An unusual pseudoneoplasm: mass-forming tuberculosis infection mimicking rectal carcinoma

2017 ◽  
Vol 3 (1) ◽  
pp. 32-34
Author(s):  
Bal M. Dhungel ◽  
Tashi D. Wangdi ◽  
Magalys L. Cuba ◽  
Sonam Pelden ◽  
Giovanni DePetris
Keyword(s):  
Rectal Carcinoma ◽  
Rare Case ◽  
Giant Cells ◽  
Tuberculosis Infection ◽  
Presumptive Diagnosis ◽  
Acid Fast Bacilli ◽  
Rectal Mass

A rare case of primary rectal tuberculosis presented as a rectal mass, indistinguishable clinically and radiologically from advanced rectal carcinoma . Histology failed at first to identify granulomas, acid fast bacilli, or malignancy, but subsequent biopsies showed multiple epithelioid granulomas with caseating necrosis and Langhans giant cells. Given these findings and the high regional incidence of tuberculosis, presumptive diagnosis was given and anti-tubercular drugs were initiated followed by resolution of the mass and symptoms.

scholarly journals Ano-rectal Melanoma: A Rare Case Report

2020 ◽  
Vol 7 (7) ◽  
pp. C91-93
Author(s):  
Ayesha Khatoon ◽  
Vyshnavi Vasantham ◽  
Urvashi Sharma ◽  
Shakti Kumar Yadav ◽  
Rupinder Kalra ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Diagnosis ◽  
Rectal Carcinoma ◽  
Rare Case ◽  
Dismal Prognosis ◽  
Rectal Melanoma ◽  
Rare Case Report ◽  
Rectal Mass

Ano-rectal melanoma is extremely rare and has dismal prognosis when compared to cutaneous melanomas. It presents as ano-rectal mass and patients usually complain of passing blood in stools. Being, a highly aggressive neoplasm, widespread metastasis is common, which can be seen even at the time of diagnosis. Here, we present a case report of ano-rectal melanoma in a 40-year old male, who presented with complaints of anal growth since one month. Initially, a clinical diagnosis of rectal carcinoma was suspected. However, biopsy of the growth showed histomorphological features of melanoma, which were confirmed on immunohistochemistry.

A Rare Case of Tuberculous Prostatitis

2016 ◽  
Vol 1 (2) ◽  
pp. 33
Author(s):  
Nurul Yaqeen Mohd Esa ◽  
Mohammad Hanafiah ◽  
Marymol Koshy ◽  
Hilmi Abdullah ◽  
Ahmad Izuanuddin Ismail ◽  
...  
Keyword(s):  
Rare Case ◽  
Correct Diagnosis ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Tuberculosis Infection ◽  
Advanced Age ◽  
Immunocompromised Patients ◽  
Prostatic Biopsy ◽  
High Clinical Suspicion

Tuberculous prostatitis is an uncommon form of tuberculosis infection. It is commonly seen in immunocompromised patients and in those of middle or advanced age. The diagnosis is often not straight forward due to the nature of its presentation. We report a case of tuberculous prostatitis in a young, healthy and immunocompetent patient, who initially presented with respiratory features, followed by episodes of seizures and testicular swelling. He was finally diagnosed with tuberculous prostatitis after prostatic biopsy. This case illustrates that in a high TB prevalence environment, when symptoms warrant, there should be a high clinical suspicion coupled with a thorough approach in order to arrive at a correct diagnosis of TB prostatitis.

