Peritoneal well-differentiated papillary mesothelioma associated with infertility in a 37-year-old woman

Well-differentiated papillary mesothelioma (WDPM) is an uncommon mesothelial tumor. The lesions may be single or multiple and usually behave in a benign or indolent fashion, sometimes persisting for many years. In the present case, a 37-year-old woman had experienced primary infertility for 12 years, and a diagnostic laparoscopy was performed. Approximately 200 mL of dark red, free fluid in the pelvis and more than 10 yellow-white nodules on the surface of the right round ligament, sacrum ligament, right fallopian tube, and both sides of the uterus were found. A lesionectomy was performed and immunohistochemical markers indicated WDPM with adenomatoid tumor. The patient was monitored by computed tomography and serum CA125 (cancer antigen 125) levels for 49 months with no recurrence. WDPM and adenomatoid tumor are both benign tumors of mesothelial origin. Because of the lack of effective radical treatment, regular follow-up is sufficient. However, the effects of estrogen and progesterone on WDPM and adenomatoid tumors during ovulation or pregnancy remains unclear. Although WDPM is not life threatening, a strategy to fulfill the fertility requirements of women with this condition is a new challenge for infertility doctors.

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Benign tumors of the heart: Myxoma of the right atrium - a case report

Vojnosanitetski pregled ◽

10.2298/vsp160719349h ◽

2018 ◽

Vol 75 (5) ◽

pp. 512-515 ◽

Cited By ~ 1

Author(s):

Sasa Hinic ◽

Jelena Saric ◽

Predrag Milojevic ◽

Jelena Gavrilovic ◽

Tijana Durmic ◽

...

Keyword(s):

Case Report ◽

Body Position ◽

Atrial Myxoma ◽

Right Atrial ◽

Benign Tumors ◽

Non Invasive ◽

Right Atrial Myxoma ◽

The Right

Introduction. Myxoma is the most common primary benign heart tumor. The most frequent location is the left atrium, the chamber of the heart that receives oxygen- rich blood from the lungs. Myxomas usually develop in women, typically between the ages of 40 and 60. Symptoms may occur at any time, but most often they are asymptomatic or oligosymptomatic for a long period of time. Symptoms usually go along with body position, and are related to compression of the heart cavities, embolization and the appearance of general symptoms. The diagnosis of benign tumors of the heart is based on anamnesis, clinical features and findings of the tumor masses by use of non-invasive and invasive imaging methods. Extensive surgical resection of the myxoma is curative with minimal mortality. Long term clinical and echocardiographic follow-up is mandatory. Case report. We reported a case of a 62-year-old male, presented with 15 days of intermittent shortness of breath, dizziness and feeling of heart palpitations and subsequently diagnosed with right atrial myxoma based on transthoracic echocardiography . The patient was emergently operated in our hospital. Long-term followup did not reveal recurrence. Conclusion. Our case was an atypical localisation of right atrial myxoma. Whether the intracardiac mass is benign or malignant, early surgery is obligatory in order to prevent complications.

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Determination of Serum CA125 and evaluate its efficiency as screening tool For Early Detection of Ovarian Tumors

Baghdad Science Journal ◽

10.21123/bsj.12.1.55-62 ◽

2015 ◽

Vol 12 (1) ◽

pp. 55-62

Author(s):

Baghdad Science Journal

Keyword(s):

Ovarian Cancer ◽

Early Detection ◽

Screening Tool ◽

Stage I ◽

Ca 125 ◽

Benign Tumors ◽

Cancer Antigen 125 ◽

Ovarian Cancers ◽

Serum Ca125 ◽

Low Sensitivity

Epithelial ovarian cancer is the leading cause of cancer deaths in women. To date, an effective screening tool for ovarian cancer has not been identified Several clinical and biological factors including serum cancer antigen 125 (CA- 125) have been assessed for prognostic and predictive relevance CA-125 is an epithelial marker derived from coelomic epithelium. It is elevated in 90% of advanced ovarian cancers and in 50% of early ovarian cancers while 20% of ovarian cancers have low or no expression of CA- 125 CA-125 concentrations were measured by Mini Vidas test (VIDAS CA125 II / BIOMERIEUX / France). The median CA-125 levels were significantly higher in the sera of ovarian cancer patients than in those with benign tumors and in healthy controls. However in correlation with stages the results showed that Patients with stage II have highly significant differences in level of serum CA125 compare with stage I in and stage III.CA125 showed low sensitivity to detect stage I carcinoma of the ovary which limits its value as an initial screening tool therefore combining of CA125 with other markers might enable improved early detection of ovarian cancer as compared with use of this marker alone.

