ABSTRACT
Schwannomas are generally benign, slow growing tumors, which can originate from any nerve that has a Schwann cell sheath. Digestive tract schwannomas are rare and are usually asymptomatic. We present the case of a 48-year-old woman with a symptomatic submucosal tumour of the gastric antrum. The patient underwent partial gastrectomy and the histological and immunohistochemical findings of the resected specimen established the diagnosis of schwannoma.
ABSTRACT
We present a case of a 66-year-old man, who was admitted with a 6-hour history of severe diffuse abdominal pain of acute onset, accompanied by nausea and flatulence. The patient underwent an exploratory laparotomy, which revealed the presence of multiple diverticules of the jejeunum, one of which was ruptured. The patient was treated with segmental resection of the jejunum carrying the ruptured diverticle. Perforation of a jejunal diverticulum has to be considered in the differential diagnosis of acute abdomen.
Subject(s)
Abdomen, Acute/etiology , Diverticulum/complications , Intestinal Perforation/etiology , Jejunal Diseases/complications , Abdomen, Acute/diagnosis , Abdomen, Acute/surgery , Abdominal Pain/etiology , Aged , Diagnosis, Differential , Diverticulum/diagnosis , Diverticulum/surgery , Humans , Intestinal Perforation/diagnosis , Intestinal Perforation/surgery , Jejunal Diseases/diagnosis , Jejunal Diseases/surgery , Male , Rupture, Spontaneous , Treatment OutcomeABSTRACT
Intracystic papillary carcinoma (IPC) of the breast is an uncommon malignant breast neoplasm and usually occurs in advanced age. It is characterized by a more benign behavior and a subsequent higher survival rate. We describe such a case of a 58-year-old female, who displayed a gradually growing tumor of the right breast. The lesion was well circumscribed and had a hard consistency with a cystic appearance. Mammography, breast ultrasonography and fine needle aspiration cytology failed to obtain a definite diagnosis. Based on the preoperative clinical identification of right axillary lymphadenopathy, the patient eventually underwent segmental resection of the right breast and right axillary nodal dissection. As regards the histological findings, the neoplasm corresponded to a pure intracystic papillary carcinoma of the solid variant. IPC represents a breast tumor with papillary differentiation growing inside a cyst, and excisional biopsy is often necessary to confirm the disease. Careful pathological examination is essential, to exclude the presence of coexistent ductal carcinoma in situ or invasive carcinoma.
Subject(s)
Breast Neoplasms/pathology , Carcinoma, Papillary/pathology , Breast Cyst/pathology , Female , Humans , Middle AgedABSTRACT
Primary osteogenic sarcomas of the breast are exceptionally uncommon. We describe such a case occurring in a 66-year-old woman who presented with a hard mass in her left breast. Mammography and breast ultrasonography showed a calcified breast lump, but features were not diagnostic. Modified radical mastectomy of the left breast, including axillary lymph node dissection, was performed. Microscopical and immunohistochemical findings established the diagnosis of primary osteogenic sarcoma. Because there was no evidence of metastasis, no further treatment was considered necessary. She remained well 15 months later, without tumour recurrence. We discuss in detail the diagnostic implications of this rare entity.
Subject(s)
Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Osteosarcoma/diagnosis , Osteosarcoma/pathology , Aged , Female , Humans , Immunohistochemistry , Lymph Node Excision , Mammography/methods , Osteoblasts/pathology , Treatment Outcome , Ultrasonography, Mammary/methodsSubject(s)
Breast Neoplasms, Male/pathology , Carcinoma, Ductal, Breast/pathology , Carcinoma, Intraductal, Noninfiltrating/pathology , Carcinoma, Papillary/pathology , Aged , Breast Neoplasms, Male/therapy , Carcinoma, Papillary/metabolism , Cysts/pathology , Diagnosis, Differential , Humans , MaleABSTRACT
A 36-year-old man was admitted with a 3-day history of severe abdominal pain in the right upper abdomen and was initially diagnosed with acute cholecystitis or acute retrocecal appendicitis. The patient was transferred to the department of surgery for close surgical observation. CT of the entire abdomen was performed just before the operation, which demonstrated inflammation in the omental fat. Surgery revealed primary omental torsion and subsequent resection of the infarcted segment offered a rapid recovery. We report a case of primary segmental omental torsion and discuss the diagnostic and therapeutic implications of this unusual entity.
Subject(s)
Abdomen, Acute/etiology , Abdomen, Acute/surgery , Omentum , Peritoneal Diseases/complications , Peritoneal Diseases/surgery , Abdomen, Acute/diagnosis , Adult , Diagnosis, Differential , Humans , Male , Peritoneal Diseases/diagnosis , Torsion Abnormality/complications , Torsion Abnormality/surgery , Treatment OutcomeABSTRACT
Pseudocysts of the adrenal gland are rare lesions, which are usually discovered as incidental findings. Since they are in the majority of cases non-functioning, they become symptomatic only when they are complicated with rupture, haemorrhage or infection. We present a case of a 28-year-old woman in the 26th gestational week, who developed an acute abdomen due to a haemorrhagic pseudocyst of the left adrenal. The patient was submitted to left adrenalectomy. The described case is the third reported case of cystic adrenal lesion discovered during pregnancy and only the first reported case of acute presentation of an adrenal pseudocyst during pregnancy.
