scholarly journals Periurethral Gland Calculus Discovered on Workup for Dyspareunia

2016 ◽  
Vol 10 (1) ◽  
pp. 55-56
Author(s):  
Ryan P. Terlecki ◽  
Susan M. MacDonald
Keyword(s):  
Urethral Meatus ◽  
Prior Report ◽  
History Of ◽  
Unusual Lesion ◽  
Pathologic Analysis

A 55-year-old woman with a history of chronic dysuria in the absence of infection was found to have an unusual lesion below the urethral meatus. This was subsequently determined to be a periurethral gland containing a sizeable calculus. Pathologic analysis found the composition to be car bonate apatite (dahllite). Only one prior report of a female periurethral calculus has been noted in the English peer-reviewed literature.

scholarly journals Adenoid Cystic Carcinoma of the Lacrimal Gland in a 45 Years Old Male: Case Report and Review of Literature

2019 ◽  
Vol 9 (1) ◽  
pp. 49-53
Author(s):  
Akhlaque Hossain Khan ◽  
Nazmin Ahmed ◽  
Narendra Shalike ◽  
Abul Bashar Md Abdul Matin ◽  
Firoj Ahmed Al Amin ◽  
...  
Keyword(s):  
Adenoid Cystic Carcinoma ◽  
Lacrimal Gland ◽  
Perineural Invasion ◽  
Adult Population ◽  
Treatment Options ◽  
Current Treatment ◽  
Adenoid Cystic ◽  
History Of ◽  
Lacrimal Fossa ◽  
Pathologic Analysis

Adenoid cystic carcinoma (ACC) is a rare malignant tumor that can manifests as proptosis in adult population. They account for 1.6% of all orbital tumors. Despite their rarity, they are the second most frequent epithelial neoplasms occurring in the lacrimal gland after pleomorphic adenomas. This kind of tumors are commonly occur in the salivary glands but can metastasize to lung, breast ,brain and sinuses in hematogenous route.We describe a patient who presented with protrusion of right eyeball, developing over 8 years with history of intermittent watery discharge for 4 years. His magnetic resonance imaging showed a retrobulbarextraconal soft tissue lesion around the lacrimal fossa with invasion and erosion of the adjacent bone. The patient underwent right sided orbito-pterional craniotomy and gross total removal of tumor. Pathologic analysis showed neoplastic cells in a predominantly cribriform pattern with features of perineural invasion and diagnosed as a case adenoid cystic carcinoma of the lacrimal gland. We review the incidence, clinical features, radiographic and histopathologic features of these rare, aggressive malignancies along with current treatment options with reference to the relevant literatures. Bang. J Neurosurgery 2019; 9(1): 49-53

scholarly journals Malignant Melanoma of the Vagina - A Case Report

1970 ◽  
Vol 26 (2) ◽  
pp. 103-105
Author(s):  
Nilufa Sultana ◽  
Chowdhury Md Ali ◽  
Rawshan Ara Khanam ◽  
Prof Mahmuda Khatan
Keyword(s):  
Case Report ◽  
Malignant Melanoma ◽  
Small Mass ◽  
Vaginal Wall ◽  
Excision Biopsy ◽  
Posterior Vaginal Wall ◽  
Urethral Meatus ◽  
Antitubercular Drugs ◽  
History Of ◽  
Post Menopausal

A 52 yrs old post menopausal lady was admitted in-the Gynae department of SSMC & Mitford Hospital with a small mass in the lower vagina, foul smelling discharge and occasional itching at that site for 1 year. Examination revealed a small, irregular, firm, partially necrosed, non tender growth with foul smelling brownish discharge 2cm below the external urethral meatus, uterus atrophied, cervix flashed, fornicesfree but few small, black, flat nodules scattered in the posterior vaginal wall. She had no history of exposure to any radiation or sunlight to that area or surgery but only received antitubercular drugs for six month for pulmonary tuberculosis. After conservative treatment excision biopsy was taken and histopathology revealed Malignant Melanoma. She was referred to cancer Institute for adjuvent radiotherapy. DOI: 10.3329/jbcps.v26i2.4190 J Bangladesh Coll Phys Surg 2008; 26:103-105

Atypical Spindle Cell Lipomatous Lesion Resected From Patient With History of CLL

