Unilateral Candida parapsilosis Interface Keratitis After Laser In Situ Keratomileusis-Case Report and Review of the Literature

Abstract Background Yolk sac tumor (YST) is a germ cell tumor. It is primarily located in the gonads but can also occur extragonadally (extragonadal yolk sac tumor - EGYST), most commonly in the pelvis, retroperitoneum or mediastinum. Only a few YSTs of the urachus have been described. Case report We present a rare case report of a 37-year-old male with episodes of macroscopic hematuria. The histological specimen obtained by transurethral resection showed a solid, and in some parts papillary infiltrative, high-grade tumor with numerous areas of marked nuclear atypia and clear invasion between the detrusor bundles. Glandular pattern has been observed in only minority of the tumor. Immunohistochemistry showed significant positivity for GPC3, SALL4 and cytokeratins AE1/AE3, while KRT7 and GATA3 were negative. We concluded that the biopsy findings were consistent with urothelial carcinoma with infrequent YST differentiation. In definitive surgical specimens we found a malignant epithelial, glandular and cystically arranged tumor of germinal appearance arising from urachus. The surrounding urothelium was free of invasive or in situ tumor changes. We reclassified the tumor as a urachal YST. Conclusion EGYST was suspected because glandular and hepatoid structures were found, but the presence of these structures should be verified by immunohistochemistry.

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Case Report: Serial Topography Analysis After Acute Unilateral Diffuse Lamellar Keratitis

Canadian Journal of Optometry ◽

10.15353/cjo.v82i3.1550 ◽

2020 ◽

Vol 82 (3) ◽

pp. 19-24

Author(s):

Jonathan Jay Lytle

Keyword(s):

Case Report ◽

Refractive Error ◽

Clinical Signs ◽

Corneal Topography ◽

Laser In Situ Keratomileusis ◽

Refractive Errors ◽

Fort Worth ◽

Topical Corticosteroids ◽

Gross Examination

Abstract Significance: Diffuse lamellar keratitis (DLK) is a widely reported complication of laser in-situ keratomileusis (LASIK); however, serial topography tracking the resolution of the condition is sparse. This case illustrates the healing profile which may be expected following an episode of DLK, and the patient reassurances which may be appropriate. Purpose: To report the topography changes and refractive resolution associated with a case of acute unilateral diffuse lamellar keratitis following bilateral femtosecond-assisted hyperopic LASIK. Case Report: A healthy 53-year old male presented with grade two-plus diffuse lamellar keratitis (DLK) 11 days after undergoing successful bilateral wavefront optimized (Alcon, Fort Worth, USA), femtosecond-assisted hyperopic LASIK. Resolution of the DLK was achieved in three weeks with topical corticosteroids. Stabilization of the patient’s topography and refractive error was observed two months after the resolution of the DLK. Conclusions: This case suggests that improvements in corneal topography and refractive error can be expected long after the clinical signs of DLK have subsided. Corneal irregularities and residual refractive errors (usually hyperopia and astigmatism) which exist at the time of resolution on gross examination should be monitored regularly and patients may be reassured that improvements appear likely even after topical regimens have been completed.

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Fulminant herpetic keratouveitis with flap necrosis following laser in situ keratomileusis: Case report and review of literature

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2014.09.018 ◽

2014 ◽

Vol 40 (12) ◽

pp. 2152-2156 ◽

Cited By ~ 7

Author(s):

Tarun Arora ◽

Namrata Sharma ◽

Supriya Arora ◽

Jeewan S. Titiyal

Keyword(s):

Case Report ◽

Laser In Situ Keratomileusis ◽

Review Of Literature ◽

Flap Necrosis

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Dedifferentiated Liposarcoma of the Esophagus: A Case Report and Selected Review of the Literature

Rare Tumors ◽

10.4081/rt.2016.6791 ◽

2016 ◽

Vol 8 (4) ◽

pp. 201-202 ◽

Cited By ~ 2

Author(s):

Christopher L. Brett ◽

Daniel H. Miller ◽

Liuyan Jiang ◽

Herbert C. Wolfsen ◽

Steven Attia ◽

...

Keyword(s):

In Situ Hybridization ◽

Case Report ◽

Soft Tissue ◽

Soft Tissue Sarcomas ◽

Radical Resection ◽

Dedifferentiated Liposarcoma ◽

Review Of The Literature ◽

Pleomorphic Sarcoma ◽

Disease Free

Soft tissue sarcomas of the esophagus represent an extremely rare cause of esophageal masses, and an even smaller proportion of these tumors represent dedifferentiated liposarcomas. We present a case of a 75-year-old gentleman presenting with dysphagia found to have a 5 cm pedunculated mass in the cervical esophagus, originating at the cricopharyngeus. This was found to have involvement limited to the superficial mucosa by endoscopic ultrasound, and the lesion was subsequently resected endoscopically. Pathology demonstrated an undifferentiated pleomorphic sarcoma later determined to represent dedifferentiated liposarcoma after fluorescence in situ hybridization analysis. The patient received no additional adjuvant therapy and remains disease free 20 months from the procedure. While treatment experience is limited, our case demonstrates that in selected patients, sustained local control can be obtained without radical resection.

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Aspergillus fumigatus keratitis after laser in situ keratomileusis: a case report and review of post-LASIK fungal keratitis

Eye ◽

10.1038/sj.eye.6702698 ◽

2007 ◽

Vol 21 (6) ◽

pp. 843-845 ◽

Cited By ~ 5

Author(s):

F Rahimi ◽

M N Hashemian ◽

M T Rajabi

Keyword(s):

Case Report ◽

Aspergillus Fumigatus ◽

Fungal Keratitis ◽

Laser In Situ Keratomileusis

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Adenomyoepithelioma of the breast coexisting with ductal carcinoma in situ: a case report and review of the literature

Surgical Case Reports ◽

10.1186/s40792-015-0083-8 ◽

2015 ◽

Vol 1 (1) ◽

Cited By ~ 2

Author(s):

Mirei Kamei ◽

Tsutomu Daa ◽

Michiyo Miyawaki ◽

Shuji Suehiro ◽

Kenji Sugio

Keyword(s):

Case Report ◽

Ductal Carcinoma In Situ ◽

Carcinoma In Situ ◽

Ductal Carcinoma ◽

Review Of The Literature

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Adenomyoepithelioma with Ductal Carcinoma In Situ: A Case Report and Review of the Literature

Case Reports in Surgery ◽

10.1155/2013/521417 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Sanjay Warrier ◽

Sang Hwang ◽

Martha Ghaly ◽

Alex Matthews

Keyword(s):

Case Report ◽

Literature Review ◽

Ductal Carcinoma In Situ ◽

Growth Pattern ◽

Carcinoma In Situ ◽

Breast Screening ◽

Ductal Carcinoma ◽

Review Of The Literature ◽

Microglandular Adenosis

Adenomyoepithelioma (AME) with microglandular adenosis-like growth pattern and superimposed ductal carcinoma in situ (DCIS) was identified in a 55-year-old female after biopsy of an atypical lesion identified through routine breast screening. A literature review reveals that this association has rarely been described.

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