RESUMO
Pyomyoma (suppurative leiomyoma of the uterus) is a rare condition associated with a high fatality rate. Only surgical intervention is lifesaving. It usually develops in association with either recent pregnancy or in postmenopausal patients who have underlying vascular disease. Since 1945 only 15 cases of pyomyoma have been reported in the literature. We present a rare case of pyomyoma in a 64-year-old woman with a brief review of the literature.
Assuntos
Feminino , Humanos , Histerectomia , Leiomioma/diagnóstico , Pessoa de Meia-Idade , Nepal , Pós-Menopausa , Neoplasias Uterinas/diagnósticoRESUMO
Oncocytic tumors of salivary glands are rare. Diffuse oncocytosis is the rarest lesion among 3 principal groups of oncocytic lesions as classified by WHO. Only seven cases have been previously reported in the literature. We report a case of diffuse hyperplastic oncocytosis of the parotid gland in a 63-year-old male with a brief review of literature. To the best of our knowledge this is the first case from Indian subcontinent.
Assuntos
Adenoma Oxífilo/patologia , Humanos , Hiperplasia , Masculino , Pessoa de Meia-Idade , Células Oxífilas/patologia , Glândula Parótida/patologia , Neoplasias Parotídeas/patologiaRESUMO
Paget's disease of the breast nipple is an eczematous skin change of the nipple-areola complex often associated with an underlying in-situ or invasive carcinoma. The usefulness of cytology in the diagnosis of Paget's disease has been suggested only in few studies despite the fact that it offers definitive advantages over surgical excision biopsy. Easy practicability, quick, cost-effective and non-invasive stands opposite a limited sensitivity as disadvantage. We report a case of Paget's disease of nipple diagnosed by nipple touch smears.
Assuntos
Biópsia por Agulha Fina , Neoplasias da Mama/diagnóstico , Carcinoma Intraductal não Infiltrante/diagnóstico , Citodiagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Mamilos , Doença de Paget Mamária/diagnósticoRESUMO
Trichoblastoma is a rare benign skin appendage tumour with follicular differentiation. Pigmented variant of trichoblastoma is an extremely uncommon tumour and only three cases have been described in the literature. We report a rare case of pigmented trichoblastoma in a 54-year-old female.
Assuntos
Diferenciação Celular , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Embrionárias de Células Germinativas/patologia , Neoplasias Cutâneas/patologia , Pigmentação da PeleRESUMO
Post kala-azar mucosal leishmaniasis (PKML) is relatively rare in the Indian subcontinent. We describe an ulcerative variant of PKML with nasal involvement in a Nepalese adult male. He had ulcerated plaque over the upper lip with extensive involvement of nasal columella and septum. He came from endemic area for kala-azar and had a previous history of kala-azar. There were plenty of LD bodies in microsections and FNA of submandibular lymph node.
Assuntos
Adulto , Animais , Diagnóstico Diferencial , Humanos , Leishmania donovani/isolamento & purificação , Leishmaniose Mucocutânea/diagnóstico , Leishmaniose Visceral/complicações , Masculino , Nepal , Neoplasias Nasais/diagnóstico , Úlcera/patologiaRESUMO
The case of a 40-year-old female patient with choroidal melanoma with secondary glaucoma presenting as a painful blind right eye is reported. Liver metastasis was detected by ultrasonography. The choroidal tumor measured 2 x 2.1 x 1.5 cm; histopathology showed that it was of the spindle cell (spindle A) variety. Such tumors are rare in non-white races and secondary glaucoma is an uncommon presentation.
Assuntos
Adulto , Neoplasias da Coroide/complicações , Feminino , Glaucoma/etiologia , Humanos , Neoplasias Hepáticas/secundário , Melanoma/complicações , NepalRESUMO
Squamous cell carcinoma of the endometrium is extremely rare female genital malignancy. Only 64 cases have been reported in the literature. A case of primary squamous cell carcinoma of endometrium in a 55-year old-woman is reported. Examination revealed pyometra and cervical stenosis. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathology confirmed the diagnosis.
Assuntos
Carcinoma de Células Escamosas/diagnóstico , Neoplasias do Endométrio/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade , NepalRESUMO
Microcystic papillary adenoma of nose is rarely seen in nose. This case is reported because of its rarity and to best our knowledge is a first case report from Nepal.
Assuntos
Adenoma/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Nasais/patologiaRESUMO
Nasal cerebral heterotopia (nasal glioma) are rare congenital benign masses of neurogenic origin with intranasal location, or both. An extranasal case is reported in a 2-year-old-boy without any bony defect or connection with brain. Histology and immunohistochemistry confirmed the diagnosis.
Assuntos
Pré-Escolar , Coristoma/patologia , Glioma/congênito , Humanos , Imuno-Histoquímica , Masculino , Neoplasias Nasais/congênito , Tomografia Computadorizada por Raios X/métodosRESUMO
Rhinosporidiosis is endemic in India, Sri Lanka, and parts of East Africa and South America; sporadic cases are reported in other countries. We report on five patients from eastern Nepal with oculosporidiosis. The conjunctiva was involved in two patients and the lacrimal sac was involved in three patients; treatment was by simple total excision of the conjunctivalgrowth (patients with conjunctival involvement) and by dacryocystectomy (patients with lacrimal sac involvement). This is the second case report from Nepal.
Assuntos
Adolescente , Adulto , Criança , Infecções Oculares Fúngicas/diagnóstico , Feminino , Humanos , Aparelho Lacrimal/patologia , Masculino , Nepal/epidemiologia , Rinosporidiose/diagnósticoRESUMO
Two cases of visceral leishmaniasis (VL), one in a 51-year-old man with accelerated-phase chronic myeloid leukemia and another in a 35-year-old woman with acute myeloblastic leukemia, are reported. Incidental finding of Leishman-Donovan (LD) bodies in patients with leukemia highlights VL as a potent opportunistic infection in immunosuppressed patients.
Assuntos
Adulto , Animais , Medula Óssea/parasitologia , Feminino , Humanos , Leishmania donovani/isolamento & purificação , Leishmaniose Visceral/complicações , Leucemia Mielogênica Crônica BCR-ABL Positiva/complicações , Leucemia Mieloide Aguda/complicações , Masculino , Pessoa de Meia-Idade , NepalRESUMO
Inflammatory fibroid polyp (IFP) of jejunnum is a rare nonneoplastic lesion of gastrointestinal tract. We report a case of a 45-year-old man presenting with small bowel obstruction due to jejuno-jejunal intussusception of an inflammatory fibroid polyp. To the best of our knowledges, this is the eighth reported case with such a presentation in English medical literature. Segmental resection of the jejunum was performed and histopathology confirmed the diagnosis.
Assuntos
Humanos , Pólipos Intestinais/complicações , Intussuscepção/etiologia , Doenças do Jejuno/complicações , Jejuno/patologia , Masculino , Pessoa de Meia-IdadeRESUMO
A 15-year-old girl with Duke's B mucinous carcinoma of the rectosigmoid was treated with surgical resection and adjuvant chemotherapy. The patient is alive and has been disease-free for 15 months. Colorectal carcinoma is extremely rare in children and adolescents. Adenocarcinoma of colon is a virulent disease in children and has a poor prognosis. This is because of the poor histological characteristics and difficulty in diagnosis.