ABSTRACT
We report the first case of vulvar porokeratosis that occurred in a 39-year-old woman with a 30-year history of vulvar pruritus and disfiguring vulvar lesions. Ultrasonic surgical aspiration resulted in resolution of her pruritus and excellent cosmesis. Light microscopy revealed characteristic cornoid lamellae and electron microscopy confirmed the diagnosis of vulvar porokeratosis.
Subject(s)
Porokeratosis/pathology , Vulvar Diseases/pathology , Adult , Biopsy , Female , Humans , Microscopy, Electron , Porokeratosis/complications , Porokeratosis/metabolism , Porokeratosis/therapy , Pruritus/complications , Tumor Suppressor Protein p53/metabolism , Ultrasonic Therapy , Vulvar Diseases/complications , Vulvar Diseases/metabolism , Vulvar Diseases/therapyABSTRACT
BACKGROUND: Cervical pregnancy can be a life-threatening entity, with the diagnosis often made on the hysterectomy specimen. A case of distal ectopic pregnancy involved the endocervical canal, and prompt diagnosis and treatment allowed the preservation of fertility. CASE: The patient presented at six weeks' gestation with vaginal bleeding. Serial ultrasound examinations revealed a viable pregnancy and ultimately suggested placental implantation within the endocervical canal. Curettage was performed using cervical stay sutures at the three and nine o'clock positions, with minimal bleeding and no postoperative morbidity. One year after the procedure the patient had a spontaneous delivery of a full-term male following an unremarkable prenatal course. CONCLUSION: Improvements in sonography and serum testing have allowed earlier diagnosis and hence greater success with conservative management of cervical pregnancy.
Subject(s)
Cervix Uteri , Pregnancy, Ectopic/diagnostic imaging , Ultrasonography, Prenatal , Adult , Dilatation and Curettage , Female , Humans , Infant, Newborn , Male , Pregnancy , Pregnancy Outcome , Pregnancy Trimester, First , Pregnancy, Ectopic/complications , Pregnancy, Ectopic/surgery , Suture Techniques , Uterine Hemorrhage/etiologyABSTRACT
We present a case of malignant renal oncocytoma which displayed a benign histologic appearance in the primary renal tumor and in metastases to the spine and liver. The case demonstrates the difficulty that may be encountered in distinguishing benign renal oncocytomas from malignant renal oncocytomas. Whereas, the accepted criteria will enable a distinction in the majority of instances, occasional instances may be encountered in which a benign histology does not provide an accurate reflection on the clinical course.
