Benign mulleriantype cyst of the uterus in a perimenopausal woman

A perimenopausal patient presented with a history of irregular vaginal bleeding. Clinical examination revealed lower abdominal mass, and the pre operative diagnosis was an ovarian cyst. At laparotomy the ovaries and tubes were normal, and the cyst was anatomically attached to the uterus with a short pedicle. There was no obvious sign of malignancy at laparotomy. The histopathology of the cyst was a benign Mullerian type cyst. Bilateral tubal ligation performed at the same time revealed normal fallopian tubes. The patient was followed up 6 weeks and 6 months later, and she remains symptom free. The unusual anatomical location of the cyst is discussed

Persistent mullerian duct syndrome--a case report.

Persistent mullerian duct syndrome presents in phenotypically male subjects with unilateral cryptorchidism, inguinal herniation, and persistent mullerian remnants. Pre-operative diagnosis of this condition is difficult. Orchidopexy with excision of the persistent mullerian duct structures is usually not possible without making damage to the vas. The alternative of leaving the persistent mullerian duct structures alone and performing a staged or primary orchidopexy has been suggested. A similar case, encountered in the department of surgery, Bankura Sammilani Medical College and Hospital is being reported.

Persistent Müllerian Duct Syndrome (PMDS) with testicular seminoma.

Persistent Mullerian Duct Syndrome (PMDS) is characteristically associated with unilateral or bilateral cryptoorchidism. Like other undescended testis, these gonads are at an increased risk of malignant transformation. We report a case of intra abdominal seminoma in cryptorchid testis of a patient with the Persistent Mullerian Duct Syndrome, hitherto uncommonly reported in India.

Muellerianosis of the urinary bladder, endocervicosis type: a case report

This case reports muellerianosis of the urinary bladder, showing glandular lesions made up of endocervical type glands, in a 36-yr-old woman. The patient presented with lower abdominal discomfort and pain on voiding. The patient had undergone two Cesarean sections 5 yr and 3 yr earlier. On a pelvic ultrasonography, a well-circumscribed mass, 2.2x0.8 cm in dimension, was found with luminal polypoid projection in the posterior wall of the urinary bladder. The patient had a transurethral resection of the bladder mass. Histologically, the tumor was composed of irregularly shaped glands lined by endocervical mucous epithelium in the muscularis propria of the urinary bladder. Some glands exhibited cystic dilatation and contained mucinous secretions. The glands elicited no desmoplastic tissue reaction. The intraluminal mucin often contained polymorphonuclear leukocytes. The glands were mostly lined by tall columnar and bland looking mucous cells with mucin secretion. The ciliated cells were rarely observed. No endometrial component is noted. It would be appropriate to designate this lesion as "Muellerianosis of the urinary bladder, endocervicosis type". Awareness of the lesion and attention to its typical histologic features should facilitate its crucial distinction from adenocarcinoma.

Persistencia de derivados del ducto mülleriano en un paciente masculino con tumor de células germinales: reporte de un caso / Derivateds persistence of the müllerian ducts in a mole patient with germinals: report of a case

Presentamos un caso de un paciente masculino con diagnóstico casual de persistencia de derivados del ducto mülleriano acompañado de un tumor de células germinales; patologías ocacionadas por desordenes hormonales durante la ginecomastía en el diagnóstico de estas patologías

Tumores Mullerianos mixtos malignos / Malignant mixed Mullrian tumors

Se estudió en seis tumores müllerianos mixtos malignos, previamente clasificados en tres homólogos y tres heterólogos, su capacidad pluripotencial a través de la determinación de expresión de marcadores biológicos de estirpe y diferenciación. Ellos definieron un patrón homólogo caracterizado por la expresión de citoqueratina, vimentina, desmina y actina. Dos casos de este grupo fueron negativos para mioglobina, miosina esquelética y proteínas S 100, confirmando el carácter homólogo; y otro positivo para mioglobina fue considerado heterólogo. El patrón heterólogo la expresión de los marcadores homólogos y tambíén fue positivo para mioglobina, miosina esquelética o proteínas S 100. No se observó marcación para Factor VIII en las células neoplásicas. La inmunotipificación con marcadores biológicos permitio reconocer áreas sarcomatosas de carcinoma y establecer diferenciación celular, contribuyendo a efectuar diagnósticos de certeza y clasificación correcta

Disgenesia mülleriana: revisión del tema y presentación de seis casos / Müllerian dysgenesia: review of the literature and report of 6 cases

Los autores estudiaron seis casos de disgenesia mülleriana con sus variantes, que se suman a más de 500 casos registrados en la literatura. Esta serie incluye el quinto caso comprobado de ausencia congénita de la vagina asociada a hernia inguinal bilateral, con ovarios, oviductos y rudimentos uterinos; y el segundo caso de atresia congénita de la vagina inferior, con menstruación regular a través de una fístula