[Desmoid tumor of shoulder-Girdle]

Desmoid tumour is an uncommon connective tissue tumour arising from musculoaponevrotic tissue characterized by spindle cell fibroblast and myofibroblast proliferation. Although considered as a benign lesion, it can be very aggressive locally, and has a high rate of local recurrences afer surgical excision. The cause is unknown and it most often encountered in young women. Abdominal localization is the most frequent site. Extra-abdominal desmoid tumors particularly located in the girdles or the most proximal part of the limbs. We report a case of a 31 year old woman with desmoid with tumour of the scapular region which was treated with wide excision, but in the following year the tumour reccured locally of the shoulder-girdle and infiltrated into the brachial plexus. Nevertheless, surgical treatment of recurrent tumors is difficult and often insufficient, compromising functional outcome. Radiotherapy has been advocated for better control tumor growth

maladie de Whippe: a propos d'une observation

The authors report a new case of patient who presented the symptoms of Whippe disease diagnosed only about 3 years after the onset of clinical manifestations. The symptomatology has developed in two phases: a first phase of articular troubles and a second phase of global intestinal malabsorption. The diagnosis was made by intestinal biopsy. The evolution was favorable with treatment by antibiotics