Endometriosis With Cystic Degeneration: A Rare Disease of Males

2018 ◽  
Vol 27 (3) ◽  
pp. 311-314 ◽  
Author(s):  
Khaleel I. Al-Obaidy ◽  
Muhammad T. Idrees
Keyword(s):  
English Literature ◽  
Cystic Mass ◽  
Cystic Degeneration ◽  
Tunica Vaginalis ◽  
Patients Âgés ◽  
Rare Lesion ◽  
Wrong Diagnosis ◽  
Hormonal Exposure ◽  
Male Patients ◽  
Significant Chemical

Endometriosis in men is extremely rare with only a few cases reported in the English literature. Different theories have been proposed as to its origin. In this article, we describe the clinicopathologic features of 2 cases of endometriosis occurring in male patients. The patients’ ages were 50 and 43 years, and sizes were 2 and 5.2 cm, respectively. No significant chemical or hormonal exposure was identified. Both patients presented with a testicular mass. Grossly, both lesions were cystic and contained hemorrhagic fluid. Microscopic examination revealed cysts and occasional glands lined by low columnar to cuboidal epithelium, surrounded by spindle cell stroma with abundant hemosiderin-laden macrophages reminiscent of endometrium. One case was predominantly intratesticular, with a minute focus of endometrial-type glands and spindled stroma within the tunica vaginalis. Focal chronic inflammation and epithelial denudation were present in both cases. The surrounding testicular and epididymal structures adjacent to the cystic mass were unremarkable. In summary, endometriosis is an extremely rare lesion in men. The presence of these lesions in both cases along the route of the Müllerian duct supports the theory that these lesions arise from embryonic remnants. Awareness of this entity is crucial for general pathologists to avoid wrong diagnosis and unnecessary management.

scholarly journals Solid Pseudopapillary Neoplasm (SPN) of the Pancreas: A 7-year Study in A Tertiary Level Teaching Hospital in Bangladesh

2021 ◽  
Vol 9 (2) ◽  
pp. 34-38
Author(s):  
Mehdi Ashik Chowdhury ◽  
- Asaduzzaman
Keyword(s):  
Clinical Symptoms ◽  
Tumour Size ◽  
Abdominal Mass ◽  
Cross Sectional Study ◽  
Cystic Mass ◽  
Preoperative Imaging ◽  
Cystic Degeneration ◽  
Solid Pseudopapillary Neoplasm ◽  
Rare Tumour ◽  
Cross Sectional

Solid pseudopapillary neoplasm (SPN) of the pancreas, also referred to as Frantz's tumour, is a rare tumour and represents 1-3% of all pancreatic tumours, which typically affects young women without significant clinical symptoms. This cross-sectional study was done in the Department of Pathology, Bangabandhu Sheikh Mujib Medical Un iversity (BSMMU) between January 2009 and December 2015. A total of nineteen cases of solid pseudopapillary neoplasm (SPN) of pancreas were detected in patients and included in this study. In all the patients the diagnosis was confirmed by histopathology after the surgery. Tumours were nodular, cystic or solid-cystic, often encapsulated. Some of them were received as irregular fragmented pieces, as intact removal was not possible. Cut surfaces were partly grey-white and partly tan-brown with cystic degeneration. Areas of necrosis and hemorrhage were present in all the specimens.The age range was of 14-45 years (mean age 26.9±3.7 years) (Table-I). Among the tumours, 18 were found in female patients, while only 1 was from male patient. In all the cases, preoperative imaging contributed to diagnosis of an abdominal mass in the patients. 11 of these were reported as pancreatic mass, while 3 as pancreatic cystic mass, 2 as retroperitoneal mass, 2 as mesenteric mass and only 1 as adrenal mass. Tumour-size ranged from 6 to 19 cm (mean size 9.3±1.5 cm). 7 tumours were solid and cystic in nature, while 8 were solid and 4 were only cystic. Complete capsule was found in 17 specimens. Calcifications were found in only 5 specimens. Surgical resection was found generally curative. In our study, absence of metastasis suggests that these tumours hardly show aggressive clinical behaviour. However, follow-up is important to observe potential local recurrence and metastasis. CBMJ 2020 July: Vol. 09 No. 02 P: 34-38

scholarly journals Isolated lichen planus of the lips: cases reports and literature review

