Simultaneous bilateral male breast cancer: a case report and review of the literature

The Male Breast Cancer [MBC] is a very rare neoplasm which accounts for 0.5- 1% of the total cases of breast cancer. Bilateral involvement is reported to occur in fewer than 2% of all the diagnosed cases of MBC, and synchronous tumors are very rare. Because of its rarity, little is known about MBC etiology, its clinical findings and treatment. Most patients present with a painless breast mass. The prognosis does not seem to be poor compared to that of the females, and it probably has a similar stage by stage prognosis. Surgical treatment is the gold standard for MBC. The authors report a case of simultaneous bilateral male breast cancer. The aim of this case report was to contribute to the available literature by this unusual presentation of the disease

Congenital intestinal lymphangiectasia: report of a case

Congenital intestinal lymphangiectasia is a rare protein-losing enteropathy that usually affects children and young adults. Major symptoms include peripheral edema, mild non-bloody diarrhea, and chylous effusions that may develop during the course of the disease. In this disorder intestinal lymphatic vessels show fibrous occlusions that lead to pressure elevation of the lymphatic flow and rupture of the small lymphatic vessels. Transudation of lymph fluid into the different layers of the intestinal wall and lumen then occurs

comparison between radiologic manifestations in adults with smear positive and smear negative pulmonary tuberculosis

Iran with the rate of 17.9 cases in 100000 population had the seventeenth grade of tuberculosis incidence in 1998, indicating high prevalence rate of disease. Rapid diagnosis of disease is important for treatment of patients with tuberculosis and prevention of distribution in the community. This study was carried out to compare the radiologic manifestations of lung in smear negative and smear positive patients. This descriptive study performed from 2004 to 2007 on patients referring to Imam Reza Hospital, Mashhad University of Medical Sciences. Sputum smear was examined for patients suspected to pulmonary tuberculosis. Positive smear for BK cases, were considered as smear positive patients. Bronchoseopy was performed for patients whose smears were negative for 3 times. Patients whose disease was confirmed with BAL or biopsy were supposed as smear negative patients. Finally, we collected information of 58 patients with smear positive tuberculosis and 64 patients with smear negative tuberculosis and compared radiologic manifestations of the two groups by chi-square and t test. In this study, there were 122 patients including 63 females [51.63%] and 59 males [48.36%]. Patients' age range was 16-90 years old with the mean of 56.37 [SD - 18.8]. The most common radiologic manifestation was Airspace consolidation, seen in 52 patients [42.6%] including 19 patients with smear positive and 33 patients with smear negative. Other radiologic features according to their prevalence consisted of: Airspace consolidation and Volume loss in 24 patients [19.7%] including 8 smear positive and 16 smear negative, Airspace consolidation and Bronchogenic spread in 17 patients [13.9%] including 16 smear positive and 1 smear negative, Airspace consolidation and Cavitation in 16 patients [13.1%] including 12 smear positive and 4 smear negative and Intrestitial opacities [Miliary] in 13 patients [10.5%] including 3 smear positive and 10 smear negative. Generally, in 85 percent of patients with cavitary pulmonary tuberculosis, smear of sputum was positive, but just in less than 35 percent of patients with collapse and less than 25 percent of patients with intrestitial pattern, smear of sputum was positive

Primary hydatid cyst of the breast: a case report

Cystic hydatid disease is caused by the parasite Echinococcus granulosus. The breast is a rare primary site of hydatid disease that accounts for only 0.27% of all cases. The cyst is usually asymptomatic and should be included under differential diagnosis of a breast lump, especially in endemic areas of this disease. Herein, we described the biopsy-proven case of a 46-year-old woman with primary hydatid disease of left breast

[Evaluation of chest radiography in primary lung cancer]

Primary lung cancer is the most common lethal carcinoma in both male and female. Unfortounately, signs and symptoms of lung cancer are non-specific. The most common manifestations are coughing, hemoptysis, dyspnea, chest pain, weight loss and hoarseness. Twenty five percent of patients are asymptomatic and are diagnosed with the abnormality of CXR. The aim of this study was evaluation of outcome of chest radiography in patients with lung cancer. This descriptive study was done in Imam Reza Hospital during the year 1383. As CXR is accessible, easy and low cost, it is suggested as the first step in lung cancer diagnosis. 100 known cases of lung cancer were evaluted. Fiberoptic bronchoscopy and bronchial or parenchymal biopsy plus culture and regular laboratory tests were done for all patients before entering the study. Data was collected in questionaire and Analyzed by descriptive statistics. The mean age of patients was 62 years. The highest frequency was found in the 6[th] decade, 77% were smokers. Right lung involvement as revealed by plain and lateral chest radiography was found to be more frequent. The most common abnormal radiographic finding was bronchial obstruction [collapse, atelectasis, obstructive pneumonia]. Since lung cancer is so lethal, early diagnosis would have great influence on disease process and treatment result. Chest radiography is a chip, easy available diagnostic method, highly recommended to at-risk patients

Angiosarcoma of the breast; report of a case and literature review

Angiosarcoma of the breast is a rare tumor that accounts for 0.04% of all breast neoplasms at the third and fourth decades of life; in contrast with carcinoma, which generally arises later. Angiosarcoma of the breast usually manifests as a painless, palpable mass without tenderness, with or without bluish-red discoloration of the overlying skin. Angiosarcoma has a high mortality rate and a very poor prognosis. Mastectomy and chemotherapy are the most likely choices of treatment for a primary angiosarcoma of the breast. Immunotherapy may also play a part in treating this rare type of breast cancer. This paper presents a case of angiosarcoma of the breast, and relevant data in the literature is also reviewed to discuss the questions on its origin, symptoms, diagnosis and treatment

Delayed post-traumatic parotid sialocele: report of a case

This case report documents one of the more unusual causes of a facial swelling in the preauricular and buccal region, post-traumatic parotid sialocele. Facial lacerations are common injuries; however, parotid gland involvement and, in particular, ductal transection is relatively uncommon and only 0.2% of such patients have a parotid gland injury. A sialocele typically develops 8 to 14 days after the injury but in our case, the presentation was delayed [8 months after trauma]. Sialography can play a significatnt role in the diagnosis of sialocele by indicating the extent of parotid duct injury. We describe a 17'year' old girl with progressive marked facial swelling in the left parotid and buccal area with past history of penetrating facial injury. Using text and images, we detail our diagnostic management. This case report illustrates the relationship of trauma to sialocele formation, while suggesting that sialography shoud be done in oral, neck and face masses suspected to be related to salivary ducts. Posttraumatic parotid sialocele should be considered in the differential diagnosis for any posttraumatic facial or high neck swelling

Hydatid cysts of the breast: a report of three cases

Hydatid cyst of the breast is rare and is not usually included in the differential diagnosis of the breast lumps. The radiologic findings of hydatid cyst of the breast is non-specific and the differential diagnosis includes cyst, fibroadenoma, phyllodes tumor and circumscribed carcinoma. We report three patients with surgically proven hydatid cysts of the breast