ABSTRACT
BACKGROUND: Metaplastic carcinoma encompasses a group of neoplasms characterized by differentiation of the neoplastic epithelium into squamous cells and/or mesenchymal-looking elements. Spindle cell carcinoma is a rare variant of this special histological type. Its prognosis remains poor, with a high rate of local recurrence and distant metastasis. To date, only a small number of cases have been described. There is no clear agreement on this histological subtype. CASE PRESENTATION: We report a case of a 53-year-old Moroccan woman who consulted our institution following palpation of a nodule of the left breast. Mammography in combination with breast ultrasonography revealed a lesion classified as Breast Imaging Reporting and Data System 4 with microcalcification. The patient was diagnosed with spindle cell carcinoma of the breast. The diagnosis was based primarily on histological and immunohistochemical studies of the breast biopsy and secondarily on the surgical specimen. No local or distant metastasis was found. The treatment used was total surgical excision followed by radiotherapy. CONCLUSIONS: We describe the features (epidemiological, clinical, histological, immunohistochemical, and therapeutic outcomes) of our patient's case and compare them with literature data.
Subject(s)
Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Carcinoma/diagnostic imaging , Carcinoma/pathology , Breast/diagnostic imaging , Breast/pathology , Breast/surgery , Breast Neoplasms/surgery , Carcinoma/surgery , Female , Humans , Metaplasia , Middle Aged , Ultrasonography, Mammary/methodsABSTRACT
La ruptura de la vejiga durante el parto es una complicación rara. Puede ser primaria o secundaria, complicando un traumatismo obstétrico. Presentamos un caso infrecuente en una mujer de 34 años que presentó una ruptura uterina complicada con una ruptura vesical a través de la cual se describen los aspectos diagnósticos, pronósticos y terapéuticos de la ruptura vesical durante el parto (AU)
Rupture of the bladder during labor is a rare complication that can be primary or secondary, complicating an obstetric trauma. We report an unusual case in a 34-year-oldwoman who presented with a uterine rupture complicated with bladder rupture. We describe the diagnosis, prognosis and treatment of bladder rupture during labor (AU)
