scholarly journals Tuberculosis of breast: a rare case report

2017 ◽  
Vol 4 (12) ◽  
pp. 4099
Author(s):  
Shubhi Bhatnagar ◽  
Shahaji Chavan ◽  
Mayank Chakraborty ◽  
Rahul Banik ◽  
Sree Ganesh Balasubramanian ◽  
...  
Keyword(s):  
Elderly Women ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Antituberculous Therapy ◽  
Breast Tuberculosis ◽  
Multiparous Women ◽  
Rare Case Report ◽  
Diagnostic Difficulties ◽  
One Year

Tuberculosis of the breast is an extremely rare extra pulmonary presentation of tuberculosis accounting for less than 1% of all diseases of the breast. It usually affects young lactating multiparous women, although it may also be reported in prepubescent males, or in elderly women. This rare condition can pose diagnostic difficulties and can mimic carcinoma breast or abscess. We report a case of a 42-year-old female patient with breast tuberculosis. We have reviewed this case in terms of clinical presentation, investigations, surgical treatment and antituberculous therapy and have shortly described our experience. Ultrasonography of breast, mammography and magnetic resonance imaging of breast supported the diagnosis of tuberculosis of breast. Wide local excision of the breast lump was done, and the excised specimen was sent for histopathological examination which confirmed the diagnosis of tuberculosis of breast. Antituberculous therapy was started post operatively. Post-operative period was uneventful. No active breast or pulmonary disease was present one year after surgery in chest computerized tomography scan. Possibility of this condition should be kept in mind in cases of breast carcinoma or abscess. Diagnosis is made by assessing a combination of clinical, radiological and pathological features. Treatment is mainly antituberculous therapy. Surgery is rarely required. A regular follow up is recommended to rule out recurrence of tuberculosis.

scholarly journals Isolated lingual cysticerscosis: a rare case report

2020 ◽  
Vol 6 (12) ◽  
pp. 523
Author(s):  
Pradeep Rajbhandari ◽  
Bijaya Kumar Shrestha ◽  
Roshani Shrestha
Keyword(s):  
Histopathological Examination ◽  
Taenia Solium ◽  
Muscular Activity ◽  
Accidental Ingestion ◽  
Diagnostic Dilemma ◽  
Complete Excision ◽  
Rare Case Report ◽  
Subcutaneous Tissues ◽  
One Year

<p class="abstract">Taenia solium completes its life cycle in two hosts. Generally, cysticercosis results from accidental ingestion of the eggs of taenia solium through faeco‐oral contamination or autoinfection cysticercosis is commonly found in muscular and subcutaneous tissues. Central nervous system and eye are commonly affected. Despite abundant intermuscular tissue in oral cavity, it is uncommon site for cysticercosis because of high muscular activity and metabolic rate of oral tissues. We present a case of a 21-year-old male, presented with painless solitary swelling in the ventral aspect of tip of tongue at the centre. Excision of the swelling was done followed by histopathological examination. The histopathological examination revealed cysticercosis cellulosae in tongue musculature. Histopathological picture showed cysticercus larva surrounded by a double layered membrane. The patient was given albendazole 200 mg TDS for 30 days. One-year follow-up showed no signs of recurrence. Lingual cysticercosis usually presents as diagnostic dilemma. Complete excision along with histopathological examination is diagnostic. Infestation in this region is relatively mild as compared to ocular or neurocysticercosis. However, the patients should be examined thoroughly and followed up for possible concurrent ophthalmologic and neurologic involvements as well.  </p>

A Case of Incidentally Detected Bladder Lipoma and a Review of the Literature

2021 ◽  
Vol 17 ◽  
Author(s):  
Emre Emekli ◽  
Elif Gündoğdu
Keyword(s):  
Histopathological Examination ◽  
Adrenal Adenoma ◽  
Bladder Wall ◽  
Benign Tumors ◽  
Imaging Features ◽  
Multiplanar Reconstructions ◽  
Clinical Presentations ◽  
Pelvic Lipomatosis ◽  
One Year

