ABSTRACT
The isolated thoracic parietal localization is a very rare shape of tuberculosis. It often leads to a diagnosis problem with the parietal tumours requiring surgical biopsy. We report a case of tubercular abscess localized in the antero-superior part of the thoracic wall with a second abdominal localization without any pulmonary localization. It was a 56-year-old woman presenting a swelling in the right side of the sternum accompanied after some months by a second swelling of the right flank of the abdomen, for one year. The radiological and biological explorations were in favour of a double localization parietal tumour. The diagnosis of certainty has been made by the histological exam of the surgical biopsy and the bacteriological exam of the trans-parietal withdrawal of the collection. The classic tuberculosis treatment has been maintained during 9 months with a good clinico-radiological evolution. Through this observation, we try to study the anatomo-clinical particularities and to clear the diagnostic difficulties of this affection
ABSTRACT
Carney complex is a rare autosomal dominant disease. We report one case in a 26 year old female who presented in 1995 with Cushing's syndrome due to a 4 cm left adrenal adenoma. An adrenalectomy was performed and the tumour examination concluded that the tumour was mixed: medullary and adrenal tumor. In 1997, the patient was seen because of a pyramidal syndrome and a left boy hypoethesia secondary to a medullar melanotic schwannoma. In 2003, the Cushing's syndrome recurred because of a right adrenal tumor which was resected. At the same time, a thyroid nodule and a left ovarian cyst were discovered. A thyroid adenomectomy was performed and the tumour was found to be benign. Surgery for the ovarian cyst had not yet been performed. Few months tumour was found to be benign. Surgery for the ovarian cyst has not yet been performed. Few months later, the patient was seen because of a left breast ductal carcinoma. The association of these different tumors lead us to conclude that our patient had a Carney Complex. We discuss the clinical, genetical and evolutive specificities of this syndrome
ABSTRACT
Langerhans cell histiocytosis [HL] is due to the proliferation of phagocyte mononuclear cells. We describe the endocrine manifestations of HL in 3 cases, aged 8, 21 and 37 years. Diabetes Insipidus was the cause of consultation in these 3 cases. Ante- hypopituitarism was present in 2 patients: one had panhypopituitarism and the second [a 8 years old patient] had isolated growth hormone deficiency. Functional hyperprolactinemia was found in 2 cases. Thyroid infiltration was associated in one case