[One case of sternal hydatic cyst]

The hydatic cyst is a parasitic disease quite common in endemic countries. It is frequently situated in the liver and the lungs. Its location in the bone is rare. We report a case of a 45-year-old woman consulting for anterior cervical swelling. The diagnosis of sternal hydatic cyst was suspected through imaging and confirmed at the pathological study of the specimen. The sternal hydatic cyst is rare, the diagnosis is radiological and the treatment is surgical

[Ulcerative colitis and schizophrenia: fortuitous association or etiopathogenic link?]

Ulcerative colitis is a chronic inflammatory bowel disease with multiple pathogenic factors. Psychiatric disorder have frequently been associated to ulcerative colitis, the most frequent being depression and anxiety, whereas schizophrenia is unusual. Report a new case of ulcerative colitis associated topsychiatric disorder. We report the case of a 42-year-old woman with ulcerative colitis associated with schizophrenia. Although the two diagnoses were concomitant, on questioning, she revealed that digestive symptoms began before psychiatric disorders. Few cases of schizophrenia associated with ulcerative colitis have been reported in the literature. We discuss epidemiological, etiopathogenic and therapeutic links between the two diseases

[Dermatofibrosarcoma protuberans a facial localisation]

The dermatofibrosarcoma protuberans is a rare but not exceptional tumor of the skin. It is misdiagnosed, often after multiple surgical debulking with cosmetic damage. The authors report the case of a 59 years old woman presenting a voluminous dermatofibrosarcoma protuberans located in the parotid area and not associated with facial palsy and trismus. The treatment consisted in a large surgical debulking of the sarcomatous tumor, the covering skin and the superficial lobe of the parotid. The surgeon used local flaps to repair the cosmetic damage. The post operative follow-up was of 1 year without complications and recurrence. Dermatofibrosarcoma protuberans is a cutaneous tumor characterized by local malignancy. It is seen mainly in adults regardless to sex and it is rarely seen in head and neck. This tumor has a rare propensity to metastasise and high relapse and sarcomatous transformation rates, A large debulking is the only solution to avoid a local recurrence

Adenoid cystic carcinoma of paranasal sinus - about 2 cases

Adenoid cystic carcinoma [ACC] is a fairly uncommon malignant disease that accounts for about 1.3% of all paranasal sinus cancers, and occurs most commonly in the minor salivary gl and s of the head and neck. ACC grows slowly. However, it frequently recurs and metastasizes to distant organs such as lung or bone after treatment, and the prognosis is poor. Locally advanced lesions are usually managed best by resection and postoperative radiotherapy

[Intrathoracic goiters]

True intrathoracic goitres without any connexion with the cervical gland are rare. They present as tumours of the upper mediastinum. Mediastinal CT scan is the investigation of choice. Treatment is exclusively surgical because of the risk of mediastinal compression. In this report we describe a case of goitre which was diagnosed fortuitously in a 45 years old patient. Treatment was surgical with a left anterolateral thoracotomy

Lingual thyroid: about two case

Lingual thyroid is an uncommon developmental abnormality which results from the failure of the thyroid gland to descend from the foramen coecum to its prelaryngeal site. Diagnosis is assessed by the clinical picture and thyroid uptake scintiscans. Treatment is essentially medical although surgery is indicated when compression occurs. In this report, we describe two cases of lingual thyroid which were diagnosed because of an obstructive oropharyngeal syndrome in one case and hypothyroidism in the other one