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Giant Lipoma Presents from the Buccal Vestibule

Case Reports in Dentistry ◽

10.1155/2020/8824548 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Yuki Sakamoto ◽

Gohei Oyama

Keyword(s):

Benign Tumor ◽

Oral Surgery ◽

Detailed Examination ◽

Benign Tumors ◽

Neoplastic Lesion ◽

Facial Swelling ◽

Giant Lipoma ◽

Pedunculated Tumor ◽

The Right

A lipoma is a benign tumor, where the parenchyma is composed of adipose tissue. Lipomas comprise 0.1%–5% of all benign tumors in the oral cavity. A 43-year-old man, with a known masticatory disorder, visited the Department of Oral Surgery at our hospital because of a facial swelling. The swelling, which had worsened over 15 years, was not painful, but the patient had discomfort while eating and talking. A detailed examination revealed a smooth, elastic, soft, circular, and yellowish pink pedunculated tumor-like lesion, with a diameter of approximately 40 mm, on the right buccal mucosa. An oval-shaped neoplastic lesion with a well-defined border of 40 mm × 20 mm was noted on MRI. Based on these results, the lesion was characterized as being a benign lipoma. The tumor was resected under local anesthesia. The pedunculated tumor was excised with an electric knife, and the wound was sutured. No trismus or paresthesia was noted on the postoperative follow-up.

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Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review

Case Reports in Surgery ◽

10.1155/2020/6410790 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Eltaib Saad ◽

Lauren O’Connell ◽

Anne M. Browne ◽

W. Khan ◽

R. Waldron ◽

...

Keyword(s):

Rare Complication ◽

Rare Event ◽

Decisive Role ◽

Postoperative Monitoring ◽

Refractory Hypotension ◽

Life Threatening ◽

The Right ◽

Tomography Scan

We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring 21 cm × 3.1 cm × 17 cm surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH.

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Paravertebral Well-Differentiated Liposarcoma with Low-Grade Osteosarcomatous Component: Case Report with 11-Year Follow-Up, Radiological, Pathological, and Genetic Data, and Literature Review

Case Reports in Pathology ◽

10.1155/2017/2346316 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6

Author(s):

Nicolas Macagno ◽

Stéphane Fuentes ◽

Gonzague de Pinieux ◽

André Maues de Paula ◽

Sébastien Salas ◽

...

Keyword(s):

Histopathological Examination ◽

Soft Tissue Sarcomas ◽

Fish Analysis ◽

Low Grade ◽

Central Mass ◽

Divergent Differentiation ◽

Paravertebral Muscles ◽

Well Differentiated ◽

The Right

Despite being one of the most frequent soft-tissue sarcomas, well-differentiated liposarcoma has never been reported near the spine. The authors present the case of a 67-year-old man with progressive history of back pain. Physical examination revealed a mass located within the right paravertebral muscles. MR and CT imaging showed a heavily ossified central mass surrounded by a peripheral fatty component. No connection with the underlying bone was detected on imagery and during surgery. After surgical resection, histopathological examination revealed a tumor harboring combined features of well-differentiated liposarcoma and low-grade osteosarcoma. Tumor cells displayed overexpression of MDM2, CDK4, and P16 by immunohistochemistry and CGH revealed amplification of 12q13-15 as the only genetic imbalance. MDM2 FISH analysis was performed but was inconclusive. The pathological, immunohistochemical, and genetic features, the differential diagnoses, and the therapeutic management of this unusual tumor are discussed. No complementary treatment was performed initially. Following first treatment, two recurrences occurred 6 and 9 years later, both displaying histological features similar to the first occurrence. Radiotherapy was started after the second recurrence. Follow-up shows no evidence of disease 11 years after initial diagnosis. This case was unusual due to the paravertebral location of the tumor and its divergent differentiation.

