scholarly journals Female Adnexal Tumor of Wolffian Origin Presenting as Paratubal / Broad Ligament Masses: A Case Report

2021 ◽  
Vol 14 (10) ◽  
Author(s):  
Sedigheh Ghasemian Dizaj Mehr ◽  
Setareh Akhavan ◽  
Behnaz Jahanbin ◽  
Sharzad Sheikhhasani ◽  
Farzaneh Rashidi Fakari
Keyword(s):  
Benign Tumor ◽  
Frozen Section ◽  
Broad Ligament ◽  
Pelvic Mass ◽  
Conservative Surgery ◽  
Rare Type ◽  
Case Presentation ◽  
Adnexal Tumor ◽  
Gynecological Tumor

Introduction: A female adnexal tumor of probable Wolffian origin (FATWO) is a rare type of gynecological tumor that is difficult to diagnose based on laboratory and radiologic studies. Although FATWO is considered a benign tumor, recurrence and metastasis have been reported. Currently, there is no best surgical and surveillance approach for FATWO. We presented two Wolffian tumors as paratubal / broad ligament masses. Case Presentation: This is a report of a 32-year-old woman with vaginal discharge and incidentally pelvic mass diagnosis who underwent conservative surgery with a frozen section based on the Wolffian duct tumor. Immunohistochemically, the results confirmed FATWO. The patient was free of recurrence 20 months after conservative surgery. Conclusions: Although FATWO has benign behavior, some types of this tumor have malignant features, and there is no clear recommendation regarding optimal treatment and surveillance of FATWO. Therefore, based on the literature, pathologists are recommended to utilize a wide array of immunohistochemical stainings to offer appropriate diagnosis and optimal surgery to patients. Moreover, patients should be followed up for a long-term period until we have enough knowledge in the field.

scholarly journals Endometrioid adenocarcinoma of the rectovaginal septum with invasion of the rectum: a case report and review of literature

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Hua Yang ◽  
Jiao-jiao Gu ◽  
Yue Qi ◽  
Wei Zhao ◽  
Xin-lu Wang
Keyword(s):  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Preoperative Imaging ◽  
Histopathological Diagnosis ◽  
Endometrioid Adenocarcinoma ◽  
Rectovaginal Septum ◽  
Case Presentation ◽  
Additional Chemotherapy ◽  
Good Treatment Response ◽  
Gynecological Tumor

Abstract Background Malignant transformation of endometriosis in the rectovaginal septum is rare and usually misdiagnosed as a colorectal or gynecological tumor. We report a rare case of primary endometrioid adenocarcinoma of the rectovaginal septum with invasion of the rectum. Case presentation A 57-year-old overweight woman presented with vaginal bleeding and self-reported left lower abdominal pain during the previous 2 weeks. Preoperative imaging showed a large pelvic mass with invasion of the rectum, suggestive of a gynecologic malignancy. Multiple endoscopic biopsies and immunohistochemical analyses of specimens was performed. The patient received joint gynecological-surgical laparotomy, and there were no intra- or postoperative complications. The histopathological diagnosis was rectovaginal endometrioid adenocarcinoma with rectum infiltration. The patient received adjuvant chemotherapy and achieved good treatment response, with no early complications. At 12 months after surgery, there was no evidence of recurrence. Conclusions A high index of clinical suspicion is required for the diagnosis of endometrioid adenocarcinoma in the rectovaginal septum. Surgery combined with additional chemotherapy or radiotherapy seems to be a standard treatment, and hormonal therapy is optional. The efficacies of other therapies, including targeted medication and immunotherapy, are unknown.

scholarly journals Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
D. Myoteri ◽  
D. Dellaportas ◽  
C. Nastos ◽  
I. Gioti ◽  
G. Gkiokas ◽  
...  
Keyword(s):  
Solitary Fibrous Tumor ◽  
Spindle Cell ◽  
Pelvic Mass ◽  
Histopathological Diagnosis ◽  
Recurrence Rates ◽  
Rare Type ◽  
Case Presentation ◽  
Spindle Cells ◽  
Fibrous Tumor ◽  
Mesenteric Excision

Introduction. Solitary fibrous tumor is a rare type of mesenchymal, spindle-cell tumor reported mostly in the pleura. Retroperitoneal occurrence is rare and histopathological diagnosis is challenging. Case Presentation. A 55-year-old woman with nonspecific abdominal pain was found to have a retroperitoneal/pelvic mass adjacent to the upper rectum. The patient underwent surgical resection in clear margins of this pelvic tumor, entering the total mesenteric excision surgical plane. Final histopathology revealed a solitary fibrous tumor and the case is presented herein. Discussion. Solitary fibrous tumor in the retroperitoneum is rarely found in the literature and to the best of our knowledge less than a hundred cases are described so far. Histopathological diagnosis is mostly based on a “patternless pattern” on microscopic examination, which is a storiform arrangement of spindle cells combined with a “hemangiopericytoma-like appearance” and increased vascularity of the lesion. Surgery is the mainstay of treatment and recurrence rates are generally low.

