ABSTRACT
Pyomyoma (suppurative leiomyoma of the uterus) is a rare condition associated with a high fatality rate. Only surgical intervention is lifesaving. It usually develops in association with either recent pregnancy or in postmenopausal patients who have underlying vascular disease. Since 1945 only 15 cases of pyomyoma have been reported in the literature. We present a rare case of pyomyoma in a 64-year-old woman with a brief review of the literature.
Subject(s)
Female , Humans , Hysterectomy , Leiomyoma/diagnosis , Middle Aged , Nepal , Postmenopause , Uterine Neoplasms/diagnosisABSTRACT
Oncocytic tumors of salivary glands are rare. Diffuse oncocytosis is the rarest lesion among 3 principal groups of oncocytic lesions as classified by WHO. Only seven cases have been previously reported in the literature. We report a case of diffuse hyperplastic oncocytosis of the parotid gland in a 63-year-old male with a brief review of literature. To the best of our knowledge this is the first case from Indian subcontinent.
Subject(s)
Adenoma, Oxyphilic/pathology , Humans , Hyperplasia , Male , Middle Aged , Oxyphil Cells/pathology , Parotid Gland/pathology , Parotid Neoplasms/pathologyABSTRACT
Paget's disease of the breast nipple is an eczematous skin change of the nipple-areola complex often associated with an underlying in-situ or invasive carcinoma. The usefulness of cytology in the diagnosis of Paget's disease has been suggested only in few studies despite the fact that it offers definitive advantages over surgical excision biopsy. Easy practicability, quick, cost-effective and non-invasive stands opposite a limited sensitivity as disadvantage. We report a case of Paget's disease of nipple diagnosed by nipple touch smears.
Subject(s)
Biopsy, Fine-Needle , Breast Neoplasms/diagnosis , Carcinoma, Intraductal, Noninfiltrating/diagnosis , Cytodiagnosis , Diagnosis, Differential , Female , Humans , Middle Aged , Nipples , Paget's Disease, Mammary/diagnosisABSTRACT
Trichoblastoma is a rare benign skin appendage tumour with follicular differentiation. Pigmented variant of trichoblastoma is an extremely uncommon tumour and only three cases have been described in the literature. We report a rare case of pigmented trichoblastoma in a 54-year-old female.
Subject(s)
Cell Differentiation , Female , Humans , Middle Aged , Neoplasms, Germ Cell and Embryonal/pathology , Skin Neoplasms/pathology , Skin PigmentationABSTRACT
Post kala-azar mucosal leishmaniasis (PKML) is relatively rare in the Indian subcontinent. We describe an ulcerative variant of PKML with nasal involvement in a Nepalese adult male. He had ulcerated plaque over the upper lip with extensive involvement of nasal columella and septum. He came from endemic area for kala-azar and had a previous history of kala-azar. There were plenty of LD bodies in microsections and FNA of submandibular lymph node.
Subject(s)
Adult , Animals , Diagnosis, Differential , Humans , Leishmania donovani/isolation & purification , Leishmaniasis, Mucocutaneous/diagnosis , Leishmaniasis, Visceral/complications , Male , Nepal , Nose Neoplasms/diagnosis , Ulcer/pathologyABSTRACT
The case of a 40-year-old female patient with choroidal melanoma with secondary glaucoma presenting as a painful blind right eye is reported. Liver metastasis was detected by ultrasonography. The choroidal tumor measured 2 x 2.1 x 1.5 cm; histopathology showed that it was of the spindle cell (spindle A) variety. Such tumors are rare in non-white races and secondary glaucoma is an uncommon presentation.
Subject(s)
Adult , Choroid Neoplasms/complications , Female , Glaucoma/etiology , Humans , Liver Neoplasms/secondary , Melanoma/complications , NepalABSTRACT
Squamous cell carcinoma of the endometrium is extremely rare female genital malignancy. Only 64 cases have been reported in the literature. A case of primary squamous cell carcinoma of endometrium in a 55-year old-woman is reported. Examination revealed pyometra and cervical stenosis. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathology confirmed the diagnosis.
Subject(s)
Carcinoma, Squamous Cell/diagnosis , Endometrial Neoplasms/diagnosis , Female , Humans , Middle Aged , NepalABSTRACT
Microcystic papillary adenoma of nose is rarely seen in nose. This case is reported because of its rarity and to best our knowledge is a first case report from Nepal.
Subject(s)
Adenoma/pathology , Female , Humans , Middle Aged , Nose Neoplasms/pathologyABSTRACT
Nasal cerebral heterotopia (nasal glioma) are rare congenital benign masses of neurogenic origin with intranasal location, or both. An extranasal case is reported in a 2-year-old-boy without any bony defect or connection with brain. Histology and immunohistochemistry confirmed the diagnosis.
Subject(s)
Child, Preschool , Choristoma/pathology , Glioma/congenital , Humans , Immunohistochemistry , Male , Nose Neoplasms/congenital , Tomography, X-Ray Computed/methodsABSTRACT
Rhinosporidiosis is endemic in India, Sri Lanka, and parts of East Africa and South America; sporadic cases are reported in other countries. We report on five patients from eastern Nepal with oculosporidiosis. The conjunctiva was involved in two patients and the lacrimal sac was involved in three patients; treatment was by simple total excision of the conjunctivalgrowth (patients with conjunctival involvement) and by dacryocystectomy (patients with lacrimal sac involvement). This is the second case report from Nepal.
Subject(s)
Adolescent , Adult , Child , Eye Infections, Fungal/diagnosis , Female , Humans , Lacrimal Apparatus/pathology , Male , Nepal/epidemiology , Rhinosporidiosis/diagnosisABSTRACT
Two cases of visceral leishmaniasis (VL), one in a 51-year-old man with accelerated-phase chronic myeloid leukemia and another in a 35-year-old woman with acute myeloblastic leukemia, are reported. Incidental finding of Leishman-Donovan (LD) bodies in patients with leukemia highlights VL as a potent opportunistic infection in immunosuppressed patients.
Subject(s)
Adult , Animals , Bone Marrow/parasitology , Female , Humans , Leishmania donovani/isolation & purification , Leishmaniasis, Visceral/complications , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/complications , Leukemia, Myeloid, Acute/complications , Male , Middle Aged , NepalABSTRACT
Inflammatory fibroid polyp (IFP) of jejunnum is a rare nonneoplastic lesion of gastrointestinal tract. We report a case of a 45-year-old man presenting with small bowel obstruction due to jejuno-jejunal intussusception of an inflammatory fibroid polyp. To the best of our knowledges, this is the eighth reported case with such a presentation in English medical literature. Segmental resection of the jejunum was performed and histopathology confirmed the diagnosis.
Subject(s)
Humans , Intestinal Polyps/complications , Intussusception/etiology , Jejunal Diseases/complications , Jejunum/pathology , Male , Middle AgedABSTRACT
A 15-year-old girl with Duke's B mucinous carcinoma of the rectosigmoid was treated with surgical resection and adjuvant chemotherapy. The patient is alive and has been disease-free for 15 months. Colorectal carcinoma is extremely rare in children and adolescents. Adenocarcinoma of colon is a virulent disease in children and has a poor prognosis. This is because of the poor histological characteristics and difficulty in diagnosis.