RESUMO
Schistosomiasis is a parasitic trematode that is lesscommonly seen in India. The clinical manifestationsrange from acute, sub acute and chronic phases. Agranulomatous type of lesion formed by Schistosomahematobium in the lower urinary tract. We present acase of rare neglected tropical infection in this part ofDakshin Kannada. A 66-year-old man presents withhistory of irritative voiding symptoms, urgency,incontinence, and nocturia of 2 months duration. CTUrogram showed bladder wall thickening. Cystoscopyshowed granuloma in the posterolateral wall of thebladder. Urine microscopy picked up Schistosomahematobium eggs. Bladder biopsy showed chronicinflammatory type of lesion. This is a case of confirmedchronic granulomatous urinary schistosomiasis in anon-endemic region, and successfully treated.Clinicians should become aware of the existence of thisparasite in few pockets in India.
RESUMO
The histological finding of persistent mesonephric duct remnants in the uterine cervix and vagina is uncommon and is usually an incidental finding in tissues excised for other reasons. Herein we present a case of lobular mesonephric hyperplasia in a 45 year old woman who presented with vaginal bleeding and difficulty passing urine.
Assuntos
Feminino , Humanos , Hiperplasia/complicações , Mesonefroma/complicações , Pessoa de Meia-Idade , Obstrução Uretral/etiologia , Neoplasias do Colo do Útero/complicações , Vagina/patologiaRESUMO
A case of leiomyosarcoma of the urinary bladder occurring in a middle aged lady with immunohistochemical confirmation is presented for its rarity with emphasis on grading of smooth muscle neoplasms of the urinary bladder.
Assuntos
Diagnóstico Diferencial , Feminino , Humanos , Leiomiossarcoma/diagnóstico , Pessoa de Meia-Idade , Neoplasias da Bexiga Urinária/diagnósticoAssuntos
Adulto , Feminino , Humanos , Recém-Nascido , Leiomioma/terapia , Masculino , Casamento , Gravidez , Neoplasias da Próstata/terapiaRESUMO
One hundred and twenty-six patients underwent fine needle aspiration (FNA) and/or core biopsies of the prostate in a rurally located, non-oncospecialised organisational setting. The procedures were performed by the residents of varying seniority and experience. While a simple core biopsy alone had a greater diagnostic potential, (37/45) FNA was found to be a rapidly interpretable sampling methodology with consequent reduction of waiting period for diagnosis and institution of treatment. The two techniques taken together complemented each other by avoiding repeat biopsies, delaying diagnosis and therapy. In case FNA turned out to be inconclusive, the report on core biopsy would follow soon, unlike in a situation where they are done asynchronously.