ABSTRACT
Pulmonary hyalinizing granuloma is a rare fibrosing nodular disease of the lung characterized by solitary or multiples pulmonary nodules. This report describes two cases of this rare disorder. MRI was available in one case. For the first case, the stability of the lesions and past history of retroperitoneal fibrosis suggested the diagnosis. For the second case, open lung biopsy was required for diagnosis. When multiple nodules are present, metastatic disease cannot be excluded and biopsy may be required. Evolution is usually benign but follow up is necessary.
Subject(s)
Granuloma , Lung Diseases , Biopsy , Diagnosis, Differential , Female , Follow-Up Studies , Granuloma/diagnosis , Granuloma/diagnostic imaging , Granuloma/pathology , Humans , Lung/pathology , Lung Diseases/diagnosis , Lung Diseases/diagnostic imaging , Lung Diseases/pathology , Magnetic Resonance Imaging , Middle Aged , Radiography, Thoracic , Retroperitoneal Fibrosis/diagnosis , Retroperitoneal Fibrosis/diagnostic imaging , Time Factors , Tomography, X-Ray ComputedABSTRACT
Bronchogenic lung cysts are exceptional. We report four cases which raised a problem of differential diagnosis. Our patients included four women and a young boy (age range 12 - 36 years). The first patient consulted for bloody purulent sputum in a context of an infectious syndrome. The second patient had lower right-sided chest pain. The cyst was a fortuitous discovery in the other two cases. In one case, the chest x-ray disclosed a thin-walled cavity of the upper right lobe, confirmed on the CT scan which also evidenced intracavitary partitions. In two other cases, the chest x-ray showed a liquid-filled opacity (one in the lower right lobe and the other in the upper right lobe) and no further specificity on the CT scan. In the last case, a liquid-air cavity was evidenced. Upper right lobectomy was performed for the case with an air-filled cavity and tumorectomy for the other cases. Pathology reported bronchogenic cyst in all cases. The radiological and clinical presentations observed in patients with bronchogenic lung cysts, with or without tracheobronchial communication, are polymorphous, often raising problems of differential diagnosis.
Subject(s)
Bronchogenic Cyst/diagnosis , Adult , Bronchogenic Cyst/diagnostic imaging , Bronchogenic Cyst/surgery , Child , Diagnosis, Differential , Female , Humans , Male , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
Bronchoesophageal fistula is an uncommon clinical problem which can either occur as a congenital or acquired condition. A 40-year-old male had productive cough with production of sputum mixed with food particles and cough when eating and drinking. There was no weight loss nor weakness. Clinical examination led to the diagnosis of a fistula between the lower esophagus and the Nelson bronchus associated with bronchiectasis. The congenital nature of this fistula was suggested by the clinical, operative and pathology findings. Postoperative recover was uneventful. Esophageal respiratory tract fistula presenting in adult life are rare and can cause severe debilitation and suppurating lung disease. Surgical treatment provides complete resolution of the symptoms. Endoscopic obliteration can be considered as an alternative to surgery.
Subject(s)
Bronchial Fistula/diagnosis , Esophageal Fistula/diagnosis , Adult , Age Factors , Bronchial Fistula/surgery , Bronchoscopy , Esophageal Fistula/surgery , Esophagoscopy , Fistula , Humans , Male , Radiography, ThoracicSubject(s)
Choristoma , Duodenal Diseases , Pancreas , Stomach Diseases , Adult , Choristoma/diagnosis , Diagnosis, Differential , Duodenal Diseases/diagnosis , Humans , Male , Middle Aged , Stomach Diseases/diagnosisABSTRACT
The authors report a case of melanotic schwannoma in a 46-year-old man after 2 years of bilateral sciatica. Surgical removal was incomplete, because of the posterior site of the tumor. The patient was alive and well, 2 years after surgical removal, with some surgical sequelae. The authors stress the diagnostic difficulties of this melanotic and review the previously reported cases in a comparative study.
Subject(s)
Bone Neoplasms/pathology , Neurilemmoma/pathology , Sacrum , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/surgery , Humans , Male , Middle Aged , Neurilemmoma/diagnostic imaging , Neurilemmoma/surgery , Tomography, X-Ray ComputedABSTRACT
The authors report a case of encapsulated papillary neoplasm in the right lobe of the thyroid of a 36-year-old woman. This neoplasm was a papillary encapsulated carcinoma with variable histologic patterns not properly described in the literature. In the light of a review of the literature, the authors stress the macroscopic and histologic aspects of this tumor and they discuss the prognosis and therapeutic tools used to cure this neoplasm.
Subject(s)
Carcinoma, Papillary/pathology , Thyroid Neoplasms/pathology , Adult , Carcinoma, Papillary/surgery , Female , Humans , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
Acardia is an extremely rare malformation which is seen in less than 1 per cent of monozygous twin pregnancies. Pathological aspects and etiopathogenic theories concerning this malformation are reviewed on the basis of a case diagnosed in utero at 24 weeks. The value of the antenatal diagnosis of this malformation is that of monitoring the progression of the pregnancy and predicting the fate of the healthy twin.
Subject(s)
Heart Defects, Congenital/diagnostic imaging , Twins, Monozygotic , Ultrasonography, Prenatal , Adult , Female , Heart Defects, Congenital/epidemiology , Humans , Infant, Newborn , Pregnancy , RadiographyABSTRACT
The authors report an original case of tendosynovial sarcoma localizated in the side of the palm of the hand of an eight year old child. This tumor has two morphological forms. One is characteristic of undifferentiated synovialosarcoma, and the other of epitheloid sarcoma. The immuno-histochemical study confirms the diagnosis of undifferentiated synovialosarcoma. On the basis of this case and with reference to the literature, the authors suggest that epithelioid sarcoma and synovialosarcoma constitute the same entity.