Pub Date : 2024-07-11DOI: 10.5348/100037g06sr2024cr
Sabiri Rachida, A. Charkaoui, K. Benhaddougua, M. Zine, Boufettal Houssine, Mahdaoui Sakher, Samouh Naima
Introduction: A rare entity accounting for less than 3% of all breast carcinomas. Its prognosis is poor due to the presence of vascular emboli and lymph node metastases. However, the micropapillary appearance is not an independent prognostic factor. Case Report: We report the case of a 38-year-old female patient who presented with a mass of the left breast, the anatomopathology of which was in favor of an invasive micropapillary carcinoma (IMPC). The clinical and radiological presentations are characteristically non-specific: nests of tumor cells with irregular peripheral borders separated from the fibrocollagenous stroma by a clear space. There is no conjunctivo-vascular axis in the middle of the tumor cells. The mitotic index is generally high. Conclusion: This type of carcinoma is characterised by an aggressive evolution and unfavourable prognosis, frequent alterations of chromosome 8 and a luminal B phenotype, and histologically.
{"title":"Micropapillary carcinoma of the breast: A case report and review of the literature","authors":"Sabiri Rachida, A. Charkaoui, K. Benhaddougua, M. Zine, Boufettal Houssine, Mahdaoui Sakher, Samouh Naima","doi":"10.5348/100037g06sr2024cr","DOIUrl":"https://doi.org/10.5348/100037g06sr2024cr","url":null,"abstract":"\u0000 Introduction: A rare entity accounting for less than 3% of all breast carcinomas. Its prognosis is poor due to the presence of vascular emboli and lymph node metastases. However, the micropapillary appearance is not an independent prognostic factor.\u0000\u0000 Case Report: We report the case of a 38-year-old female patient who presented with a mass of the left breast, the anatomopathology of which was in favor of an invasive micropapillary carcinoma (IMPC). The clinical and radiological presentations are characteristically non-specific: nests of tumor cells with irregular peripheral borders separated from the fibrocollagenous stroma by a clear space. There is no conjunctivo-vascular axis in the middle of the tumor cells. The mitotic index is generally high.\u0000\u0000 Conclusion: This type of carcinoma is characterised by an aggressive evolution and unfavourable prognosis, frequent alterations of chromosome 8 and a luminal B phenotype, and histologically.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"128 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141656339","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 : 2024-04-25DOI: 10.5348/100036g06tl2024ra
Thilina Maduranga Liyanage
Aims: Nausea and vomiting in pregnancy (NVP), where there are no other underlying causes, is one of the most common symptoms in the early part of the pregnancy. It is responsible for up to 80% of pregnant population. By using PUQE score system, it is very convenient to categorize pregnant women with nausea and vomiting come to outpatient department (OPD) or general practice into those who can manage in community setting or those who need inpatient treatments. Objectives: Validation of PUQE instrument to assess NVP and hyperemesis gravidarum (HG) women in Sri Lanka. Methods: Descriptive cross-sectional study conducted among 160 pregnant women presented to the Gynecology Unit of Teaching Hospital Anuradhapura (ATH) during three months duration. Translated self-administered PUQE questionnaire was applied to the patients with signs and symptoms with emesis in pregnancy. All study participants were undergoing clinical judgment as a confirmation test. Diagnostic test accuracy methods were used to assess criterion validity of the experimental tool. Data were analyzed by using SPSS statistical software version 25.0. Results: Study population has a mean age of 27.96 (SD 5.31). Majority of study participants were Sinhalese and according to the parity majority were primigravida pregnancies. Majority of study participants were diagnosed as NVP Stage II (N=134:53.8%) by the PUQE scoring system. According to the clinical judgment Stage II of NVP was diagnosed among 127 (79.4%) study participants. Mean score of the PUQE scale was 9.08 (SD=2.35). Reliability assessment of the PUQE scoring system was reported as an excellent level (Cronbach alpha=0.804). Five types of management strategies were detected among study participants. Significantly high percentage of study participants were given first line antiemetics and oral rehydration solutions. Calculated sensitivity of the PUQE scoring system to diagnose Stage I of NVP was 69.56% and specificity was 