ABSTRACT
<p><b>INTRODUCTION</b>A subungual exostosis (SE) is a bony overgrowth that is permanently attached to the tip of the distal phalanx. Its pathology differs from osteocartilaginous exostoses in that it mainly involves the overgrowth of normal bone, which may present beneath the toenail or on the sides of the toe. This retrospective study aimed to report the results of surgical treatment when the diagnosis of SE was delayed; the condition was initially considered to be another pathology affecting a different nail or the terminal toe.</p><p><b>METHODS</b>A total of 17 patients (12 female, five male) were included in the study. All surgical resections were performed by the same surgeon using the same surgical technique, with the patient under digital anaesthesia. The patients were evaluated pre- and postoperatively (on Weeks 1 and 6, the first year, and the last follow-up visit) using the American Orthopaedic Foot and Ankle Society questionnaire and the Visual Analogue Scale score.</p><p><b>RESULTS</b>The patients underwent surgery for SE removal between December 2009 and October 2012. Their mean age was 21.3 ± 4.4 (range 14-29) years and the mean follow-up period was 27.1 ± 7.8 (range 18-45) months. Clinical or radiological recurrence was not observed in any of the patients during the follow-up period. Four patients had superficial infections, which were treated using appropriate antibiotic therapies.</p><p><b>CONCLUSION</b>As SE is an uncommon benign lesion, its diagnosis may be delayed. Radiography may be useful in obtaining a differential diagnosis.</p>
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Bone Neoplasms , Diagnostic Imaging , General Surgery , Cartilage , Diagnostic Imaging , General Surgery , Diagnosis, Differential , Exostoses , Diagnostic Imaging , General Surgery , Nail Diseases , Diagnostic Imaging , General Surgery , Nails , General Surgery , Orthopedics , Methods , Pain Measurement , Postoperative Period , Recurrence , Retrospective Studies , Surveys and QuestionnairesABSTRACT
Primary neuroendocrine carcinoma of the breast is an extremely rare neoplasm that differs from other types of breast carcinoma according to the pathological features. We describe here a case of primary neuroendocrine carcinoma in a 72-year-old woman who complainted of a lump in her left breast. After examination and evaluation, the diagnosis was made by a core needle biopsy and the subsequent immunohistochemical examination of the specimen revealed more detailed information. We performed modified radical mastectomy, which showed no axillary node involvement. The patient was given neither radiation nor chemotherapy, however, but hormonotherapy was started postoperatively. Any recurrence has not been demonstrated at 12 months after the operation.
Subject(s)
Aged , Female , Humans , Biopsy, Large-Core Needle , Breast , Breast Neoplasms , Carcinoma, Neuroendocrine , Mastectomy, Modified Radical , RecurrenceABSTRACT
Primary neuroendocrine carcinoma of the breast is an extremely rare neoplasm that differs from other types of breast carcinoma according to the pathological features. We describe here a case of primary neuroendocrine carcinoma in a 72-year-old woman who complainted of a lump in her left breast. After examination and evaluation, the diagnosis was made by a core needle biopsy and the subsequent immunohistochemical examination of the specimen revealed more detailed information. We performed modified radical mastectomy, which showed no axillary node involvement. The patient was given neither radiation nor chemotherapy, however, but hormonotherapy was started postoperatively. Any recurrence has not been demonstrated at 12 months after the operation.