Pub Date : 2024-05-11DOI: 10.36347/sjmcr.2024.v12i05.019
H. Loukili, M. Jaouaher, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Idrissi, N. E. Ganouni
Spontaneous rupture of the urinary bladder (SRUB) secondary to emphysematous. Cystitis (EC) in diabetic patients is extremely rare. Emphysematous cystitis is a relatively rare disease entity characterized by intramural and/or intraluminal bladder gas best depicted by cross-sectional imaging. Its disease mechanism is not well understood. Case report: A 61-year-old diabetic woman presented to the emergency department with diffuse abdominal pain and hematuria of tree hours duration. Physical examination revealed generalized abdominal tenderness. Multi-slice abdominal and pelvic CT scans showed parietal pneumatosis of bladder and communicating continuity solutions with a pre-vesical collection (extravasation of PDC into the collection). After proper resuscitation, the patient was transferred to the operating room for exploratory laparotomy. A thickness bladder rupture was noted, which was repaired. Conclusions: SRUB in patients with poorly controlled diabetes and EC is highlighted in this case study. Urinary bladder rupture secondary to EC should be considered when a diabetic patient with a history of urinary symptoms presents with an acute onset of abdominal pain. Uneventful recovery from SRUB is dependent on early diagnosis and treatment.
{"title":"Spontaneous Bladder Wall Rupture Due to Emphysematous Cystitis in a Diabetic Patient: A Case Report","authors":"H. Loukili, M. Jaouaher, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Idrissi, N. E. Ganouni","doi":"10.36347/sjmcr.2024.v12i05.019","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.019","url":null,"abstract":"Spontaneous rupture of the urinary bladder (SRUB) secondary to emphysematous. Cystitis (EC) in diabetic patients is extremely rare. Emphysematous cystitis is a relatively rare disease entity characterized by intramural and/or intraluminal bladder gas best depicted by cross-sectional imaging. Its disease mechanism is not well understood. Case report: A 61-year-old diabetic woman presented to the emergency department with diffuse abdominal pain and hematuria of tree hours duration. Physical examination revealed generalized abdominal tenderness. Multi-slice abdominal and pelvic CT scans showed parietal pneumatosis of bladder and communicating continuity solutions with a pre-vesical collection (extravasation of PDC into the collection). After proper resuscitation, the patient was transferred to the operating room for exploratory laparotomy. A thickness bladder rupture was noted, which was repaired. Conclusions: SRUB in patients with poorly controlled diabetes and EC is highlighted in this case study. Urinary bladder rupture secondary to EC should be considered when a diabetic patient with a history of urinary symptoms presents with an acute onset of abdominal pain. Uneventful recovery from SRUB is dependent on early diagnosis and treatment.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.36347/sjmcr.2024.v12i05.017
H. Loukili, S. Outaghyame, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal
The mammary gland may be the site of a primary lymphoma or be invaded Secondary lymphoma of another organ. Involvement is usually unilatéral, more rarely bilatéral; primary or secondary, virtually the same varieties of lymphoma are observed. Most are B type lymphomas. Imaging is based on mammography and ultrasound, and more recently on MRI. Surgical removal is not indicated in the treatment of these lymphomas, which is essentially based on chemotherapy and immunotherapy.