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Contralateral De Novo Intraosseous Arteriovenous Malformation in a Child with Arteriovenous Malformation of Mandible Treated by Endovascular Embolotherapy

Interventional Neuroradiology ◽

10.1177/159101991201800415 ◽

2012 ◽

Vol 18 (4) ◽

pp. 484-489 ◽

Cited By ~ 4

Author(s):

C-H Yeh ◽

Y-M Wu ◽

Y-L Chen ◽

H-F Wong

Keyword(s):

Arteriovenous Malformation ◽

De Novo ◽

Transarterial Embolization ◽

Subsequent Development ◽

Cyanoacrylate Glue ◽

Direct Puncture ◽

Life Threatening ◽

Detachable Coils ◽

The Right

We describe our experience of the development of contralateral de novo intraosseous AVMs in a ten-year-old girl with AVMs of the mandible who underwent endovascular embolotherapy. She initially presented with intermittent oral bleeding. Computed tomography and digital subtraction angiography demonstrated intraosseous AVMs within the right mandible. The AVMs were treated by transosseous direct-puncture and transarterial embolization with Guglielmi detachable coils and n-butyl cyanoacrylate glue. However, de novo intraosseous AVMs developed within the previously healthy contralateral mandible and resulted in dangerous oral bleeding. Therefore, we suggest regular follow-up and prompt retreatment of any residual mandibular AVMs in patients undergoing endovascular or surgical treatment to prevent subsequent development of “secondary” AVMs and life-threatening oral bleeding.

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Intractable Trigeminal Neuralgia Secondary to Osteoma of the Clivus: A Case Report and Literature Review

Journal of Neurosciences in Rural Practice ◽

10.1055/s-0041-1742118 ◽

2022 ◽

Author(s):

Ebtesam Abdulla ◽

Krishna Das ◽

Joseph Ravindra ◽

Tejal Shah ◽

Sara George

Keyword(s):

Trigeminal Neuralgia ◽

Pressure Effect ◽

Benign Tumors ◽

Radiographic Images ◽

Patient Reported ◽

Magnetic Resonance Imaging Mri ◽

The Right ◽

Slow Growing ◽

Serial Observation

AbstractSkull base osteomas (SBOs) are benign tumors that are frequently detected on radiographic images by coincidence. They are known for being slow-growing tumors and rarely symptomatic. The therapeutic approach for SBOs can differ substantially. Depending on the symptoms, size, and location of the tumor, this can range from serial observation to vigorous surgical extirpation. Clival osteoma is extremely rare. We report a case of clival osteoma, causing intractable trigeminal neuralgia due to the pressure effect on the trigeminal nerve at Meckel's cave. We also provide a review of pertinent literature. A 37-year-old woman presented with intractable trigeminal neuralgia. Cranial magnetic resonance imaging (MRI) demonstrated a large, lobulated, extra-axial lesion involving the right cerebellopontine angle and epicentering the clivus. Pathologically, the specimen was proven to be osteoma. The patient reported complete symptom resolution over a 4-year follow-up period. To the best of the authors' knowledge, this is the first clinical case of intractable trigeminal neuralgia due to clival osteoma.

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Calcified Right Ventricular Fibroma in an Adult: A Case Report

10.22541/au.162281012.24531442/v1 ◽

2021 ◽

Author(s):

Huanhuan Gao ◽

Shuai Yuan ◽

Zhiqiang Hu ◽

Zhelan Zheng ◽

Shengjun Wu

Keyword(s):

Right Ventricular ◽

Histopathological Examination ◽

Tumor Resection ◽

Anterior Wall ◽

Benign Tumors ◽

Troublesome Symptom ◽

History Of ◽

The Right ◽

Operative Recovery

Background: Cardiac fibromas are rare benign tumors of the heart composed of fibroblasts and collagen. They are common among children and adolescents but are rarely present in adults. Case presentation: We here report the case of a fifty-seven-year-old man who complaining of a 2-year history of chest tightness at rest. Transthoracic echocardiography detected a severe calcified mass protruding outside the right ventricular anterior wall near the apex. The patient was referred for tumor resection. The calcified mass was determined to be a cardiac fibroma with postoperative histopathological examination. The patient experienced an unremarkable post-operative recovery and was discharged 8 days later. Subsequent follow-up has shown complete freedom from his troublesome symptom. Conclusions: Preoperative diagnosis with various imaging modalities and early surgery are the keys to improve prognosis of patients with cardiac fibromas.

