ABSTRACT
BACKGROUND: Thyroid nodules are common; however, the association of two or more different tumors in the thyroid gland is unusual. We present a first case with the association of three histological types of thryroid tumors. To the best of our knowledge, this association has not been reported in the literature before. We aim here to highlight the possible coexistence of many lesions in the thyroid gland and to discuss treatment options. CASE PRESENTATION: We report the case of a female patient who presented with a multinodular goiter. The final pathology after total thyroidectomy found the association of a multifocal papillary thyroid microcarcinoma arising within a Hurthle cells adenoma in a lobe and a noninvasive follicular thyroid neoplasm with papillary nuclear features in the other lobe. Due to the very low risk of recurrence, the patient was not treated with radioactive iodine. CONCLUSIONS: Many controversies remain about the management of Hurthle cells tumors and many variants of papillary thyroid carcinoma. Although the management of our case did not change, more studies are necessary to analyze the evolution of patients with multiple thyroid neoplasms. When discussing therapeutic options, the advantages and disadvantages should be considered case by case based on disease staging.
ABSTRACT
The pilomatricoma or epithelioma of Malherbe is a mummified benign and rare skin tumor. We report a rare case of palpebral pilomatricoma simulating a chalazion in a 26-year-old patient. This skin tumor is exceptional in adults. Its diagnosis is often missed preoperatively because of its great clinical polymorphism and is histopathologically based on the detection of mummified cells. Its surgical treatment will aim at a complete excision of the tumour in order to minimize the risks of recurrence.
Subject(s)
Eyelid Neoplasms/pathology , Hair Diseases/pathology , Pilomatrixoma/pathology , Skin Neoplasms/pathology , Adult , Chalazion/diagnosis , Diagnosis, Differential , Eyelashes , Eyelid Neoplasms/diagnosis , Eyelid Neoplasms/surgery , Hair Diseases/diagnosis , Hair Diseases/surgery , Humans , Male , Pilomatrixoma/diagnosis , Pilomatrixoma/surgery , Skin Neoplasms/diagnosis , Skin Neoplasms/surgeryABSTRACT
The posttraumatic cholesteatoma is a rare complication of different types of the temporal bone damage. Its diagnosis is often done after several years of evolution, sometimes even at the stage of complications. A case of posttraumatic cholesteatoma is presented that was revealed by a facial nerve paralysis 23 years after a crash of the external auditory canal underlining the importance of the otoscopic and radiological regular monitoring of the patients with a traumatism of the temporal bone.
ABSTRACT
Tuberculous of the oral cavity is rare, the attack tonsil remains exceptional. We report case a 25-year-old young male, who consults for an ulceration of the left unilateral tonsil, with a homolateral adenopathy jugulo-carotidien. The examination anatomopathologic of the tonsil biopsy revealed a tuberculous of the tonsil. The patient profited from an antituberculous treatment, the evolution was good.
