Mesothelial cyst of the spleen mimicking a metastasis: a case report

Mesothelial cyst of the spleen is a developmental disorder. Previous reports have elaborated on the radiological features of splenic mesothelial cysts as being unilocular with a smooth and well-defined margin. However, due to its rarity, it is unclear whether these characteristics are representative and specific for the diagnosis of mesothelial cysts. Herein, this case report presents an atypical case of splenic mesothelial cyst mimicking a malignant tumour, especially splenic metastasis in a 66-year-old woman with ascending colon cancer. Due to an overlapping imaging finding of hypodense splenic lesions, and considering the clinical history, a mesothelial cyst that developed as a multilocular hypodense mass from an ill-defined small nodule was inevitably misdiagnosed as metastasis. Although rare, it is important to consider the possibility of mesothelial cyst in a patient with multilocular hypodense lesions of the spleen.

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Splenic metastasis from recurrent chromophobe renal cell carcinoma 12 years post-nephrectomy: a case report

African Journal of Urology ◽

10.1186/s12301-021-00157-7 ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

S. A. Adebayo ◽

A. A. Salami ◽

A. O. Takure ◽

O. A. Fasola ◽

I. B. Ulasi ◽

...

Keyword(s):

Computed Tomography ◽

Renal Cell Carcinoma ◽

Case Report ◽

Cell Carcinoma ◽

Renal Cell ◽

Splenic Metastasis ◽

Case Presentation ◽

Radiological Features ◽

Chromophobe Rcc ◽

Splenic Metastases

Abstract Background Renal cell carcinoma metastases to the spleen are rare. At the time of this report, only 20 cases of splenic metastases from RCC have been published in the literature. To our knowledge, our report is the first splenic metastasis from a chromophobe RCC. Case presentation A 44-year-old woman presented with clinical and radiological features of splenic metastasis from RCC, 12 years after radical nephrectomy for chromophobe RCC. Computed tomography, laparotomy and splenectomy revealed metastases to the spleen and retroperitoneal lymph nodes. Conclusion Splenic metastasis from RCC is uncommon, and rarer still from a chromophobe subtype of RCC. Surgical management of the metastasis is recommended.

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Case report: aggressive malignant tumour from small blue cells - when electron microscopy helps

10.26226/morressier.5b4709846f4cb30010951e44 ◽

2018 ◽

Author(s):

Dusan Ziak ◽

Ladislava Kucerova ◽

Jan Nieslanik

Keyword(s):

Electron Microscopy ◽

Case Report ◽

Malignant Tumour

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Therapeutic management of malignant glioma in pregnancy: a case report highlighting clinical and radiological features at diagnosis and after intervention

Obstetrica şi Ginecologia ◽

10.26416/obsgin.68.3.2020.4015 ◽

2020 ◽

Vol 3 (68) ◽

pp. 147

Author(s):

Ioniţă Ducu ◽

Roxana-Elena Bohîlţea ◽

Dan Teleanu ◽

Natalia Ţurcan ◽

Monica Mihaela Cîrstoiu

Keyword(s):

Case Report ◽

Malignant Glioma ◽

Therapeutic Management ◽

Radiological Features ◽

In Pregnancy

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Pilomatrixoma mimicking a breast neoplasm: imaging finding in an uncommon case report

Radiology Case Reports ◽

10.1016/j.radcr.2021.06.007 ◽

2021 ◽

Vol 16 (9) ◽

pp. 2357-2361

Author(s):

Abdellatif Bensalah ◽

Hiba Oudrhiri Benaaddach ◽

Imane Gouzi ◽

Meryem Haloua ◽

Nizar Elbouardi ◽

...