96.35%. Calculated sensitivity of the PUQE scoring system to diagnose Stage II of NVP was 100% and specificity was 78.78%. All pregnant women who were clinically detected as Stage II NVP patients were detected as Stage II NVP patients by the PUQE scoring system also. None of the false positives and false negatives regarding Stage II of NVP detected by the PUQE scoring system. Conclusion: First line antiemetics and oral rehydration solutions are usually used for treating pregnancy-related nausea and vomiting. Stage II NVP conditions were detected with a higher prevalence when NVP status was diagnosed clinically and with PUQE scoring system. Specificity of PUQE scoring system appeared higher while detecting NVP Stage I and for NVP Stage II, sensitivity of PUQE scoring system appeared high. For Stage III NVP, clinical judgments and PUQE scoring system values were completely compatible. Management strategies used for treating pregnancy-related hyperemesis status should be further studied. Conducting these studies
目的：在没有其他潜在原因的情况下，妊娠恶心和呕吐（NVP）是妊娠早期最常见的症状之一。多达 80% 的孕妇都会出现这种症状。通过使用 PUQE 评分系统，可以非常方便地将前来门诊部（OPD）或全科诊所就诊的恶心呕吐孕妇分为可以在社区环境中处理的孕妇和需要住院治疗的孕妇。目标：验证 PUQE 工具，以评估斯里兰卡的恶心呕吐和妊娠剧吐（HG）妇女。方法：描述性横断面研究：对在阿努拉德普勒教学医院（ATH）妇科就诊的 160 名孕妇进行描述性横断面研究，为期三个月。对有妊娠呕吐症状和体征的患者进行了自编PUQE问卷调查。所有研究参与者都接受了临床判断作为确认测试。诊断测试准确性方法用于评估实验工具的标准有效性。数据使用 25.0 版 SPSS 统计软件进行分析。结果研究对象的平均年龄为 27.96 岁（标准差为 5.31）。大多数研究对象为僧伽罗人，根据孕妇的奇偶性，大多数为初产妇。根据 PUQE 评分系统，大多数研究参与者被诊断为无子宫妊娠 II 期（134 人：53.8%）。根据临床判断，127 名研究对象（79.4%）被诊断为无子宫妊娠 II 期。PUQE 量表的平均值为 9.08（SD=2.35）。据报告，PUQE评分系统的可靠性评估结果为优秀（Cronbach alpha=0.804）。在研究参与者中发现了五种管理策略。接受一线止吐药和口服补液的研究参与者比例很高。经计算，PUQE 评分系统对诊断非自愿停药 I 期的敏感性为 69.56%，特异性为 96.35%。根据 PUQE 评分系统的计算结果，诊断 NVP II 期的敏感性为 100%，特异性为 78.78%。PUQE 评分系统也能检测出所有在临床上被诊断为非淋菌性尿道炎 II 期的孕妇。PUQE 评分系统没有检测出任何有关 NVP II 期的假阳性和假阴性。结论一线止吐药和口服补液通常用于治疗与妊娠有关的恶心和呕吐。通过临床诊断和使用 PUQE 评分系统检测 NVP 状态时，发现 II 期 NVP 的发生率较高。PUQE 评分系统的特异性在检测出 NVP I 期时较高，而对于 NVP II 期，PUQE 评分系统的灵敏度较高。对于 NVP III 期，临床判断和 PUQE 评分系统的数值完全一致。应进一步研究治疗妊娠剧吐状态的管理策略。在不同的研究环境中进行这些研究可能有助于取得更成功的结果。妊娠期独特的呕吐量化工具可用于诊断非妊娠呕吐状态，描述性更强。此外，这种 PUQE 工具也是一种有效的工具，可以有效地用于患者管理。应通过为治疗部门和公共卫生部门规划和实施员工宣传计划来公布 PUQE 评分系统的应用情况。
{"title":"Validation of Sinhala and Tamil translations of the motherisk: Pregnancy unique quantification of emesis (PUQE) scoring system","authors":"Thilina Maduranga Liyanage","doi":"10.5348/100036g06tl2024ra","DOIUrl":"https://doi.org/10.5348/100036g06tl2024ra","url":null,"abstract":"\u0000 Aims: Nausea and vomiting in pregnancy (NVP), where there are no other underlying causes, is one of the most common symptoms in the early part of the pregnancy. It is responsible for up to 80% of pregnant population. By using PUQE score system, it is very convenient to categorize pregnant women with nausea and vomiting come to outpatient department (OPD) or general practice into those who can manage in community setting or those who need inpatient treatments. Objectives: Validation of PUQE instrument to assess NVP and hyperemesis gravidarum (HG) women in Sri Lanka.\u0000\u0000 Methods: Descriptive cross-sectional study conducted among 160 pregnant women presented to the Gynecology Unit of Teaching Hospital Anuradhapura (ATH) during three months duration. Translated self-administered PUQE questionnaire was applied to the patients with signs and symptoms with emesis in pregnancy. All study participants were undergoing clinical judgment as a confirmation test. Diagnostic test accuracy methods were used to assess criterion validity of the experimental tool. Data were analyzed by using SPSS statistical software version 25.0.\u0000\u0000 Results: Study population has a mean age of 27.96 (SD 5.31). Majority of study participants were Sinhalese and according to the parity majority were primigravida pregnancies. Majority of study participants were diagnosed as NVP Stage II (N=134:53.8%) by the PUQE scoring system. According to the clinical judgment Stage II of NVP was diagnosed among 127 (79.4%) study participants. Mean score of the PUQE scale was 9.08 (SD=2.35). Reliability assessment of the PUQE scoring system was reported as an excellent level (Cronbach alpha=0.804). Five types of management strategies were detected among study participants. Significantly high percentage of study participants were given first line antiemetics and oral rehydration solutions. Calculated sensitivity of the PUQE scoring system to diagnose Stage I of NVP was 69.56% and specificity was 96.35%. Calculated sensitivity of the PUQE scoring system to diagnose Stage II of NVP was 100% and specificity was 78.78%. All pregnant women who were clinically detected as Stage II NVP patients were detected as Stage II NVP patients by the PUQE scoring system also. None of the false positives and false negatives regarding Stage II of NVP detected by the PUQE scoring system.