scholarly journals Case Report of Rare Parathyroid Tumor with Atypical Presentation and Early Diagnosis

2022 ◽  
Vol 2022 ◽  
pp. 1-7
Author(s):  
Érika Mayumi Ikeda Cavamura ◽  
Fabiane Karen Miyake ◽  
Jéssica Yachio Wiezel ◽  
Laura Schwartz Maranho ◽  
Luis Felipe Inglês Takada ◽  
...  

Parathyroid carcinoma is a rare condition, accounting for 1% of cases of hyperparathyroidism. Other causes of hyperparathyroidism main group are single adenoma and parathyroid hyperplasia. The clinics presented by the patients are typical of hyperparathyroidism (fatigue, weakness, weight loss, and anorexia), bone impairment, pain, and fractures, in addition to affecting the renal system The diagnosis of parathyroid carcinoma is most often done postoperatively by means of a histological study. The case report is a 49-year-old male patient who came to the emergency room of Mackenzie Evangelical University Hospital complaining of progressive “muscle weakness” and “joint” that started about 2 months ago. To raise the suspicion of parathyroid carcinoma, it is essential to perform the correlation of the clinical picture, biochemical values, and imaging exams, but to obtain the definitive diagnosis, intraoperative recognition of the tumor and the result of the histopathological examination of the resected tumor are necessary.

2020 ◽  
Vol 7 (07) ◽  
pp. 4871-4874
Author(s):  
Amal Hajri ◽  
Abdessamad El Azhary ◽  
Driss Erguibi ◽  
Rachid Boufettal ◽  
Saad Rifki El Jai ◽  
...  

Primary anorectal malignant melanoma is an extremely rare condition. It appears at the third highest frequency after melanomas of the skin and retina. Its prognosis is dreadful because of the early onset of metastases. The treatment remains essentially surgical. We report an observation of primitive anorectal melanoma, collected at the department of surgery for digestive cancers and liver transplantation of the Ibn Rochd University Hospital of Casablanca, with a review of the literature. In order to analyse the clinical, paraclinical and therapeutic characteristics of primary anorectal melanoma.


2018 ◽  
Vol 40 (3) ◽  
pp. 291-295
Author(s):  
João Onofre Trindade Filho ◽  
Kaline Daniele de Souza Amaro ◽  
Allana Desirée Teixeira de Oliveira ◽  
Cecília Neta Alves Pegado Gomes ◽  
Hermann Ferreira Costa ◽  
...  

ABSTRACT Introduction: Sarcoidosis is a systemic inflammatory disease of unknown etiology, characterized by the presence of non-caseating granulomas in several organs; renal impairment alone is a rare condition. When it affects the kidneys, the most prevalent manifestations are hypercalcemia and hypercalciuria. This paper aims to address the topic of renal sarcoidosis, by means of a case report, and reinstate the importance of histopathology in its diagnosis. Methods: The data came from an observational clinical study with a qualitative approach, through an interview with the renal sarcoidosis patient and data from her medical records. Case report: Patient D.M.S., 50 years old, Caucasian, presented with reddish eyes and body pains lasting for fifteen days as first manifestations of the disease. Upon kidney ultrasound scan, we found renal parenchymal nephropathy. Serial renal function and metabolic tests reported anemia and progressive urea and creatinine changes, as well as hypercalcemia and hypercalciuria, confirming acute kidney failure (AKF). A histopathological examination suggested the diagnosis, which was confirmed by clinical, laboratory and histopathological data. There was therapeutic resolution after steroid therapy. Discussion: The symptomatology of sarcoidosis is diverse and often non-specific. Renal manifestation, which usually occurs after organ involvement, is present in less than 5% of patients, and about 1% to 2% of these patients may develop AKF. Conclusions: The use of histopathology together with clinical and laboratory data to diagnose isolated renal sarcoidosis, rule out other etiologies and introduce early treatment is of paramount importance.


2019 ◽  
Vol 18 (3(69)) ◽  
pp. 96-98
Author(s):  
V. B. Filimonov ◽  
A. P. Motin ◽  
V. V. Dobrynin ◽  
R. V. Vasin

This case report describes a rare condition – colon duplication in patient in adulthood, which underwent surgery for benign abdominal tumor. The diagnosis was established after histological study of the resected specimen.


Author(s):  
I Janus ◽  
M Janeczek ◽  
S Dzimira

Tumour of the oral cavity is a rare condition in young animals. The most frequent are odontomas – locally invasive tumours with no metastatic potential. The article describes a case report of 4-month-old male puppy diagnosed with mandibular odontoma with cystic appearance. Authors present clinical features, histopathological examination of odontoma and the surgical management using deep curettage and hydroxyapatite granules deposition. Odontomas can form bone cyst-like structure padded with membrane forming denticles. A deep curettage is acceptable method of treatment but should be supplied with hydroxyapatite deposition if the cyst is present.