Tumour giant cells in rectal carcinoma

1970 ◽  
Vol 101 (1) ◽  
pp. 65-66 ◽  
Author(s):  
A. R. Chang ◽  
H. G. Penman
Keyword(s):  
Rectal Carcinoma ◽  
Giant Cells

NONTUBERCULOUS ACID-FAST BACILLI IN CERVICAL ADENITIS

PEDIATRICS ◽  
1957 ◽  
Vol 20 (4) ◽  
pp. 688-697
Author(s):  
Haddow M. Keith ◽  
Lyle A. Weed ◽  
Gerald M. Needham
Keyword(s):  
Giant Cells ◽  
Skin Lesions ◽  
Mycobacterium Ulcerans ◽  
Cervical Region ◽  
Tubercle Bacillus ◽  
Cervical Lymph Nodes ◽  
Caseous Necrosis ◽  
Acid Fast Bacilli ◽  
Cervical Adenitis ◽  
Bona Fide

THE TUBERCLE bacillus is the most common cause of lymphadenitis with caseous necrosis. Such a condition in the cervical region, while less frequent than in previous decades, still occurs occasionally. While other agents, for example, Coccidioides, Histoplasma, Brucella, Pasteurella and Miyagawanella, are known to produce a similar histopathologic reaction, they are not commonly associated with lesions in the cervical lymph nodes, especially in children. Therefore the finding of acid-fast bacilli in such lesions has generally been considered bona fide evidence of tuberculosis, although previous reports from this clinic indicate that such is not necessarily true. It is recognized that there are other acid-fast bacilli, such as the lepra and smegma bacilli, which may or may not cause disease. In 1944 Gellerstedt reported seven cases of tuberculoid skin lesions due to atypical acid-fast bacilli. He considered these to be due to exogenous infection with acid-fast bacilli differing from the organisms found in tuberculosis, and he considered them as possibly saprophytic organisms. In 1948 MacCallum and co-workers reported six cases of skin lesions due to acid-fast organisms that were not Mycobacterium tuberculosis. The lesions did not contain tubercle follicles, giant cells or caseous material. The name "Mycobacterium ulcerans" was applied to these organisms by Australian workers. In 1954 Linnell and Nordén described skin lesions that occurred in 80 boys and girls who used a certain swimming pool in a Swedish town. The etiologic organisms were acid fast, differed from those described by MacCallum and associates and were not lepra bacilli. Guinea pigs injected with these organisms presented no evidence of lesions after 7 weeks.

scholarly journals Lupus Vulgaris: A Rare Case of Cutaneous Tuberculosis

2014 ◽  
Vol 41 (2) ◽  
pp. 57-58
Author(s):  
MA Chowdhury ◽  
TK Sikdar
Keyword(s):  
Medical Journal ◽  
Rare Case ◽  
Giant Cells ◽  
Multinucleated Giant Cells ◽  
Lupus Vulgaris ◽  
Cutaneous Tuberculosis ◽  
Histological Sections ◽  
Epithelioid Granuloma ◽  
Affected Tissue ◽  
Anti Tubercular Therapy

Lupus vulgaris is an extremely chronic, progressive form of cutaneous tuberculosis. The earliest description of lupus vulgaris was given by Erasmus Wilson in 1865. It usually occurs through contagious extension of the disease from underlying affected tissue or hematogenous or lymphatic spread. A 55 years male, non diabetic, non hypertensive, non smoker, got himself admitted into Dermatology and Venereology Department of DMCH with the complaints of multiple ulcerated lesions over the left lower thigh and upper leg including knee for 8 years. Histological sections of skin revealed multiple epithelioid granuloma, multinucleated giant cells and infiltration of lymphocytes with areas of fibrosis and ESR was 80 in 1st hour. The patient was treated with anti tubercular therapy and cured completely. DOI: http://dx.doi.org/10.3329/bmj.v41i2.18811 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 57-58

scholarly journals A rare case of primary tuberculosis infection with concurrent pleomorphic adenoma of the parotid gland

2010 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Hassan Mohamed Al Bisher
Keyword(s):  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Rare Case ◽  
Tuberculosis Infection ◽  
Rare Entity ◽  
Parotid Tumor ◽  
Primary Tuberculosis

Coexistence of parotid tuberculosis along with a benign parotid tumor is a rare entity with only nine cases reported in the literature. We report here a case of primary parotid tuberculosis with concurrent pleomorphic adenoma in a 51-year-old female.

