ABSTRACT
Herein, we have reported a case of a 62-year-old patient who presented at 10 months after renal transplantation with a nodular mass on the dorsum of his foot. Local excision was performed and an acral myxoinflammatory fibroblastic sarcoma was diagnosed. This is a rare, low-grade sarcoma with a high rate of local recurrence, sometimes leading to amputation. Metastasis to the lungs and liver has been reported, but is rare. Since our patient received triple immunosuppressive therapy, our major concern was a much more aggressive behavior. However, more than 2 years after excision of the tumor, the patient is still free of disease.
Subject(s)
Fibroma/surgery , Fibrosarcoma/surgery , Kidney Transplantation/adverse effects , Soft Tissue Neoplasms/surgery , Foot/pathology , Foot/surgery , Histocompatibility Testing , Humans , Male , Middle Aged , Postoperative Complications/surgery , Treatment OutcomeABSTRACT
We report the sonographic, CT, and clinical findings in a patient presenting with clinical sepsis and multiple Staphylococcus aureus hepatic microabscesses. Although contrast-enhanced CT has had a higher sensitivity than sonography in detecting hepatic microabscesses in some studies, this examination was negative in our patient. On sonography, numerous small hypoechoic lesions were present. Some target-like lesions had a striking similarity to Candida albicans microabscesses. The hepatic lesions were believed to be pyogenic liver microabscesses, as several blood cultures were positive for S. aureus. Following prolonged intravenous antibiotic therapy, all the hypoechoic hepatic lesions disappeared, along with the clinical and biochemical signs of sepsis.
Subject(s)
Candidiasis/diagnostic imaging , Liver Abscess/diagnostic imaging , Staphylococcal Infections/diagnostic imaging , Adult , Diagnosis, Differential , Humans , Liver Abscess/microbiology , Male , Tomography, X-Ray Computed , UltrasonographySubject(s)
Anti-Bacterial Agents/therapeutic use , Campylobacter Infections/drug therapy , Campylobacter jejuni , Clarithromycin/therapeutic use , Peritoneal Dialysis, Continuous Ambulatory , Peritonitis/microbiology , Acute Disease , Administration, Oral , Adult , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/analysis , Anti-Bacterial Agents/blood , Campylobacter jejuni/drug effects , Clarithromycin/administration & dosage , Clarithromycin/analysis , Clarithromycin/blood , Dialysis Solutions/analysis , Humans , Male , Peritonitis/drug therapySubject(s)
Abdominal Abscess/diagnostic imaging , Calcinosis/diagnostic imaging , Intestinal Perforation/diagnostic imaging , Intestine, Large/diagnostic imaging , Peritoneum/pathology , Peritonitis/diagnostic imaging , Abdominal Abscess/etiology , Calcinosis/etiology , Female , Humans , Intestinal Perforation/complications , Intestine, Large/surgery , Kidney Failure, Chronic/therapy , Middle Aged , Peritonitis/etiology , Sclerosis , UltrasonographyABSTRACT
The value of axillary sonography in 144 consecutive patients was prospectively studied. Abnormal lymph nodes were demonstrated in 72 axillae, only half (36 of 72) of which were clinically detected. In comparison with intraoperative findings in 47 patients with breast carcinoma, the sensitivity of sonography in detecting malignant nodes was 92%, the specificity 95%, and the positive and negative predictive value 96% and 91%, respectively. In 42 patients a sonographically guided node puncture was performed. Evidence of malignancy was found in 38 (90.5%). In 14 (33%) of them, cyto-histology pointed to a clinically undetected primary malignancy.
Subject(s)
Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Lymph Nodes/diagnostic imaging , Lymph Nodes/pathology , Lymphatic Metastasis/diagnostic imaging , Lymphatic Metastasis/pathology , Adult , Aged , Axilla , Biopsy, Needle , Breast Neoplasms, Male/diagnostic imaging , Carcinoma, Embryonal/diagnostic imaging , Carcinoma, Embryonal/pathology , Female , Humans , Lymphoma, Non-Hodgkin/diagnostic imaging , Lymphoma, Non-Hodgkin/pathology , Male , Melanoma/diagnostic imaging , Melanoma/pathology , Middle Aged , Predictive Value of Tests , Prospective Studies , Sensitivity and Specificity , UltrasonographySubject(s)
Cyclosporine/adverse effects , Itraconazole/adverse effects , Lovastatin/analogs & derivatives , Rhabdomyolysis/chemically induced , Aged , Anticholesteremic Agents/administration & dosage , Anticholesteremic Agents/adverse effects , Anticholesteremic Agents/pharmacokinetics , Antifungal Agents/administration & dosage , Antifungal Agents/adverse effects , Cyclosporine/administration & dosage , Drug Interactions , Drug Therapy, Combination , Humans , Immunosuppressive Agents/administration & dosage , Immunosuppressive Agents/adverse effects , Itraconazole/administration & dosage , Kidney Transplantation , Lovastatin/administration & dosage , Lovastatin/adverse effects , Lovastatin/pharmacokinetics , Male , SimvastatinABSTRACT
This paper describes a patient with massive eosinophilic ascites as presenting manifestation probably due to idiopathic hypereosinophilic syndrome. Eosinophilic ascites and stomach wall involvement were the first detected abnormalities. The subsequent course was characterised by interstitial pulmonary disease and pleural and pericardial effusion. Grand mal epilepsy and numbness of the left arm indicated central nervous system involvement. Treatment with corticosteroids resulted in complete remission. The differential diagnosis of eosinophilic gastroenteritis and idiopathic hypereosinophilic syndrome is discussed.
