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1.
Int J Surg Case Rep ; 110: 108649, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37639968

RESUMEN

INTRODUCTION AND IMPORTANCE: Ovarian cystadenofibroma is a relatively rare benign tumor (Groutz et al., 1994) that develops from the ovarian epithelium and stroma. This tumor can be solid, cystic, or semi-solid, depending on the fraction of epithelium and stroma it contains and the secretory activity of the epithelium that composes it. CASE PRESENTATION: We report the case of a 58-year-old multiparous patient who consulted for pelvic pain and for whom an MRI was requested, objectifying the presence of a mass of ovarian origin. The patient had been menopausal since the age of 51 and was not taking hormone replacement therapy. She had comorbid hypertension for 4 years under treatment. Preoperative ultrasound showed an ovarian-appearing, finely echogenic mass, site of endocystic vegetation, measuring 8.48 mm × 7.30 mm long axis. CLINICAL DISCUSSION: The mechanism underlying this hyperestrogenism is considered to be hypersecretion of the hormone by the tumor itself. CONCLUSION: cystadenofibromas had morphologic imaging features of malignancy on CT or MR images. On histology, solid components in the cystic tumors were correlated with fibrous stromas that occasionally made a false positive result for malignancy on imaging.

2.
Int J Surg Case Rep ; 110: 108652, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37579629

RESUMEN

INTRODUCTION AND IMPORTANCE: Breast cancer is the first gynecological cancer in women, dominated by invasive ductal cancer . It is characterized by the presence of extracellular mucus, mucinous carcinoma represents one to 7 % of all invasive carcinomas and by a more favorable prognosis, Presentation of the case: We present two patients followed for an invasive mucinous carcinoma, CLINICAL DISCUSSION: Mucinous carcinoma of the breast is a rare entity. Therapeutic management does not differ from other histological types. It is based on surgery, chemotherapy and radiotherapy. Conservative treatment is recommended for T1, T2. Partial and accelerated irradiation of the breast is currently the most recommended after breast-conserving surgery. CONCLUSION: Mucinous carcinoma is a rare histological entity with a favorable prognosis compared to other histological types. A benign-looking mass on imaging is not always reassuring, especially if it occurs in a woman over 60 years old. Since it can reveal colloid carcinoma.

3.
Int J Surg Case Rep ; 98: 107533, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36057250

RESUMEN

INTRODUCTION: Neurofibromatosis type 1 or Von Recklinghausen disease is a rare autosomal dominant hereditary disease with total penetrance. It is characterized by an extreme clinical variability that is also found within the same family. PRESENTATION OF CASE: We report a case of neurofibroma exceptional by its location in the breast in a 40-year-old woman with Von Recklinghausen disease, discovered by a breast nodule on self-examination. A biopsy-exeresis had concluded on the anatomopathological examination to the diagnosis of neurofibroma. DISCUSSION: Breast involvement in neurofibromatosis is extremely rare and possible. Rapid and adequate management of patients with Von Recklinghausen disease is essential in order to make the diagnosis early and to institute appropriate treatment as soon as possible, given the risk of possible malignant transformation. CONCLUSION: Diagnosis is essentially based on anatomopathological study. This confirms the diagnosis and rules out possible associated malignancy.

4.
Int J Surg Case Rep ; 98: 107558, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36055172

RESUMEN

INTRODUCTION: Tumors of the uterine tube are rare pathologies representing less than 1 % of all gynecologic cancers; they are dominated by adenocarcinomas. Secondary metastatic forms are the most frequent, whereas primary tumors are very rare and represent only 10 %, which suggests that the fallopian tube is an organ with low oncogenic potential. CASE REPORT: We report the case of a patient followed in the gynecology department C of the CHU IBN ROCHD CASA for a primary tubal adenocarcinoma, with a history of breast cancer. DISCUSSION: The diagnosis of its origin is difficult preoperatively, the treatment and staging are the same as for ovarian cancer. CONCLUSION: The treatment is also identical to the management of ovarian cancer, but their prognosis is better because they are most often diagnosed at an earlier stage.

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