Keyword(s):

Case Report ◽

Breast Neoplasm ◽

Imaging Finding ◽

Uncommon Case

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A case report of unilateral conductive hearing loss as a consequence of malignant sinonasal melanoma: the importance of completing a full clinical history and examination

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-020-00057-7 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Victoria Blackabey ◽

Olivia Kenyon ◽

Rishi Talwar

Keyword(s):

Hearing Loss ◽

Case Report ◽

Clinical Symptoms ◽

Symptomatic Relief ◽

Clinical History ◽

Histological Diagnosis ◽

Unusual Presentation ◽

Sinus Surgery ◽

Cancer Management ◽

The Right

Abstract Background Sinonasal melanoma is a rare head and neck tumour. It is associated with a poor prognosis, high rates of loco-regional recurrence and distant metastasis. Treatment of the disease is therefore complicated, and because of limited data regarding the cancer, management is frequently tailored to the individual patient. We describe an unusual presentation of sinonasal melanoma with relevant histology, radiology and clinical photography. Case presentation The case report describes the presentation of a 64-year-old man to the Ear, Nose and Throat department with progressive right-sided hearing loss. A thorough history highlighted other clinical symptoms including unilateral nasal obstruction and epistaxis. Clinical examination showed a right middle ear effusion with a polypoidal lesion in the right nasal cavity. Relevant imaging demonstrated a destructive process that required further assessment. An endoscopic sinus procedure was performed to obtain histological diagnosis as well as providing symptomatic relief. Histology confirmed malignant mucosal melanoma. The patient underwent maxillectomy and orbital exenteration (due to further progression of disease) at a tertiary centre with a plan for subsequent immunotherapy. This however has been delayed due to further surgery to excise a metastatic lesion to the right femur. Conclusions This case report highlights the importance of a thorough clinical history and examination. An unusual presentation of a sinonasal tumour can easily be missed leading to a significant delay in treatment. The case report also describes the use of functional endoscopic sinus surgery in order to obtain histological diagnosis and to debulk the tumour, providing symptomatic relief. The current literature regarding management will be discussed as well as current developments guiding future treatment.

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22q11 Deletion Syndrome and Multiple Complex Developmental Disorder: A Case Report

Journal of Clinical Medicine Research ◽

10.4021/jocmr1222w ◽

2013 ◽

Author(s):

Scandurra

Keyword(s):

Case Report ◽

Developmental Disorder ◽

Deletion Syndrome ◽

22Q11 Deletion ◽

22Q11 Deletion Syndrome ◽

Multiple Complex Developmental Disorder ◽

Complex Developmental Disorder

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It is not always COVID-19: Case report about an undiagnosed HIV man with dyspnea

Current HIV Research ◽

10.2174/1570162x19666210901134104 ◽

2021 ◽

Vol 19 ◽

Author(s):

Michela Pontolillo ◽

Katia Falasca ◽

Jacopo Vecchiet ◽

Claudio Ucciferri

Keyword(s):

Case Report ◽

Diagnostic Assays ◽

Radiological Features ◽

The Past ◽

Undiagnosed Hiv ◽

History Of ◽

Clinical Conditions ◽

Diagnostic Thinking ◽

Diagnostic Delays ◽

Analyze Data

Background: The current COVID-19 pandemic has attracted great attention from the medical world. In the past year, there have been reports of missed or delayed treatments for conditions that mimic COVID-19. The main symptoms caused by SARS-CoV-2, such as fever and cough, belong to different clinical conditions. It is of the utmost importance that the diagnostic thinking used to analyze data and information to reach a COVID-19 diagnosis does not overlook the plethora of different diagnoses related to these symptoms. Case report: The aim of this work is to present the clinical case of a patient having unrecognized HIV infection with a 4-week history of fever, cough, and hypoxia. When tests were allowed to highlight HIV-related immunodeficiency status, a CMV assay was performed in order to evaluate opportunistic pneumonia. Through this, diagnosis of HIV combined with CMV pneumonia was made, thus excluding COVID-19 respiratory insufficiency. Conclusion: The diagnosis of the two conditions in the COVID-19 era is challenging due to overlapping clinical and radiological features and limitations of current diagnostic assays. This causes clinical implications due to diagnostic delays.

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