scholarly journals Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Yuichiro Sato ◽  
Tohru Hayashi ◽  
Hidetaka Yamamoto ◽  
Ichiro Niina ◽  
Naoya Kuroki ◽  
...  
Keyword(s):  
Clinical History ◽  
Late Recurrence ◽  
Retroperitoneal Tumor ◽  
Retroperitoneal Mass ◽  
Review Of The Literature ◽  
Rare Type ◽  
History Of ◽  
Node Metastases ◽  
Ovarian Dysgerminoma ◽  
Primary Retroperitoneal

Ovarian dysgerminoma is a rare type of germ cell tumor. The majority of patient relapses occur within 2 years of diagnosis. Here, we report the case of a 74-year-old woman with a history of ovarian dysgerminoma 39 years earlier. The patient visited the hospital presenting with heartburn. An abdominal computed tomography (CT) revealed a right retroperitoneal mass, and a primary retroperitoneal tumor was suspected. She underwent surgical resection of the retroperitoneal tumor. Histological examination confirmed a metastatic dysgerminoma to the retroperitoneum. Postoperative CT showed paraaortic and cervical lymph node metastases. The patient was treated with bleomycin, etoposide, and cisplatin chemotherapy. This case demonstrates the difficulties that may be encountered in the differential diagnosis of a retroperitoneal mass and underlines the necessity for understanding a patient’s clinical history.

scholarly journals Giant Primary Retroperitoneal Teratoma in an Adult: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Poonam Mathur ◽  
Miguel A. Lopez-Viego ◽  
Myron Howell
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Retroperitoneal Tumor ◽  
Review Of The Literature ◽  
Management Options ◽  
Retroperitoneal Teratoma ◽  
Embryonic Tissues ◽  
Primary Retroperitoneal

Teratomas are bizarre neoplasms derived from embryonic tissues that are typically found only in the gonadal and sacrococcygeal regions of adults. Retroperitoneal teratomas are rare and present challenging management options. We report here the case of a histologically unusual retroperitoneal tumor detected on computed tomography during the workup of abdominal pain in a 32-year-old male. The evaluation and treatment of this condition and a review of the literature are included in this paper.

Clear Cell Adenocarcinoma of the Cervix in a Child without in Utero Exposure to Diethylstilbestrol: A Case Report and Review of the Literature

2005 ◽  
Vol 8 (6) ◽  
pp. 690-695 ◽  
Author(s):  
William A. Ahrens ◽  
L. Patricia Barrón-Rodriguez ◽  
Millisa McKee ◽  
Scott Rivkees ◽  
Miguel Reyes-Múgica
Keyword(s):  
Differential Diagnosis ◽  
Clear Cell ◽  
Clinical History ◽  
In Utero ◽  
Embryonal Rhabdomyosarcoma ◽  
In Utero Exposure ◽  
Clear Cell Adenocarcinoma ◽  
Review Of The Literature ◽  
Cervical Tumor ◽  
History Of

We describe the case of a primary cervical tumor in a 6-year-old child that was originally suspected to be an embryonal rhabdomyosarcoma botryoides. Histologic analysis revealed a clear cell adenocarcinoma. Despite a direct search and questioning for maternal exposure to diethylstilbestrol, this was not documented. Clear cell adenocarcinoma is an extremely rare neoplasm that should be kept in the differential diagnosis of cervicovaginal lesions in children, even in the absence of a clinical history of in utero diethylstilbestrol exposure. We discuss the hypothesized pathogenesis and review the literature on this unusual tumor.

scholarly journals Xanthogranulomatous Salpingitis Associated with a Large Uterine Leiomyoma

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Joanne Margaret Howey ◽  
Etienne Mahe ◽  
Jasim Radhi
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Chronic Inflammation ◽  
Inflammatory Disease ◽  
Uterine Leiomyoma ◽  
Plasma Cells ◽  
Clinical History ◽  
Review Of The Literature ◽  
Xanthogranulomatous Inflammation ◽  
Exact Etiology ◽  
History Of

A case of xanthogranulomatous salpingitis (XGS) associated with a large uterine leiomyoma in a 50-year-old woman is presented. Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs. It is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils. A review of the literature revealed that most patients with XGS have a clinical history of long-standing pelvic inflammatory disease (PID) or, less often, endometriosis. We report a case lacking a history of either PID or endometriosis but with a concurrent large uterine leiomyoma. Although the exact etiology in this case was not clear, the leiomyoma may have played a contributory role in pathogenesis.

