ABSTRACT
Introducción: Las enfermedades mamarias en niños y adolescentes de uno y otro sexo son poco frecuentes. Entre los tumores mamarios benignos, el galactocele es de rara aparición en la infancia y se caracteriza por la acumulación de fluido lechoso en una lesión quística mamaria. Caso clínico: Niño de 4 años de edad, previamente sano, que presenta una masa retromamaria izquierda indolora. La ecografía muestra una lesión quística que es extirpada con diagnóstico anatomopatológico de galactocele. Conclusiones: El galactocele debe considerarse una posible causa de tumor mamario benigno en la infancia. El diagnóstico anatomopatológico es clave y su exéresis resulta curativa. Finalmente, se precisan más estudios acerca de su etiología y fisiopatogenia, aún no esclarecidas (AU)
Introduction: Breast diseases in children and adolescents of both sexes are rare. Galactocele is an uncommon benign breast lesion in infants and children and is characterized by the accumulation of milky fluid in a mammary cystic lesion.Clinical case: 4 years previously healthy male presented with left breast enlargement. Ultrasound showed cystic lesion which was excised with the diagnosis of galactocele. Conclusions: Galactocele should be considered as a possible cause of benign breast tumors in infants. The microscopic examination is the key for the diagnosis and excision is curative. Finally, further investigations about its etiology and pathogenesis are necessary (AU)
Subject(s)
Humans , Male , Child, Preschool , Breast Neoplasms, Male/diagnosis , Breast Cyst/diagnosis , Gynecomastia/etiology , Breast Cyst/surgery , BiopsyABSTRACT
El hamartoma de glándulas de Brunner es un raro tumor duodenal localizado con mayor frecuencia a nivel de la primera porción, que si bien puede ser asintomático no es raro que produzca cuadros de hemorragia digestiva u obstrucción intestinal. Su diagnóstico se realiza por gastroscopia o estudio digestivo baritado y su tratamiento consiste en la resección endoscópica o quirúrgica, con muy buen pronóstico. Presentamos el caso de una mujer de 59 años que acude al hospital con un cuadro clínico de hemorragia digestiva alta presentando en la endoscopia realizada una úlcera sobre un pólipo en bulbo duodenal. Se realizó polipectomía correspondiendo en el estudio histológico a un hamartoma de glándulas de Brunner en cuyo interior aparecía un granuloma parasitario. La determinación de IgE para Anisakis así como los test cutáneos fueron positivos. La asociación de hamartoma de glándulas de Brunner y granuloma parasitario por Anisakis no se había descrito nunca (AU)
Brunner´s gland hamartoma is a rare duodenal tumor generally localized in the duodenal bulb. Normally assymptomatic, it might cause upper gastrointestinal bleeding or intestinal obstruction. The diagnosis is based on upper gastrointestinal endoscopic or barium examination findings, and its treatment includes surgical or endoscopic ressection, with an optimum prognosis. We present the case of a 59-year-old woman who was admitted to the hospital with an upper gastrointestinal bleeding picture. Endoscopic examination showed an ulcerated polyp in duodenal bulb which was cut with polipectomy wire. Histological slides showed a parasitic granuloma within a Brunner´s gland hamartoma. Skin prick test and specific IgE determination were positive for Anisakis. Up to our knowledge, this association has never been described before (AU)
Subject(s)
Middle Aged , Female , Humans , Brunner Glands , Anisakiasis , Duodenal Diseases , Gastrointestinal Hemorrhage , HamartomaABSTRACT
Brunner's gland hamartoma is a rare duodenal tumor generally localized in the duodenal bulb. Normally assymptomatic, it might cause upper gastrointestinal bleeding or intestinal obstruction. The diagnosis is based on upper gastrointestinal endoscopic or barium examination findings, and its treatment includes surgical or endoscopic resection, with an optimum prognosis. We present the case of a 59-year-old woman who was admitted to the hospital with an upper gastrointestinal bleeding picture. Endoscopic examination showed an ulcerated polyp in duodenal bulb which was cut with polipectomy wire. Histological slides showed a parasitic granuloma within a Brunner's gland hamartoma. Skin prick test and specific IgE determination were positive for Anisakis. Up to our knowledge, this association has never been described before.
Subject(s)
Anisakiasis/complications , Brunner Glands , Duodenal Diseases/complications , Gastrointestinal Hemorrhage/etiology , Hamartoma/complications , Female , Humans , Middle AgedABSTRACT
OBJECTIVE: A case of epididymal leiomyoma is presented. This lesion is uncommon and sometimes misdiagnosed. The literature is briefly reviewed. METHODS/RESULTS: A 29-year-old patient presented with a tumor in the tail of the right epididymis that was initially diagnosed as scrotal hematoma or complex cyst in the tail of the epididymis. RESULTS/CONCLUSIONS: Ultrasound has an important role in distinguishing testicular from epididymal tumors. However, if the diagnosis is unclear, surgical resection and subsequent anatomopathological analysis must be performed.
Subject(s)
Epididymis , Leiomyoma/diagnosis , Testicular Neoplasms/diagnosis , Adult , Diagnosis, Differential , Humans , MaleABSTRACT
Chronic non granulomatous ulcerative jejunoileitis a very infrequentity characterized by malabsorption and ulcerations of the small intestine which usually involve the jejunum and ileum. A case of a woman diagnosed with malabsorption syndrome requiring laparotomy due to worsening of a picture of malabsorption and the presence of stenosis and ileal ulceration, demonstrating villous atrophy and lymphoplasmocytic infiltration in the histology compatible with this disease is presented.
