Asunto(s)
Carcinoma Endometrioide/diagnóstico , Neoplasias Ováricas/diagnóstico , Anciano , Carcinoma in Situ/diagnóstico , Carcinoma in Situ/patología , Carcinoma Endometrioide/clasificación , Carcinoma Endometrioide/patología , Diagnóstico Diferencial , Femenino , Humanos , Invasividad Neoplásica , Neoplasias Ováricas/patología , Pronóstico , Células del Estroma/patologíaRESUMEN
Sclerosing stromal tumor (SST) is an uncommon benign tumor of the ovary, representing 2-6% of all stromal ovarian tumors. Comparatively to other fibrothecals tumors, SST is distinct by particular clinical and histological features. A case of SST occurring in 15-year-old female and review of the literature are described in the present article.
Asunto(s)
Neoplasias Ováricas/diagnóstico , Tumores de los Cordones Sexuales y Estroma de las Gónadas/diagnóstico , Adolescente , Femenino , Humanos , Laparotomía , Neoplasias Ováricas/patología , Tumores de los Cordones Sexuales y Estroma de las Gónadas/patología , Tomografía Computarizada por Rayos XRESUMEN
Inflammatory fibroid polyp is an uncommon and benign submucosal lesion of the gastrointestinal tract. The maximal incidence is in the fifth and sixth decades. The main histological characteristics are diffuse inflammatory infiltrate with eosinophils and highly vascularized fibrocystic stroma. We report a case of 15-year-old patient who underwent emergency surgery because of acute intestinal obstruction as a result of an intussusception. The macroscopical study after segmental ileal resection showed a nodular lesion 3x2x2 cm, arising from the submucosa with an ulcerated surface. The pathologic diagnosis was ileal inflammatory fibroid polyp. Immunohistochemically, the cells reacted with vimentin and CD34. It has no malignant potential although extensive infiltration may occur. The etiology is unknown. We discuss the clinical, the pathological aspects and the possible etiological factors of the inflammatory fibroid polyp.
Asunto(s)
Enfermedades del Íleon/complicaciones , Enfermedades del Íleon/diagnóstico , Pólipos Intestinales/complicaciones , Pólipos Intestinales/diagnóstico , Intususcepción/etiología , Adolescente , Diagnóstico Diferencial , Femenino , Humanos , Enfermedades del Íleon/patología , Enfermedades del Íleon/cirugía , Inmunohistoquímica , Inflamación , Pólipos Intestinales/patología , Pólipos Intestinales/cirugía , Intususcepción/diagnóstico , Intususcepción/cirugía , Resultado del TratamientoRESUMEN
Little information regarding synchronous gastric cancer associated with hepatocellular carcinoma is available and has been sporadically reported. We report a new case of 60 years old patient operated for gastric carcinoma. The radiological investigations revealed a hepatic nodule which correspond to a hepatocellular carcinoma on histological examination. The aim of this study is to clarify the clinicopathologic and therapeutic features of this association.
Asunto(s)
Adenocarcinoma/patología , Carcinoma Hepatocelular/patología , Neoplasias Hepáticas/patología , Neoplasias Primarias Múltiples/patología , Neoplasias Gástricas/patología , Gastrectomía , Hepatectomía , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Mesenchymal hamartoma is a rare and benign tumor.. Representing 5 to 8 % of children's hepatic tumors, it is rarely described in adults. Authors report a new case of hepatic mesenchymal hamartoma in a 21-year-old woman, diagnosed after a sudden onser of clinical and biological cholestasis. Abdominal US and CTscan exminations showed a medial liver tumor with cystic formations suggestive of a hydatid cyst. The diagnosis of hepatic mesenchymal hamartoma was based onn hitology of the resected liver specimen. Radiological findings can suggest the diagnosis but only histology can confirm it. Treatment is surgical involving in most of the cases; a wide hepatic resection because of the size of the tumor. Progosis is excellent when complete exeresis is possible.
Asunto(s)
Hamartoma/patología , Hepatopatías/patología , Adulto , Femenino , HumanosRESUMEN
Primary intestinal T-cell lymphomas account for about 5% of all primary gastrointestinal lymphomas and are mostly associated with coeliac disease. Intestinal lymphomas are usually discovered during the 4th to 5th decade and constitute an exceptional complication of coeliac disease. This lymphoma is generally a high grade pleomorphic cell lymphoma with large cells. Our case concerned a 30 year old woman with a history of coeliac disease who developed a gastro-enteromesenteric lymphoma. Anatomopathological and immunohistochemical analysis showed an enteropathy associated T-cell lymphoma. We suggest that patients with coeliac disease unresponsive to a gluten free diet or with deteriorating clinical condition be investigated for complications such as enteropathy associated T-cell lymphoma. It is also important to avoid this complication by detecting asymptomatic form of coeliac disease that needs a gluten-free diet.
Asunto(s)
Enfermedad Celíaca/complicaciones , Neoplasias Intestinales/etiología , Linfoma de Células T/etiología , Adulto , Femenino , Humanos , Inmunohistoquímica , Neoplasias Intestinales/patología , Linfoma de Células T/patologíaAsunto(s)
Quistes/complicaciones , Hamartoma/complicaciones , Enfermedades del Recto/complicaciones , Fístula Rectal/etiología , Quistes/congénito , Quistes/diagnóstico , Diagnóstico Diferencial , Hamartoma/congénito , Hamartoma/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Enfermedades del Recto/congénito , Enfermedades del Recto/diagnóstico , Fístula Rectal/cirugía , RecurrenciaRESUMEN
The Dubin-Johnson syndrome (DJS) is an autosomal recessive liver disorder characterized by a chronic conjugated hyperbilirubinemia a dark greenish appearance of liver tissue, a double peaked sulfobromophthalein clearance curve, and a characteristic lysosomal accumulation of black pigment "melanine-like" in the hepatocytes. Laboratory datas indicated an increased urinary excretion of coproporphrin isomer I and leukotriene metabolites. In an effort to understand the morphological pattern and the pathogenesis of this disease we reviewed four cases of DJS.