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1.
Medical Principles and Practice. 2017; 26 (6): 582-585
em Inglês | IMEMR | ID: emr-197088

RESUMO

Objective: To present a case of a 6-month-old infant with melanotic neuroectodermal tumor of infancy [MNTI] in the upper arm


Clinical Presentation and Intervention: A 6-month-old female presented with a well-circumscribed lesion of the upper arm at the Children's Hospital Zagreb. A biopsy was performed and microscopy revealed 2 cell populations consisting of small neuroblastic cells and larger melanin-containing epithelial cells. An excisional biopsy performed 1 month later confirmed the initial diagnosis of MNTI, but the tumor had increased in size since the initial biopsy. After complete surgical excision the patient recovered well with no recurrence


Conclusion:The MNTI located in the upper arm was diagnosed on first biopsy and surgically excised completely. The patient recovered without recurrence in a follOW-Up Of 2.5 years

2.
Medical Principles and Practice. 2008; 17 (5): 419-421
em Inglês | IMEMR | ID: emr-89013

RESUMO

To report a rare case of a giant hemorrhagic adrenal pseudocyst and highlight the importance of this entity to clinicians. A 57-year-old woman presented with a 1-year history of abdominal pain and distension. Ultrasonography and multislice computed tomography revealed a giant cystic [partially solid] mass over the left suprarenal region measuring 20 x 17 x 15 cm. A complete endocrine workup failed to detect any hormonal hypersecretion. The patient was treated with tumor excision through transabdominal pararectal approach. Histopathological examination revealed a hemorrhagic adrenal pseudocyst. To our knowledge the case presented here appears to be one of the largest hemorrhagic adrenal pseudocysts reported so far. Radiological and clinical features of the tumor are nonspecific and histopathological examination is essential to establish definitive diagnosis. An open, laparotomic adrenalectomy is the preferred surgical technique for better control of such a large mass with active bleeding inside


Assuntos
Humanos , Feminino , Glândulas Suprarrenais/patologia , Cistos , Feminino , Dor Abdominal , Ultrassonografia , Tomografia Computadorizada por Raios X , Laparotomia , Neoplasias das Glândulas Suprarrenais , Adrenalectomia
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