scholarly journals Large pelvic mass - careful planning - can decrease the morbidity

2017 ◽  
Vol 6 (8) ◽  
pp. 3676
Author(s):  
Jyoti Kankanala
Keyword(s):  
Frozen Section ◽  
Broad Ligament ◽  
Pelvic Mass ◽  
Large Mass ◽  
Careful Planning ◽  
Team Members ◽  
Exact Location ◽  
Ct Contrast

We report a case of a 43-year old woman with a 24-26 weeks size pelvic mass, inspite of CT contrast pelvis the exact location of mass remained unclear. At laparotomy, it was found to be a broad ligament multilobulated leiomyoma measuring 20-24cm and weighing, approximately 1400gms. We are reporting this to emphasize the importance of planning a case and involving different team members in case of large mass with an anticipation of complications and also a pathologist a day prior about the need for frozen section.

Composite Pleomorphic Xanthoastrocytoma-Ganglioglioma Presenting as a Suprasellar Mass: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 52 (6) ◽  
pp. 1465-1469 ◽  
Author(s):  
David John Yeh ◽  
Richard B. Hessler ◽  
E. Andrew Stevens ◽  
Mark R. Lee
Keyword(s):  
Frozen Section ◽  
Pleomorphic Xanthoastrocytoma ◽  
Neurological Deficits ◽  
Subtotal Resection ◽  
Histopathological Diagnosis ◽  
Rare Type ◽  
Long Term Follow Up ◽  
Male Patients ◽  
Final Histological Diagnosis

Abstract OBJECTIVE AND IMPORTANCE Composite pleomorphic xanthoastrocytoma (PXA)-ganglioglioma (GG) is a recently recognized, rare type of neoplasm that most commonly presents as a temporal seizure focus among male patients less than 30 years of age. This case represents the only reported suprasellar presentation, with the youngest reported age at diagnosis. CLINICAL PRESENTATION We present the case of a 12-year-old boy with new-onset diplopia who was diagnosed as having a large suprasellar mass, which was presumptively designated a craniopharyngioma on the basis of its clinical and radiological appearance. INTERVENTION Gross total resection of a well-encapsulated tumor with adjacent cysts was achieved, without postoperative neurological deficits. Frozen-section studies suggested pilocytic astrocytoma; however, the final histological diagnosis was composite PXA-GG. CONCLUSION Composite PXA-GG, although extremely rare, may present as a pediatric suprasellar mass. The histopathological diagnosis is contingent on the demonstration of distinct coincident PXA and GG components. The prognosis after gross subtotal resection is likely favorable; however, long-term follow-up monitoring is indicated for these rare neoplasms.

Differentiated chondrosarcoma, originated in thyroid cartilage of larynx: evaluation and treatment. Clinical case presentation

2013 ◽  
Vol 19 (4) ◽  
pp. 451-457
Author(s):  
Linas Pocius ◽  
Vytautas Čepulis
Keyword(s):  
Head And Neck ◽  
Clinical Case ◽  
Combined Therapy ◽  
Thyroid Cartilage ◽  
Conservative Surgery ◽  
Early Management ◽  
Case Presentation ◽  
Course Of Disease ◽  
The Moment

Background. The goal of our clinical case presentation is to introduce evaluation and treatment of rare head and neck tumor, the laryngeal chondrosarcoma (CS). Despite disease origin being properly suspected at the early management of our patient, the final outcomes tend to be just satisfactory because too many cofactors have had a strong influence on the course of disease. Materials and methods. In this case, we described applied investigations and chosen tactics of treatment to our patient in a chronological manner, some immediate results, but also remote consequences of the management of this disease. Results. In our opinion, outcome in this patient’s case was predicted not just by the biology of malignancy itself, but also by some specific qualities of the tumor and even misinterpretations of instrumental examination at the moment of making decisions regarding the initial treatment; moreover, some solutions, corrected by the patient himself, maybe played an important role in the clinical course further. We want to point out how achieved results and outcomes could be unpredictable, under influence of near coincidence of fate, and different, in comparison with the cases described in the majority of the literature. Conclusions. 1.  Relatively simple diagnostic with contemporary features, plenty of modern surgical treatment possibilities or even combined therapy in complicated cases – it makes no difficulties for management of typical chondrosarcoma of the larynx, yet sometimes tricky findings when evaluating the disease and an unpredictable or surprising course of treatment and continuation make this rare kind of head and neck malignancies really special. 2. RT neither chemotherapy are recommended therapeutic options, except some rare individual cases. 3. Conservative surgery tends to be adequate if made properly and in time, it obviously ensures long-term remission or cancer-free life.