Background: Lipomas are benign fatty tumors made of fat tissue. Bladder lipomas are extremely rare. For this reason, it is necessary to be aware of the imaging features when incidentally detected in imaging. Case Report: In the abdominal computed tomography (CT) performed as part of the follow-up examination of a 43-year-old patient, who had undergone surgery for adrenal adenoma five years earlier, a 14x9x8 mm smoothly marginated, ovoid-shaped, hypodense mass lesion with a homogeneous internal structure was detected in the anterior bladder wall. The pre-contrast density of the lesion was measured as -105 HU. The magnetic resonance imaging performed one year after the CT examination revealed a 14x9x8 intramural mass in the bladder wall, showing protrusion toward the lumen. The group was observed to be markedly hypointense on fat-suppressed T1 and T2-weighted images and considered consistent with a bladder lipoma. Discussion: Bladder lipomas are benign lesions that can vary in clinical presentations but usually cause hematuria. The differential diagnosis of bladder lipomas includes other mesenchymal rare benign tumors that can arise from the urinary bladder submucosal layer, including leiomyoma, hemangioma, plasmacytoma, fibroma, and neurofibroma, in imaging bladder lipomas present as homogeneous lesions containing macroscopic fat. Only the liposarcoma and pelvic lipomatosis could also show similar features. The less differentiated liposarcomas tend to present more heterogeneous enhancement, irregular-shaped margins, and infiltrative behavior. Also, appropriate multiplanar reconstructions may allow the radiologist to determine it is an extravesical pelvic lipomatosis. Conclusion: Using CT and MRI, these lesions rich in adipose tissue can be distinguished from other lesions, and their diagnosis can be made to a great extent. However, a histopathological examination is required for a definitive diagnosis.

scholarly journals Gingival Lipoma: A Rare Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 37-39
Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Rare Case Report ◽  
Postsurgical Complication ◽  
Benign Tumours ◽  
One Year ◽  
Slow Growing ◽  
Oral Soft Tissue

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.

scholarly journals Human Dirofilariasis Due to D.Repens Presenting as a Chest Wall Swelling : A Rare Case Report

2012 ◽  
Vol 02 (01) ◽  
pp. 51-53
Author(s):  
Harish S. Permi ◽  
Pretty D'Souza ◽  
K.R. Bhagavan ◽  
Mary Raju ◽  
Pooja Sarda
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Histopathological Examination ◽  
Chest Wall Tumor ◽  
Anopheles Mosquitoes ◽  
Chest Wall Tumors ◽  
Rare Case Report ◽  
Human Dirofilariasis ◽  
Wall Tumor

AbstractPrimary Dirofilariasis is caused by a Zoonotic filarial nematode. It is transmitted to humans by Culex, Aedes, or Anopheles mosquitoes, which ingest blood-containing microfilaria from affected dogs, cats, or raccoons. Chest wall tumors are uncommon lesions that originate from blood vessels, nerves, bone, cartilage, or fat. We report a case of Human Dirofilariasis due to D. Repens occurring in the chest wall in a 32 year old male. Clinical diagnosis of benign chest wall tumor was considered and it was excised. Histopathological examination confirmed it as Dirofilaria repens. On regular follow up he is doing fine.

Rare Case Report Of Mesenteric Fibromatosis

2015 ◽  
Vol 87 (9) ◽  
Author(s):  
Radhika Vidyasagar ◽  
Sudarshan ◽  
Sreedhar ◽  
Subramanya ◽  
Vidya Bhat
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histopathological Examination ◽  
Mesenteric Tumor ◽  
Mesenteric Fibromatosis ◽  
Rare Case Report

AbstractMesenteric fibromatosis is a part of the clinical-pathologic spectrum of deep fibromatoses. We report this rare case of primary mesenteric tumor that was diagnosed to be a mesenteric fibromatosis on histopathological examination.In majority of patients it may remain asymptomatic and the management of these tumors depends on histopathological examination. Postoperatively, patient was well and subsequent follow up showed normal recovery.

scholarly journals Extramammary Paget’s Disease of the Vulva: Report of Two Cases

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1029
Author(s):  
Christoforos S. Kosmidis ◽  
Christina Sevva ◽  
Panagiota Roulia ◽  
Charilaos Koulouris ◽  
Nikolaos Varsamis ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Paget’S Disease ◽  
Rare Condition ◽  
Surgical Excision ◽  
Paget's Disease ◽  
Extramammary Paget’S Disease ◽  
Incisional Biopsy ◽  
Efficient Treatment ◽  
Diagnostic Difficulties ◽  
Extramammary Paget's Disease

Extramammary Paget’s disease is a rare condition, affecting 6.5% of all patients with Paget’s disease. The most common extramammary site is the vulvar area. Although diagnosis in some patients is difficult to set, early diagnosis is of high importance in order to detect the irreversible progression of the lesion early and prevent distant metastasis. An 89-year-old female and a 69-year-old female presented within three months with an eczematous lesion with leukoplakia in the vulva. The incisional biopsy of the skin revealed extramammary Paget’s disease. Both patients underwent a surgical wide local excision of the lesion and the specimens were sent for histopathological examination. Extramammary Paget’s disease has a high potential for distant malignancies and local recurrence, dictating that surgical excision is the most efficient treatment. The rareness of the condition and the diagnostic difficulties underline the need for early skin biopsy, which is the most efficient diagnostic tool.

scholarly journals Intravesical ichthyosis: a rare case report

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Hermans ◽  
R. grosse Siemer ◽  
F. C. von Rundstedt
Keyword(s):  
Human Papilloma Virus ◽  
Rare Condition ◽  
Papilloma Virus ◽  
Squamous Cells ◽  
Urogenital Infections ◽  
Carcinogenic Potential ◽  
Rare Case Report ◽  
Tract Infections ◽  
Pathological Report