2020 ◽  
Vol 26 (2) ◽  
pp. 14
Author(s):  
Maroua Garma ◽  
Wafa Hasni ◽  
Bechir Annabi ◽  
Badreddine Sriha ◽  
Souha Boudegga ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Histological Examination ◽  
Lichen Planus ◽  
Case Reports ◽  
Dermatology Department ◽  
Lower Lip ◽  
Therapeutic Modalities ◽  
Rare Lesion ◽  
Male Patients

Introduction: Lichen planus is an inflammatory mucocutaneous dermatosis involving skin, appendages and mucosa. Oral mucosa is the most commonly involved in all its sites, rarely the lips especially when isolated. The aim was to conduct a literature review about isolated lichen planus of the lips and reporting two case reports of this lesion in order to highlight epidemiologic, clinical and histological features and therapeutic modalities of this lesion. Observations: Case report 1: a 34-year-old diabetic male patient consulted for an erosive, crusted and hemorrhagic cheilitis of the lower lip. Clinical and histological examination led to the diagnosis of isolated lichen planus of the lips. Case report 2: a 33-year-old female patient was referred from dermatology department for biopsy of chronic cheilitis of the lower lip. Clinical and histological examination confirmed the diagnosis of isolated lichen planus of the lips. Discussion: The review based on 34 case reports of isolated lichen planus of the lips, in addition to literature data confirmed that it is a benign rare lesion affecting mostly male patients having middle age with preponderance of the lower lip, its erosive form is the most frequent and it presents a favorable healing with topical treatment particularly corticosteroids.

scholarly journals Stafne’s bone cyst revisited and renamed: the benign mandibular concavity

2020 ◽  
Vol 49 (4) ◽  
pp. 20190475
Author(s):  
Johan K.M. Aps ◽  
Natasha Koelmeyer ◽  
Cina Yaqub
Keyword(s):  
Bone Cyst ◽  
Muscular Tissue ◽  
Fat Tissue ◽  
Patients Âgés ◽  
Left Hand ◽  
Salivary Gland Tissue ◽  
Gland Tissue ◽  
Radiolucent Lesion ◽  
Male Patients ◽  
The Right

Objective: Stafne’s bone cyst (SBC) is an asymptomatic, round or oval-shaped, well-defined, uniform radiolucent lesion, usually incidentally observed in the posterior aspects of the mandible. Radiographical appearance may be confusing though. This study aimed to review the literature on SBCs and to map the SBC as shown in their respective papers. Methods: A Pubmed® search (1/9/2018 till 31/5/2019), mentioning SBC, was carried out. Included papers had to contain: patient’s age, gender and radiographs. Results: In total, 114 papers were found, but only 64 papers were retained, which contained 109 cases (95 males, 14 females). The patients’ ages ranged between 14 and 89 years old (mean age being 52 years). Male patients’ ages (N = 95) ranged from 14 to 89 years (mean age 52.3 years), whereas the females (N = 14) ages ranged between 22 and 68 (mean age 50.2 years). 28 combinations of locations of SBC were recorded. Only three lesions were located at the symphysis, six were bilateral, 55 appeared on the left hand side and 45 on the right hand side of the mandible.The literature mentioned that these cavities could contain salivary gland tissue, muscular tissue, lymphoid tissue, blood vessels, fat tissue or connective tissue. Discussion/Conclusion: This study illustrates the wide variation of SBC locations across the mandible and leads us to conclude that the differential diagnosis of every asymptomatic, oval or round, well-defined, uniform radiolucent lesion on two-dimensional radiographs of the mandible should include “a benign mandibular concavity”, formerly known as SBC.

scholarly journals The changing pattern of COVID-19 in Nepal: A Global concern- A Narrative Review