scholarly journals Metastasis of Malignant Melanoma to Urinary Bladder: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Rashna Meunier ◽  
Gyan Pareek ◽  
Ali Amin
Keyword(s):  
Differential Diagnosis ◽  
Malignant Melanoma ◽  
Urinary Bladder ◽  
Clinical History ◽  
Metastatic Malignant Melanoma ◽  
Review Of The Literature ◽  
Bladder Mucosa ◽  
Immunohistochemical Examination ◽  
History Of ◽  
The Right

Aims. Metastatic malignant melanoma of the urinary bladder is a rare clinical entity, with only twenty-three published cases to date. We present a case of this rare entity, a thorough review of the literature, and differential diagnosis of melanoma in the bladder.Methods and Results. A 55-year-old woman with a history of malignant melanoma of the right thigh, excised eight years ago, presented with back pain, fatigue, and hematuria. She underwent computed tomography (CT) scan and was found to have metastases within the liver, spleen, lungs, and urinary bladder. She underwent cystoscopy and transurethral resection of three polypoid lesions. Histologic and immunohistochemical examination revealed metastatic malignant melanoma involving bladder mucosa.Conclusions. This case illustrates the importance of including malignant melanoma in the differential diagnosis of high grade neoplasms of bladder, especially in cases where the relevant clinical history is not available.

scholarly journals Retroperitoneal Leiomyosarcoma Presenting as Lower Gastrointestinal Bleeding: A Case Report and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Dominic G. Ventura ◽  
Shyam J. Thakkar ◽  
Katie Farah
Keyword(s):  
Gastrointestinal Bleeding ◽  
Early Recognition ◽  
Lower Gastrointestinal Bleeding ◽  
Retroperitoneal Mass ◽  
Review Of The Literature ◽  
Rectal Varices ◽  
Term Survival ◽  
History Of ◽  
Hepatic Lesions

We report the first known case of a retroperitoneal leiomyosarcoma that presented with an endoscopically defined source of gastrointestinal bleeding in the colon. A 68-year-old male with a history of diverticulosis, hypertension, and hypercholesterolemia who complained of a 3-month history of abdominal pain, nausea, and intermittent hematochezia presented for evaluation of large volume hematochezia and lightheadedness. Colonoscopy revealed left-sided diverticulosis and rectal varices without stigmata of recent bleed. CT scan showed a 26 × 20 × 13 cm heterogeneous retroperitoneal mass and multiple hypodense hepatic lesions. Liver biopsy revealed leiomyosarcoma. In summary, although surgery is the mainstay of treatment, resectability has not improved significantly. Early recognition and aggressive surgery are keys to long-term survival.

scholarly journals Malignant Melanoma: presentation as a primary retroperitoneal tumor

2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Fraz Fahim ◽  
Muhammad Farooq Afzal ◽  
Mahmood Ayyaz ◽  
Sheema Fahim
Keyword(s):  
Malignant Melanoma ◽  
Past History ◽  
District General Hospital ◽  
Primary Malignant Melanoma ◽  
Retroperitoneal Mass ◽  
Presumptive Diagnosis ◽  
Extensive Search ◽  
History Of ◽  
Right Lobe ◽  
Primary Retroperitoneal

This is a case report of an extremely rare primary malignant melanoma presenting in the retroperitoneum of a 30 years old female. She was operated in a District General Hospital with a presumptive diagnosis of hydatid cyst of right lobe of liver. The patient bled profusely on exploration and the surgeon packed the abdomen and referred her to our emergency, where she was received in shock. After resuscitation she was operated on the next available list and was found to have a very vascular, pigmented, retroperitoneal mass measuring 10-x 12-cm lying in front of the infrarenal IVC pushing the duodenum towards the midline. It was completely excised. Histopathology showed it to be a malignant melanoma. Upon subsequent examination and extensive workup, no evidence of a primary malignant melanoma was found. There was no past history of a melanoma which may have regressed spontaneously or excised. After extensive search of literature we could not find another report of a primary retroperitoneal melanoma.

scholarly journals Postoperative Textiloma Mimicking Intracranial Rebleeding in a Patient with Spontaneous Hemorrhage: Case Report and Review of the Literature

2020 ◽  
Vol 12 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Nicola Montemurro ◽  
Domenico Murrone ◽  
Bruno Romanelli ◽  
Aldo Ierardi
Keyword(s):  
Radiation Necrosis ◽  
Clinical History ◽  
Surgical Removal ◽  
Oxidized Cellulose ◽  
Review Of The Literature ◽  
Granulomatous Reaction ◽  
Hemostatic Agents ◽  
History Of ◽  
False Image ◽  
Mass Lesions

