ABSTRACT
@#Encephalitis associated with anti-N-Methyl-D-aspartate (NMDA) receptor is a rare form of autoimmune encephalitis. We report the first case of anti-NMDAR encephalitis in an unmarried 16-years old female who was admitted to the Neurology Emergency Unit Faculty of Medicine, Udayana University, Sanglah General Hospital Bali, Indonesia due to decreased consciousness, repetitive talking, headache, involuntary movements in the mouth and feet, and seizures. She was initially diagnosed with viral encephalitis and symptomatic epilepsy. After four weeks of treatment, she was referred to the Gynecology Department. Rectal ultrasound revealed a cystic lesion with a solid component measuring 3.6x2.64x3.18 cm from the left ovary. Laparotomy cystectomy was performed, and the histopathological examination revealed glial cells and mesoderm components in the form of cartilage tissue. Serum and cerebrospinal fluid were positive for anti-NMDA receptor antibodies. She was treated with human intravenous immunoglobulin and rituximab. Her condition was improved gradually. She recovered fully after almost six weeks of hospitalisation.
ABSTRACT
@#occur sporadically. It is defined as a primary carcinoma ofthe endometrium composed of squamous cells of varyingdegrees of differentiation. A 57-year-old female patient wasreferred to the gynaecological clinic of Faculty of Medicine,Universitas Indonesia, Dr Cipto Mangunkusumo NationalReferral Hospital because of abdominal enlargement withpain. Total hysterectomy and bilateral salpingectomy wereperformed. Histopathological examination confirmed amoderately differentiated squamous cell carcinoma, withlymph-vascular invasion. Two weeks after the operation, thepatient complained of a mass on her left supraclaviculararea. Fine needle aspiration biopsy revealed squamous cellcarcinoma metastatic in nature. The recommendedtreatment was paclitaxel (175mg/m2) and carboplatin (AUC-6), combined with pelvic radiotherapy.
ABSTRACT
@#Metastatic cervical cancers to the oral cavity are uncommon. These metastases most commonly present as lesions of the jaw bones and the mandible. A 57-year-old female patient complained of mass lesion in her oral cavity after definitive treatment for squamous cell carcinoma of the cervix stage IIIB. On examination a swelling of 3cm in size was found on the left side of buccal vestibule adjacent to the lower canine tooth. Wide local excision was performed, and histopathology results showed a squamous cell carcinoma of moderate differentiation. She was continued with segmental mandibulectomy, supraomohyoid neck dissection and plate-screw reconstruction. Radiotherapy was given as an adjuvant therapy.