乳腺可能是原发性淋巴瘤的发病部位，也可能是继发于其他器官的淋巴瘤。通常是单侧受累，双侧受累的情况更为罕见；无论是原发性还是继发性，所见的淋巴瘤种类几乎相同。大多数为 B 型淋巴瘤。影像学检查以乳腺 X 射线照相术和超声波检查为基础，最近还增加了核磁共振成像检查。这些淋巴瘤的治疗基本上以化疗和免疫治疗为主，手术切除并不适用。
{"title":"Non-Hodgkin Lymphoma of the Breast: Localization Exceptional to Know, Case Study and Literature Review","authors":"H. Loukili, S. Outaghyame, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal","doi":"10.36347/sjmcr.2024.v12i05.017","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.017","url":null,"abstract":"The mammary gland may be the site of a primary lymphoma or be invaded Secondary lymphoma of another organ. Involvement is usually unilatéral, more rarely bilatéral; primary or secondary, virtually the same varieties of lymphoma are observed. Most are B type lymphomas. Imaging is based on mammography and ultrasound, and more recently on MRI. Surgical removal is not indicated in the treatment of these lymphomas, which is essentially based on chemotherapy and immunotherapy.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Multiple myeloma (MM) is a widespread malignant condition characterized by the proliferation of transformed plasma cells in the bone marrow, disrupting its normal functions and infiltrating adjacent bone tissues. While typically confined to the bone marrow, in rare instances, patients may develop extramedullary disease. In these uncommon scenarios, the involvement of lymph nodes poses a diagnostic challenge for practitioners in their daily routines. This report details the case of a 49-year-old male experiencing chronic abdominal pain. A computed tomography (CT) scan revealed enlargement of retroperitoneal and mesenteric lymph nodes. Biopsies confirmed a plasma cell infiltrate positive for CD138 and kappa light chain, leading to the diagnosis of multiple myeloma with extramedullary localization in lymph nodes. Our case underscores the rare presentation of extramedullary involvement in multiple myeloma, characterized by an atypical clinical manifestation.
{"title":"Persistent Abdominal Pain with an Uncommon Presentation of Multiple Myeloma: A Case Study","authors":"Bounouar Ibtissam, Boumaazi Hiba, ElManjra Chama, Nacir Oussama, Lairani Fatima Ezzahra, AitErrami Adil, Sayagh Sanae, Oubaha Sophia, Samlani Zouhour, Krati Khadija","doi":"10.36347/sjmcr.2024.v12i05.015","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.015","url":null,"abstract":"Multiple myeloma (MM) is a widespread malignant condition characterized by the proliferation of transformed plasma cells in the bone marrow, disrupting its normal functions and infiltrating adjacent bone tissues. While typically confined to the bone marrow, in rare instances, patients may develop extramedullary disease. In these uncommon scenarios, the involvement of lymph nodes poses a diagnostic challenge for practitioners in their daily routines. This report details the case of a 49-year-old male experiencing chronic abdominal pain. A computed tomography (CT) scan revealed enlargement of retroperitoneal and mesenteric lymph nodes. Biopsies confirmed a plasma cell infiltrate positive for CD138 and kappa light chain, leading to the diagnosis of multiple myeloma with extramedullary localization in lymph nodes. Our case underscores the rare presentation of extramedullary involvement in multiple myeloma, characterized by an atypical clinical manifestation.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.36347/sjmcr.2024.v12i05.016
H. Loukili, S. Outaghyame, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal
A spinal meningocele is a saccular protrusion of the meninges through a dilated intervertebral foramen or a bony defect of the vertebral column. Intrathoracic meningocele is a rare condition. Only a few cases were related in the literature. It is usually associated with neurofibromatosis type 1. Isolated intrathoracic meningoceles without neurofibromatosis is a very rare entity few cases have been reported in the medical literature. Regardless of the treatment plan cross-sectional imaging techniques such as CT and MRI are essential not only for the diagnosis but also to determine the relationship to the surrounding structures and the exclusion of other neuromas and any skeletal deformities. Surgical excision is the treatment of choice in symptomatic patients.
{"title":"A Rare Case of an Isolated Intra-Thoracic Meningocele: Case Report and Review of the Literature","authors":"H. Loukili, S. Outaghyame, C. Ahmanna, B. Zouita, D. Basraoui, H. Jalal","doi":"10.36347/sjmcr.2024.v12i05.016","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.016","url":null,"abstract":"A spinal meningocele is a saccular protrusion of the meninges through a dilated intervertebral foramen or a bony defect of the vertebral column. Intrathoracic meningocele is a rare condition. Only a few cases were related in the literature. It is usually associated with neurofibromatosis type 1. Isolated intrathoracic meningoceles without neurofibromatosis is a very rare entity few cases have been reported in the medical literature. Regardless of the treatment plan cross-sectional imaging techniques such as CT and MRI are essential not only for the diagnosis but also to determine the relationship to the surrounding structures and the exclusion of other neuromas and any skeletal deformities. Surgical excision is the treatment of choice in symptomatic patients.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.36347/sjmcr.2024.v12i05.014
N. Belhaj, R. Bencheikh, M. Benbouzid, Leila Essakalli Houssaini
Auditory neuritis associated with cochleitis has already been described in viral damage; Several mechanisms are mentioned; either indirectly by an antibody response that cross-reacts with an inner ear antigen, or directly by an invasion of the cochlear nerve or anterior labyrinth. Non-specific symptoms such as SSNHL might be the only sign to recognize COVID-19 cases. The aim of this article is to report case of 35 year old man; who presented sudden unilateral deafness as the only symptom of SARS covid 19.
