A very rare case of HPV-53-related cervical cancer, in a 79-year-old woman with a previous history of negative Pap cytology

This is the fourteenth case of an intracranial and dural-based osteosarcoma in the literature to date. The case involves a forty-year old woman with a previous history of a brain tumour, which was treated with surgery, chemotherapy and radiotherapy six years previously. The hypothesis is that this rare malignancy is secondary to the radiation exposure given the growth of the lesion in the previous radiation field

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Underscreened Women Remain Overrepresented in the Pool of Cervical Cancer Cases in Spain: A Need to Rethink the Screening Interventions

BioMed Research International ◽

10.1155/2015/605375 ◽

2015 ◽

Vol 2015 ◽

pp. 1-9 ◽

Cited By ~ 7

Author(s):

Raquel Ibáñez ◽

María Alejo ◽

Neus Combalia ◽

Xavier Tarroch ◽

Josefina Autonell ◽

...

Keyword(s):

Cervical Cancer ◽

Older Women ◽

Cancer Diagnosis ◽

Invasive Cervical Cancer ◽

Previous History ◽

Figo Stage ◽

Normal Cytology ◽

Highly Sensitive ◽

History Of ◽

Screening History

Objective. Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000–2011.Methods. 323 women with CC from six pathology departments in Catalonia (Spain) and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI95%).Results. History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P<0.0001) and its frequency decreased with increasing age. Compared to women with squamous cell carcinoma, adenocarcinoma cases were significantly more likely to have a cytology within the 3-year interval preceding cancer diagnosis (OR=2.6CI 95%: 1.2–5.6) and to have normal cytology results in previous screenings (OR=2.4CI 95%: 1.2–4.5). FIGO II–IV cases were more common among older women (older than 60 years).Conclusions. Absence of prior screening history was extremely common among CC cases compared to controls. Organized actions to reduce underscreened women and use of highly sensitive HPV-based tests could be important to reduce CC burden.

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Magnitude and associated factors of VIA positive test results for cervical cancer screening among refugee women aged 25–49 years in North Ethiopia

BMC Cancer ◽

10.1186/s12885-020-07344-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Gebretsadik Hailemariam ◽

Hailay Gebreyesus ◽

Tewolde Wubayehu ◽

Tsgehana Gebregyorgis ◽

Kidanemariam Gebrecherkos ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Associated Factors ◽

Previous History ◽

Test Results ◽

Cervical Lesions ◽

Sexually Transmitted ◽

Refugee Women ◽

History Of ◽

Precancerous Cervical Lesions

Abstract Background Worldwide cervical cancer is the third most common malignancy in women. It usually arises from the cervical area which is susceptible to Human Papilloma virus induced malignancy changes. In low-resource setting visual inspection with acetic acid (VIA) is an alternative sensitive cervical screening method. Therefore the aim of this study was to assess the magnitude and associated factors of VIA positive test results for Cervical Cancer screening among Eritrean refugee women aged 25–49 years in northern Ethiopia refugee camps. Methods A community based cross-sectional study was conducted among 412 Eritrean refugee women aged 25–49 years from august 10 to September 25, 2018. Study subjects were selected by simple random sampling method. Data were collected using pretested structured questioner through Face-to-face interview and cervical examination. Data were coded and entered to Epi info software version 7 and then exported to Statistical package for Social Science (SPSS) version 21 for analysis. Bivariable and multivariable logistic regression analysis was made to test the association between the independent variables and the outcome variable. P-value of less than 0.05 with 95% CI was considered to declare statistical significance. Result In this study the magnitude of VIA positive precancerous cervical lesions was 9% (95% CI: 6.3–11.8%). Previous history of sexually transmitted infections (STI) [AOR (95%CI) = 2.84(1.07–7.53)] and presence of STI during cervical examination [AOR (95%CI) =3.97(1.75–9.00)] were found significantly associated with VIA positive precancerous cervical lesions. Conclusions In this study the magnitude of VIA positive precancerous cervical lesions was high. Previous history of sexually transmitted infections (STI) and presence of STI during cervical examination were found associated with VIA positive precancerous cervical lesions. Efforts such as early screening for sexually transmitted disease shall be done to prevent precancerous cervical lesions.

