scholarly journals Biopsy guided by dermoscopy in cutaneous pigmented lesion - Case report

2013 ◽  
Vol 88 (1) ◽  
pp. 125-127 ◽  
Author(s):  
Lislaine Bomm ◽  
Marcela Duarte Villela Benez ◽  
Juan Manuel Piñeiro Maceira ◽  
Isabel Cristina Brasil Succi ◽  
Maria de Fatima Guimarães Scotelaro

It may be clinically difficult to differentiate early-stage melanoma from benign tumors, specially pigmented seborrheic keratosis. Dermoscopy can help; however, the findings are not always conclusive. Therefore, histopathology may be necessary for a correct diagnosis. We describe a melanocytic lesion with dubious clinic and dermoscopic findings. An incisional biopsy of a suspicious area, guided by dermoscopy, was performed to clarify the findings.

2017 ◽  
Vol 11 (1) ◽  
pp. 413-419 ◽  
Author(s):  
Narjiss Akerzoul ◽  
Saliha Chbicheb ◽  
Wafaa El Wady

Introduction: Odontomas are considered as benign tumors of odontogenic tissue origin and are more over non-aggressive. They can also be categorized as hamartomas and are a result of developmental malformation of odontogenic tissues. As the name suggests, they are composed of mature tooth substances. They possess limited and slow growth potential and are well differentiated. They can be ectodermal, mesodermal or mixed in origin. Mixed variety may be further divided into compound or complex depending upon their radio-graphical resemblance to the tooth. Compound odontomes are reported to be twice more common than complex odontomes. Among them, complex odontomes are asymptomatic unless they cause bony expansion of the jaws. Case Report: This paper aims to report and discuss a case of complex odontoma with unusually large size leading to gross facial asymmetry. Further this paper will highlight the important information the general dental practitioner must possess to diagnose such lesions at an early stage. Conclusion: Odontomas are benign odontogenic tumors with unusually large size leading to gross facial asymmetry. The general dental practitioners must possess the knowledge and important information to diagnose such lesions at an early stage.


2020 ◽  
Vol 1 (2) ◽  
pp. 143-148
Author(s):  
Nikola Grubor ◽  
Dragan Erić ◽  
Ivana Pavlović ◽  
Goran Tasić ◽  
Slavko Matić

Introduction: Benign tumors of the spleen are a rare condition. Their pathogenesis and clinical presentation represent a diagnostic and surgical challenge in the sense of establishing the correct diagnosis and selecting the appropriate surgical approach. Case report: In our paper, we are presenting a 45-year-old female patient who was initially tested and examined because of nonspecific complaints manifesting as occasional pain in the left upper quadrant of the abdomen. The values of the laboratory findings were within the reference range and preoperative radiological diagnostics indicated the existence of a mass in the spleen which had the features of a tumor. Based on the preoperative diagnostic finding we decided to perform laparoscopic splenectomy. Postoperative recovery was without adverse events, and the patient has prescribed the necessary vaccination and antibiotic prophylaxis. Conclusion: Myofibroblastic tumor of the spleen represents, as far as its origin is concerned, a mystery, with its very limited and nonspecific presentation of symptoms, which is why each individual case must be approached seriously. Laparoscopy has a very important role in the treatment of this disease, bearing in mind all the advantages of a minimally invasive approach over open surgery.


Nowa Medycyna ◽  
2018 ◽  
Vol 25 (4) ◽  
Author(s):  
Krzysztof Łampika ◽  
Paweł Dutkiewicz ◽  
Przemysław Ciesielski

Although small bowel adenocarcinoma is a rare cancer, with estimated incidence rate of 4 cases per million persons it is the most common small bowel tumour. Diagnosis of early-stage disease is difficult due to non-specific symptoms. Patients are usually treated on an emergency basis due to gastrointestinal obstruction or bleeding. The paper presents a case report of an 84-year-old female who underwent surgical treatment due to bowel obstruction caused by ileum cancer, and in whom diagnostic imaging did not allow for a correct diagnosis. The surgery was complicated by intestinal fistula. Histopathology confirmed local tumour progression. After treatment completion, the patient was referred for further anti-cancer treatment.


