scholarly journals A Case Report of Embryonal Botryoid Rhabdomyosarcoma of the Uterine Cervix in a 26- Year-Old Woman

2018 ◽  
pp. 1
Author(s):  
Gunel Ziyadova ◽  
Altan Kavuncuoglu ◽  
Gonca Ozten ◽  
Zafer Selcuk Tuncer
Keyword(s):  
Uterine Cervix ◽  
Treatment Plan ◽  
Group V ◽  
Sarcoma Botryoides ◽  
Uterine Cancers ◽  
Definitive Surgery ◽  
Total Extraction ◽  
Rule Out ◽  
Cervical Polyp ◽  
Fertile Women

<p>Botryoid rhabdomyosarcoma originating from the cervix is rare among fertile women and constitutes 0.2% of all uterine cancers. A 26-year-old female patient with a cervical polyp presented with a case of sarcoma botryoides. The biopsy specimen confirmed the botryoid sarcoma of the uterine cervix and the patient underwent definitive surgery with lymphadenectomy. Pathology showed negative margins and total extraction of tumor. The tumor was confined to the cervix. The patient is considered group 1A in Intergroup RMS Working Group V (IRSG) criteria and the treatment plan continued with adjuvant vincristine, actinomycin D, cyclophosphamide chemotherapy.</p><p>In the case of cervical polyps in the fertile age, the specimen must be carefully and histologically examined to rule out genital rabdomyosarcoma. Since the stage is a very important prognostic factor, an early diagnosis is crucial.</p>

Case Exercise: Toxic Exposure-Related Illness: Causation, Diagnosis, and Permanent Impairment

2007 ◽  
Vol 12 (2) ◽  
pp. 4-8
Author(s):  
Frederick Fung
Keyword(s):  
Concentration Level ◽  
Treatment Plan ◽  
Toxic Exposure ◽  
Dose Response Relationship ◽  
Specialty Board ◽  
History Of ◽  
Subjective Complaints ◽  
Based Medicine ◽  
Illness Causation ◽  
Rule Out

Abstract A diagnosis of toxic-related injury/illness requires a consideration of the illness related to the toxic exposure, including diagnosis, causation, and permanent impairment; these are best performed by a physician who is certified by a specialty board certified by the American Board of Preventive Medicine. The patient must have a history of symptoms consistent with the exposure and disease at issue. In order to diagnose the presence of a specific disease, the examiner must find subjective complaints that are consistent with the objective findings, and both the subjective complaints and objective findings must be consistent with the disease that is postulated. Exposure to a specific potentially causative agent at a defined concentration level must be documented and must be sufficient to induce a particular pathology in order to establish a diagnosis. Differential diagnoses must be entertained in order to rule out other potential causes, including psychological etiology. Furthermore, the identified exposure at the defined concentration level must be capable of causing the diagnosis being postulated before the examiner can conclude that there has been a cause-and-effect relationship between the exposure and the disease (dose-response relationship). The evaluator's opinion should make biological and epidemiological sense. The treatment plan and prognosis should be consistent with evidence-based medicine, and the rating of impairment must be based on objective findings in involved systems.

scholarly journals Femur Metastasis Secondary to a Carcinoma of the Uterine Cervix (Case Study)

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 20
Author(s):  
D. Popescu ◽  
C. Panaitescu ◽  
R. Nedelcu ◽  
Şt. Trifu ◽  
C. Cîrstoiu
Keyword(s):  
Surgical Treatment ◽  
Bone Metastasis ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Uterine Cervix ◽  
Treatment Plan ◽  
Early Recovery ◽  
Complete Excision ◽  
Total Hip ◽  
Multiple Metastases