\u0000\u0000 Conclusion: First line antiemetics and oral rehydration solutions are usually used for treating pregnancy-related nausea and vomiting. Stage II NVP conditions were detected with a higher prevalence when NVP status was diagnosed clinically and with PUQE scoring system. Specificity of PUQE scoring system appeared higher while detecting NVP Stage I and for NVP Stage II, sensitivity of PUQE scoring system appeared high. For Stage III NVP, clinical judgments and PUQE scoring system values were completely compatible. Management strategies used for treating pregnancy-related hyperemesis status should be further studied. Conducting these studies","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"54 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656755","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}
Uterine perforation is a frequently overlooked complication of operative procedures. The incidence of perforation is estimated to range from 1 to 4 per 1000 during curettages for pregnancy termination. Reported complications include uterine, digestive, and vesical perforations, hemorrhage, endometritis, and secondary infertility. However, intestinal incarceration after uterine perforation remains extremely rare. We present a case of uterine perforation occurring after an aspiration curettage, complicated by digestive incarceration.
{"title":"Intestinal incarceration following aspiration evacuation: A case report","authors":"Montacer Hafsi, Marwa Moussi, Asma Zouaghi, Sarra Rihani, Souhir Najar, Faten Dridi, Maroua Smaoui, Mechaal Mourali","doi":"10.5348/100035g06mh2024cr","DOIUrl":"https://doi.org/10.5348/100035g06mh2024cr","url":null,"abstract":"\u0000 Uterine perforation is a frequently overlooked complication of operative procedures. The incidence of perforation is estimated to range from 1 to 4 per 1000 during curettages for pregnancy termination. Reported complications include uterine, digestive, and vesical perforations, hemorrhage, endometritis, and secondary infertility. However, intestinal incarceration after uterine perforation remains extremely rare. We present a case of uterine perforation occurring after an aspiration curettage, complicated by digestive incarceration.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237362","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: Cutaneous and umbilical involvement is very rare and represents only 0.5–1% in the various series. Its clinical diagnosis is difficult but it should be suspected in the presence of any bluish, painful umbilical nodule, sometimes with a brownish discharge, the evolution regulated by the menstrual cycle. Ultrasound of the abdominal wall points to the diagnosis of umbilical endometriosis despite the absence of characteristic signs on imaging. Wide surgical excision is the treatment of choice because of its resemblance to a primary tumor or metastasis. Case Report: We report the case of a 31-year-old female patient with no history of abdominal-pelvic surgery or trauma to the umbilicus, consulted for a painful umbilical swelling measuring approximately 1–2 cm diagnosed with umbilical endometriosis. Endometriosis of the umbilical wall is a rare condition, representing only 0.03–2% of extra-genital endometriosis. It is associated with pelvic endometriosis in 26% of cases. Its clinical diagnosis is difficult but it should be suspected in the presence of any bluish, painful umbilical nodule, sometimes with a brownish discharge, the evolution regulated by the menstrual cycle. Ultrasound of the abdominal wall with a high frequency probe is the initial, easily accessible examination that points to the diagnosis of umbilical endometriosis, but it is not pathognomonic. The formal diagnosis of umbilical endometriosis is only obtained with the help of histological examination. The presence of endometrial glands (epithelial cells) and a cytogenic chorion in the ectopic endometrial tissue is necessary to establish the histological diagnosis. In general, medical treatment with danazol, norethisterone, or luteinizing hormone-releasing hormone (LHRH) analogues is recommended before surgery. It would allow a reduction in the size of the endometriotic nodules. Conclusion: Umbilical endometriosis is a very rare form of extra-genital endometriosis. The diagnosis is made when a nodule is present with pain and catamenial bleeding. The diagnosis of certainty is based on a histological study.