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Low-Cost Technology for the Prevention of Cervical Cancer in Cameroon

JCO Global Oncology ◽

10.1200/go.20.10000 ◽

2020 ◽

Vol 6 (Supplement_1) ◽

pp. 8-8

Author(s):

Nkegoum Blaise ◽

Mboumtou Liliane

Keyword(s):

Cervical Cancer ◽

Predictive Value ◽

Large Scale ◽

Low Cost ◽

Screening Method ◽

Previous History ◽

Pap Smears ◽

Cervical Lesions ◽

History Of ◽

Large Scale Screening

PURPOSE Our aim was to assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions. METHODS VIA and cytologic smears were carried out on the cervices of nonpregnant women age 30 to 60 years with no previous history of cervical cancer. Cervices with acetowhite lesions or positive Pap smears, as well as 1 in 10 negative cervices (control), were biopsied. RESULTS Of patients, 10,020 women were enrolled and 9,626 (96.1%) were screened. With screening, 9,534 patients (99.0%) had adequate cytology smears, 1,148 (11.9%) underwent colposcopy, and 3,486 biopsies were obtained, of which 1,056 were controls. Sensitivity of VIA was 70.4% versus 47.7%, specificity was 77.6% versus 94.2%, positive predictive value was 44.0% versus 67.2%, and negative predictive value was 91.3% versus 87.8% for Papanicolau test, respectively. CONCLUSION VIA has acceptable test qualities and is now well implemented as a large-scale screening method in Cameroon.

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Pancreatic and Hepatic Metastasis of an Undiagnosed Choriocarcinoma: An Exceptional Cause of Haemoperitoneum in Young Women – Report of a Rare Case

Case Reports in Oncology ◽

10.1159/000449462 ◽

2016 ◽

Vol 9 (3) ◽

pp. 633-638 ◽

Cited By ~ 2

Author(s):

Nishat Fatema ◽

Neeru Vinod Arora ◽

Fatma Majid Al Abri ◽

Yaseer Muhammad Tareq Khan

Keyword(s):

Hepatic Metastasis ◽

Rare Case ◽

Previous History ◽

Gestational Trophoblastic Disease ◽

Reproductive Age ◽

Childbearing Age ◽

Women Of Reproductive Age ◽

Positive Pregnancy Test ◽

History Of ◽

The Right

Haemoperitoneum in women of reproductive age usually suggests either ruptured ectopic pregnancy or ruptured ovarian cysts. Metastatic choriocarcinoma is considered the least common cause of haemoperitoneum in women of childbearing age. We report a rare case of pancreatic and hepatic metastasis of choriocarcinoma in a young, 30-year-old female who had delivered 10 months prior at term gestation with no previous history of gestational trophoblastic disease or molar pregnancy. She had a short history of fever and pain in the right hypochondrium, with findings of hypovolaemic shock due to intraperitoneal haemorrhage. Unfortunately, the patient expired with massive uncontrolled bleeding from liver metastasis despite 2 emergency laparotomies within 12 h. This case report is an apt reminder to clinicians to include metastatic choriocarcinoma on the list of differential diagnoses for haemoperitoneum with a positive pregnancy test in women of reproductive age to diagnose early and to avoid life-threatening consequences.

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Cecal malakoplakia: A case report

Korean Journal of Clinical Oncology ◽

10.14216/kjco.21007 ◽

2021 ◽

Vol 17 (1) ◽

pp. 44-47

Author(s):

Jin Woon Jeong ◽

Ji Hyun Noh ◽

Jeong Hyun Kang ◽

Ji Hyun Park ◽

Joo Hyung Lee

Keyword(s):

Cervical Cancer ◽

Rare Case ◽

Psoas Muscle ◽

Histopathologic Examination ◽

Operative Case ◽

Close Observation ◽

History Of ◽

The Right ◽

Made In

Malakoplakia is a rare chronic granulomatous disease found in the genitourinary tract, mainly. It is considered to be related to immunosuppression and/or infectious processes. We would like to present an operative case of cecal malakoplakia in a patient with a history of surgical resection and chemotherapy for cervical cancer. A 74-year-old female patient visited our hospital for 1-year follow-up after operation and chemo-radiotherapy for cervical cancer. An infiltrative mass of 6 cm, between the cecal base and the right psoas muscle, was observed on computed tomography. An ileocectomy was performed for diagnosis. Histopathologic examination revealed cecal malakoplakia. After surgery, based on previous reports, antibiotics therapy was added. Then the patient was discharged and treated in the outpatient clinic. To our knowledge, a rare case has been described of cecal malakoplakia during observation after surgery and chemo-radiotherapy for cervical cancer. Malakoplakia is known to be related to immunosuppressive condition. Therefore, our case suggests that close observation should be made in patients on immunosuppressive condition, such as chemotherapy.