During craniotomy, hemostatic materials such as oxidized cellulose and cotton pads, commonly used to control bleeding, may cause a granulomatous reaction that may produce space-occupying mass lesions termed textiloma (or gossypiboma). We present a 46-year-old female who underwent a right frontotemporal craniotomy and surgical removal of intraparenchymal cerebral hemorrhage, and who developed a textiloma during the postoperative period causing seizures. Granulomatous reactions due to hemostatic agents have been reported experimentally, as well as after cranial and spinal operations. We emphasize that although it is rare, an adverse reaction such as a postoperative textiloma due to hemostatic material and subsequent granuloma formation can result in a false image of rebleeding, tumor recurrence, radiation necrosis, or postoperative abscess, depending on the particular clinical history of each patient.

scholarly journals Small Bowel Obstruction Caused by Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: Report of a Case and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Pyong Wha Choi
Keyword(s):  
Emergency Department ◽  
Small Bowel ◽  
Internal Hernia ◽  
Primary Repair ◽  
Perineal Hernia ◽  
Review Of The Literature ◽  
Rare Type ◽  
Gynecological Examination ◽  
History Of ◽  
Pouch Of Douglas

Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. She visited an emergency department presenting with abdominal pain and distension. Without improvement symptom by conservative management, an operation was performed. During the operation, the distal ileum had been herniated through a peritoneal defect of the Pouch of Douglas, and there were no specific findings on gynecological examination. Reduction of the herniated bowel and primary repair of the peritoneal defect were performed. The case represents a very rare type of internal hernia and provides published cases of hernia through a peritoneal defect of the Pouch of Douglas.

scholarly journals SAT-216 Retroperitoneal Paraganglioma: Case Report

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Eugénia Morado Silva ◽  
Rute Ferreira ◽  
Clara Cunha ◽  
Sofia Boligo ◽  
Cláudia Branco ◽  
...  
Keyword(s):  
Chromogranin A ◽  
Abdominal Mass ◽  
Laboratory Evaluation ◽  
Neuroendocrine Neoplasm ◽  
Retroperitoneal Mass ◽  
Rare Type ◽  
Intimate Contact ◽  
Imaging Characteristics ◽  
History Of ◽  
Urinary Metanephrines

Abstract Introduction: Paraganglioma (PGL) is a rare type of neuroendocrine neoplasm able to secrete neuropeptide and catecholamines. It can occur in any location between the neck and the pelvis. Most of the PGLs are diagnosed in the third to fifth decades and clinical presentation is variable and depends upon catecholamine secretion and tumor location. PGLs occur in the abdomen in 85% of cases. There are no unique imaging characteristics specific for PGLs, consequently, these tumors can be mistaken with other primary abdominal tumors. Clinical-Case: We present the case of a 65-year-old woman with history of hypertension (diagnosis at 40 years) and dyslipidemia. She denied family history of hypertension. In the context of a recent diagnosis of type 2 Diabetes Mellitus, she underwent abdominal ultrasound which revealed a large, heterogeneous nodular formation with partial liquid content, measuring 12x15 cm, adjacent to the left hepatic border. Abdominal CT scan revealed an intra-abdominal mass, with 14cm (largest diameter), showing intimate contact, with no cleavage plan with the posterior wall of the gastric fundus, suggesting Gastrointestinal Stromal Tumor. A left adrenal nodule with 3.3 cm was also present, rounded, hypoechogenic, with regular margins and homogeneous. Echoendoscopy with biopsy of the retro-gastric mass showed a neuroendocrine neoplasia. At this point she was sent to an endocrinologist. When questioned she referred headache, diaphoresis and anxiety complaints for 3 years. At examination, a painless abdominal mass in the epigastrium and left hypochondrium was found. Laboratory evaluation revealed urinary metanephrines 11738 (64-302) ug/day, urinary normetanephrines 5832 (162-527) ug/day, renin 15.5 (1-8.2) pg/mL, aldosterone 28.6 (10-160)ng/dL, cortisol after 1 mg dexamethason 1,18 µg / dl (less than 1,8ug/dl) and chromogranin A 36.6 nmol / L (less than 3nmol/l). MIBG scintigraphy revealed fixation only in the large known retroperitoneal mass. The patient underwent excision of the retroperitoneal mass and of the left adrenal gland without complications. The histological diagnosis revealed, respectively, paraganglioma and adrenal cortical adenoma. Four weeks after surgery laboratory results were normal (urinary metanephrines 202 ug/24h and normetanephrines 382.0 ug /day; Chromogranin A 2.60 nmol/l). The results of the genetic tests including SDHB, SDHD, SDHC, VHL and MAX were negative. Conclusion: This report emphasizes the necessity to include paraganglioma in the differential diagnosis and management of retroperitoneal tumors avoiding the risk of the biopsy in this kind of tumors.

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