Abstract Purpose. The purpose of this study is to correlate the existence of a unique bone metastasis of the femur, secondary to a carcinoma of the uterine cervix, the treatment plan, and the recovery of the patient. Materials and method. From previous studies, it is known that the prevalence of unique bone metastasis of the femur secondary to carcinoma of the uterine cervix is very low, in most cases the patients having multiple metastases or in other organs. The case presents a 40-year-old patient who had surgery 2 years before for a carcinoma of the uterine cervix. After the surgical treatment, the patient received chemotherapy and radiotherapy. Nowadays, the patient exhibits pain in the left hip. Following the clinical and paraclinical protocols, an incisional biopsy was made. The histopathologic result was metastasis from the uterine cervix squamous cell carcinoma. The surgical treatment consists of segmentary resection and total hip arthroplasty with tumor reconstruction prosthesis. Results. After total hip arthroplasty with tumor reconstruction prosthesis, we were able to make a segmentary resection in oncological limits, with the complete excision of the metastasis, the patient being able to start the recovery the next day after the surgery. Conclusions. As a surgical indication, the tumor prosthesis represents the best option in the segmentary resections of tumors, this allowing a reconstruction and an early recovery.

scholarly journals RECURRENT POLYP REVEALING A RARE CASE OF CERVICAL RHABDOMYOSARCOMA: ABOUT A CASE AND REVIEW OF THE LITERATURE

2021 ◽  
Vol 9 (02) ◽  
pp. 551-555
Author(s):  
Kamal Aboulfath ◽  
◽  
Mohamed Mahmoud Emed ◽  
K.M. Saoud ◽  
N. Mamouni ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Uterine Cervix ◽  
Rare Case ◽  
Therapeutic Strategy ◽  
Treatment Modalities ◽  
Perioperative Chemotherapy ◽  
Review Of The Literature ◽  
Cervical Mass ◽  
Cervical Polyp

Rhabdomyosarcoma of the uterine cervix is one of the rare histological types of cervical cancer, which occurs mainly in girls and women during genital activity. Given the aggressiveness of the disease, therapeutic strategy is based on the combination of the three treatment modalities (surgery -chemotherapy radiation therapy-).We report a case of cervical rhabdomyosarcoma in a 53 year old woman with no particular pathological history. The first sign reported was postmenopausal metrorrhagia with the presence of a cervical polyp. The bistourning of this polyp was in favour of cervical adenosarcoma. The extension workup showed a cervical mass without metastasis. The patient underwent surgery and underwent a hysterectomy without preservation of adnexae with anatomopathologic results that suggested a cervical rhabdomyosarcoma and a candidate for adjuvant chemo-radiotherapy. Rhabdomyosarcoma of the uterine cervix is a rare tumor that develops most often in young girls. It mainly shows locoregional extension. Treatment is based on surgery including conservative treatment as well as radical treatment associated with perioperative chemotherapy. The role of radiation therapy remains poorly defined.

scholarly journals Peripheral giant cell granuloma recurring as an exclusively intra-osseous lesion: An unusual clinical presentation

2018 ◽  
Author(s):  
Kedar Vaidya ◽  
Gargi S. Sarode ◽  
Sachin C. Sarode ◽  
Barnali Majumdar ◽  
Shankargouda Patil
Keyword(s):  
Giant Cell ◽  
Present Report ◽  
Treatment Plan ◽  
Surgical Excision ◽  
Giant Cell Granuloma ◽  
Unique Case ◽  
Peripheral Giant Cell Granuloma ◽  
Multiple Regions ◽  
Central Lesions ◽  
Rule Out

Giant cell lesions of the jaws represent distinctive clinico-pathological spectrum. They manifest as peripheral and central lesions, occurring as solitary growths to involving multiple regions of the jaw. The present report presents a unique case of giant cell lesions of the jaws, wherein a peripheral giant cell granuloma recurred exclusively as a central giant cell lesion in a young patient. The recurrence was noted after a time-span of 3 years since the diagnosis and surgical excision of the peripheral lesion. Biochemical investigations were advised to rule out the possibility of hyperparathyroidism. Following a confirmed diagnosis of central giant cell granuloma, not associated with any other systemic conditions, an apt treatment plan was devised for an early rehabilitation of the patient.