{"title":"Could Sudden Unilateral Sensorineural Hearing Loss be the Only Manifestation of COVID-19: Case Report","authors":"N. Belhaj, R. Bencheikh, M. Benbouzid, Leila Essakalli Houssaini","doi":"10.36347/sjmcr.2024.v12i05.014","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.014","url":null,"abstract":"Auditory neuritis associated with cochleitis has already been described in viral damage; Several mechanisms are mentioned; either indirectly by an antibody response that cross-reacts with an inner ear antigen, or directly by an invasion of the cochlear nerve or anterior labyrinth. Non-specific symptoms such as SSNHL might be the only sign to recognize COVID-19 cases. The aim of this article is to report case of 35 year old man; who presented sudden unilateral deafness as the only symptom of SARS covid 19.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-10DOI: 10.36347/sjmcr.2024.v12i05.012
Amal El-Ouakhoumi, H. Joulal, J. Yousfi, L. Benjilali, M. Zahlane, L. Essaadouni
Background: Celiac disease (CD) is a chronic immune-mediated disorder with wide clinical spectrum. Its association with autoimmune diseases has been reported in several studies but coexistence with systemic lupus erythematosus (SLE) is rare. Case Report: We report a case of 47-year-old female who developed simultaneously symptoms of Celiac disease and systemic lupus erythematosus. Conclusion: The association of CD and SLE has been rarely reported and it may be explained by the sharing of a common pathogenic basis involving genetic susceptibility and overlap of autoantibodies.
{"title":"Celiac Disease Associated with Systemic Lupus Erythematosus: A Case Report","authors":"Amal El-Ouakhoumi, H. Joulal, J. Yousfi, L. Benjilali, M. Zahlane, L. Essaadouni","doi":"10.36347/sjmcr.2024.v12i05.012","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.012","url":null,"abstract":"Background: Celiac disease (CD) is a chronic immune-mediated disorder with wide clinical spectrum. Its association with autoimmune diseases has been reported in several studies but coexistence with systemic lupus erythematosus (SLE) is rare. Case Report: We report a case of 47-year-old female who developed simultaneously symptoms of Celiac disease and systemic lupus erythematosus. Conclusion: The association of CD and SLE has been rarely reported and it may be explained by the sharing of a common pathogenic basis involving genetic susceptibility and overlap of autoantibodies.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140992374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-10DOI: 10.36347/sjmcr.2024.v12i05.011
F. Chettibi, M. Matouk, T. Doudi, M. Naidji, S. Benbouzid, A. Amari, B. Kaabouche
Introduction: Glomangiopericytoma (GPC) of the nasal sinus is a rare mesenchymal tumor that can mimic various benign pathologies in this anatomical region. We report an unusual clinical case and describe the diagnostic and therapeutic challenges encountered. Case Presentation: A 62-year-old woman presented with swelling of the left inner eye angle, tearing, and ipsilateral nasal obstruction. Clinical examination and imaging initially suggested chronic dacryocystitis. A polypoid nasal sinus mass was detected on endoscopy and computed tomography. Complete excision was performed via endoscopic nasal sinus surgery. The histopathological analysis confirmed the definitive diagnosis of glomangiopericytoma. Discussion: Nasal sinus GPC is a rare tumor, typically benign, derived from perivascular cells. Its clinical presentation is nonspecific and can mimic more common pathologies. Diagnosis is based on imaging and histopathological analysis with immunohistochemistry. The treatment of choice is complete surgical excision, preferably via minimally invasive endoscopic approach. Long-term close monitoring is recommended due to the risk of local recurrence. Conclusion: This clinical case highlights the importance of considering glomangiopericytoma in the differential diagnosis of nasal sinus masses, even in cases of initial benign presentation. A multidisciplinary approach, involving imaging, surgery, and histopathological analysis, is essential for optimal management.
