scholarly journals Rare Presentation of Self-Limiting Kikuchi–Fujimoto Disease in Relapsing Nature

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Karo Servatyari ◽  
Hero Yazdanpanah ◽  
Chamara Dalugama
Keyword(s):  
Lymph Nodes ◽  
Wide Spectrum ◽  
Clinical Manifestations ◽  
Cervical Lymphadenopathy ◽  
Excision Biopsy ◽  
Presentation Of Self ◽  
Rare Presentation ◽  
Cervical Lymph Nodes ◽  
One Year ◽  
Loss Of Appetite

Background. Kikuchi–Fujimoto disease (KFD) is a rare, benign, and self-limiting disease that is commonly associated with cervical lymphadenopathy and fever. The disease has a wide spectrum of clinical manifestations, and definitive diagnosis is based on the histological appearance in the excision biopsy of the lymph nodes. Recurrence of KFD is reported rarely. Case Presentation. A 56-year-old Iranian woman with a background history of thrombocytopenia presented with fever, malaise, loss of appetite, and weight loss with cervical lymphadenopathy. The excision biopsy of the cervical lymph nodes confirmed the diagnosis of KFD, and she made a full recovery with improvement of symptoms, regression of cervical lymph nodes, and normalization inflammatory markers. One year after remission, she presented with similar clinico-biochemical profile, and repeat biopsy confirmed KFD. Conclusion. Although the rate of recurrence of the disease is very low, the treating physician should consider the possibility and confirm it histologically.

scholarly journals Clitorial inclusion cyst in an adult: a rare presentation

2019 ◽  
Vol 8 (8) ◽  
pp. 3374
Author(s):  
Tanweerul Huda ◽  
Tarun Sutrave ◽  
Bharati Pandya
Keyword(s):  
Postoperative Recovery ◽  
Cystic Mass ◽  
The Body ◽  
Inclusion Cyst ◽  
Rare Presentation ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Rare Site ◽  
Local Examination

Dermoid cysts are benign lesions that grow slowly and can occur anywhere in the body. Clitoris is an extremely rare site for dermoids cysts. We present a case of inclusion cyst of clitoris in a middle aged woman, who had it for 10 years before presenting for relief from her symptoms. Local examination revealed a 3 cm X 4 cm size cystic mass at the clitoris giving it an appearance of clitoromegaly. She underwent an excision of the cyst at our hospital with the histopathology report suggesting the lesion to be a dermoid cyst. Postoperative recovery was uneventful with no evidence of recurrence on follow up.

scholarly journals Rhino–orbito–cerebral mucormycosis following penetrating keratoplasty

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Lina H Raffa
Keyword(s):  
Wide Spectrum ◽  
Rapid Evolution ◽  
Serum Glucose ◽  
Rapid Progression ◽  
Corneal Transplant ◽  
Cranial Nerve Involvement ◽  
Rare Presentation ◽  
Uncontrolled Diabetes ◽  
Extensive Debridement ◽  
High Index Of Suspicion

Abstract Rhino–orbito–cerebral mucormycosis (ROCM) is a potentially devastating fungal infection with a significant fatality rate. Early diagnosis and prompt management are crucial to ensure a favorable outcome due to the recognized rapid progression. This case is a rare presentation of ROCM in a patient with uncontrolled diabetes following a corneal transplant. The procedure required early surgical resection in the first 30 hours of hospitalization. The patient received wide-spectrum antibiotics and antifungal treatment and underwent extensive debridement of the necrotic area. A high index of suspicion is needed to diagnose ROCM. Any diabetic patient with sinonasal disease and/or cranial nerve involvement, irrespective of their serum glucose or glycated hemoglobin levels, is a candidate for prompt evaluation to exclude mucormycosis. The rapid evolution of our case highlights the importance of treating ROCM promptly and aggressively.