Abstract Background Ichthyosis is a rare skin disorder, in which the shedding of squamous cells is altered. Intravesical ichthyosis is an extremely rare condition. There is evidence for an association with intravesical condylomata accuminata, caused by urogenital infections of the human papilloma virus. These lesions are generally benign but known to be of a carcinogenic potential and therefore should be treated immediately and followed-up closely. Case presentation We present the case of a 39-year-old woman who presented with recurrent urinary tract infections. During cystoscopy diffuse black pigmented flat bladder tumours were visualized. After transurethral resection the pathological report diagnosed an ichthyosis vesicae. Conclusion We recommend a complete resection with frequent clinical and cystoscopic follow-up. Furthermore, testing for the human papilloma virus should be performed and a vaccination should be offered to the patient. As ichthyosis vesicae is a rare phenomenon, there is an evident lack of clinical data regarding therapy, prognosis and follow-up. With our report, we want to emphasize the need for further research.

scholarly journals Intermammary pilonidal sinus: rare location of a common condition

2020 ◽  
Vol 8 (1) ◽  
pp. 385
Author(s):  
Gayatri A. Deshpande ◽  
Raj N. Gajbhiye ◽  
Bhupesh Tirpude ◽  
Hemant Bhanarkar ◽  
Vikrant Akulwar ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Histopathological Examination ◽  
Skin Surface ◽  
Sinus Tract ◽  
Complete Excision ◽  
Rare Location ◽  
Keloid Formation ◽  
One Year

Pilonidal sinus in the intermammary region is a rare location of an inflammatory condition commonly occurring in the natal cleft. It is typically characterised by a pus and hair containing cavity in the skin lined by granulation tissue connecting the skin surface. A 22 year-old female presented with chronically discharging sinuses in the intermammary region with recurrent abscess formation for one year duration. Although a rare location, clinical diagnosis of pilonidal sinus was made. Complete excision of sinus tract with abscess cavity with primary closure was performed under general anaesthesia. Histopathological examination confirmed pilonidal sinus. On follow up, the scar was healthy with no keloid formation. Pilonidal sinus may rarely occur in intermammary region. Complete excision and primary closure is the mainstay treatment.

scholarly journals A rare case report of laryngopharyngeal polyp formation following anterior cervical discectomy and fusion (ACDF)

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiucheng Li ◽  
Lei He ◽  
Wei He ◽  
Zuo Lv ◽  
Xuerong Chen
Keyword(s):  
Muscle Strength ◽  
Internal Fixation ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Polyp Formation ◽  
Rare Case Report ◽  
Pharyngeal Perforation ◽  
One Year ◽  
Adjacent Segments

Abstract Background Anterior Cervical Discectomy and Fusion (ACDF) has been regarded as the “gold standard” treatment of cervical spondylosis. Though it has good outcomes, many complications still exist, such as loss of fixation, degeneration of adjacent segments, dysphagia and pharyngeal perforation. In view of current literature, this study is the first to report a case of laryngopharyngeal polyp following ACDF. Case presentation A 63 year old male patient suffered from cervical spine hyperextension after trauma accompanied by numbness of the hands and decreased muscle strength in both upper limbs. Anterior cervical fusion surgery was performed in our hospital, after which the patient’s upper limb numbness disappeared and muscle strength returned to normal. In the fifth month after surgery, the patient developed a sore throat and dysphagia. Symptoms gradually worsened, and the patient was hospitalized four times, subsequently undergoing tracheotomy, internal fixation removal, and polypectomy. The patient’s pronunciation, breathing, and swallowing functions returned to normal, and the incision healed. After a one-year follow-up, the polyp did not recur. Conclusions Laryngopharyngeal polyp formation following ACDF has yet to be reported in literature. By excluding esophageal fistula as soon as possible, removing internal fixation and polypectomy serves as the best treatment in relieving patient symptoms.

scholarly journals Freiberg’s Disease of Bilateral and Adjacent Metatarsals

2020 ◽  
Vol 3 (1) ◽  
pp. 25-33
Author(s):  
Callum John Donaldson ◽  
Ziad Harb ◽  
Laila Hussain ◽  
Roland Walker ◽  
Ali Abbasian
Keyword(s):  
Avascular Necrosis ◽  
Rare Condition ◽  
Forefoot Pain ◽  
One Year ◽  
Freiberg’S Disease

Freiberg’s disease is a rare condition characterized by avascular necrosis of the lesser metatarsal heads. The incidence is highest in females, and the disease is usually unilateral, affecting just a single metatarsal. In this report, we describe the first male case of Freiberg’s disease involving the second and third metatarsals in both feet, with the aim of highlighting the condition as a potential cause of such forefoot pain. One year of follow-up is provided.

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