{"title":"Glomangiopericytoma of the Nasal Sinus Mimicking Dacryocoele: A Case Report and Literature Review","authors":"F. Chettibi, M. Matouk, T. Doudi, M. Naidji, S. Benbouzid, A. Amari, B. Kaabouche","doi":"10.36347/sjmcr.2024.v12i05.011","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.011","url":null,"abstract":"Introduction: Glomangiopericytoma (GPC) of the nasal sinus is a rare mesenchymal tumor that can mimic various benign pathologies in this anatomical region. We report an unusual clinical case and describe the diagnostic and therapeutic challenges encountered. Case Presentation: A 62-year-old woman presented with swelling of the left inner eye angle, tearing, and ipsilateral nasal obstruction. Clinical examination and imaging initially suggested chronic dacryocystitis. A polypoid nasal sinus mass was detected on endoscopy and computed tomography. Complete excision was performed via endoscopic nasal sinus surgery. The histopathological analysis confirmed the definitive diagnosis of glomangiopericytoma. Discussion: Nasal sinus GPC is a rare tumor, typically benign, derived from perivascular cells. Its clinical presentation is nonspecific and can mimic more common pathologies. Diagnosis is based on imaging and histopathological analysis with immunohistochemistry. The treatment of choice is complete surgical excision, preferably via minimally invasive endoscopic approach. Long-term close monitoring is recommended due to the risk of local recurrence. Conclusion: This clinical case highlights the importance of considering glomangiopericytoma in the differential diagnosis of nasal sinus masses, even in cases of initial benign presentation. A multidisciplinary approach, involving imaging, surgery, and histopathological analysis, is essential for optimal management.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-09DOI: 10.36347/sjmcr.2024.v12i05.010
Hadraoui Ghita, Berkich Samir, Iharti Rokkaya, Berkaoui Mohamed, Bounid Oumayma, Igarramen Tarik, M. Darfaoui, A. Omrani, M. Khouchani
Breast cancer represents a real public health problem in Morocco with one of the highest rates of mortality. Cancer stem cells are a small subset of cells found in many types of malignancies, including breast cancer, they have a crucial role in carcinogenesis, progression, recurrences and therapeutic resistance. Our study aims to understand the characteristics of breast cancer stem cells that could explain the aggressive behavior of certain tumors, with an emphasis on CD326, as a biomarker for BCSC, hoping for new targeted therapies in the future.
{"title":"Cancer Stem Cells in Breast Cancer","authors":"Hadraoui Ghita, Berkich Samir, Iharti Rokkaya, Berkaoui Mohamed, Bounid Oumayma, Igarramen Tarik, M. Darfaoui, A. Omrani, M. Khouchani","doi":"10.36347/sjmcr.2024.v12i05.010","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.010","url":null,"abstract":"Breast cancer represents a real public health problem in Morocco with one of the highest rates of mortality. Cancer stem cells are a small subset of cells found in many types of malignancies, including breast cancer, they have a crucial role in carcinogenesis, progression, recurrences and therapeutic resistance. Our study aims to understand the characteristics of breast cancer stem cells that could explain the aggressive behavior of certain tumors, with an emphasis on CD326, as a biomarker for BCSC, hoping for new targeted therapies in the future.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Dermatofibrosarcoma of Darier and Ferrand (DFSP) is a rare skin tumor characterized by its local aggressiveness and high potential. Its prognosis depends essentially on the quality of its management. Observation and Results: In this article, we report the case of a young patient treated at the Department of Plastic, Reconstructive and Aesthetic Surgery, Tangier, for a Darier and Ferrand dermatofibrosarcoma that recurred five times after surgical excision, with a 5-cm margin on the surface and a healthy anatomical barrier at depth. Coverage of the loss of substance (LOS) was performed after anatomopathological confirmation of the carcinological nature of the excision, and essentially involved skin grafting. Despite a course of radiotherapy prescribed at the 4th recurrence, a 5th rapid recurrence was noted. Discussion: The great clinical, histological and evolutionary polymorphism of this type of sarcoma results in an underestimated incidence and explains the delay in diagnosis. Recurrences are frequent, and usually local. Initial wide surgical excision is the reference treatment, and directly conditions the prognosis of DFSP. According to several studies, recurrence may depend on the quality of surgical excision, but could also be attributed to genetic or environmental factors, or to variations in the histological subtype of the sarcoma. Conclusion: Darier Ferrand is an uncommon tumor with local malignancy, whose evolutionary risk depends mainly on the quality of the initial excision. The chances of cure in the case of well performed primary surgery are significantly higher than in the case of salvage surgery. Tumor excision must the refore be wide and deep, with sacrifice of a healthy barrier at depth.