{"title":"Umbilical endometriosis: A case report","authors":"Rachida Sabiri, Yasmine Gourja, Sanaa Benrahal, Boufettal Houssin, Mahdaoui Sakher, Naima Samouh","doi":"10.5348/100033g06rs2023cr","DOIUrl":"https://doi.org/10.5348/100033g06rs2023cr","url":null,"abstract":"Introduction: Cutaneous and umbilical involvement is very rare and represents only 0.5–1% in the various series. Its clinical diagnosis is difficult but it should be suspected in the presence of any bluish, painful umbilical nodule, sometimes with a brownish discharge, the evolution regulated by the menstrual cycle. Ultrasound of the abdominal wall points to the diagnosis of umbilical endometriosis despite the absence of characteristic signs on imaging. Wide surgical excision is the treatment of choice because of its resemblance to a primary tumor or metastasis. Case Report: We report the case of a 31-year-old female patient with no history of abdominal-pelvic surgery or trauma to the umbilicus, consulted for a painful umbilical swelling measuring approximately 1–2 cm diagnosed with umbilical endometriosis. Endometriosis of the umbilical wall is a rare condition, representing only 0.03–2% of extra-genital endometriosis. It is associated with pelvic endometriosis in 26% of cases. Its clinical diagnosis is difficult but it should be suspected in the presence of any bluish, painful umbilical nodule, sometimes with a brownish discharge, the evolution regulated by the menstrual cycle. Ultrasound of the abdominal wall with a high frequency probe is the initial, easily accessible examination that points to the diagnosis of umbilical endometriosis, but it is not pathognomonic. The formal diagnosis of umbilical endometriosis is only obtained with the help of histological examination. The presence of endometrial glands (epithelial cells) and a cytogenic chorion in the ectopic endometrial tissue is necessary to establish the histological diagnosis. In general, medical treatment with danazol, norethisterone, or luteinizing hormone-releasing hormone (LHRH) analogues is recommended before surgery. It would allow a reduction in the size of the endometriotic nodules. Conclusion: Umbilical endometriosis is a very rare form of extra-genital endometriosis. The diagnosis is made when a nodule is present with pain and catamenial bleeding. The diagnosis of certainty is based on a histological study.","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"88 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151984","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 : 2023-06-07DOI: 10.5348/100031g06fi2023cr
Faizi Issam, S. Zineb, H. Omnia, Boufettal Houssin, Mahdaoui Sakher, Samouh Naima
Introduction: Sister Mary Joseph nodule is an eponymous term for a malignant metastatic umbilical nodule. It is a rare but important physical finding because it is indicative of advanced malignancy. The primary tumor is usually an adenocarcinoma, rarely a squamous cell carcinoma, melanoma, or sarcoma. Case Report: We report the clinical case of a 64-year-old woman with metastatic ovarian adenocarcinoma and umbilical cutaneous metastasis. The diagnosis was established upon the umbilical node biopsy in April 2020, after the patient presented with an abdominal distension and respiratory difficulties. Conclusion: Umbilical skin metastases are rare, and they are associated with advanced metastatic disease and a very poor prognosis. Through this work we try to clarify the mechanisms and the prognosis of this rare manifestation, and put the point on the importance of an early diagnosis.