2013 ◽  
Vol 5 (2) ◽  
pp. 80-82
Author(s):  
Shamsun Nahar Begum Hena ◽  
Nasrin Akhter ◽  
Sakti Das ◽  
Afroza Kutubi

ABSTRACT Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology. A 40- year-old female presented with complaints of persistent excessive watery vaginal discharge. On examination, there was red, patchy, diffuse lesion all over the vaginal wall and cervix. Histopathological examination of the lesion revealed vaginal adenosis. This case is presented here for its rarity. How to cite this article Hena SNB, Akhter N, Das S, Kutubi A. Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature. J South Asian Feder Obst Gynae 2013;5(2):80-82.


2017 ◽  
Vol 19 (3) ◽  
pp. 333 ◽  
Author(s):  
Bogdan Chiș ◽  
Vlad Dudric ◽  
Daniela Fodor

Double localization of tuberculosis is a rare finding among immunocompetent patients. Intestinal tuberculosis is a rare condition and its diagnosis remains a challenge to the physician. We present the case of a 21 year old male patient with intestinal tuberculosis in which the first manifestation was an acute appendicitis. Ultrasound findings were an abscessed appendicular mass. The surgical intervention found a granulomatous aspect of the peritoneum and total necrosis of the appendix. Histopathological examination confirmed the diagnosis and the pulmonary radiography detected the concomitant pulmonary tuberculosis.


2018 ◽  
Vol 19 (2) ◽  
pp. 155
Author(s):  
Sharmin Ferdous ◽  
Jahan Nafisa ◽  
Nushrat Jahan ◽  
Md Nadiruzzaman

<p>Enchondroma represents a common bone tumor of the hand. The flat bone is a rare location. We report a case of flat bone (rib) enchondroma presenting as swelling in her right lower chest. The diagnosis is suggested by radiological study and then confirmed by histological study after biopsy. The clinical and radiological aspects of this rare condition are discussed.</p><p>Bangladesh J. Nuclear Med. 19(2): 155-156, July 2016</p>


Author(s):  
Bagus Wibowo Soetojo ◽  
Faizal Arifianto Soehadak ◽  
Yunus Yunus

ABSTRACT  Synovial chondromatosis is a case that rarely found epidemiologically. It is a process which is benign in the synovial lining of joints, synovial sheaths, and bursae. It is the metaplastic process of synovium, which converts it into the cartilage and gets detached to become a loose body. Methods of this study are describing a case report of patient of Airlangga University Hospital that has synovial chondromatosis. A 38 years old woman, with a one-year history of pain, edema, and restriction of the left knee joint. Patient symptoms were insidious in onset, which gradually progressed. Decreased range of motion of her knee. The symptoms were mimicking of osteoarthritis. Considering the extensive involvement with multiple nodule masses inside the knee joint, we planned surgical management and open procedure. Total synovectomy was done, synovium and the masses were sent for histopathological examination which confirmed the diagnosis of synovial chondromatosis. In our case, the patient has clinical symptoms mimicking osteoarthritis of genu. Some study reported similar cases. Although synovium osteochondromatosis is a rare case and it should be kept as a differential diagnosis with chronic knee pain with swelling. Synovial chondromatosis is a rare case in the orthopedic patient. Diagnosis of synovial chondromatosis is often made following a thorough history, physical examination, and radiographic examination and histopathologic. In our case report, we present synovial chondromatosis in woman mimicking osteoarthritis.  Patient treated by surgical removal of the loose bodies followed by total synovectomy. Keywords: Synovial chondromatosis, osteoarthritis, total synovectomy


BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hongtao Cao ◽  
Weibin Wang

Abstract Background Parathyroid carcinoma is a rare malignancy with an increasing incidence. Most patients are characterized by the presence of severe primary hyperparathyroidism, especially hypercalcemia, while patients with normal level of serum calcium are extremely rare. Unfortunately, patients free of hypercalcemia are usually diagnosed at a later stage and suffer from a rather poor prognosis. Case presentation We describe a patient diagnosed with intrathyroidal normocalcemic parathyroid carcinoma, whose preoperative ultrasonography suggests that the tumor is located inside the thyroid gland and present without obvious clinical manifestations, which makes it more challenging for diagnosis. Conclusions Preoperative suspicion of malignancy is of great importance for advanced management while preoperative diagnosis is rather challenging with the limited contribution of imaging examinations. Any abnormality in serum level of calcium or parathormone may help to make an initial diagnosis especially when the level is extremely high. We introduce this case of initial misdiagnosis of an intrathyroidal parathyroid carcinoma, mimicking a suspicious thyroid nodule, to focus on the possible anomalous presentations of this rare condition and on its optimal management.


2017 ◽  
Vol 20 (2) ◽  
pp. 168-171 ◽  
Author(s):  
Narongsak Nakwan ◽  
Wuttichart Kamolvisit ◽  
Charoen Napapongsuriya ◽  
Pornpreenun Chaiwiriyawong ◽  
Cheep Charoenlap

Vernix caseosa aspiration is an extremely rare condition resulting in high mortality if complicated by persistent hypertension of the newborn (PPHN). Herein we offer the first case report of PPHN due to massive vernix caseosa aspiration documented by histopathological examination. This case report is presented to provide a synopsis of the pathoetiology of PPHN related to vernix caseosa aspiration syndrome as likely to be encountered by neonatologists and general pediatricians involved with neonatal care.


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