scholarly journals Retroperitoneal Liposarcoma With Leiomyosarcomatous Differentiation

2014 ◽  
Vol 99 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Masaki Suzuki ◽  
Minoru Fukuchi ◽  
Shinji Sakurai ◽  
Hiroshi Naitoh ◽  
Shinsuke Kiriyama ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Tumor Resection ◽  
Abdominal Distention ◽  
Low Density ◽  
Solid Mass ◽  
Retroperitoneal Liposarcoma ◽  
Old Japanese ◽  
Giant Tumor ◽  
History Of ◽  
Well Differentiated

Abstract We herein describe a 60-year-old Japanese man with a giant retroperitoneal liposarcoma undergoing leiomyosarcomatous differentiation. He was admitted to our hospital because of a 5-month history of dysphagia and abdominal distention. Abdominal computed tomography showed a giant tumor that occupied the entire retroperitoneal space. The majority of the mass was lipomatous and low density; both a heterogenous and solid mass were also present. A giant retroperitoneal liposarcoma was diagnosed, and tumor resection was performed. At surgery, the tumor was mostly isolated from the retroperitoneum and other organs. Histopathologically, the tumor comprised well-differentiated and dedifferentiated liposarcoma with heterologous differentiation of the leiomyosarcomatous components, which is a rare phenomenon in liposarcoma. The patient was alive 3 years after the first treatment, although he has had 3 local recurrences (approximately one recurrence yearly) and has been treated by repeated resection and radiotherapy.

scholarly journals Case Report on Sertoli Cell Tumor of Ovary

2017 ◽  
Vol 31 (1) ◽  
pp. 54-56
Author(s):  
Kohinoor Begum ◽  
Kamil Ara Khanom ◽  
Joysree Saha
Keyword(s):  
Sertoli Cell ◽  
Leydig Cells ◽  
Histopathological Examination ◽  
Cell Tumor ◽  
Solid Mass ◽  
Sertoli Cell Tumor ◽  
Hormonal Function ◽  
History Of ◽  
Well Differentiated ◽  
Sertoli Cell Tumors

A 33 years old lady presented with history of irregular menstrual cycle followed by menorrhagia. USG revealed left ovarian solid mass but all tumor markers were within normal range. A solid mass on left sided ovary was found on laparotomy. Histopathological examination of the mass showed well differentiated sertoli cell tumor. Tumors of the stroma (Leydig cells) and/or sex cords (Sertoli cells) represent approximately 8% of ovarian tumors and develop from the connective tissue (respectively, interstitial and nurse cells) of the ovary. Because these cells participate in ovarian hormonal function, most of the sex-cord or stromal tumors are able to secrete hormones (estrogens, androgens, corticoids), which explains the hormonal dysfunctions associated with these tumors. Their prognosis are difficult to establish; some of the tumors are almost always benign (Sertoli cell tumors, Leydig cell tumors), whereas others are malignant but with more-or-less delayed local-regional or metastatic relapses.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 54-56

Computed Tomography of Adrenal Metastases in Hepatocellular Carcinoma

1989 ◽  
Vol 30 (5) ◽  
pp. 550-552 ◽  
Author(s):  
K. Nakamura ◽  
Y. Sato ◽  
H. Nakata
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Tumor Necrosis ◽  
Adrenal Tumor ◽  
Central Area ◽  
Adrenal Metastasis ◽  
Low Density ◽  
Solid Mass ◽  
Common Site ◽  
Adrenal Metastases

Four patients with adrenal metastases from hepatocellular carcinoma (HCC) diagnosed with computed tomography are described. In three, the metastases showed a central area of low density due to tumor necrosis, irregular contrast enhancement, and a well-defined margin. They measured 8 cm or more in diameter. In one, the adrenal metastasis was at first a relatively small homogeneously solid mass, but later, when it grew larger, a central low density developed. Since the adrenal gland is the second most common site of metastasis from HCC at autopsy, a combination of an adrenal tumor and a liver tumor should suggest this possibility.

scholarly journals Ulcerative Lupus Vulgaris on the Wrist

2021 ◽  
pp. 428-431
Author(s):  
Takahiro Mizuta ◽  
Miyuki Kato
Keyword(s):  
Computed Tomography ◽  
Tissue Culture ◽  
Tuberculous Lymphadenitis ◽  
Lupus Vulgaris ◽  
Pulmonary Tb ◽  
Chest Computed Tomography ◽  
Contrast Enhanced ◽  
Unique Site ◽  
Old Japanese ◽  
History Of

We report a case of ulcerative lupus vulgaris (LV) in a unique site, which facilitated the detection of internal organ tuberculosis (TB). A 68-year-old Japanese man presented with a reddish ulcerated painless lesion on his right wrist that had initially appeared 4 weeks earlier as a nontender nodule. There was no recent history of fever, weight loss, or cough. The results of tissue culture, PCR, and contrast-enhanced chest computed tomography were consistent with the diagnosis of ulcerative LV with underlying pulmonary TB and tuberculous lymphadenitis. The patient was started on anti-TB therapy. After 1 month of therapy, epithelialization of the ulcer was noted.