Primary synovial sarcoma of the lung: a rare presentation, diagnostic dilemma and review of literature

2020 ◽  
Vol 13 (11) ◽  
pp. e237678
Author(s):  
Laxman Pandey ◽  
Deepa Joseph ◽  
Rajesh Pasricha ◽  
Manoj Kumar Gupta
Keyword(s):  
Synovial Sarcoma ◽  
Left Lung ◽  
Treatment Protocol ◽  
Rare Presentation ◽  
Diagnostic Dilemma ◽  
Rare Tumour ◽  
Improved Outcomes ◽  
Long Term Follow Up ◽  
Lung Metastasectomy ◽  
Malignant Lung Tumours

Primary synovial sarcoma of the lung (PSSL) is a rare tumour with only 0.5% incidence among other primary malignant lung tumours. Published medical literature regarding the natural history treatment protocol and clinical outcomes of PSSL remains limited. Here, we present a case of a 39-year-old man with primary synovial sarcoma with long-term follow-up, which was initially viewed as a metastasis from another unknown site. After evaluating histopathologically from the specimen post left lung metastasectomy and ruling out any other site for neoplastic changes, the diagnosis of PSSL was confirmed. Furthermore, this article reviews the literature and discusses various aspects of PSSL, including clinical presentation, radiological imaging and pathological characteristics, diagnostic dilemma, management and prognosis. This paper serves to provide an update and aims to enhance the understanding of PSSL. Timely diagnosis and treatment are imperative to achieve improved outcomes.

scholarly journals Pathological fracture of femoral neck in a middle-aged woman: a rare presentation of primary hydatid cyst disease in humans

2018 ◽  
pp. bcr-2017-222980
Author(s):  
FNU Salman ◽  
Muhammad Ihtesham Khan ◽  
Ishtiaq Hussain ◽  
Hafez Mohammad Ammar Abdullah
Keyword(s):  
Femoral Neck ◽  
Hydatid Cyst ◽  
Pathological Fracture ◽  
Middle Aged ◽  
Rare Presentation ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Primary Hydatid Cyst

scholarly journals Incarcerated Amyand’s Hernia with Destructive Appendicitis Complicated with Myocardial Infarction. A Case Report and Review of the Literature.

2021 ◽  
Vol 5 (1) ◽  
pp. 803-805
Author(s):  
Dimitar Hadzhiev ◽  
Dzhevdet Chakarov ◽  
Evgeniy Moshekov ◽  
Boris Sakakushev ◽  
Elena Hadzhieva
Keyword(s):  
Hernia Repair ◽  
Recurrent Hernia ◽  
Abdominal Sepsis ◽  
Amyand’S Hernia ◽  
Rare Presentation ◽  
Rare Type ◽  
Hernia Sac ◽  
Inflammatory Status ◽  
Inguinal Hernias ◽  
Amyand Hernia

Amyand hernia is a rare presentation in inguinal hernias (less than 1% of cases with inguinal hernias) which is evidenced when in herniated masses the presence of inflamed appendix is ​​ascertained or not. It was named after a French surgeon, Claudius Amyand (1660-1740), who performed the first successful appendectomy in 1735, where he found an acute appendicitis in a herniated mass. Most cases are diagnosed intraoperatively, as an accurate preoperative diagnosis rarely becomes evident. Management is individual depending on the stage of inflammation of the appendix, the presence of abdominal sepsis and concomitant factors. The decision should be based on factors such as the patient's age, the size and anatomopathological shape of the appendix, and in the case of an inflamed appendix, standard appendectomy and retinal herniorrhage should be the gold standard of treatment. Amyand hernia is usually misinterpreted as a common incarcerata hernia. Symptoms that mimic appendicitis may appear. Treatment consists of a combination of appendectomy and hernia repair. The inflammatory status of the appendix determines the type of hernia repair and the surgical technique. Occasional appendectomy in the case of a normal appendix is ​​not recommended. Amyand hernia is a rare type of inguinal hernia in which the appendix is located in the hernia sac. We present a case of a recurrent incarcerated Amyand’s hernia with complicated appendicitis. The 78 old polymorbide patient with right-sided incarcerated recurrent hernia was emergently operated on and appendectomy and non-mesh hernioplasty performed, on the 3rd postoperative day for a heart attack he was placed cardio stimulator with uneventful outcome. Fifteen months follow up did not show complications or complaints.

