ABSTRACT
A 4-year-old male child presented to us with a paraspinal pseudo-tumor over the mid-back region with pain being his only symptom. On initial ultrasonography, it was presumed to be a nerve sheath tumor, but on an excision biopsy and histopathology, it proved to be a subcutaneous cysticercosis. Furthermore, an MRI of the brain showed a ring enhancing lesion with vasogenic edema, which confirmed the diagnosis of a neurologically symptomless neurocysticercosis. We treated the patient with albendazole and a short course of dexamethasone. There was complete resolution of the painful subcutaneous swelling, and the patient remained neurologically symptomless at all subsequent follow-ups. Resolution of the brain lesions was seen in the 6-month MRI follow-up. Although rare, orthopedic surgeons should consider the possibility of parasitic infections when dealing with small near-asymptomatic soft tissue paraspinal swellings of uncertain etiology. A thorough investigation in such cases can be lifesaving.
ABSTRACT
We present a case of infection due to Cladophialophora carrionii, an agent of Chromoblastomycosis in a 37-year-old Indian male. The patient developed a nodule as the lateral malleolus of his left leg. The lesion was successfully treated with surgical excision. Histopathologically, pigmented organisms were readily identified in tissue sections, and the cultural characteristics were these of Cladophialophora carrionii.
Subject(s)
Ascomycota/isolation & purification , Chromoblastomycosis/diagnosis , Chromoblastomycosis/microbiology , Dermatomycoses/diagnosis , Dermatomycoses/microbiology , Adult , Chromoblastomycosis/pathology , Chromoblastomycosis/surgery , Debridement , Dermatomycoses/pathology , Dermatomycoses/surgery , Humans , India , Leg/pathology , Male , Microbiological Techniques/methods , Microscopy , Treatment OutcomeABSTRACT
Adult granulosa cell tumors (AGCT) are associated with ascites in 10% of the cases. Although these tumors form two per cent of all ovarian tumors, they may create a diagnostic challenge in cytologic preparations. The tumor cells are not readily shed in the fluid. A case of a 47-year-old woman with presence of granulosa tumor cells in ascitic fluid is presented. Because of its rarity, AGCTs can be confused with other ovarian tumors.
Subject(s)
Ascitic Fluid/cytology , Granulosa Cell Tumor/diagnosis , Granulosa Cell Tumor/pathology , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/pathology , Adult , Cytological Techniques/methods , Diagnosis, Differential , Female , Granulosa Cell Tumor/surgery , Histocytochemistry/methods , Humans , Microscopy/methods , Middle Aged , Ovarian Neoplasms/surgery , Ovary/pathologySubject(s)
Bartholin's Glands/pathology , Carcinoma/diagnosis , Carcinoma/pathology , Genital Neoplasms, Female/diagnosis , Genital Neoplasms, Female/pathology , Biopsy, Fine-Needle , Carcinoma/complications , Female , Genital Neoplasms, Female/complications , Histocytochemistry , Humans , Lymphatic Diseases/etiology , Microscopy , Microscopy, Electron, Transmission , Skin Ulcer/etiologyABSTRACT
Mycosis fungoides is the commonest cutaneous T cell lymphoma. Clinically it is characterized by patch, plaque, tumor nodules; erythrodermic and poikoilodermous stages which may overlap. Extracutaneous spread takes place in late stages where any organ may be involved. The majority of reported cases are in adult males. A rare case of mycosis fungoides in a 38-year-old female is described. She presented in advance stage of disease with nodules all over the body.
