ABSTRACT
La enfermedad de Paget de la mama es una entidad poco frecuente y de buen pronóstico. El tratamiento clásico ha sido la mastectomía, pero es posible una cirugía conservadora de la mama, y hoy en día debe valorarse como primera opción siempre y cuando se aseguren márgenes libres con un resultado estético aceptable. Las pruebas de imagen son fundamentales para descartar un carcinoma subyacente y de cara a la planificación de una cirugía conservadora, así como para el futuro seguimiento de estas pacientes
Paget disease of the breast is a relatively rare entity with a favourable prognosis. Form any years, the gold standard treatment has been mastectomy. However, breast-conserving surgery is now feasible and should be evaluated as the first-line option whenever negative margins with acceptable cosmetic results can be achieved. Imaging techniques are essential to exclude an underlying carcinoma and play an important role in selecting candidates for breast-conserving treatment and in follow-up
Subject(s)
Humans , Female , Paget's Disease, Mammary/epidemiology , Mastectomy, Segmental/statistics & numerical data , Breast Neoplasms/surgery , Mastectomy, Simple/statistics & numerical data , Mastectomy, Radical/statistics & numerical dataABSTRACT
OBJECTIVE: To describe a case of scrotal cavernous hemangioma. METHODS: A 4-year old boy with a painful left scrotal mass is described. The epidemiology, natural history, diagnosis, differential diagnosis, treatment and prognosis of this tumor are reviewed. RESULTS: Analysis of the surgical specimen disclosed a scrotal cavernous hemangioma. CONCLUSIONS: A scrotal mass diagnosed at an uncommon age or atypical site warrants considering hemangioma as a possible etiology.
Subject(s)
Genital Neoplasms, Male , Hemangioma, Cavernous , Scrotum , Child, Preschool , Genital Neoplasms, Male/pathology , Genital Neoplasms, Male/surgery , Hemangioma, Cavernous/pathology , Hemangioma, Cavernous/surgery , Humans , MaleABSTRACT
The cytopathologic features of the fine needle aspiration cytology of the local recurrence of a vulvar epithelioid sarcoma were documented. The cytologic findings included round polygonal cells with abundant eosinophilic cytoplasm and an eccentrically located nucleus. Despite their epithelioid aspect, the cells in the smears had a sarcomatous arrangement, consisting of isolated cells and loosely cohesive groups. The cytologic findings correlated well with the histologic features of the tumor, which consisted of nodules of eosinophilic epithelioid cells. We discuss the clinical characteristics and prognostic factors in this unusual, vulvar location of this soft tissue sarcoma.
