scholarly journals Giant juvenile papillomatosis of the breast in a Nigerian girl

2018 ◽  
Vol 11 (1) ◽  
pp. e225993 ◽  
Author(s):  
Sefiya Adebanke Olarinoye-Akorede ◽  
Bilkisu Farouk ◽  
Almustapha Aliyu Liman ◽  
Gbenga Abimbola Kajogbola

Juvenile papillomatosis is a benign epithelial proliferative tumour of young women. It was recognised as a distinct clinicopathological entity with defining criteria by Rosen et al since 1980. However, giant juvenile papillomatosis is rare. We report a case of a 14-year-old girl who presented to our institution’s breast clinic with a huge right breast mass measuring 20 cm × 15 cm. She had no personal history of previous breast disease and there was no family history of breast cancer. Our initial preoperative diagnosis was of a phylloides tumour. The patient had a total excision of her breast mass which revealed florid juvenile papillomatosis at histology. This presentation highlights the clinical presentation and imaging features of juvenile papillomatosis. The classical histopathological characteristics, unusual microscopic findings and management of a huge-sized tumour in an adolescent Nigerian patient are also presented.

1997 ◽  
Vol 11 (5) ◽  
pp. 445-448 ◽  
Author(s):  
Ban CH Tsui ◽  
J Mossey

Two uncommon cases of foreign body (a wooden clothespin and a toothpick) perforation of the gut with associated pyogenic liver abscesses are presented. These cases illustrate the difficulties of preoperative diagnosis. The lack of history of ingestion of foreign bodies, variable clinical presentation of the conditions and radiolucent natures of the foreign bodies all play a role in impeding the diagnosis preoperatively. This report emphasizes the role of ultrasound and computed tomographic scan in evaluating similar cases. Any patient with known risk factors for ingestion of foreign body should arouse suspicion and be investigated further.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Nour Abdul Halim ◽  
Imad Uthman ◽  
Rayan Rammal ◽  
Hazem I. Assi

Idiopathic granulomatous mastitis is a rare benign inflammatory breast disease that affects women of childbearing age with a history of breastfeeding. It usually presents as an enlarging breast mass that can greatly mimic breast cancer. Moreover, it does not have a specific radiographic finding, so the only way to reach a definitive diagnosis is by core biopsy and histology. Furthermore, a consensus regarding the best treatment modality has not been reached yet. In this report, we describe the cases of two patients who suffered from this disease, and to our knowledge, such a report is the first of its kind to address this topic in this region. Therefore, because of its uncommon nature and obscure presentation, we hereby report two cases of idiopathic granulomatous mastitis. The clinical presentation, treatment, and pathological findings are described, and a literature review on idiopathic granulomatous mastitis will be reported.


Cancer ◽  
2011 ◽  
Vol 118 (11) ◽  
pp. 2796-2803 ◽  
Author(s):  
Catherine S. Berkey ◽  
Rulla M. Tamimi ◽  
Bernard Rosner ◽  
A. Lindsay Frazier ◽  
Graham A. Colditz

Author(s):  
Mishu Mangla ◽  
Ruchira Nautiyal ◽  
Deepmala Deepmala ◽  
Jashan Chhatwal

Endometriosis at the site of previous surgery scar is much on the rise now-a-days mainly due to increased rate of caesarean sections. Generally, it presents as a triad of underlying mass at the incision site, cyclical menstrual scar pain with or without discharge from scar site, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical, and diagnosis is mad after surgical excision. Here we discuss a case of scar endometriosis that presented to us with complaint of greenish coloured discharge from a lesion below the primary scar site 5 years after the primary surgery. Through this article, authors wish to discuss the etiology, management and preventive measures for scar endometriosis.


2010 ◽  
Vol 63 (5) ◽  
pp. 452-454 ◽  
Author(s):  
Seema Kaushal ◽  
Vatsla Dadhwal ◽  
Sandeep R Mathur ◽  
Ruma Ray ◽  
Prashant Durgapal ◽  
...  

A 27-year-old nulliparous woman presented with large finger-like projections protruding from her vagina. Intraoperatively there were deposits in the pouch of Douglas. Clinical presentation and history of vaginal bleeding suggested malignancy. Histopathology of both the vaginal and pouch of Douglas masses showed endometrial glands and stroma. There was no architectural complexity or cytological atypia of glands or stroma. Immunohistochemistry for oestrogen receptor, progesterone receptor and CD10 was positive. Based on morphological and immunohistochemical findings, multifocal polypoid endometriosis was diagnosed; this is a recently described entity having a clinical presentation and age range completely different from conventional or non-polypoid endometriosis. Although an association between tamoxifen use, unopposed oestrogen therapy and polypoid endometriosis has been suggested, the patient had no history of tamoxifen or oestrogen intake. Polypoid endometriosis should be part of the differential diagnosis in young women presenting with vaginal growth.


