RESUMEN
A 56-year-old woman presented with gradually increasing lower abdominal lump since 1 year. She was subjected to laparotomy and a solid and cystic mass was removed from right broad ligament with pan-hysterectomy. Mass on histopathological examination was proved to be tumor of Wolffian origin. This is a condition rarely reported in Indian literature.
Asunto(s)
Enfermedades de los Anexos/diagnóstico , Femenino , Humanos , Histerectomía , Laparotomía , Persona de Mediana Edad , Neoplasias/diagnóstico , Conductos Mesonéfricos/patologíaRESUMEN
Two hundred and thirty three cases of ovarian tumours and tumour like lesions were studied. Of these 233 cases, 96 cases were of ovarian tumours and 137 were tumour like lesions of the ovary. Of the 96 cases of ovarian tumours, 72.9% were benign, 4.1% were borderline and 22.9% were malignant. Histologically surface epithelial tumours were the commonest (48.8%) followed by germ cell tumours (23.9%), sex cord stromal tumours (8.3%) and metastatic tumours (2.0%). Ultrasound guided FNAC done in cases of ovarian tumours showed an accuracy of 100% for malignant lesions and 100% for benign and borderline lesions when compared with histopathological diagnosis. Of the non neoplastic lesions follicular cysts and corpus leuteal cysts were commonest (80.2%). Tuberculosis constituted (2.9%) cases and was the major cause of clinical diagnostic pitfalls for cases in which a clinical diagnosis of ovarian neoplasm was made.
Asunto(s)
Femenino , Humanos , Incidencia , Neoplasias de Células Germinales y Embrionarias/epidemiología , Enfermedades del Ovario/epidemiología , Neoplasias Ováricas/epidemiología , Ovario/patología , Peritonitis Tuberculosa/epidemiología , Estudios Prospectivos , Estudios Retrospectivos , Tumores de los Cordones Sexuales y Estroma de las Gónadas/epidemiologíaRESUMEN
Atypical fibroxanthoma has a wide spectrum of histological and cytological appearances. One recently described variant is atypical fibroxanthoma with touton type giant cells. We also came across this case in a 24 year old male student who presented with a sub epidermal nodule on the right shoulder for the last one year. The lesion was aspirated, it should spindle shaped cells, giant cells, and collagen. Giant cells had multiple vacuoles and pink colored granules in their cytoplasm. He was diagnosed as atypical fibroxanthoma. The tumor was excised and histopathology confirmed the diagnosis. Complete excision was curative.