RESUMEN
Deep penetrating nevus (DPN) is a variant of melanocytic nevus which goes unrecognized due to its relative rarity and may be misinterpreted as malignant melanoma. It commonly presents in young adults as a dark pigmented lesion on the face, neck, or shoulder. A 60-year-old lady presented with a mole over the left arm of 8 years duration. A biopsy of the lesion was performed under the clinical impression of a compound nevus with suspicion of malignancy. Based on the histologic features, a diagnosis of DPN was put forward.
Asunto(s)
Animales , Brazo/patología , Biopsia , Femenino , Histocitoquímica , Humanos , Microscopía , Persona de Mediana Edad , Nevo Pigmentado/diagnóstico , Nevo Pigmentado/patologíaAsunto(s)
Adulto , Infecciones por Citomegalovirus/complicaciones , Infecciones por Citomegalovirus/patología , Enfermedades del Esófago/diagnóstico , Enfermedades del Esófago/patología , Esofagoscopía , Esófago/patología , Infecciones por VIH/complicaciones , Infecciones por VIH/diagnóstico , Herpes Simple/complicaciones , Herpes Simple/diagnóstico , Histocitoquímica , Humanos , Masculino , Microscopía , Úlcera/diagnóstico , Úlcera/patologíaRESUMEN
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.