2020 ◽  
Vol 86 (9) ◽  
pp. 1208-1211
Author(s):  
Chase J. Wehrle ◽  
J. Will Daigle ◽  
Asad Ullah ◽  
Suash Sharma ◽  
Edmond F. Ritter ◽  
...  
Keyword(s):  
Spindle Cell ◽  
Lymphocytic Leukemia ◽  
Left Shoulder ◽  
Spindle Cell Lipoma ◽  
Atypical Lipomatous Tumor ◽  
Lipomatous Tumor ◽  
Adipocytic Tumors ◽  
History Of ◽  
Pathologic Analysis ◽  
Mdm2 Amplification

Atypical spindle cell lipomatous neoplasm, also known as well-differentiated spindle cell liposarcoma, represents a newly discovered entity of adipocytic tumors. Recent research has shown this tumor variant to be more related to spindle cell lipoma, rather than the originally hypothesized atypical lipomatous tumor spectrum. Here we present a case of a 58-year-old man with a history of chronic lymphocytic leukemia with an enlarging mass on the posterior left shoulder, initially hypothesized to be a benign lipoma. However, magnetic resonance imaging showed a large, multiseptated, heterogeneous mass concerning for soft tissue sarcoma. After resection, pathologic analysis showed cells closely resembling spindle cell lipoma, with additional cellular and fascicular zones containing lipoblasts and mitotic figures. Molecular analysis showed no MDM2 amplification. This lack of amplification indicates this tumor is distinctly different from an atypical lipomatous tumor, which characteristically displays MDM2 amplification. However, tumor expression of RB1 was normal. The majority of atypical spindle cell lipomatous neoplasms are associated with RB1 deletions. We conclude that we have a unique example of an atypical spindle cell lipomatous tumor.

scholarly journals Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl

2018 ◽  
Vol 2018 ◽  
pp. 1-2 ◽  
Author(s):  
Manori Gamage ◽  
D. Beneragama
Keyword(s):  
Postmenopausal Women ◽  
Case History ◽  
Vaginal Bleeding ◽  
Incidental Finding ◽  
Surgical Excision ◽  
Urethral Meatus ◽  
Young Girls ◽  
History Of ◽  
Acute Retention

Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.

scholarly journals Complete Labial Fusion in a Postmenopausal Woman Presenting with Retention of Urine

2019 ◽  
Vol 17 (01) ◽  
pp. 122-124
Author(s):  
Ganesh Dangal ◽  
Kenusha Devi Tiwari ◽  
Rekha Poudel ◽  
Nishma Bajracharya ◽  
Aruna Karki ◽  
...  
Keyword(s):  
Postmenopausal Woman ◽  
Postmenopausal Women ◽  
Urinary Retention ◽  
Surgical Excision ◽  
Rare Clinical Entity ◽  
Urethral Meatus ◽  
Emergency Ward ◽  
Labial Fusion ◽  
History Of ◽  
Surgical Separation

Complete labial fusion with retention of urine is a rare clinical entity. It occurs when the labia are fused in midline, forming a raphe. It usually develops in postmenopausal women with hypoestrogenism. The usual treatment is with topical estrogen and surgical separation followed by some dilatation. Here we present a case of a 58 years’ postmenopausal,unmarried, nullipara woman who came to our emergency ward with retention of urine.She had history of incomplete voiding and dribbling of urine since six months. General examination and investigations were normal. Her clitoris was normal in size, and the labia majora and anus were visualized well; however, the urethral meatus and vagina were not seen because of fused labia minora.Patient required surgical excision of fused labial folds to relieve the retention.Keywords: Labial fusion; postmenopausal; urinary retention.

scholarly journals Effect of urethral meatus cleansing on midstream urine contamination rate in boys

2016 ◽  
Vol 48 (3) ◽  
pp. 180
Author(s):  
Musim Musim ◽  
M P Damanik ◽  
Purnomo Suryantoro
Keyword(s):  
Contamination Rate ◽  
Urine Specimen ◽  
Urethral Meatus ◽  
Pathogenic Organism ◽  
Group I ◽  
Pathogenicity Group ◽  
History Of ◽  
Significant Bacteriuria ◽  
Urine Contamination ◽  
Trained Nurse

