ABSTRACT
Breast tuberculosis is considered a rare entity throughout the world. A case of tuberculous mastitis in a 39 year woman who presented with a breast mass with initial diagnosis of carcinoma is described. A review of literature was also done.
Subject(s)
Breast Diseases , Tuberculosis , Adult , Antitubercular Agents/therapeutic use , Breast/microbiology , Breast Diseases/diagnosis , Breast Diseases/drug therapy , Breast Neoplasms/diagnosis , Diagnosis, Differential , Female , Humans , Mycobacterium tuberculosis/isolation & purification , Tuberculosis/diagnosis , Tuberculosis/drug therapyABSTRACT
This is a retrospective study of 96 cases of carotid body tumor studies over a 20 year period. This tumor appears most often in females, and its frequency increases after the age of forty. In this group of patients, the sea level altitude of the place of residence appeared to be the main associative factor in the origin of the tumors. The symptoms are few, and usually the presence of the tumor is the only sign. The carotid angiography was the main study used to confirm the diagnosis. In thirty two cases surgery was performed: total resection was possible in twenty two cases and partial resection in three. In five cases it was only possible to obtain a biopsy from the tumor. The remaining two were found to be nonresectable. Surgical complications were minimal, except for one immediate postoperative death. No functionality was shown in any of the cases; only two cases were malignant, and one case was shown to be of familial origin. Our conclusion is that surgery should be performed on patients with tumors of five cm or less, under fifty years of age, with low surgical risk, and with a high tumor growth rate. Other patients can be managed with periodic examinations.
Subject(s)
Carotid Body Tumor , Adult , Aged , Aged, 80 and over , Carotid Body Tumor/diagnosis , Carotid Body Tumor/epidemiology , Carotid Body Tumor/therapy , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
ER positive (+), negative (-), percentages in 86 malignant neoplasias and 27 benign lesions of the mammary gland as well as in 24 mammary gland tissue samples obtained from neighbouring areas were 69, 52 and 0 per cent respectively. Similar values have been published in other western countries. No statistically significant differences were found when comparing ER + values obtained in malignant neoplasias with those from benign lesions, nor were there differences between values obtained in pre and post menopausal patients; in spite of this fact, when grouping patients in decades according to age, significant differences are observed in ER + values between the third and sixth decades of life as well as between the fourth and the sixth (p < 0.01 and p < 0.05 respectively). No significant variances were found in ER + percentages or in its values among the different histological types of malignant neoplasias; however the highest ER + percentage was found in the combination of scirrhous histological type and post menopause (95 per cent). Results were compared with those published by other authors.
PIP: 86 malignant neoplasias, 27 benign lesions, and 24 tissue samples from mammary glands were observed to determine the presence of positive or negative estrogen receptors. Percentages found, 69%, 52%, and 0% respectively, were comparable to values in other published studies. There were no differences in values in pre- and postmenopausal patients, or when comparing positive values in malignant neoplasia with values in benign lesions. However, significant differences were observed in positive values between patients in the 3rd. and 4th. decades of life, and also between the 4th. and the 6th decades. The highest positive estrogen receptor percentage was found in postmenopausal patients with scirrhous histological type of malignant neoplasia. The article includes a review of the published literature on the subject.
Subject(s)
Breast Neoplasms/analysis , Estradiol/analysis , Receptors, Estrogen/analysis , Adult , Age Factors , Analysis of Variance , Female , Humans , Menopause , Middle AgedABSTRACT
A case of testicular feminization syndrome associated with lymphoma is reported. This association has not been previously described. We mentioned an hypothesis about this association.
Subject(s)
Androgen-Insensitivity Syndrome/complications , Lymphoma/complications , Adult , Androgen-Insensitivity Syndrome/pathology , Biopsy , Humans , Lymph Nodes/pathology , Lymphocytes , Lymphoma/pathology , Male , Testis/pathologyABSTRACT
A patient with pancreatic islet cell carcinoma metastatic to the liver developed Zollinger-Ellison syndrome. She presented hypoglycemic crisis afterwards, which were consequent to insulin excess. After streptozotocin treatment, she remained free of symptoms during the following 12 months.
Subject(s)
Adenoma, Islet Cell/drug therapy , Liver Neoplasms/drug therapy , Pancreatic Neoplasms/drug therapy , Streptozocin/therapeutic use , Zollinger-Ellison Syndrome/drug therapy , Adenoma, Islet Cell/pathology , Drug Evaluation , Female , Humans , Injections, Intravenous , Liver Neoplasms/pathology , Middle Aged , Neoplasm Metastasis , Pancreatic Neoplasms/pathology , Zollinger-Ellison Syndrome/pathologySubject(s)
Clomiphene/therapeutic use , Fibroma/drug therapy , Thoracic Neoplasms/drug therapy , Basilar Artery/diagnostic imaging , Drug Evaluation , Female , Fibroma/diagnostic imaging , Humans , Middle Aged , Radiography , Subclavian Vein/diagnostic imaging , Thoracic Neoplasms/diagnostic imagingABSTRACT
The twelft case of synovial sarcoma of the neck originated in the base of the tongue at the foramen caecum is reported. The patient, a 21 year old man developed a 7 cm. tumor after a 5 month period. A radical neck disection revealed metastases to lymph nodes, to spinal chain and residual tumor infiltrating the parotid gland. The subsequent X-ray studies showed metastases to lung. The patient is well 1 year after surgery. The pathogenesis of synovial sarcomas in regions so distant from normal synovial elements as the neck and other sites is not clear. In the present case and in those reported previously it is probable that the arise from synovial cell lining tendon sheaths or adventitious bursae in the neck.
Subject(s)
Head and Neck Neoplasms/pathology , Sarcoma, Synovial/pathology , Adult , Diagnosis, Differential , Humans , Lung Neoplasms/pathology , Male , Neck Dissection , Neoplasm Metastasis , Parotid Neoplasms/pathologyABSTRACT
The carcinoma of the male breast is a rare lesion, being aproximatelly 100 times less frequent than in women. Of 1930 cases of mammary cancer seen at the Hospital of Oncology of the National Medical Center, I.M.S.S. during a period of 10 years we found 10 histologically proved cases of carcinoma of the male breast. Their microscopic appearence was that of an invasive ductal carcinoma. The surgical treatment consisted in radical mastectomy on six patients, supermastectomy is one case and simple mastectomy in other. Two patients received radio and chemotherapy. In three patients bilateral orchiectomy was done and in other two cases a bilateral adrenalectomy was performed. The results of the review of these cases are compared with other previously reported.