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A case of placenta increta in placenta previa: a rare case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212992 ◽

2021 ◽

Vol 10 (8) ◽

pp. 3245

Author(s):

Badal Das ◽

Debobroto Roy ◽

Malay Sarkar ◽

Krishna Pada Das ◽

Nazmin Khatun ◽

...

Keyword(s):

Rare Case ◽

Placenta Previa ◽

Previous History ◽

Placenta Increta ◽

Decidua Basalis ◽

Adherent Placenta ◽

Rare Case Report ◽

History Of ◽

Scarred Uterus ◽

Caesarean Hysterectomy

Placenta increta, one type of morbidly adherent placenta, is characterized by entire or partial absence of the decidua basalis, and by the incomplete development of the fibrinoid or Nitabuch’s layer and villi actually invading the myometrium. When the internal os is covered partially or completely by placenta, it is described as a placenta previa. Simultaneously these two complications occurring in a post LSCS scarred uterus is a very rare scenario and anticipated frequently to cause catastrophic obstetric outcome. A 32-years-old woman of second gravida, para 1, with previous history of LSCS 7 years back, with living issue one, admitted in our hospital at 35 weeks 5 days gestation with asymptomatic placenta previa with placenta increta. The case was diagnosed effectively by ultrasonography. Intra-operatively, compression sutures and bilateral uterine artery ligature was tried to control hemorrhage which were failed and a quick decision of caesarean hysterectomy was done. Preserving both ovaries, total hysterectomy was the only option to save the mother in our case. Other options attempting to preserve uterus could have ended up with grave consequences in this case. This was a very rare case of asymptomatic placenta previa with placenta increta in a post LSCS scarred uterus and it was successfully managed by judicious caesarean hysterectomy.

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Semi-mobile rudimentary tissues attached to a congenital intramitral ring in a woman with previous history of embolic stroke: A rare case report

Ultrasound ◽

10.1177/1742271x19855103 ◽

2019 ◽

Vol 27 (3) ◽

pp. 191-195

Author(s):

Maryam Nabati ◽

Homa Parsaee ◽

Alireza Fattahian

Keyword(s):

Case Report ◽

Mitral Valve ◽

Rare Case ◽

Previous History ◽

Left Ventricular ◽

Embolic Stroke ◽

Valve Repair ◽

Congenital Cardiac Anomalies ◽

Rare Case Report ◽

History Of

Isolated congenital mitral ring is a very rare subtype of congenital mitral valve malformation, which accounts for about one-third of congenital cardiac anomalies associated with left ventricular inflow obstruction. A mitral ring may be easily missed unless the disease is suspected. The mitral valve repair should be considered in symptomatic patients with mitral stenosis. We report a rare case of a 43-year-old woman with an intramitral ring who experienced previous embolic stroke with left hemiplegia. However, stroke happened several years ago and it does not completely prove causality.

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A rare case of bacterial infective endocarditis caused by Streptococcus alactolyticus

Heart Vessels and Transplantation ◽

10.24969/hvt.2019.133 ◽

2019 ◽

Vol 3 (Issue 3) ◽

pp. 109

Author(s):

Nedim Cekmen ◽

Oben Baysan ◽

Emine Disbudak ◽

Ceren Gunt

Keyword(s):

Intensive Care Unit ◽

Infective Endocarditis ◽

Aortic Valve ◽

Rare Case ◽

Artery Bypass ◽

Previous History ◽

Blood Cultures ◽

Bypass Grafting ◽

History Of

Background: Streptococcus alactolyticus is a rarely isolated bacterium, which classified under DNA cluster IV of the S. Bovis/S. equinus complex. Infections, especially infective endocarditis, caused by Strep. alactolyticus are very rare in humans. Case Report: We describe a case of Strepotoccocus alactolyticus bacteriemia complicated by infective endocarditis. A 64-year-old male with a previous history of coronary artery bypass grafting applied to our cardiology outpatient clinic with complaints of dyspnea, fever, confusion and an apical holosystolic murmur. He was admitted to the intensive care unit. Transthoracic and transesophageal echocardiography showed the presence vegetation on the aortic valve. S. alactolyticus was detected on serial blood cultures. The patient was first treated with intensive antimicrobial therapy, and then underwent mitral and aortic valve replacements with uneventful follow-up. Conclusion: Streptococcus alactolyticus infective endocarditis has only been reported previously in one patient. More information is certainly needed for diagnosis and treatment of patients infected with Streptococcus alactolyticus. Key words: Streptococcus alactolyticus, endocarditis

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