Random Synchronous Malignancy in Male Breast: A Case Report / 한국유방암학회지

We report here a case of a random synchronous male breast malignancy in a patient with a known base of tongue malignancy that was incidentally detected on a whole body 18-fluorine deoxyglucose positron emission tomography and computed tomography (18F-FDG PET/CT). Patient was referred to us for PET/CT staging and radiotherapy planning for a poorly differentiated squamous cell carcinoma of base of tongue. Histopathologically, the incidentally detected breast lesion was proven to be an invasive ductal carcinoma. 18F-FDG PET/CT being a whole body imaging modality is known to detect a considerable number of synchronous primaries. Synchronous malignancies in the head and neck area and the upper aerodigestive tract are well established. However, synchronous malignancy in male breast is reportedly uncommon. Our case is unique for the fact that a random synchronous dual malignancy of base of tongue and breast in a male patient was detected during a whole body 18F-FDG PET/CT imaging.

Bochdalek hernia with intrathoracic kidney as one of its contents Incidentally identified by[99m] Tc-DTPA renogram

Congenital diaphragmatic hernia [CDH] is a rare anomaly with a reported incidence of 1 in 16,000 populations. It may be associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect. We report a case of a 1 year old male child who presented with recurrent fever, occasional chills and rigor of 4 months duration. Left kidney was non visualised on ultrasound examination. Patient was referred for a [99m]Tc DTPA [Diethylenetriamine penta-acetic acid] renogram to look for the presence of an ectopic left kidney. An intrathoracic left kidney was identified that was normally functioning and PUJ [pelviureteric junction] non obstructed. A routine chest X-ray was performed to look for respiratory tract infection that showed bowel loops in left posterior thorax, raising a suspicion for CDH. The patient underwent thoracoscopic repair of CDH and the hernial contents were found to be left kidney, intestinal loops and spleen. Intrathoracic kidney is relatively rare and constitutes 5% of all ectopic kidneys and is invariably PUJ non obstructed

Lateral thyroid ectopia

We report here a rare case of lateral ectopia of thyroid without orthotopic thyroid tissue in an Indian teenager, who was referred to our department for a thyroid scintigraphy. Technetium Pertechnetate [[99]mTcO[4][-]] scan showed uptake in laterally placed soft tissue structure along with functioning thyroid tissue in high anterior midline neck region in line with thyroglossal tract. There is no uptake in the normal anatomical thyroid bed region. Ultrasound study of the neck confirmed a soft tissue structure on the right of midline appearing coarse in echotexture with internal vascularity and absent native thyroid gland. Ectopic thyroid tissue lateral to midline associated with thyroglossal tract remnant and absence of orthotopic thyroid tissue is known to be very rare