RESUMEN
Intraosseous cyst of the carpal bones is a rare cause of wrist pain. Few cases have been reported. We report a rare case of intraosseous ganglion cyst of the capitate, in a girl aged 16 who plain of chronic pain of the right wrist. The radiological assessment showed an osteolytic lesion with marginal sclerosis. The diagnosis was confirmed by histopathology and treatment consisted of curettage with autologous cancellous bone graft. At 8 months follow-up, the capitate is fully consolidated and the functional result is satisfactory.
Asunto(s)
Quistes Óseos/cirugía , Hueso Grande del Carpo/cirugía , Adolescente , Quistes Óseos/complicaciones , Quistes Óseos/diagnóstico , Trasplante Óseo , Hueso Grande del Carpo/diagnóstico por imagen , Hueso Grande del Carpo/patología , Dolor Crónico/etiología , Legrado , Femenino , Estudios de Seguimiento , Humanos , Radiografía , Resultado del TratamientoRESUMEN
Primary non-Hodgkin's lymphoma of the adrenal gland is rare. We report the case of a 31-years-old patient hospitalized with asthenia and adrenal insufficiency. The CT scan showed a bilateral adrenal mass. A scano-guided biopsy suspected an endocrinoid tumor. The surgical exploration demonstrated a huge mass invading the retroperitoneal space, and the biopsy concluded to a central follicular phenotype B rmalignant lymphoma with a high rank of malignity. The thoracic CT scan did not show any lymph node. The medullar biopsy eliminated a secondary lymphoma. The patient was treated by chemotherapy and radiotherapy with a good result during 16 months.
Asunto(s)
Neoplasias de las Glándulas Suprarrenales/patología , Linfoma no Hodgkin/patología , Neoplasias de las Glándulas Suprarrenales/tratamiento farmacológico , Neoplasias de las Glándulas Suprarrenales/radioterapia , Adulto , Biopsia , Lateralidad Funcional , Humanos , Linfoma no Hodgkin/tratamiento farmacológico , Linfoma no Hodgkin/radioterapia , Masculino , Tomografía Computarizada por Rayos XRESUMEN
The authors report 2 cases of prostatic tuberculosis. The patients are 59 and 62-years-old respectively. They presented obstructive and irritative symptoms of the lower urinary tract. The prostatic finding and PSA were abnormals. The prostatic biopsy was negative. The diagnosis of prostatic tuberculosis was made by histologic analysis after transuretral resection of prostate. The treatment is based on chemotherapy anti-tuberculosis.
Asunto(s)
Enfermedades de la Próstata/tratamiento farmacológico , Tuberculosis/tratamiento farmacológico , Antituberculosos/uso terapéutico , Biopsia , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Próstata/diagnóstico , Enfermedades de la Próstata/patología , Tuberculosis/diagnóstico , Tuberculosis/patologíaRESUMEN
This case report describes a 53-year old man with Cushing's syndrome due to Adrenocorticotropic Hormone (ACTH) independent bilateral adrenocortical macronodular hyperplasia (AIMAH). His plasma cortisol showed no diurnal rhythm and was unsuppressable by high-dose dexamethasone. Plasma ACTH was undetectable and did not respond to corticotrophin-releasing hormone. The aetiology of this rare disease remains uncertain. The treatment is based on bilateral adrenalectomy.
Asunto(s)
Enfermedades de las Glándulas Suprarrenales/patología , Adrenalectomía , Síndrome de Cushing/etiología , Enfermedades de las Glándulas Suprarrenales/complicaciones , Enfermedades de las Glándulas Suprarrenales/cirugía , Hormona Adrenocorticotrópica , Síndrome de Cushing/cirugía , Femenino , Humanos , Hidrocortisona/sangre , Hiperplasia , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
Urachal remnants are not exceptional and are symptomatics if complicated. Ultrasound and CT scan identify most diseases entities originating from urachal remnant. Treatment consists on total exeresis because there is a risk of malignant degeneration. The authors report a case of urachal remnant and analysis the anatomopathologic, diagnosis and therapeutic features of urachal remnants in a review of the literature.
Asunto(s)
Uraco/anomalías , Adulto , Humanos , Masculino , Radiografía , Ultrasonografía , Uraco/diagnóstico por imagen , Uraco/cirugíaRESUMEN
We report one case of neuroendocrine tumour of the prostate in a 74 years old patient. The clinical symptomatology was dominated by pollakuria, dysuria. Digital rectal examination showed a bulky prostate, hard and irregular. The rate of PSA was high (23 ng/mL). The endorectal ultrasonography revealed a pelvic heterogeneous mass depending of prostate. The biopsy showed an adenocarcinoma of prostate. The patient underwent a transuretral resection of the prostate (TURP) and pulpectomy. Histology and immunohistochemistry through antibody anti NES and antibody antisynaptophysin of shavings of resection revealed a neuroendocrine tumour of the prostate. Twelve months after, the lung X-ray, abdominal ultrasonography and bone scintigram was normal. The rate of PSA was 2.1 ng/mL.
Asunto(s)
Adenocarcinoma/patología , Tumores Neuroendocrinos/patología , Neoplasias de la Próstata/patología , Resección Transuretral de la Próstata , Adenocarcinoma/inmunología , Adenocarcinoma/cirugía , Anciano , Biopsia , Humanos , Inmunohistoquímica , Masculino , Tumores Neuroendocrinos/inmunología , Tumores Neuroendocrinos/cirugía , Antígeno Prostático Específico/análisis , Neoplasias de la Próstata/inmunología , Neoplasias de la Próstata/cirugía , Resultado del TratamientoRESUMEN
There has been an increase in the frequency of candidiasis urinary infections, which mainly affect diabetic or immunodepressed patients. However, the obstruction of the upper urinary tract by fungal infection is a rare occurrence. The introduction of novel antifungal agents has improved the treatment of fungal infection. In this study, two cases have been reported of urinary candidiasis infections with obstruction of the upper urinary tract which were successfully treated with fluconazole in combination with ureteral catheterization.
Asunto(s)
Candidiasis/complicaciones , Candidiasis/diagnóstico , Obstrucción Ureteral/etiología , Infecciones Urinarias/complicaciones , Infecciones Urinarias/diagnóstico , Adulto , Humanos , MasculinoRESUMEN
The authors report a retrospective study of eight cases of trapezium fractures. There were seven male and one female patient aged 21 to 48 years. The presumed mechanism of injury was established in only four cases. Clinical trapeziometacarpal abnormality was always present. The diagnosis was made on standard radiographs in seven cases, computed tomography was used in one case. The fracture was simple, vertical and lateral in five cases, complex in one case and consisted in a lateral avulsion in two cases. An associated Bennett's fracture was present in five cases. The treatment was conservative in two cases. Internal fixation was performed in four cases (3 using a lag screw, 1 using a Kirschner wire) and transosseous reinsertion in two cases. With an average follow-up of 3 years (1 year-6 years), open reduction and internal fixation appears to be simple and to give good or excellent results.