{"title":"Sister Mary Joseph’s nodule revealing an ovarian adenocarcinoma: A case report","authors":"Faizi Issam, S. Zineb, H. Omnia, Boufettal Houssin, Mahdaoui Sakher, Samouh Naima","doi":"10.5348/100031g06fi2023cr","DOIUrl":"https://doi.org/10.5348/100031g06fi2023cr","url":null,"abstract":"\u0000 Introduction: Sister Mary Joseph nodule is an eponymous term for a malignant metastatic umbilical nodule. It is a rare but important physical finding because it is indicative of advanced malignancy. The primary tumor is usually an adenocarcinoma, rarely a squamous cell carcinoma, melanoma, or sarcoma.\u0000\u0000 Case Report: We report the clinical case of a 64-year-old woman with metastatic ovarian adenocarcinoma and umbilical cutaneous metastasis. The diagnosis was established upon the umbilical node biopsy in April 2020, after the patient presented with an abdominal distension and respiratory difficulties.\u0000\u0000 Conclusion: Umbilical skin metastases are rare, and they are associated with advanced metastatic disease and a very poor prognosis. Through this work we try to clarify the mechanisms and the prognosis of this rare manifestation, and put the point on the importance of an early diagnosis.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"401 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127091126","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 : 2023-04-21DOI: 10.5348/100030g06fi2023cr
Faizi Issam, H. Omnia, M. Elkarroumi, S. Ennachit, Benhessou Mustapha
Breast squamous cell carcinoma (SCC) is a rare form of breast cancer and is highly malignant; diagnosis is based on histological examination after eliminating the primary tumor; clinical and radiological examination is not specific; treatment is the same as for invasive ductal carcinoma; prognosis is poor due to tumor size and lymph node involvement. We report a case of breast SCC in a 53-year-old patient who was examined in the obstetrics and gynecology department of the hospital in Casablanca. Through this case, we raise the main characteristics of this rare type of breast cancer. As a conclusion, the etiology and pathogenesis of SCC of the breast is still unclear.
{"title":"Squamous cell carcinoma of the breast: A case report and review of the literature","authors":"Faizi Issam, H. Omnia, M. Elkarroumi, S. Ennachit, Benhessou Mustapha","doi":"10.5348/100030g06fi2023cr","DOIUrl":"https://doi.org/10.5348/100030g06fi2023cr","url":null,"abstract":"\u0000 Breast squamous cell carcinoma (SCC) is a rare form of breast cancer and is highly malignant; diagnosis is based on histological examination after eliminating the primary tumor; clinical and radiological examination is not specific; treatment is the same as for invasive ductal carcinoma; prognosis is poor due to tumor size and lymph node involvement. We report a case of breast SCC in a 53-year-old patient who was examined in the obstetrics and gynecology department of the hospital in Casablanca. Through this case, we raise the main characteristics of this rare type of breast cancer. As a conclusion, the etiology and pathogenesis of SCC of the breast is still unclear.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"59 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126009117","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 : 2023-03-09DOI: 10.5348/100029g06jl2023cr
Jennifer Lee, Jacob I Afude, James D Cotelingam, M. Ong
Introduction: Pregnancy luteoma is a physiologic pseudotumor of ovary because of hormonal influence during pregnancy. It will regress spontaneously after delivery. Awareness of this process will assist to get the correct diagnosis at the right clinical context and lead to the appropriate management and follow-up for the patient. Case Report: This is a brief case report on a multiparous pregnant woman who underwent emergent cesarean section and found an incidental right ovarian mass. Cystectomy was done for pathological evaluation, and the histomorphology and immunohistochemistry suggested pregnancy luteoma. Neither the patient nor her infant did not manifest any sign and symptoms including virilization effect during the hospital stay. Conclusion: The clinician and pathologist need to be aware of this physiological process in pregnant women and its possible complications.