2020 ◽  
Vol 10 (2) ◽  
pp. 845-855
Author(s):  
Indrajit Banerjee ◽  
Jared Robinson ◽  
Abhishek Kashyap ◽  
Poornasha Mohabeer ◽  
Ananya Shukla ◽  
...  
Keyword(s):  
English Literature ◽  
Narrative Review ◽  
Extensive Literature ◽  
Age Group ◽  
Ministry Of Health ◽  
Younger Age ◽  
Global Concern ◽  
Male Patients ◽  
The Government ◽  
The Impact

This narrative review of the literature aims to assess the impact of COVID-19 on the younger age group in terms of the Global mortality of COVID-19 in comparison to Nepal. An extensive literature survey of English literature was conducted using Pubmed, Medline, Google Scholar, Embase, WHO Nepal Situation Updates on COVID-19, Situation update report, Ministry of Health and Population-Nepal from January 25, 2020 to June20, 2020. According to the Ministry of Health and population of The Government of Nepal, as of June 20 , 2020, out of a total of 8,605 laboratory confirmed cases reported to date, the pattern shows that most of the cases fell into the cohort of 21-30 years (37.72%), followed by 11-20 years (24.35 %), 31-40 years (21.97%) and 41-50 years (9.2%). To date Nepal has recorded a total of twenty-two deaths. At first evaluation thesefigures may not strike one as alarming, but on further investigation it is noted that the mean age is 42. 32 ± 19.632 SD years, and out of which male patients accounted for 77.3% and female accounted for 22.7%. The current situation of COVID-19 and how it develops in Nepal should be closely monitored and could be of international concern as it may be the early indicator of a changing pattern in COVID-19 infections. Nepal maytherefore act as a global watch dog, due to the fact that the world could very possibly expose the younger age group under the notion that they are more resilient to the virus, when in reality that notion may be changing. This trend must be monitored and further investigated in order to establish the risk of the events unfolding in Nepal.

Finkelstein’s Test: A Descriptive Error that Can Produce a False Positive

1992 ◽  
Vol 17 (4) ◽  
pp. 481-482 ◽  
Author(s):  
B. G. ELLIOTT
Keyword(s):  
False Positive ◽  
English Literature ◽  
Wrong Diagnosis ◽  
Finkelstein’S Test

Over the last three decades an error in performing Finkelstein’s test has crept into the English literature in both text books and journals. This error can produce a false-positive, and if relied upon, a wrong diagnosis can be made, leading to inappropriate surgery.

scholarly journals Intraorbital ancient pilocytic astrocytoma of the optic nerve in neurofibromatosis type 1 patient presenting with sudden ocular pain

2018 ◽  
Vol 6 ◽  
pp. 2050313X1876131
Author(s):  
Haesu Lee Motoyama ◽  
Sohsuke Yamada ◽  
Satoko Nakada ◽  
Nozomu Kurose ◽  
Akihide Tanimoto
Keyword(s):  
Optic Nerve ◽  
Neurofibromatosis Type 1 ◽  
Pilocytic Astrocytoma ◽  
English Literature ◽  
Neurofibromatosis Type ◽  
Close Correlation ◽  
Cystic Degeneration ◽  
Ocular Pain ◽  
Fluid Production

Optic nerve pilocytic astrocytoma is an uncommon but well-known entity; however, intraorbital ancient pilocytic astrocytoma of the optic nerve is extremely rarely reported. To our knowledge, this is the first detailed description regarding the intraorbital ancient pilocytic astrocytoma, reported in available English literature, to date. We presented an extremely unusual neurofibromatosis type 1 case of a 17-year-old male’s sudden ocular pain secondary to intraorbital pilocytic astrocytoma of the optic nerve with markedly cystic degeneration, fluid production, and hemorrhage, due to ancient and possibly ruptured glioma. Future prospective studies are required to validate the significance of intraorbital ancient pilocytic astrocytoma arising from the optic nerve and the close correlation with ruptured cystic degeneration and ocular pain, after collecting and investigating a larger number of its cases examined.