scholarly journals A novel differential diagnosis for diffuse cavitating nodules: primary pulmonary plasmacytoma

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Shruthi Panduranga ◽  
Samson Kade ◽  
Swarna Shivakumar ◽  
Harisha V ◽  
Ravindra M. Mehta
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Plasma Cell ◽  
Literature Search ◽  
Extramedullary Plasmacytoma ◽  
Lung Nodules ◽  
Upper Respiratory Tract ◽  
Rare Presentation ◽  
Rare Type ◽  
Plasma Cell Neoplasm

Abstract Background Extramedullary plasmacytoma is a rare monoclonal plasma cell neoplasm that originates from tissues other than the bone marrow and constitutes only 3%–5% of all plasma cell neoplasms. Most cases involve the upper respiratory tract. Extramedullary plasmacytoma involving the lung is extremely rare. Primary pulmonary plasmacytoma is a rare type of extramedullary plasmacytoma, usually presenting with a nodule or mass in hilar region. Literature search has shown very few cases of immunohistochemically confirmed cases of pulmonary plasmacytoma. Diffuse pulmonary infiltration is an unusual presentation. Case presentation We report the case of a 56 year old lady with history of cough and breathlessness since one month. Computed Tomography revealed diffusely scattered multiple cavitating nodules and consolidation in both lungs. Computed Tomography guided biopsy of one of the lung nodules was done. Histopathologic examination and immunohistochemistry showed features of pulmonary plasmacytoma .This is an unique case of primary pulmonary plasmacytoma with the rare presentation as diffusely scattered multiple cavitating nodules and consolidation. According to our literature search, primary pulmonary plasmacytoma manifesting as cavitating nodules is being reported for the first time. Conclusions Primary pulmonary plasmacytoma should be also be considered in the differential diagnosis of multiple diffusely scattered cavitating lung nodules.

scholarly journals Leiomyosarcoma of vascular origin: a rare presentation

2019 ◽  
Vol 6 (10) ◽  
pp. 3841
Author(s):  
Sreeramulu P. N. ◽  
Nipun A. C. ◽  
Anup . ◽  
Vikranth N. Suresh
Keyword(s):  
Soft Tissue ◽  
Smooth Muscles ◽  
Vena Cava ◽  
Soft Tissue Neoplasm ◽  
Rare Presentation ◽  
Rare Type ◽  
Adjacent Structures ◽  
Vascular Origin ◽  
The Right ◽  
Malignant Soft Tissue

Malignant soft tissue neoplasm exhibiting smooth muscle differentiation is called leiomyosarcoma (LMS). LMS arising from the smooth muscles of tunica media of the major blood vessels like inferior vena cava (IVC) is a rare type of neoplasm, accounting for less than 0.5% of adult soft tissue sarcoma, affecting <1/1,00,000 of all adult malignancies. The prognosis of this tumor is poor, as patients often present with intra or extra-luminal growth often with invasion of adjacent structures. Only 400 cases of IVC LMS have been reported. Here we report a case of 40 year old female with large asymptomatic mass per abdomen of 3 months duration occupying the central and right part of abdomen. Investigations revealed a large retroperitoneal mass of 20.4*22.8*22.5 cms arising from the right kidney, likely Renal cell carcinoma. On exploration a huge tumor of size 25*25*20 cms was seen arising from retroperitoneum on right side, right kidney its vessels and ureter could not be seen separately. IVC could not be delineated. Histopathology report revealed it to be LMS of vascular origin. We report one such case because although incidence of such cases is low but should be considered in the differential diagnosis of mass per abdomen which grows unusually fast.

Sign in / Sign up

Export Citation Format

Share Document