A rare case of laryngeal myxoma

1997 ◽  
Vol 111 (3) ◽  
pp. 271-273 ◽  
Author(s):  
Koichi Tsunoda ◽  
Kenji Nosaka ◽  
Masabumi Housui ◽  
Emi Murano ◽  
Michiro Ishikawa ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Rare Case ◽  
English Literature ◽  
Good Health ◽  
Solid Mass ◽  
Old Japanese ◽  
History Of ◽  
The Right

AbstractWe report a rare case of laryngeal myxoma in a 57-year-old Japanese man. Except for a five-year history of gradually progressive hoarseness, he had been in good health. Video-stroboscopic examination revealed a solid mass in the anterior third of the right vocal fold. Phonosurgery performed with a microscope showed that the mass was encapsulated and located between the epithelium and vocal fold ligaments of the right vocal fold. This hard, elastic mass which measured 7 mm in diameter, was diagnosed as a myxoma. Only three cases of myxoma of the larynx have been reported in the English literature, with only one other case involving the vocal fold.

scholarly journals Case report of giant retroperitoneal liposarcoma in a young woman

2018 ◽  
Vol 5 (8) ◽  
pp. 2917
Author(s):  
Fernando Mendoza Moreno ◽  
María del Rocío Díez-Gago ◽  
Javier Mínguez García ◽  
Diego Enjuto Martinez ◽  
Benjamín Tallón Iglesias ◽  
...  
Keyword(s):  
Lower Limbs ◽  
Histopathological Study ◽  
Retroperitoneal Liposarcoma ◽  
Abdominal Perimeter ◽  
Abdominopelvic Ct ◽  
Malignant Mesenchymal Tumor ◽  
History Of ◽  
Bulky Tumor ◽  
Well Differentiated ◽  
Specific Symptoms

Retroperitoneal liposarcoma is a rare malignant mesenchymal tumor with an annual incidence of approximately 2.5 cases per 100,000 inhabitants. It does not present specific symptoms, so its early diagnosis is difficult and in most cases it is performed when it has a large size. A 45-year-old patient with a history of increased abdominal perimeter and local discomfort was admitted in our center. After performing an abdominopelvic CT, she was diagnosed of a large, bulky tumor of lipomatous origin that significantly displaced the intestinal loops and the rest of neighboring organs. In view of the clinical suspicion of a liposarcoma, the patient underwent a resection of the lesion located in the retroperitoneum. The histopathological study determined a well differentiated retroperitoneal liposarcoma. The well-differentiated liposarcoma located in the lower limbs and the retroperitoneal space. Its age of presentation is between the fourth and sixth decade of life without finding differences between men and women. Its treatment is surgical and involves the resection of the tumor mass with non-affected surgical margins. Retroperitoneal liposarcoma is a malignant tumor whose treatment is fundamentally surgical. These tumors tend to be resistant to radiotherapy and / or chemotherapy. Among the most important prognostic factors related to survival is surgery with non-affected margins.

scholarly journals Retroperitoneal Liposarcoma with Multilocular Cysts

2019 ◽  
Vol 13 (3) ◽  
pp. 514-520 ◽  
Author(s):  
Chika Komine ◽  
Minoru Fukuchi ◽  
Shinji Sakurai ◽  
Yuichi Tabe ◽  
Akihiko Sano ◽  
...  
Keyword(s):  
Signal Intensity ◽  
External Iliac Artery ◽  
Cystic Mass ◽  
Resonance Imaging ◽  
Solid Fat ◽  
Weighted Image ◽  
Intermediate Signal Intensity ◽  
Retroperitoneal Liposarcoma ◽  
History Of ◽  
Well Differentiated

In this study, we describe a 60-year-old man with a giant retroperitoneal liposarcoma with multilocular cysts. He was admitted to our hospital because of a 5-month history of abdominal distention. Abdominal computed tomography revealed a giant lobulated cystic mass occupying the retroperitoneal space that contained partially solid fat components. Magnetic resonance imaging indicated that this complex mass exhibited a low signal intensity on a T1-weighted image, whereas it exhibited a high and focally intermediate signal intensity on a T2-weighted image. This patient was diagnosed with a mucinous type of retroperitoneal sarcoma, which was then resected. During surgery, the tumor was isolated from the retroperitoneum and other organs, but the detachment was required only because of fixation around the left external iliac artery. The histological diagnosis was a well-differentiated liposarcoma with multilocular cysts that contained old bloody, serous, and mucinous fluids, which are a rare phenomenon in liposarcoma. This case indicates that retroperitoneal liposarcoma should also be considered as a differential diagnosis of retroperitoneal cystic mass.