Clinical, radiographic, and pathological features of symptomatic Rathke's cleft cysts

1991 ◽  
Vol 74 (4) ◽  
pp. 535-544 ◽  
Author(s):  
Joseph L. Voelker ◽  
Robert L. Campbell ◽  
Jans Muller
Keyword(s):  
Cystic Mass ◽  
Content Type ◽  
Pituitary Dysfunction ◽  
Recommended Treatment ◽  
Average Patient ◽  
Rathke's Cleft Cysts ◽  
Male Patients ◽  
Rathke's Cleft ◽  
Cyst Lining ◽  
Symptoms And Signs

✓ The clinical, radiographic, and pathological findings in 155 patients with symptomatic Rathke's cleft cysts are discussed. Eight patients were treated by the authors and 147 were collected in a review of the literature. This lesion occurred more often in female than male patients by a 2:1 margin, and the mean age at presentation was 38 years. The average patient had been symptomatic for nearly 3 years at the time of treatment, with the most common symptoms and signs being pituitary dysfunction, visual disturbances, and headaches. Affected children generally were pituitary dwarfs. The sella was enlarged in 80% of cases, and the cyst was situated in both an intrasellar and a suprasellar location in 71%. Computerized tomography revealed a low-density cystic mass with capsular enhancement in one-half of the cases. A variable appearance was seen with magnetic resonance imaging. Partial excision and drainage of the cyst by the transsphenoidal approach is the recommended treatment, as the recurrence rate is low. Most symptoms and signs improved or resolved following surgery with the exception of hypopituitarism and diabetes insipidus. The cyst lining was usually composed of ciliated cuboidal or columnar epithelium. Theories as to the origin of Rathke's cleft cysts are also discussed.

scholarly journals Adenomatoid Tumor of the Adrenal Gland: Report of Two Cases and Review of the Literature

2021 ◽  
Vol 12 ◽  
Author(s):  
Jiexia Guan ◽  
Chang Zhao ◽  
Hengming Li ◽  
Wenjing Zhang ◽  
Weizhen Lin ◽  
...  
Keyword(s):  
Adrenal Gland ◽  
Tumor Cells ◽  
Malignant Tumors ◽  
English Literature ◽  
Benign Neoplasm ◽  
Adenomatoid Tumor ◽  
Ki 67 ◽  
Prognostic Features ◽  
Signet Ring ◽  
Male Patients

Adenomatoid tumor (AT) is an uncommon benign neoplasm of mesothelial origin, usually occurring in the female and male genital tracts. Extragenital localization such as the adrenal gland is extremely rare. Until now, only 39 cases of adrenal AT have been reported in the English literature. Here we report two novel cases of adrenal AT that occurred in male patients aged 30 and 31 years. The tumors were discovered incidentally by computed tomography (CT). Macroscopically, the tumors were unilateral and solid, and the greatest dimension of the tumors was 3.5 and 8.0 cm, respectively. Histologically, the tumors consisted of angiomatoid, cystic, and solid patterns and infiltrated the adrenal cortical or medullary tissue. The tumor cells had low nuclear/cytoplasmic ratio, with no pathological mitosis or nuclear pleomorphism. Thread-like bridging strands and signet-ring-like cells could be seen. Immunohistochemically, the tumor cells were positive for epithelial markers (AE1/AE3, CK7) and mesothelial markers (D2-40, calretinin, and WT-1). The Ki-67 index was approximately 1 and 2%, respectively. The differential diagnosis of adrenal AT includes a variety of benign and malignant tumors. The patients had neither local recurrence nor distant metastasis at 21 and 8 months after removal of the tumor. In the literature review, we comprehensively summarized the clinical, morphological, immunohistochemical, and prognostic features of adrenal AT. Adrenal ATs are morphologically and immunophenotypically identical to those that occur in the genital tracts. Combining the histology with immunohistochemical profiles is very supportive in reaching the diagnosis of this benign tumor, helping to avoid misdiagnosis and overtreatment.

scholarly journals Case Report: Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Application in Intraperitoneally Disseminated Inflammatory Myofibroblastic Tumor and in the Youngest Patient in the World: New Indication and Modification of Technique