scholarly journals A RARE CASE OF PERFORATED GIST OF TRANSVERSE MESOCOLON WITH SYNCHRONUS RECTAL CARCINOMA

2012 ◽  
Vol 3 (5) ◽  
Author(s):  
Venkat Krishna B R ◽  
Shashirekha C A ◽  
Suresh T N ◽  
Jothinder Singh
Keyword(s):  
Rectal Carcinoma ◽  
Rare Case ◽  
Transverse Mesocolon

Pleomorphic Carcinoma of the Gallbladder: Report of a Case

1991 ◽  
Vol 77 (6) ◽  
pp. 523-526 ◽  
Author(s):  
Rosario A. Caruso ◽  
Ciro Familiari ◽  
Giuseppe Giuffré ◽  
Giovanni Mazzeo
Keyword(s):  
Tumor Cell ◽  
Rare Case ◽  
Epithelial Membrane Antigen ◽  
Giant Cells ◽  
Pleomorphic Carcinoma ◽  
Multinucleated Giant Cells ◽  
General Lack ◽  
Carcinoma Of The Gallbladder ◽  
Extensive Necrosis ◽  
Polypoid Tumor

The authors report a rare case of primary pleomorphic carcinoma of the gallbladder in a 70-year-old woman. A polypoid tumor protruded into the lumen from the fundus of the gallbladder. Characteristic histologic findings Included a general lack of architectural cohesiveness, marked pleomorphism, presence of mononucleated and multinucleated giant cells, extensive necrosis, leukocyte-tumor cell phagocytosis or cannibalism. Immunoreactivity for cytokeratin, carclnoembryonic antigen and epithelial membrane antigen as well as histochemical positivity for mucins demonstrated the epithelial nature of the tumor. The neoplasm behaved aggressively; the patient died of metastases 9 months after the operation.

scholarly journals Giant Cell Fibroma of Tongue: Understanding the Nature of an Unusual Histopathological Entity

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Wanjari Ghate Sonalika ◽  
Anshuta Sahu ◽  
Suryakant C. Deogade ◽  
Pushkar Gupta ◽  
Dinesh Naitam ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Oral Cavity ◽  
Giant Cell ◽  
Rare Case ◽  
Giant Cells ◽  
Basic Process ◽  
Broad Category ◽  
Histopathological Features

Giant cell fibroma (GCF) is a rare case with unique histopathology. It belongs to the broad category of fibrous hyperplastic lesions of the oral cavity. It is often mistaken with fibroma and papilloma due to its clinical resemblance. Only its peculiar histopathological features help us to distinguish it from them. The origin of the giant cell is still controversial. Data available is very sparse to predict the exact behavior. Hence, we report a case of GCF of tongue in a 19-year-old male. Special emphasis is given to understand the basic process of development of the lesion, nature of giant cells, and also the need for formation of these peculiar cells. Briefly, the differential diagnosis for GCF is tabulated.

scholarly journals Mantle Cell Lymphoma Mimicking Rectal Carcinoma

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Engin Kelkitli ◽  
Hilmi Atay ◽  
Levent Yıldız ◽  
Ahmet Bektaş ◽  
Mehmet Turgut
Keyword(s):  
Mantle Cell Lymphoma ◽  
Hodgkin Lymphoma ◽  
Rectal Carcinoma ◽  
Cell Lymphoma ◽  
Treatment Options ◽  
Extranodal Involvement ◽  
Non Hodgkin Lymphoma ◽  
Rectal Involvement ◽  
Mantle Cell ◽  
Rectal Mass

Mantle cell lymphoma (MCL) is a mature B-cell non-Hodgkin lymphoma. After the (11;14) translocation was identified as its constant finding in 1992, MCL was recognized as a separate subgroup of non-Hodgkin lymphoma (NHL). In MCL, extranodal involvement may be observed in the bone marrow, the spleen, the liver, and the gastrointestinal system (GIS). Cases of MCL that present with a massive and solitary rectal mass are rare in the literature. In this case report, our aim was to present an MCL patient with a rarely observed solitary rectal involvement mimicking rectal carcinoma and to discuss treatment options for this patient.

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