ABSTRACT
Resumen: Se presenta el caso de un hombre de 61 años, portador de un cáncer pulmonar en quien lesiones de aspecto embólico llevan al diagnóstico de Endocarditis marántica (no infecciosa). Se describen las características clínicas del paciente, los métodos diagnósticos incluyendo imágenes ecocardiográficas y la confirmación necrópsica.
Abstracts: A 61-year-old male with skin lesions suggesting embolic phenomena, was thoroughly investigated and a final diagnosis of marantic (non-infectious) endocarditis was established. Clinical characteristics and diagnostic investigation through laboratory test and images sustained the diagnosis. The use of transesophageal echocardiography is emphasized. This was finally confirmed by findings at necropsy.
Subject(s)
Humans , Male , Middle Aged , Adenocarcinoma, Papillary/complications , Endocarditis, Non-Infective/etiology , Endocarditis, Non-Infective/diagnostic imaging , Lung Neoplasms/complications , Magnetic Resonance Imaging , Adenocarcinoma, Papillary/diagnostic imaging , Tomography, X-Ray Computed , Fatal Outcome , Echocardiography, Transesophageal , Embolism/etiology , Lung Neoplasms/diagnostic imagingABSTRACT
Well differentiated villoglandular adenocarcinoma of uterine cervix is a rare tumour which usually occurs in young women. It is considered to be an indolent tumour with favorable prognosis and most of them were treated by conservative procedures. We report a 35 year old lady who came with complaints of 3 months amenorrhoea and an episode of spontaneous bleeding. Urine pregnancy test was negative. Physical examination revealed a cervical polyp. Histopathological findings were consistent with villoglandular papillary adenocarcinoma associated with high grade cervical intraepithelial neoplasia (CIN-3). Left parametrial and left ureteral involvement, proved by biopsy, causing left hydroureteronephrosis was detected. The patient was thus found to be in an advanced stage, stage- III b (FIGO). The patient is currently undergoing radiotherapy. A review of literature showed that only occasional cases showing disease spread have been reported, suggesting caution in the management and regular follow up of the patient.
Subject(s)
Adenocarcinoma, Papillary/complications , Adnexa Uteri/pathology , Adult , Antineoplastic Agents/therapeutic use , Uterine Cervical Dysplasia/complications , Cisplatin/therapeutic use , Female , Humans , Hydronephrosis , Polyps , Ureter/pathology , Uterine Cervical Neoplasms/complicationsABSTRACT
A 60-year-old man presented with recurrent bouts of melena, requiring multiple transfusions. Upper GI endoscopic evaluation demonstrated fresh bleeding from the ampulla of Vater. Ultrasonography and CT scan suggested a gall bladder mass without evidence of metastases. Laparotomy confirmed a mass confined to the lumen of the gall bladder. The patient underwent cholecystectomy. Histological examination showed papillary adenocarcinoma of the gall bladder extending up to the muscularis propria.
Subject(s)
Adenocarcinoma, Papillary/complications , Gallbladder Neoplasms/complications , Hemobilia/etiology , Humans , Male , Middle AgedABSTRACT
Primary adenocarcinoma is a rare tumour involving the fallopian tube. Two such cases are reported; the first case was associated with papillary carcinoma of the paratubal cysts and the second occurred in a young female.
Subject(s)
Adenocarcinoma/complications , Adenocarcinoma, Papillary/complications , Adult , Cysts/complications , Fallopian Tube Diseases/complications , Fallopian Tube Neoplasms/complications , Female , HumansABSTRACT
Although Fallopian tubes are frequently involved in benign gynaecological conditions, primary malignant involvement is rare, and because of its rarity, lack of diagnostic accuracy, nonpresenting symptoms and physical findings, primary fallopian tube carcinoma is seldom diagnosed before laparotomy. We are reporting one such rare case.
Subject(s)
Abdominal Pain/etiology , Adenocarcinoma, Papillary/complications , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carboplatin/administration & dosage , Chemotherapy, Adjuvant , Cyclophosphamide/administration & dosage , Fallopian Tube Neoplasms/complications , Female , Humans , Hysterectomy , Middle AgedABSTRACT
We report a 12 year old boy of Nepalese origin with gastric adenocarcinoma and associated nodular lymphoid hyperplasia of the colon, with hemoglobin E trait and normal serum immunoglobulins. The boy underwent a curative resection and is free of recurrence or metastasis nine months after diagnosis.