2021 ◽  
Vol 8 ◽  
Author(s):  
Hanna Garnier ◽  
Maciej Murawski ◽  
Tomasz Jastrzebski ◽  
Katarzyna Pawinska-Wasikowska ◽  
Walentyna Balwierz ◽  
...  
Keyword(s):  
Cytoreductive Surgery ◽  
Inflammatory Myofibroblastic Tumor ◽  
Systemic Exposure ◽  
Chemotherapeutic Agents ◽  
Cystic Mass ◽  
The World ◽  
Key Factor ◽  
Rare Lesion ◽  
Crs And Hipec ◽  
The Right

Introduction: Peritoneal metastases occur in cancers that spread to the peritoneal cavity and indicate the advanced stage of the disease. In children they are mainly seen in sarcomas, Gastrointestinal Stromal Tumors and primary disseminated ovarian tumors. Inflammatory Myofibroblastic Tumor (IMT) is a very rare lesion, characterized by an unpredictable clinical course. The absorption of chemotherapeutic agents through the peritoneal-plasma barrier (PPB) is minimized, thus HIPEC procedure limits the systemic exposure to chemotherapy and permits the administration of its higher doses. The main purpose of HIPEC is to remove the visible macroscopic disease in order to achieve complete cytoreduction (CRS).HIPEC Procedure in Children: Several papers deal with the CRS and HIPEC in children and adolescents, however pediatric experience is still limited. Thus far, the HIPEC procedure has been carried out on patients over 2 years old. The most common indication for the surgery and the best outcome was experienced by patients with desmoplastic small round cell tumor (DSRCT). Most patients received intraperitoneal cisplatin.HIPEC Modification: A 5-month-old infant was admitted to the Department of Pediatric Oncology due to the abdominal distention and blood in the stool. The Computed Tomography (CT) revealed a solid-cystic mass in the right abdominal area. The primary tumor and numerous peritoneal metastasis were removed and the Inflammatory Myofibroblastic Tumor (IMT) was diagnosed. The patient underwent subsequently CRS and modified HIPEC procedure. To avoid overheating of the infant, the intraperitoneal normothermic chemoperfusion was performed. Due to the low body weight a modified dosage of intraperitoneal doxorubicin was used. The child underwent standard postoperative chemotherapy and received crizotinib therapy. At 12 months follow-up since treatment completion the patient remains in complete remission. To our knowledge this is the youngest patient, the only infant and the first pediatric patient with IMT who underwent the modified HIPEC procedure in the world.Conclusions: CRS and HIPEC is technically possible also in infants. For its safe course patients selection and technique modification are necessary. Use of HIPEC should be also considered in intraperitoneally disseminated IMT. A complete cytoreductive surgery as the first HIPEC step seems to be the key factor in survival.

scholarly journals A Case of Accessory Parotid Cyst Treated with Ultrasound-Guided Percutaneous Ethanol Injection

2020 ◽  
Vol 63 (6) ◽  
pp. 282-285
Author(s):  
Moon Seung Beag ◽  
Beom Mo Koo ◽  
Mi Ji Lee ◽  
Seung Woo Kim
Keyword(s):  
Needle Biopsy ◽  
English Literature ◽  
Percutaneous Ethanol Injection ◽  
Cystic Mass ◽  
Interesting Case ◽  
Imaging Studies ◽  
Ultrasound Guided ◽  
Ethanol Injection ◽  
Therapeutic Results ◽  
Accessory Parotid Gland

A cyst in the accessory parotid gland (APG) is extremely rare, with only three cases having been reported recently in English literature. They were all treated with sclerotherapy, where a cyst may appear as a painless superficial mass in the mid-cheek area. In sclerotherapy, the most commonly used materials are ethanol and OK-432, which report good therapeutic results for the treatment of benign cervical cystic mass. An 85-year-old man came to our clinic with superficial, well-margined ovoid mass on the left cheek. The mass was diagnosed as a benign cyst in APG through imaging studies and core needle biopsy. We performed the ultrasoundguided percutaneous ethanol injection and the cyst disappeared, leaving only the fused cystic wall. We report this very rare and interesting case with a literature review.

Sign in / Sign up

Export Citation Format

Share Document