scholarly journals Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Esther Manor ◽  
Elena Kan ◽  
Lipa Bodner
Keyword(s):  
Ct Scan ◽  
Malignant Transformation ◽  
Benign Tumor ◽  
Normal Karyotype ◽  
Panoramic Radiograph ◽  
Conservative Surgery ◽  
Ameloblastic Fibrosarcoma ◽  
The Common ◽  
Aggressive Tumor

Background. Ameloblastic fibroodontoma (AFO) is a rare mixed odontogenic tumor with epithelial and mesenchymal components. AFO presents as a painless swelling in the mandible or maxilla. Radiographs show a well-defined radiolucent area containing various amounts of radiopaque material of irregular size and form. The common treatment is enucleation. It is not an aggressive tumor but recurrence and malignant transformation are possible.Methods. An AFO of the mandible of a 3-year-old female is reported. Panoramic radiograph and CT scan revealed a unilocular lesion with radiopaque center and radiolucent margins. Enucleation was performed with a good outcome.Results. Histopathology was a classic AFO. The karyotype was normal. No recurrence was noted at 12 months.Conclusions. As it is a benign tumor with low recurrence rate, conservative surgery is the treatment of choice. As malignant transformation to ameloblastic fibrosarcoma or ameloblastic odontosarcoma is possible despite the normal karyotype, long-term followup is recommended.

scholarly journals COVID-19 related mortality in post-operative cardiac surgical patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Azhar Hussain ◽  
Amina Khalil ◽  
Priyanka Kolvekar ◽  
Prity Gupta ◽  
Shyamsunder Kolvekar
Keyword(s):  
Cardiac Surgery ◽  
Long Term Outcomes ◽  
Case Presentation ◽  
Elective Cardiac Surgery ◽  
The United Kingdom ◽  
Global Pandemic ◽  
Cardiac Operations ◽  
Related Mortality

Abstract Background COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown. Case presentation We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures. Conclusion The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

scholarly journals Hybrid treatment of fibroadipose vascular anomaly: A case report

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 890-897
Author(s):  
Francesco Stillo ◽  
Federica Ruggiero ◽  
Antonio De Fiores ◽  
Rita Compagna ◽  
Bruno Amato
Keyword(s):  
Patient Satisfaction ◽  
Vascular Anomaly ◽  
Rare Type ◽  
Complete Excision ◽  
Hybrid Treatment ◽  
Constant Pain ◽  
Additional Surgery ◽  
Ethanol Embolization

AbstractBackgroundFirst identified in 2014, fibroadipose vascular anomaly (FAVA) is a very rare type of venous and lymphatic malformation. Marked by tough fibrofatty tissue in the extremities overtaking portions of the muscles, it is associated with constant pain and contracture of the affected extremity. There is a paucity of literature, and no guidelines on treatment procedure are available. This case highlights the role of hybrid treatment with primary ethanol percutaneous ethanol embolization and additional surgery for radicality in excision of FAVA lesions.Case summaryA 9-year-old girl with FAVA underwent the hybrid treatment. The achievements of complete excision, clinical response, and patient satisfaction in long-term follow-up were assessed. Following the hybrid treatment, the patient experienced significant improvement in pain. Concurrent symptoms of physical limitation, leg swelling, and skin hyperesthesia also improved. The clinical benefit, supported by postoperative physiotherapy, was well stabilized at 6-month follow-up, resulting in complete patient satisfaction at 12- and 36-month follow-ups. No major complications were encountered.ConclusionEthanol embolization plus surgery is a safe, effective, and long-term hybrid treatment of symptomatic FAVA lesions.

scholarly journals Fibromuscular dysplasia with recurrence after “long-term” following percutaneous transcatheter renal angioplasty: two case reports with a review of 26 patients

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Shuntaro Oribe ◽  
Takafumi Toyohara ◽  
Eikan Mishima ◽  
Takehiro Suzuki ◽  
Koichi Kikuchi ◽  
...  
Keyword(s):  
Fibromuscular Dysplasia ◽  
Age Of Onset ◽  
Case Reports ◽  
Case Presentation ◽  
Renal Angioplasty ◽  
Long Term Follow Up ◽  
Percutaneous Transluminal Renal Angioplasty ◽  
The Difference

Abstract Background Fibromuscular dysplasia (FMD) often causes renal artery stenosis with renovascular hypertension. Recent clinical outcomes encourage percutaneous transluminal renal angioplasty (PTRA) to treat FMD; however, the necessary follow-up period remains unclear. Moreover, previous studies have not revealed the difference in the period until recurrence between two major types of FMD—multifocal and focal. Case presentation We describe two patients with multifocal FMD who developed hypertension during their teenage years and had recurrence of FMD > 10 years after PTRA. We further examined the types of FMD and age of onset in 26 patients who underwent PTRA. The period until recurrence of multifocal FMD was longer than that of focal FMD. Moreover, patients with early-onset multifocal FMD are likely to have a delayed recurrence after PTRA compared to other types. Conclusions Our report suggests that patients with multifocal FMD, especially those with onset at an early age, may need long-term follow-up for at least ≥ 10 years.

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