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Fatal congenital lobar emphysema in a puerpera: a case report and literature review

BMC Pulmonary Medicine ◽

10.1186/s12890-021-01787-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fanyi Gan ◽

Liang Xia ◽

Yushang Yang ◽

Qiang Pu ◽

Lunxu Liu

Keyword(s):

Left Lung ◽

Middle Lobe ◽

Left Hemithorax ◽

Recurrent Pneumonia ◽

Mediastinal Shift ◽

Life Threatening ◽

Right Middle Lobe ◽

Lobar Emphysema ◽

The Right

Abstract Background Congenital lobal emphysema (CLE) is a developmental lung abnormality usually diagnosed in the neonatal period and is rarely observed in adults. Adults with CLE are usually asymptomatic and only a small fraction may present with coughing, recurrent pneumonia and respiratory distress. In imaging studies, the most frequently affected lobe of CLE is the left upper lobe, followed by the right middle lobe. However, multilobar involvement with severe mediastinal shift is extremely rare. Case presentation We report a case of fatal CLE in a 28-year-old puerpera with postpartum respiratory failure. Chest computed tomography (CT) revealed emphysema of the right upper, middle and lower lobes resulting in adjacent atelectasis. Hyperinflation of the right upper lobe crossed the midline, leading to a deviation of the mediastinal structure to the left hemithorax and severe compression of the left lung. Conclusions Early and timely diagnosis of CLE with routine follow-up is necessary for patients. CLE, especially with multilobar involvement or mediastinal shift, could be life-threatening and should be promptly and aggressively treated to prevent severe complications.

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Endoureteral coil embolization of an ureteral arterial fistula

Vascular ◽

10.1177/1708538117704522 ◽

2017 ◽

Vol 25 (5) ◽

pp. 557-560 ◽

Cited By ~ 1

Author(s):

Pavel Kibrik ◽

Justin Eisenberg ◽

Marc A Bjurlin ◽

Natalie Marks ◽

Anil Hingorani ◽

...

Keyword(s):

Coil Embolization ◽

Hemoglobin Level ◽

Ureteral Orifice ◽

Endovascular Stenting ◽

Endovascular Interventions ◽

Threatening Condition ◽

Robotic Nephrectomy ◽

Life Threatening ◽

The Right

Background Ureteral arterial fistulas are rare but potentially life threatening. We present a female who developed a ureteral arterial fistula following a right robotic nephrectomy. After several endovascular interventions to control the bleeding had failed, we approached the fistula through the right ureteral stump with coil embolization. Methods Coil embolization of the right ureteral stump was performed. We utilized a 6Fr × 45 cm sheath inserted through one of the cystoscope channels to cannulate the right ureteral orifice. We then performed a retrograde ureterogram. After, we were able to visualize full length of the ureter, ahd we began placing several 10–12 mm Nester coils to pack the ureter and tamponade the fistula for hemostasis. After the ureter was packed, we injected 1 g of Vancomycin into the ureter. The sheath and cytoscope were removed and the patient did well and was sent to the recovery room. Results Postoperatively, the patient had no complaints of hematuria and her hemoglobin level remained unchanged. She was observed for a few days prior to being discharged to home. The patient’s follow-up at six months revealed resolution of her hematuria. Conclusion Ureteral arterial fistula is a potentially life-threatening condition. Endovascular stenting has provided a safe, reliable alternative to open surgery. However, when endovascular options are not satisfactory, coil embolization of the ureteral stump may serve as a safe and effective alternative treatment for these cases.

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