ABSTRACT
Hamartomas are uncommon benign tumours of axilla and breast. They show varied imaging appearances depending upon the proportion of various tissue elements present. The mammographic, ultrasound and elastographic appearances of a case of left axillary hamartoma is described in a 49 years old Indian patient.
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Angiomyxofibroma of vulva is rare and unique, knownfor local recurrence. It is a mesenchymal tumour. It iscommon in women with reproductive age group. Itsoccurrence in the genital region is a cause for delayedconsultation and social stigma. Clinically examinationshowed it was arising from vulva. Fine NeedleAspiration Cytology (FNAC) showed it to be a benigntumour. Wide local excision was done and confirmationwith Histopathological examination done, whichrevealed Angiomyxofibroma.
Subject(s)
Humans , Female , Child, Preschool , Thoracic Wall , Hamartoma/diagnosis , Biopsy , Tomography, X-Ray Computed , Diagnosis, Differential , Hamartoma/surgeryABSTRACT
Congenital epulis is a rare benign pedunculated tumour of the oral cavity arising from the alveolar ridges. It is usually detected in newborns and can be successfully resected surgically. We report a case of a newborn baby who had a 5x3x3cm pedunculated lobar mass arising from the upper alveolar ridge.
ABSTRACT
Background & objectives: Kidney transplantation is the best option for patients with end-stage renal disease (ESRD) failure. Prolonged use of immunosuppressive drugs often causes opportunistic infections and malignancies of skin and mucosae, but due to lack of a careful dermatological screening in several transplantation centers the diagnosis and the treatment of dermatological lesions in kidney transplant patients are underestimated. In addition after the introduction of interleukin (IL)-2 -receptor antagonists (basiliximab/daclizumab), mTOR inhibitors and mycophenolate mofetil (MMF)/mycophenolic acid (MPA) in new immunosuppressive protocols only a few studies have analyzed the skin and mucosal lesions in kidney transplant patients. This study was undertaken to evaluate the cutaneous and mucosal diseases after kidney transplantation, and to investigate the association between these and different immunosuppressive protocols and/or demographic features. Methods: A retrospective analysis was done using medical records of kidney transplantation between 2000 and 2009 at the Transplant Unit of Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. The study included 183 patients (M 57.3%, F 42.7%) aged 51.5±11.8 yr) with transplant age 52.3±34.9 months. Induction therapy was basiliximab and steroids based; maintenance therapy included combination-regimes from cyclosporine, tacrolimus, steroids, mycophenolate mofetil (MM), mycophenolic acid (MPA), rapamycin, everolimus. Anti-rejection therapy was steroid and/or thymoglobulines based. Diagnosis of cutaneous disease was made through examination of skin, mucous membranes, nails and hair evaluation. Skin biopsies, specific cultures and serological tests were done when required. Results: Skin and mucosal diseases were reported in 173 (95.7%) of patients; 88 (50.81%) showed viral lesions; 92 (53.01%) immunosuppression-related lesions; 28 (16.39%) benign tumours; 26 (15.3%) precancers /neoplastic lesions; 24 (14.21%) mycosis; 16 (9.29%) cutaneous xerosis, 15 (8.74%) dermatitis, while absence of cutaneous disease was evident only in 8 (4.37%) cases. An association between drug side effects and anti-rejection treatment (P≤0.01) and/or calcineurin-inhibitors (CNI) exposure (P≤0.01) was found. Longer exposure to immunosuppressive drugs (>60 months) was associated with pre-malignancy and malignancy lesions. Interpretation & conclusions: Cutaneous diseases are frequent in kidney transplanted patients. Continuous skin monitoring is necessary to make an early diagnosis and to start appropriate treatment.
ABSTRACT
Tumors of the small intestine are rare. Even though the small bowel accounts for 80% of the length and 90% of the mucosal surface of the gastrointestinal tract, only 3% to 6% of gastrointestinal tumors and 1% of gastrointestinal malignancies arise from the small bowel. Leiomyoma, adenoma, lipoma, haemangioma, fibroma and hamartoma of the small intestine are considered to be benign neoplasm. Most small bowel tumors are incidental findings at operation or autopsy. Here we present a case of benign tumour of the small intestine, histologically diagnosed as leiomyoma, presented in Surgery Emergency Ward with intestinal obstruction, treated conservatively with no improvement and hence subjected to emergency exploratory laparotomy which revealed intusussception and leading cause of which was a benign leiomyoma. The literature is revised emphasizing issues of pathophysiology, specific characteristics and the treatment of this tumour.
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Benign tumour of larynx is a commonly encountered disease in laryngology,such as papilloma of larynx,leukoplakia of larynx,and granuloma of vocal fold.The main treatment in western medicine is operation,but the recurrence rate is high.Professor LI Shu-liang considers that the reason of forming something like benign tumour of larynx is qi stagnation,blood stasis and phlegmatic uid.He gets signi cant curative e ect by using Chinese herbal decoction,according to the rules of bene ting qi,activating blood,resolving stasis,clearing heat,dispelling phlegm and dissipating static blood.He uses treatment based on di erent syndromes,and treats diseases from both manifestation and root cause.The article is the summary of Professor LI Shu-liang's experience in treating benign tumour of larynx.
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Ojective To study the probability of laparoscopic adrenalectomy in the treatment of adrenal benign tumor. Methods Laparoscopic adrenalectomy were used to treat pheochromocytoma and primary aldosteronism. Results Average operation time was 200 min and average bleeding was 110 ml. The patients began to walk two days after operation. Hyperension and low blood potassium level syndrom disappeared gradually. Conclusions Laparoscopic Adrenalectomy has the advantage of minimal invasion, faster recover from operation, shorter hospitolized days and higher quarlity of life after operation for the patients.