{"title":"Dermatofibrosarcoma of Darrier and Ferrand: Recurrency Character: A Case-Report (Experience of the University Hospital Tangier-Tetouan-Al Hoceima)","authors":"Dehhaze Adil, Mai Aicha, Barij Hamza, Mahioui Mimoun, Bouazza Omar, Taybi Otmane, Daghouri Nada-Imane, Labbaci Rim, Diher Issam, Echmili Mouad, Tazi Hanae","doi":"10.36347/sjmcr.2024.v12i05.009","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.009","url":null,"abstract":"Introduction: Dermatofibrosarcoma of Darier and Ferrand (DFSP) is a rare skin tumor characterized by its local aggressiveness and high potential. Its prognosis depends essentially on the quality of its management. Observation and Results: In this article, we report the case of a young patient treated at the Department of Plastic, Reconstructive and Aesthetic Surgery, Tangier, for a Darier and Ferrand dermatofibrosarcoma that recurred five times after surgical excision, with a 5-cm margin on the surface and a healthy anatomical barrier at depth. Coverage of the loss of substance (LOS) was performed after anatomopathological confirmation of the carcinological nature of the excision, and essentially involved skin grafting. Despite a course of radiotherapy prescribed at the 4th recurrence, a 5th rapid recurrence was noted. Discussion: The great clinical, histological and evolutionary polymorphism of this type of sarcoma results in an underestimated incidence and explains the delay in diagnosis. Recurrences are frequent, and usually local. Initial wide surgical excision is the reference treatment, and directly conditions the prognosis of DFSP. According to several studies, recurrence may depend on the quality of surgical excision, but could also be attributed to genetic or environmental factors, or to variations in the histological subtype of the sarcoma. Conclusion: Darier Ferrand is an uncommon tumor with local malignancy, whose evolutionary risk depends mainly on the quality of the initial excision. The chances of cure in the case of well performed primary surgery are significantly higher than in the case of salvage surgery. Tumor excision must the refore be wide and deep, with sacrifice of a healthy barrier at depth.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140995107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-09DOI: 10.36347/sjmcr.2024.v12i05.007
M. Mahir, J. A. S. Abdesadeque, B. Slioui, S. Belasri, N. Hammoune, A. Mouhsine
The persistence of the left superior vena cava (LSVC) is a rare and benign congenital malformation. It is often asymptomatic, and its discovery is usually incidental in the majority of cases. This venous malformation was identified incidentally in a 60-year-old woman during thoracic multi-detector computed tomography (MDCT), which was performed with the suspicion of intra-thoracic malignancy. This is associated with abnormal venous return and an atrial septal communication.
{"title":"Persistent Left Superior Vena Cava: A Case Report and Review of the Literature","authors":"M. Mahir, J. A. S. Abdesadeque, B. Slioui, S. Belasri, N. Hammoune, A. Mouhsine","doi":"10.36347/sjmcr.2024.v12i05.007","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.007","url":null,"abstract":"The persistence of the left superior vena cava (LSVC) is a rare and benign congenital malformation. It is often asymptomatic, and its discovery is usually incidental in the majority of cases. This venous malformation was identified incidentally in a 60-year-old woman during thoracic multi-detector computed tomography (MDCT), which was performed with the suspicion of intra-thoracic malignancy. This is associated with abnormal venous return and an atrial septal communication.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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