[Sarcomatoid carcinoma of the bladder with major osseous metaplasia]. / Carcinome sarcomatoïde de la vessie avec métaplasie osseuse majeure.

The authors describe a case of sarcomatoid carcinoma of the bladder, in which the stroma presented marked calcified bone metaplasia. Mechanical lithotripsy of the tumor was necessary to allow transurethral resection.

[Ureteral stenosis caused by pelvic actinomycosis]. / Sténose urétérale par actinomycose pelvienne.

The authors report a case of pelvic actinomycosis causing ureteral obstruction in a 30-year-old woman. An intra-uterine device being in place for 6 years is considered as the main cause. The treatment, which included a laparotomy for abscess drainage, an indwelling double pigtail ureteral stent and a 9 month antibiotherapy led to recovery after an initial relapse.

[Endometrioid adenofibroma of the ovary. An anatomo-clinical case report]. / Adénofibrome endométrioïde de l'ovaire. A propos d'un cas anatomoclinique.

Endometrioid adenofibromas are rare tumours of the ovary characterised by proliferation of endometrial type glands without any particular atypical cell structure, within a dense and thick stroma. We report a case of such a tumour which showed an outline of stromal luteinisation.

[Pseudotumoral thoracic actinomycosis with lung and brain metastases. Apropos of a case. Review of hundred thirty one cases in the literature]. / Actinomycose thoracique pseudo-tumorale avec métastases pulmonaires et cérébrales. A propos d'un cas. Revue de cent trente et un cas de la littérature.

One particular case of thoracic actinomycosis is reported. The patient presented with a neurological picture mimicking a metastasis, as chest radiogram and CT-Scan indicated a primary pulmonary tumor. Diagnosis of actinomycosis was overlooked and final diagnosis was based on direct microscopy of lung tumor, which required a thoracotomy, without any resection. Antibiotic treatment with penicillin was successful as the cerebral lesion was completely cured within 2 months and the thoracic lesion reduced 2/3rd volume within the same delay. The importance of correct handling of tissue specimens and adequate informations to the microbiologist are emphasized. Another point of interest is that good clinical results can be expected from prolonged antibiotic treatment. Surgery must be reserved for diagnosis if no other means has been effective, for failure of medical treatment or for acute complications.

[Epidermoid cyst of the testis. Apropos of 2 cases with one in a child]. / Le kyste épidermoïde du testicule. A propos de deux cas dont un chez l'enfant.

Based on two cases of epidermoid cyst of the testes, one exceptional case was that of a four year old boy, the authors mention the absence of clinical and ultrasonic evidence to identify this benign tumor. The histological characteristics, described by Price, are quoted: intratesticular cyst, keratin sediment deposits, with a normal remaining parenchyma. Orchidectomy is the safest treatment; the tumoral enucleation or the partial orchidectomy is particularly appropriate when the opposite testes is missing or if it is functionally altered.

[Liposarcoma of the spermatic cord. Review of the literature. Apropos of a case of myxoid liposarcoma]. / Liposarcomes du cordon spermatique. Revue de la littérature. A propos d'un cas de liposarcome myxoïde.

Based on one case of spermatic cord liposarcoma, the authors mention the different histological types of this lesion. A review of the literature confirms this rare tumor typically occurs in the adult population; the majority of spermatic cord liposarcomas are of low grade malignancy. The treatment of choice remains radical orchidectomy with wide excision of the tumor. Because of the predilection of this lesion for local recurrence, the patients must be followed periodically.

[Massive fibroma of the round ligament developing as an extraperitoneal abdominal mass]. / Volumineux fibrome du ligament rond à développement abdominal mais extra-péritonéal.

The authors report the exceptionally rare case of a huge myofibroma of the round ligament. The localization of the myoma was very unusual. It developed from the inguinal insertion of the round ligament; and the fibroma had grown in the abdominal wall between muscle and the peritoneum. Consequently the mass was both abdominal and extra-peritoneal. To our knowledge, such an association has never before been described. In the case described here, the mass was asymptomatic and the patient presented because of her increasing abdominal size. Examination revealed an abdominal mass that almost reached the umbilicus and resembled a four months pregnancy. Ultrasonography showed that the uterus was normal. The mass was a 15 cm by 15 cm tumour of heterogenous structure. As the ovaries were not visualized it was impossible to decide whether the tumour was ovarian, intestinal or peritoneal. Laparotomy was performed with a preliminary diagnosis of a solid ovarian tumour. It was then possible to localize the mass accurately and to define it. Histological examination showed that it was a leiomyoma. Tumours of the round ligament are very uncommon. Among these tumours leiomyomas are the most frequent. Endometriotic tumours come next. Various very rare tumours can also be found. Leiomyoma of the round ligament may arise from each portion of the ligament: abdominal, inguinal or Labium Majus. But both abdominal and extra-peritoneal development from the inguinal insertion of the ligament is rare. They are usually single, and unilateral, and are found by chance.(ABSTRACT TRUNCATED AT 250 WORDS)