A Case Report of Intraductal Papilloma in a Young Female Patient with Bloody Nipple Discharge

Objective. We present a case of relapsing tumefactive demyelination in a young female patient, that posed a real diagnostic challenge, with a heterogeneous clinical picture, atypical for multiple sclerosis (MS) presentation, and neuroradiological manifestations with a high suspicion of neoplastic diseases.Case Report. An 18-year old female patient presented to our Neurosurgical Out-patients’ Clinic with symptoms atypical for multiple sclerosis, unremarkable neurological deficit, one tumefactive lesion on MRI, followed by relapse and another two lesions within a period of six months. We decided to perform biopsy of the tumefactive lesion with compressive effect. Serological and clinical data were negative for MS, and the patient did not respond well to corticosteroid therapy. Fresh frozen tumor tissue aroused a strong suspicion of gemistocytic astrocytoma, so total resection was done, but the definitive pathohistological examination confirmed tumefactive demyelination.Conclusion. For clinicians, it is important to consider demyelinating disease in the differential diagnosis of a tumorlike lesion of the central nervous system, in order to avoid invasive and potentially harmful diagnostic procedures, especially in younger patients.

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Gingival Tumor in Young Female Patient: A Case Report

10.26420/austindentsci.2021.1032 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Namala A ◽

◽

Halerolli D ◽

Poonja PA ◽

Rao PK ◽

...

Keyword(s):

Case Report ◽

Periodontal Disease ◽

Female Patient ◽

Clinical Sign ◽

Clinical Features ◽

Oral Hygiene ◽

Young Female ◽

Clinical Concern ◽

Gingival Enlargement

Alteration in size of gingiva is one of the clinical features of periodontal disease. Increase in size of gingiva, which is termed as gingival enlargement or gingival over growth is a common clinical sign of gingival disease and a matter of great clinical concern. Increase in size alters the physiologic contour of gingiva, creates areas of plaque accumulation, intereferes with regular oral hygiene procedures, and creates aesthetic problems. In severe cases, it interefere with mastication and phonation. Enlargement may involve one or more components of gingiva. Depending on the involvement of components of gingiva and distribution, gingival enlargement can be Localized, genaralized and marginal, papillary, diffuse and discrete. Depending on etiology and pathogenesis, it can be classified as inflammatory enlargement, fibrotic enlargement, combined enlargement, enlargement associated with systemic conditions, neoplastic enlargement and false enlargements.

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Insulinoma in a Young Female Patient With Systemic Lupus Erythematosus: A Case Report

Endocrine Practice ◽

10.4158/ep14181.cr ◽

2014 ◽

Vol 20 (12) ◽

pp. e256-e259

Author(s):

Po-Hsun Chen ◽

Jun-Sing Wang ◽

Jen-I Hwang ◽

Shih-Yi Lin ◽

Wayne H.-H. Sheu ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Case Report ◽

Female Patient ◽

Lupus Erythematosus ◽

Young Female ◽

Systemic Lupus

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Male Ductal Carcinoma In Situ Presenting as Bloody Nipple Discharge: A Case Report and Literature Review

The Breast Journal ◽

10.1046/j.1524-4741.2002.08212.x ◽

2002 ◽

Vol 8 (2) ◽

pp. 112-114 ◽

Cited By ~ 15

Author(s):

Rache M. Simmons

Keyword(s):

Case Report ◽

Literature Review ◽

Ductal Carcinoma In Situ ◽

Carcinoma In Situ ◽

Ductal Carcinoma ◽

Nipple Discharge ◽

Bloody Nipple Discharge

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Large breast lump with bloody nipple discharge: benign intraductal papilloma

BMJ Case Reports ◽

10.1136/bcr-2020-236818 ◽

2020 ◽

Vol 13 (11) ◽

pp. e236818

Author(s):

Sin Dee Cheah ◽

Abdul Hadi Imi Sairi

Keyword(s):

Nipple Discharge ◽

Large Mass ◽

Left Breast ◽

Intraductal Papilloma ◽

Breast Lump ◽

Core Needle ◽

Bloody Nipple Discharge ◽

Uncommon Presentation ◽

Large Breast ◽

Benign Papilloma

A 32-year-old woman presented with a 3 cm×3 cm left breast lump associated with bloody nipple discharge during her early pregnancy. Examination and ultrasonography showed benign features, whereas core needle biopsies revealed a benign papilloma. Six months after her delivery, a 6 cm×6 cm benign papilloma was completely excised via circumareolar incision. The majority of intraductal papillomas are small; however, they can also present as a large mass rarely. We should be wary of a malignant papillary lesion when there is the presence of atypia on core needle biopsy or imaging-histology discordance. A concordant benign papilloma with benign imaging findings is otherwise reassuring. Clinicians need to be aware of this uncommon presentation of large intraductal papilloma as a complete curative excision can be achieved through a cosmetically placed incision.

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