Lymphome primitif du sein

They are rare tumors representing only 0,1% to 0,5% of all breast and chest neoplams. They have numerous diagnostical problems as well as clinical and anatomopathological difficulties. In fact the discordance between a benign mamographic image and clinical manifestations of malignancy should lead to suspicion of breast lymphoma. The histological examination should be completed by an immunohistochemical study that confirms the lymphomatous nature of the lesion. Prognosis is correlated to histological type. We reported a case of a female patient who consulted for a breast tumour and in whom the anatomopathological study confirms the diagnosis of a grand B cell lymphoma. We focus in our study on the clinical aspects of lymphoma and its therapeutic modalities with literateure review

Heterotopic pregnancy preoperative diagnosis

Simultaneous presence of intrauterine and ectopic pregnancy in the same patient is called heterotopic pregnancy. Preoperative diagnosis of such case is infrequent. A case is reported in a 22 years old patient in whom the preoperative diagnosis was suspected by ultrasonic examination. Laparotomy confirmed the diagnosis and radical treatment of the ectopic pregnancy. Spontaneous expulsion of intrauterine pregnancy occurred 48 hours in the postoperative period. Anatomopathologic findings confirmed the intrauterine diagnosis. In front of every case of abnormal early pregnancy, we have to think of the possibility of heterotopic pregnancy especially with the highly developed techniques of medically assisted production

Hematocolpos: a diagnostic trap

The heamatocolpos is a retention of menstrual bleeding in the vaginal cavity. The main etiological factor is imperforate hymen. According to the literature data and this observation, this affection is discovered at puberty and could reveal other malformations notably uterine and renal. The diagnosis can be easily confirmed in front of some clinical signs, as amenorrhoea with periodic pelvic pains and the inspection of vulvoperineal area. However normal hymen does not eliminate the diagnosis. The heamato colpos can be top of obstructed hemivagina. The pelvic ultrasonic scan is essential to check up any associated malformation. Delayed diagnosis may give rise to some complications [endometritis, infection] which may interfere with the prognosis of ulterior fertility. The treatment of these malformations is surgical more often through the vaginal approach. The prevention of this affection depends on the early diagnosis of malformation at birth by a careful inspection of vulvoperinial area and its treatment during the prepubertal period

Algies pelviennes chroniques de la femme

Women's chronic pelvic pain is one of the frequently causes in gynaecologic's consultation. It can disclose many genital, digestive, urinary and even rheumatismal affections. It can also constitued the expression for psychologic disorders. It's necessary to carry out a complete investigation with any more celioscopy or laparotomy. If this investigation negative, we can told the psychosomatic pain. The therapeutic diagnosis of pelvic pain is certainly one of the most difficult diagnosis in gynecology. the difficult, the mistakes and the vexations are frequently

Conduite a tenir devant un amas de microcalcifications mammaires

At the present time, mammography is one of the most used methods to detect breast cancer at its initial stage. This radiological examination can make shown accumulation of microcalcification that LEGAL classified into 5 increasing cancerous suspicion groups. The regular roundel annular microcalcifications are benign in most cases. The fine vermicular ones with stick form are malignant according to the majority of authors. The management of other types of microcalcifications must take the patient's age, the number and grouping of microcalcifications and the existence of many focus and risk factors into consideration

Un nouveau cas de grossesse abdominale a terme avec enfant vivant

This is a new case report of abdominal pregrancy with a term live baby in 30 years old women She has seconde infertility. The diagnosis was only made at laparotomy. The surgical treatement is still debated In reported case, extraction. of the foetus and desinsertion of the placenta with au annexectomy were carried out. In a review of the literature the authors have studied the pregnancy and notamment the diagnostic difficulties as it confirmed by our case

L'hormonotherapie en matiere de cancer du sein

Breast cancers hormonotherapy occupies a preponderant place in the adjuvant treatment of breast cancer. It date from the end of the last century cohen BEATSON proposed the ovariectomy in 1896. The hypophysectomy have been proposed in 1952, it gives a subjective amelioration going from 30 to 36%. Its indications became exceptional. The chirurgical suprarenalectomy have been used by HUGGINS and BERGENSTAL. The medical suprarenalectomy have obstained by corticoids and aminoglutethimide concerning the additive hormonotherapy, estrogens and androsgens aren't no more used. Progestatives are effective with large dose. As for antiestrogens, they are the most used actually; particularrly tomoxifin which the effectiveness and good tolerance tend to use it more in the treatment of advanced breast cancers. In the end dosages of [RE and RP] in middle of the swelling permited to rationalize and optimize the prescription