scholarly journals The prostatic utricle cyst with huge calculus and hypospadias: A case report and a review of the literature

2015 ◽  
Vol 9 (5-6) ◽  
pp. 345 ◽  
Author(s):  
Weigang Wang ◽  
Yuantao Wang ◽  
Dezhun Zhu ◽  
Pengfei Yan ◽  
Biao Dong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cystic Lesion ◽  
Low Density ◽  
Review Of The Literature ◽  
Prostatic Utricle ◽  
History Of ◽  
Posterior Urethra ◽  
Frequent Micturition ◽  
Prostatic Utricle Cyst ◽  
Penoscrotal Hypospadias

Prostatic utricle cysts with calculus and hypospadias are rare in clinical practice. According to our literature review, only few cases have been reported. Recently, we experienced a case of prostatic utricle cyst with huge calculus in a 25-year-old male patient. He had a history of left cryptorchidism and surgery for penoscrotal hypospadias in his infancy. He was referred for frequent micturition, urgency of urination, urine pain, terminal hematuria and dysuria. Computed tomography (CT) revealed a retrovesical cystic lesion of low density, in which a 5×5 cm calcification was shown. Retrograde urethrocystography showed a 5×5 cm high-density shadow in the posterior urethra. The cyst was incised by transperineal approach and the stone was clearly observed and removed. Urethral stricture repair was performed simultaneously. The patient recovered smoothly after operation.

scholarly journals Laparoscopic Resection of a Retroperitoneal Liposarcoma: A Case Report and Review of the Literature

2013 ◽  
Vol 98 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Ryohei Nomura ◽  
Hiromi Tokumura ◽  
Naoki Matsumura
Keyword(s):  
Laparoscopic Resection ◽  
Perioperative Complications ◽  
Laparoscopic Approach ◽  
Low Density ◽  
Review Of The Literature ◽  
Retroperitoneal Liposarcoma ◽  
Complete Surgical Resection ◽  
Retroperitoneal Tumors ◽  
Hypertension Screening ◽  
Well Differentiated

Abstract Here, we describe a case of a retroperitoneal liposarcoma successfully managed by laparoscopic surgery. A 72-year-old man underwent abnormal hypertension screening using computed tomography (CT), which revealed a low-density mass measuring 7 cm in diameter in the retroperitoneal space. We diagnosed the mass as a liposarcoma before the operation. The mass was resected laparoscopically. No perioperative complications were encountered, and the patient was discharged on the fourth postoperative day. The pathologic diagnosis was well-differentiated liposarcoma, indicating complete surgical resection. Thus, we conclude that a laparoscopic approach for the patients with retroperitoneal tumors, including liposarcomas, is safe, feasible, and minimally invasive, even if there is a possibility of the tumor being malignant.

Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

2014 ◽  
Vol 17 (1) ◽  
pp. 42
Author(s):  
Shi-Min Yuan
Keyword(s):  
Computed Tomography ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Constrictive Pericarditis ◽  
Delayed Diagnosis ◽  
Young Female ◽  
Refractory Ascites ◽  
Diagnostic Challenge ◽  
Massive Ascites ◽  
History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

scholarly journals Scopolamine fatal outcome in an inmate after buscopan® smoking

2021 ◽  
Author(s):  
Sabina Strano-Rossi ◽  
Serena Mestria ◽  
Giorgio Bolino ◽  
Matteo Polacco ◽  
Simone Grassi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Drug Abuse ◽  
Muscarinic Receptors ◽  
Histopathological Examination ◽  
Fatal Outcome ◽  
Post Mortem ◽  
Butyl Bromide ◽  
Cannabis Abuse ◽  
Toxic Concentration ◽  
History Of

AbstractScopolamine is an alkaloid which acts as competitive antagonists to acetylcholine at central and peripheral muscarinic receptors. We report the case of a 41-year-old male convict with a 27-year history of cannabis abuse who suddenly died in the bed of his cell after having smoked buscopan® tablets. Since both abuse of substances and recent physical assaults had been reported, we opted for a comprehensive approach (post-mortem computed tomography CT (PMCT), full forensic autopsy, and toxicology testing) to determine which was the cause of the death. Virtopsy found significant cerebral edema and lungs edema that were confirmed at the autopsy and at the histopathological examination. Scopolamine was detected in peripheral blood at the toxic concentration of 14 ng/mL in blood and at 263 ng/mL in urine, and scopolamine butyl bromide at 17 ng/mL in blood and 90 ng/mL in urine. Quetiapine, mirtazapine, lorazepam, diazepam, and metabolites and valproate were also detected (at therapeutic concentrations). Inmates, especially when they have a history of drug abuse, are at risk to use any substance they can find for recreational purposes. In prisons, active surveillance on the management and assumption of prescribed drugs could avoid fatal acute intoxication.

Sign in / Sign up

Export Citation Format

Share Document