ABSTRACT
Ectopic thyroid tissue is a rare clinical entity, and more so when it is present in two different locations. We present the case of a 38-year-old euthyroid woman with submandibular and lingual ectopic thyroid tissue in the absence of a normally located thyroid gland, diagnosed after the extirpation of an asymptomatic mass misdiagnosed as a neoplasm of the submaxillary gland. Despite its low frequency, the possibility of ectopic thyroid should be considered when making a differential diagnosis of neck masses, using ultra-sound, thyroid scan and ultrasound-guided fine-needle aspiration biopsy.
Subject(s)
Choristoma/diagnostic imaging , Diagnostic Errors , Hypothyroidism/etiology , Lingual Goiter/diagnosis , Postoperative Complications/etiology , Submandibular Gland/surgery , Thyroid Gland , Adult , Choristoma/diagnosis , Choristoma/surgery , Female , Humans , Lymph Node Excision , Magnetic Resonance Imaging , Salivary Gland Neoplasms/diagnosis , Submandibular Gland/pathology , Thyroid Gland/abnormalities , Tomography, X-Ray ComputedABSTRACT
La ectopia de tejido tiroideo es una entidad clínica poco frecuente, y más aún cuando se presenta en 2 localizaciones diferentes. Se presenta el caso de una mujer de 38 años a la que se diagnosticó ectopia tiroidea dual: submandibular y lingual, tras la exéresis de una masa cervical de crecimiento rápido sospechosa de neoplasia de la glándula submaxilar. A pesar de su baja frecuencia, la posibilidad de ectopia tiroidea se debe considerar cuando se realiza un diagnóstico diferencial de masas cervicales mediante ecografía, gammagrafía tiroidea y punción-aspiración con aguja fina guiada por ecografía (AU)
Ectopic thyroid tissue is a rare clinical entity, and more so when it is present in two different locations. We present the case of a 38-year-old euthyroid woman with submandibular and lingual ectopic thyroid tissue in the absence of a normally located thyroid gland, diagnosed after the extirpation of an asymptomatic mass misdiagnosed as a neoplasm of the submaxillary gland. Despite its low frequency, the possibility of ectopic thyroid should be considered when making a differential diagnosis of neck masses, using ultra-sound, thyroid scan and ultrasound-guided fine-needle aspiration biopsy (AU)
Subject(s)
Humans , Female , Adult , Thyroid Gland/abnormalities , Hypothyroidism/diagnosis , Submandibular Gland Neoplasms/pathology , Spectrometry, Gamma/methods , Diagnosis, DifferentialABSTRACT
Prostatic abscess is an uncommon entity nowadays due to widely use of antibiotics, however, in some patients, because of the seriousness, a quick diagnosis and interventionist treatment is required. We report a case of a 78 year-old male patient who had a torpid evolution and needed an urgent prostatectomy. We review ethiopathogenic factors, clinical findings, diagnosis and treatment of this uncommon entity.
Subject(s)
Abscess/microbiology , Escherichia coli Infections/diagnosis , Prostatic Diseases/microbiology , Abscess/diagnosis , Abscess/surgery , Aged , Anti-Bacterial Agents/therapeutic use , Escherichia coli Infections/drug therapy , Escherichia coli Infections/surgery , Humans , Male , Prostate/diagnostic imaging , Prostate/microbiology , Prostatectomy , Prostatic Diseases/diagnosis , Prostatic Diseases/drug therapy , Radiography , Treatment Outcome , UltrasonographyABSTRACT
Melanosis of the bladder is a rare entity characterized by anomalous deposits of melanin-containing pigment on the vesical urothelium without melanocytic atypia or associated malignant melanoma. To our knowledge and following such strict criteria, there are only five cases previously reported. The biological potential of this entity is uncertain because of the rarity of their. We report one case of simple melanosis of the bladder confirmed by histological examination and inmunohistochemistry analysis. We believe that recognition of this entity is important.
Subject(s)
Melanosis/pathology , Urinary Bladder Neoplasms/pathology , Aged , Humans , MaleABSTRACT
We report on two patients with acute lymphoblastic leukemia in induction chemotherapy, who developed a sepsis which led, in both cases, to death following the appearance of neurological symptoms suggesting CNS affectation. Autopsy revealed an angioinvasive disseminated aspergillosis affecting lungs, brain, myocardium, kidneys, thyroid glands in both cases, and endocardium, urinary bladder, lymph nodes, alimentary tract, nasal sinuses in one of the cases. Microbiology study of necropsic tissue showed Aspergillus flavusoryzae and likewise Candida albicans in one case. The latter finding suggest a combined fungal sepsis caused to candida and aspergillus.
