[Giant cavernous hemangioma of the liver: a report of a case and review of the literature]

Cavernous hepatic hemangioma is the most frequent benign liver tumour, but the giant form is rare . we report our experience of one case, who has had a hurting tumor of epigastric.the patient had a left hepatic lobectomy. we discuss the diagnosis and the different treatments

[Gastric epidermoid carcinoma]

The gastric localization of the epidermoid tumors is rare. Only 90 cases have been published since 30 years. The observation returned here is, according to us, the second of the french literature. The objective of our work is to raise the etiopathogenic particularities and diagnostic of this pathological entity. It is about a lady of 60 years, without pathological history, admitted for stimulating epigastric pain to 6 months, without hemorrhages. The physical exam was without particularity. The fibroscopic exam of oeso-gastric tractus had objectified a tumor of the stomach. The histological exam of the biopsies revealed a epidermoid carcinoma. The scanning had not shown locoregional extension. The surgical exploration found a tumor of the stomach without invasion of the neighborhood structures. A subtotal gastrectomy was achieved. The histological exam of the operative piece confirned the diagnosis of epidermoid carcinoma well differentiated. The follow up was simple

Pathological cyst of adrenal gland

The cyst of the adrenal gland is a relatively rare pathology. It is defined as being an excrescence to content liquidien to adrenal tissues that is partially or completely destroyed. Through 3 cases collected in the service of general surgery, we report the preoperatory diagnosis difficulties in spite of the means of recent investigation. It is about three women whose middle age is of 33 years. The motive of consultation is an abdominal pain in the 3 patients. The exam is normal in 2 cases and watch an enormous abdominal mass in the third case. The diagnosis of the cyst of the adrenal is evoked in the ultrasonography and the CT scan in a case. In the two other cases, one is oriented toward a hydatid cyst of the liver and a pseudocyst of the pancreas. The hydatid serology is negative among the three patients. The surgical access is a lapartomy under left costal in two cases, and under right costal in a case. The surgical procedure consists in a left surrenalectomy in two cases and an excision of the cyst in a case. The operative follow up are simple. The pathological examination shows a pseudo-cyst in a case, and a cyst endothelial in the two other cases. The cyst of the adrenal is most often asymptomatic. Its symptomatology is bound to the compression of the neighborhood organs. The diagnosis is not always easy its treatment is essentially surgical