Cancer ◽  
2017 ◽  
Vol 124 (7) ◽  
pp. 1350-1357 ◽  
Author(s):  
Ellen L. Nutter ◽  
Julia E. Weiss ◽  
Jonathan D. Marotti ◽  
Richard J. Barth ◽  
M. Scottie Eliassen ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Jilcha Diribi Feyisa ◽  
Melka Kenea ◽  
Efrem Gashaw ◽  
Eskezyiaw Agedew Getahun ◽  
Barry Leon Hicks ◽  
...  

Gastrointestinal and peritoneal ischemic disease due to unknown etiology present with intestinal obstruction and/or peritonitis otherwise in healthy patient emerged as fatal disease at Arba Minch General Hospital. This disorder was diagnosed based on intraoperative finding. Clinical presentation and natural history of disease progression were similar. It is estimated that about 6–10 lives are being claimed each year at Arba Minch Hospital with this disease of unidentified cause accounting for the largest figure of surgical department. Here we report case analysis and literature review illustrating clinical presentation, workup, preoperative diagnosis, intraoperative diagnosis, and final outcome of fatal gastrointestinal and peritoneal ischemic disease.


LT: Yes, I think so. You move between and among all those different states. In a way desire, libido, that sort of drive, that energy— without it you probably wouldn’t do anything. But when you have it, when you’re experiencing it very, very strongly, so that it’s pushing you in all sorts of ways, you’re also at its mercy. You can feel content, maybe, in the moment when you’re not feeling that, but you’re also in a static state. You may have a period of equilibrium but you’re always going to head toward a state of disequilibrium. PN: There are several moments in Cast in Doubt where Horace finds himself ‘without or separate from desire’; ‘Indeed I felt blank’, he says (C, 141). LT: Yes—a desire not to desire. I’m working on a story now in which a woman likes to watch pornography. But to say ‘I like this’, or to say ‘I want to see this’, means that those things are not in her life. That’s the implication. That’s why nobody wants to be caught wanting. We’re filled with desires, but you’re not supposed to say that you have them. Because if you have them, it means that you’re lacking. At the ICA panel on Straight Sex, Lynne Segal in November talked about female heterosexual agency in so-called straight sex that everybody agrees is not so straight. Later all I could think about was that implied in the term ‘I desire’ is its own negation, a negation of agency. If you desire then you have a problem. But you can always say, ‘I wanted him and I got him.’ PN: But he wasn’t good enough! LT: Then I wanted someone else! PN: Can we go back to your first book, Haunted Houses? I gather the title comes from a passage in H.D.’s Tribute to Freud where she says that ‘We are all haunted houses.’ At the end of the novel that haunting is described as ‘A bad feeling that someone or something is never going to let you alone’ (H, 206). What kind of someone or something were you trying to get at in this novel? LT: I guess it’s a question of personal history, psychological history, of one’s family, which never leaves you alone. The idea that you can be completely free of that is bogus. Moving from personal history into public history, your present is always inflected by your past. I believe one can move, with a lot of psychological work, further away from the neurosis of the family, but perhaps never completely. PN: There’s certainly a lot of interest in this first book in forms of recollection and repetition. The young women in the novel fear they will repeat the lives of their mothers, and it’s as if the

2005 ◽  
pp. 53-53

2009 ◽  
Vol 37 (8) ◽  
pp. 1101-1110
Author(s):  
Sinem Somunoğlu ◽  
Mehtap Tatar

To explore the status of breast cancer screening in Turkey and analyze the factors affecting the use of screening among women, research was conducted in a teaching hospital in Ankara. Of the research group; 33.2% were < 30 years old, 83.9% were married, 36.6% had university and higher education level. There were statistically significant differences in women's status of doing breast self-examination (BSE) by age, knowledge of how, and the most appropriate time to do BSE; differences in clinical breast examination by age, marital status, employment status, pregnancy status, and having a personal history of breast diseases, and differences in mammography by age, marital status, educational status, employment status, pregnancy status, personal history of breast disease, and close family members with history of breast cancer.


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