2021 ◽  
pp. 65-66
Author(s):  
Sweta Krishnan ◽  
Aishwerya Singh

Introduction: Mature cystic teratomas or dermoid cysts are benign “tumors” which arise from more than one germ cell layer. These occur most commonly in the ovaries. Urinary bladder is an extremely rare site. Only few cases of urinary bladder dermoid cysts have been documented in the literature. Case report: We present a rare case in which a 29-year-old female patient presented with hematuria, passage of hairs in urine and painful micturition. Urinary bladder dermoid cyst along with vesicular calculus was diagnosed on imaging and cystoscopy and conrmed after surgery by histopathological examination. Conclusion: Bladder dermoids mimic bladder calculus and neoplastic mass lesion both clinically and radiologically. Correct diagnosis can be achieved by multimodality imaging, cystoscopy and conrmed on histopathology.


2017 ◽  
pp. 105-111
Author(s):  
V. M. Durleshter ◽  
S. R. Genrykh ◽  
E. N. Karanadze ◽  
A. V. Andreev ◽  
R. V. Gedzun ◽  
...  

Nonfunctioning neuroendocrine tumors (NFET) account for up to 33% of the neuroendocrine tumors of the pancreas, ranging from 1 to20 cmin diameter and showing a higher malignancy rate, up to 90%. The clinical presentation of nonfunctioning neuroendocrine tumors is nonspecific. These tumors, in fact, are predominantly characterized by an expansive growth pattern; therefore, they are clinically silent until adjacent viscera and structures are involved. This makes it difficult to diagnose NFET at an early stage. Correct diagnosis is typically delayed by several years. About 15% of pancreatic NFET are cystic and difficult to differentiation from other cystic pancreatic lesions. In such cases, the important role played by hypervascular rim in the arterial phase image. Literature review and case report оf diagnostics and treatment of Neuroendocrine Tumor with cystic transformation are presented in the article. 


1993 ◽  
Vol 83 (12) ◽  
pp. 679-680 ◽  
Author(s):  
LM Tisa ◽  
A Iurcotta

Solitary periungual angiofibromas can often be challenging in the diagnosis and treatment of such common lesions. Because of the various histologic presentations of fibrous skin tumor, a complete differential diagnosis would include hemangioma, seborrheic keratosis, fibroma, and digital fibrokeratoma. Treatment by total sharp excision can often be accomplished, depending on the morphological appearance of the lesion. An incisional biopsy of a more expansile lesion may be warranted.


2021 ◽  
Author(s):  
Angelo Massimiliano D'Erme ◽  
Roberta Iozzo ◽  
Paolo Viacava ◽  
Agata Janowska ◽  
Valentina Dini ◽  
...  

A very rare variant of MPD is the Pigmented Mammary Paget Disease (PMPD), first described by Culberson et al. in 1956. It is very difficult to distinguish this variant from melanoma both clinically and dermoscopically. The diagnosis is confirmed by histopathology and immunohistochemistry. Correct diagnosis is crucial for surgical treatment, which is different for these two diseases. We report the case of a 92-year-old woman, who presented an asymptomatic pigmented lesion of the right nipple and areola. The lesion was arisen for about 6 months and was suspected for melanoma because of clinical and dersmoscopic characteristics. Incisional biopsy revealed tumor cells, that proliferate in the major mammary ducts, and tumor cells in the overlying epidermis of the nipple, thus diagnosing pigmented mammary Paget disease (PMPD). The patient underwent radical mastectomy.


JMS SKIMS ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 28-29
Author(s):  
R K Maurya ◽  
Pawan Kumar Singh ◽  
Sandeep Singh

Lipomas of vulva have been reported only rarely. Benign tumors of the vulva are normally classified according to their origin as epithelial cell tumors (e.g., keratinocytic, adnexal and ectopic tumors), or mesenchymal cell tumors (e.g., vascular, fibrous, muscular, neural, adipose and melanocytic tumors). Vulvar lipomas need to be differentiated from liposarcomas, which are rare but are very similar to lipomas clinically. Here we present a rare case of large vulvar lipoma in an adolescent girl. JMS 2011;14(1):28-29


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