Background Clean-catch midstream urine (MSU) remains thestandard procedure for urine collection even if it's role to reducebacterial contamination rate is unclear.Objective To compare bacterial contamination rate betweenclean-catch (cleaning urethral meatus with medicated soap) andnon clean-catch MSU among boys.Methods An experimental study with parallel groups and blockrandomization was conducted. Toilet-trained boys aged 3 to 18years, without symptoms or signs of urinary tract infection wererecruited from the Pediatric Outpatient Clinic at Sardjito Hospitaland from a local elementary school. Subjects with history of renaldisease, those who were on under antibiotic treatment in thepreceding week, or with meatal abnormality or non-cooperativewere excluded. Urine specimen was collected by a trained nurse,and was cultured within one hour by personnel blinded to theassignment. Significant bacteriuria was defined as growth of asingle pathogenic organism (degree of pathogenicity group I-III)with colony count 2: 105 colony forming unit/mi. Contaminationwas defined as any growth not fulfilling criteria for significantbacteriuria or growth of multiple organisms.Results A total of 80 boys were enrolled. The contamination ratein the clean-catch group was 13% (5 out of 40) compared with10% (4 out of 40) in the non clean-catch group (P=l.O). Theadjusted risk ratio for contamination in the clean-catch MSUgroup, adjusted to age and circumcision status, was 1.37 (95%CI 0.42; 4.51).Conclusion Clean-catch method does not reduce bacterial con-tamination rate of midstream urine cultures in boys

scholarly journals Urethral Leiomyoma: A Rare Clinical Entity

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ng Beng Kwang ◽  
Aruku Naidu ◽  
Azyani Yahaya ◽  
Lim Pei Shan
Keyword(s):  
Lower Urinary Tract ◽  
Rare Case ◽  
Histopathological Examination ◽  
Urethral Meatus ◽  
Diagnostic Dilemma ◽  
Urethral Leiomyoma ◽  
Urinary Tract Symptoms ◽  
Rare Location ◽  
History Of ◽  
Lower Urinary

Extrauterine leiomyomas are encountered occasionally, which can pose a diagnostic dilemma and challenge to the gynaecologist. We report a rare case of urethral leiomyoma. A 31-year-old woman with history of primary subfertility presented with mass at her urethral meatus and lower urinary tract symptoms. She underwent examination under anaesthesia and excision of the urethral mass. Histopathological examination confirmed leiomyoma. Diagnosis and management of this common growth situated at a rare location were reviewed and discussed.

scholarly journals A rare giant mixed germ cell tumor of the pineal region with immature elements: Case report and review of the literature

Rare Tumors ◽  
2021 ◽  
Vol 13 ◽  
pp. 203636132110265
Author(s):  
Camille K Milton ◽  
Panayiotis E Pelargos ◽  
Nathaniel D Stetson ◽  
Manuel Maldonado-Vital ◽  
Kar-Ming A Fung ◽  
...  
Keyword(s):  
Germ Cell ◽  
Obstructive Hydrocephalus ◽  
Mature Teratoma ◽  
Germ Cell Tumors ◽  
Pineal Region ◽  
Term Survival ◽  
Mixed Germ Cell Tumor ◽  
History Of ◽  
Pathologic Analysis ◽  
Mixed Germ Cell Tumors

The diagnosis and management of mixed intracranial germ cell tumors may be complicated by the diversity present within this tumor category. Mixed germ cell tumors demonstrate variable natural histories which may be altered by the inclusion of even the most minute immature histological components. We report the case of an 18-year-old male who presented with a 3-month history of progressive headache and nausea leading to lethargy. Imaging revealed a giant pineal region mass extending superiorly from the roof of the fourth ventricle into the lateral ventricle, with resultant obstructive hydrocephalus. No spinal lesions were noted. Following gross total resection, the patient experienced marked improvement. Pathologic analysis identified an uncommon tumor composition: mature teratoma (96%), immature teratoma (2%), and germinoma (2%). Guided by the immature component, chemotherapy and radiation were added post-operatively to provide this patient with the greatest chance of long-term survival. Intracranial pathology, including germ cell tumors, should be included in the differential for any young patient presenting with new and progressive headache and nausea. This case emphasizes the benefit of a multimodal approach to mixed germ cell tumors of the pineal region and the importance of careful pathologic review of all submitted material.

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