scholarly journals Choroid Metastasis in a Patient with Squamous Cell Carcinoma of the Uterine Cervix: A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 630-638
Author(s):  
Ángel García Vásquez ◽  
Gabriela Thomassiny Bautista ◽  
María José Sardá Ramirez ◽  
Janet Amelia Moheno Lozano ◽  
Oscar Solorzano Enriquez ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Squamous Cell Carcinoma ◽  
Uterine Cervix ◽  
Case Reports ◽  
Serous Retinal Detachment ◽  
Advanced Stage ◽  
Choroidal Metastasis ◽  
History Of ◽  
Ocular Metastasis ◽  
Rule Out

We present the case of a 43-year-old woman with unilateral loss of vision who had a history of cervical cancer, staged as FIGO IIIB, and who had undergone previous chemotherapy and radiotherapy, but was not a surgical candidate. An examination revealed serous retinal detachment with an underlying choroidal mass in the left eye. We reviewed all available published case reports of uterine cervix metastases to the eye and adnexa and compiled all information into a table to present clinical and epidemiological findings. Unilateral choroidal metastasis arising from cervical cancer is extremely rare. In most cases, a history of cervical carcinoma is confirmed in the advanced stage of the disease. Ocular metastasis may be the presenting feature of primary cervical malignancy; therefore, to rule out malignancy in every woman who develops these clinical features, a cervical examination should be included in the workup.

scholarly journals Preoperative management in Hirschsprung’s congenital megacolon

2015 ◽  
Vol 10 (3) ◽  
pp. 276-280
Author(s):  
Simona-Gabriela TUDORACHE ◽  
◽  
Cătălin CHIRIAC-BABEI ◽  
Toli PĂTRĂNCUŞ ◽  
Laura NICULESCU ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Average Length ◽  
Treatment Plan ◽  
Congenital Megacolon ◽  
Group I ◽  
Definitive Operation ◽  
Group Ii ◽  
Pull Through ◽  
Definitive Surgery ◽  
Time Of Operation

Introduction. Hirschsprung’s congenital megacolon is a challenge in terms of diagnosis and a proper treatment plan. If, in terms of the final operation there have been described various techniques and done studies that followed postoperative complications, regarding tracking and treatment previous to the intervention there is little documentation available. Material and methods. The study is retrospective and includes a group of 31 patients diagnosed and treated in the “Grigore Alexandrescu” Children’s Emergency Hospital between 2010-2014. The group of patients was divided into two groups: Group I – patients who underwent diverting stomy before pull through and group II – without diverting stomy, who received preoperative nursing. The main parameters followed were: the frequency rate of enterocolitis and number of hospitalizations before the definitive operation. The second parameter followed is the patients age at the time of the pull through, patients were followed until definitive surgery. Data was collected from the hospital information system – Hippocrates, the clinical charts and the operation room registry of surgery and were processed using SPSS version 22.0. Results. From group I, 10 patients (32.3%) had at least one episode of enterocolitis before definitive surgery, compared with only 3 patients (9.7%) in group II. Analyzing the data, we fi nd that patients in group I have on average 4 more hospitalizations than those in group II. The average length hospitalization was 21 days for group I and 7 days for group II. The age at the time of operation ranged between 2 and 72 months in the whole group, with an average of 8 months for patients in group II and 21 months in the first group. The average duration of observation of the patients was 3 months for group I and 16 months for the second group. Conclusion. In the group with diverting stomy, infectious episodes are more frequent and the number of hospitalizations before the pull through is bigger. If frozen histopathological examination is available one stage pull through is considered the best option, exception beeing when there is an absolute indication for diverting stomy.

Case report of a sarcoma botryoides of the uterine cervix in fertile age and literature review

2009 ◽  
Vol 280 (5) ◽  
pp. 863-866 ◽  
Author(s):  
Giuseppina Scaravilli ◽  
Serena Simeone ◽  
Giancarlo Dell’Aversana Orabona ◽  
Simona Capuano ◽  
Michele Serao ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Uterine Cervix ◽  
Sarcoma Botryoides
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