Tuberculosis of the thyroid: case report

Thyroid is a rare localization of tuberculosis. The clinical course of the disease may resemble toxic goiter or acute thyroiditis or may follow a subacute or chronic pattern without specific symptomatology. We report the case of a 37 year-old woman referred to the hospital with a diagnosis of goiter without clinical signs of tuberculosis. The diagnosis was established after total thyroidectomy and histological exam. Six-month treatment with antituberculous drugs was administered with a good outcome

[Testicular plasmocytoma: a case report]

Extramedullary plasmocytoma is rare, with less than 50 reported cases and only 8 cases of primary testicular plasmocytoma. Report of a new case. This report concerns a 65 years old patient presenting an enlargement of the testis. The diagnosis of testicular plasmocytoma was made on histological examination. There was no evidence of bone marrow involvement or systemic signs of myeloma. This case will be studied with a review of the literature

[Rectal carcinoid tumor - a case report]

Rectal carcinoid tumor is uncommon. It represent 13 percent of gastrointestinal carcinoid tumors. We report the case of a 37-year-old woman presenting with rectal bleeding. Digital examination revealed a hard mass in the rectum, 7 cm from the anal verge. Laboratory investigation was normal. Rectoscopy demonstrated a polypoid mass, 10 mm in diameter in the rectum, 7 cm from anal verge. Endoscopic resection was performed. Histology of the polyp with immunohistochemestry led to a diagnosis of carcinoid tumor. Local remnant was found. No distant metastases were found. Additional transanal excision was necessary. Clinical characteristics, histologic aspects and treatment options of rectal carcinoid tumor will be reviewed

Gastric stromal tumors, a retrospective - a study. About 19 cases

The purpose of this study is to define the therapeutic attitude to be adopted in front of a gastric stromal tumor, to estimate the results and to define the prognostic factors of these rare tumors. We report a retrospective study about 19 cases of gastric stromal tumors reported over a period of 12 years going from January, 1993 till December, 2004. All the patients were operated. Diagnosis was established by the histological and immunohistological study of gastric resection or biopsies. It was about 8 men and 11 women of whom the average age was of 62 years. The symptomatology was dominated by abdominal pain [63% of cases] and digestive bleeding [52% of cases]. A palpable mass was found in 16%of cases. The tumor location was antrum in 13 cases, fundus in 5 cases and under cardial in 1 case. A synchronous gastric and small intestinal locations was found in 1 case. The average tumoral size was 8.2cm ranging from 1.7 to 30cm. The tumor resection was achieved in 18 cases [95%]. It was widened to the adjacent organs in 1 case. Morbidity raised 5.2% and there was no operating death. At pathological examination the tumor was of weak rank of wickedness in 8 cases, high rank in 8 cases and in vague potential in 3 cases. The average follow-up was of 27 months [2 to 96 months]. During the postoperative follow-up, 3 cases of recurrence were diagnosed. The 2-year -overall survival was 83%. The prognostic factors influencing the overall survival were the high cellular density [p=0.01], local recurrence event [p=0.03] and high degree of malignancy [p=0.0002]. The treatment of gastric stromal tumors is surgical. Gastrectomy and wedge resections passing in macroscopically normal tissue are the mainstay of the treatment. Enucleating resection should be avoided. The lymph node dissection is not recommended. The new chemotherapeutic agents [the tyrosine kinase inhibitors] seem promising and could modify the current therapeutic attitude in the future

[Neuroendocrine tumours of the pancreas - a report of two cases]

Neuro-endocrine tumors of the pancreas are rare. Tumors can be discovered according to the endocrine syndrome produced. They are characterised by a slow evolution. Criteria of malignancy are metastasis to lymph node, liver or dissemination to other organs. Occurrence of multiple neuro-endocrine tumors may be seen forming multiple endocrine neoplasie type 1 or MEN-1

[Uncommun etiology of hemoptysis: aorto-bronchial fistula from tuberculous origin]

Aorto-bronchial fistula is a rare etiology of hemoptysis. We related an observation of aorto-bronchial fistula from a tuberculous origin in a 40 years old man. The patient was treated for tuberculous miliary during four months and was admitted for hemoptysis. A chest radiograph showed a posterior madiastinal mass. Computed tomography of the chest and aortography made the diagnosis of an important thrombosed aneurism of the thoracic aorta Tuberculosis origin was suspected with history of miliary, the vertebral lesions, the paravertebral fuseau and was confirmed by histology

Du lazaret a l'hopital de la Rabta

The authors relate to the extraordinary development of the La Rabta hospital in Tunis which, from a simple lazaret opened in 1897, became a century later one of the sources of pride for its medical equipment and as teaching hospital in Tunisia

Le prix du president de la republique tunisienne des societes intermaghrebines de medecine

We report the reglementary dispositions of the prize of the President of the Tunisian Republic for the Maghreb medical societies [initially prize Bourguiba]. This prize was created in 1973, in order to favorize the medical research in Maghreb

Essai therapeutique du Ketoconazole per os dans le traitement du pityriasis versicolor

A therapeutic trial of ketoconazole with a dose 200mg daily for 10 days has been realized in 17 patients presenting an extensive and recurrent pityriasis versicolor. A mycological control has been done before treatment, at 10,20 and 30 day after treatment. The mycologic cure was observed in 94% of patients at the 20th day and in all patients at the 30th day. The clinical cure at the 30th day was observed in only 41% in all patients presenting a pigmented pityriasis versicolor in the beginning of the study. The difference between clinical and mycologic results is classic and the main cure criterion is the mycological one. The protocol conducted in our study is effective with an excellent clinical and biological tolerance. Ketoconazole is then a very intersting therapeutic in extensive and recurrent pityriasis versicolor