RESUMO
Presentamos un caso de diagnóstico prenatal de transposición pene-escrotal completa a la semana 20 de gestación. La exploración sistemática de todos los órganos, incluidos los genitales, posibilitan el diagnóstico de estas raras e infrecuentes malformaciones (AU)
We report a case of prenatal diagnosis of complete penoscrotal transposition in a fetus at 20 weeks of gestation. Systematic exploration of all the organs, including the genitals, allowed the diagnosis of these rare malformations (AU)
Assuntos
Humanos , Feminino , Gravidez , Adulto , Diagnóstico Pré-Natal/métodos , Diagnóstico Pré-Natal , Hipospadia/diagnóstico , Hipospadia/cirurgia , Amniocentese , Hipospadia , Cuidado Pré-Natal , Ultrassonografia Pré-Natal/métodos , Ultrassonografia Pré-Natal , Escroto/anormalidades , Escroto/patologia , EscrotoRESUMO
OBJECTIVE: To present an exceptional clinical case of functional follicle-stimulating gonadotropin secretion by a thorax neuroendocrine carcinoid tumor. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Cruces University Hospital, Vizcaya, Spain. PATIENT(S): A 26-year-old woman with ovarian hyperstimulation. INTERVENTION(S): Diagnosis algorithm. MAIN OUTCOME MEASURE(S): Successful management of ovarian hyperstimulation. RESULT(S): A 26-year-old woman seen with abdominal pain and swelling had bilateral multicystic ovaries. The diagnosis algorithm revealed the presence of ovarian hyperstimulation but with no due etiology. On the basis of the persistence of high levels of FSH a computed tomographic scan was taken looking for an FSH-producing neuroendocrine tumor. CONCLUSION(S): In idiopathic ovarian hyperstimulation secondary to supraphysiologic secretion of FSH, the presence of an FSH-producing neuroendocrine tumor should be considered. As far as we know, there are no similar cases with a confirmed diagnosis published in the literature.
Assuntos
Tumor Carcinoide/complicações , Hormônio Foliculoestimulante/metabolismo , Síndrome de Hiperestimulação Ovariana/diagnóstico , Síndrome de Hiperestimulação Ovariana/etiologia , Neoplasias Torácicas/complicações , Adulto , Tumor Carcinoide/diagnóstico por imagem , Tumor Carcinoide/metabolismo , Feminino , Humanos , Neoplasias Torácicas/diagnóstico por imagem , Neoplasias Torácicas/metabolismo , Tomografia Computadorizada por Raios XRESUMO
Cutaneous reactive angiomatosis is an unusual benign vascular disorder of the skin usually associated to systemic diseases. It is characterized by lobular or diffuse proliferation of small blood vessels with hyperplasia of endothelial cells, pericytes, and sometimes histiocytes. We report a 59-year-old man with asymptomatic erythematous-violaceous patches on back, palms, and elbows for 9 months. Laboratory examination revealed changes consistent with B-chronic lymphocytic leukemia. Cutaneous biopsy showed a predominantly lobular small blood vessel proliferation in dermis with pericytic hyperplasia and mild perivascular lymphoplasmacytic infiltrate. Spontaneous involution of lesions occurred after 6 months. A second biopsy performed at the beginning of clinical involution showed a less prominent vascular component with perivascular giant cells with coexpression of CD68 and CD 31. To our knowledge, this is the first case of cutaneous reactive angiomatosis with documented histopathological findings of clinical involution.