{"title":"Incidental pregnancy luteoma: A case report","authors":"Jennifer Lee, Jacob I Afude, James D Cotelingam, M. Ong","doi":"10.5348/100029g06jl2023cr","DOIUrl":"https://doi.org/10.5348/100029g06jl2023cr","url":null,"abstract":"\u0000 Introduction: Pregnancy luteoma is a physiologic pseudotumor of ovary because of hormonal influence during pregnancy. It will regress spontaneously after delivery. Awareness of this process will assist to get the correct diagnosis at the right clinical context and lead to the appropriate management and follow-up for the patient.\u0000\u0000 Case Report: This is a brief case report on a multiparous pregnant woman who underwent emergent cesarean section and found an incidental right ovarian mass. Cystectomy was done for pathological evaluation, and the histomorphology and immunohistochemistry suggested pregnancy luteoma. Neither the patient nor her infant did not manifest any sign and symptoms including virilization effect during the hospital stay.\u0000\u0000 Conclusion: The clinician and pathologist need to be aware of this physiological process in pregnant women and its possible complications.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127769391","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 : 2022-11-22DOI: 10.5348/100028g06hf2022cr
Hitomi Futaki, N. Oki, T. Maeda, Yoko Kashima, Mieko Inagaki, S. Yoshida
Introduction: A corpus luteal cyst may reportedly be misidentified as an ectopic gestational sac. We report a case of cesarean scar pregnancy mimicking a pseudo-gestational sac, to differentiate between the two entities and diagnose correctly. Case Report: A 42-year-old woman with four previous cesarean sections, at 7 weeks of gestation, was suspected of an unknown site pregnancy. Transvaginal Doppler ultrasonography showed a small cystic structure accompanied by neither a yolk sac nor surrounding marginal flow, adjacent to the uterine scar, and a 16-mm-large low-echo area with a white ring in the left adnexa. Pelvic magnetic resonance imaging also demonstrated a small cystic structure without contrast enhancement resembling a pseudo-gestational sac adjacent to the cesarean scar. Moreover, a cystic structure with ring-enhancement beside the left ovary, which mimicked an ectopic gestational sac, was also detected. Given these imaging findings and slightly elevated serum β-human chorionic gonadotropin (β-hCG) levels, ectopic pregnancy in the left fallopian tube could not be ruled out. She underwent laparoscopic surgery and uterine content removal, which resulted in intrauterine miscarriage. The cystic structure partially resected from a marginal area in the ovary appeared to be a luteal cyst. Conclusion: For correct diagnosis and appropriate treatment, the clinical circumstances should be fully considered without excessive reliance on imaging findings.
{"title":"Cesarean scar pregnancy mimicking a pseudo-gestational sac: A case report with magnetic resonance imaging findings","authors":"Hitomi Futaki, N. Oki, T. Maeda, Yoko Kashima, Mieko Inagaki, S. Yoshida","doi":"10.5348/100028g06hf2022cr","DOIUrl":"https://doi.org/10.5348/100028g06hf2022cr","url":null,"abstract":"\u0000 Introduction: A corpus luteal cyst may reportedly be misidentified as an ectopic gestational sac. We report a case of cesarean scar pregnancy mimicking a pseudo-gestational sac, to differentiate between the two entities and diagnose correctly.\u0000\u0000 Case Report: A 42-year-old woman with four previous cesarean sections, at 7 weeks of gestation, was suspected of an unknown site pregnancy. Transvaginal Doppler ultrasonography showed a small cystic structure accompanied by neither a yolk sac nor surrounding marginal flow, adjacent to the uterine scar, and a 16-mm-large low-echo area with a white ring in the left adnexa. Pelvic magnetic resonance imaging also demonstrated a small cystic structure without contrast enhancement resembling a pseudo-gestational sac adjacent to the cesarean scar. Moreover, a cystic structure with ring-enhancement beside the left ovary, which mimicked an ectopic gestational sac, was also detected. Given these imaging findings and slightly elevated serum β-human chorionic gonadotropin (β-hCG) levels, ectopic pregnancy in the left fallopian tube could not be ruled out. She underwent laparoscopic surgery and uterine content removal, which resulted in intrauterine miscarriage. The cystic structure partially resected from a marginal area in the ovary appeared to be a luteal cyst.\u0000\u0000 Conclusion: For correct diagnosis and appropriate treatment, the clinical circumstances should be fully considered without excessive reliance on imaging findings.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126375087","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 : 2022-06-27DOI: 10.5348/100026g06am2022cs
Ahmed A Mousa, Abdullah Khaled Agabawi, Rayan S Rozzah, Hassan K Abdulwasie
Introduction: Immature teratomas or in another way malignant germ cell tumors are considered a very rare type of aggressive ovarian cancers. Of teratomas it represents 1%. In ovarian cancers it still presents 1% and as an overall it presents 35.6% of all malignant ovarian germ cell tumors. In most cases it has been found during the first two decades of life. Case Report: The present case describes a case of a patient who was diagnosed with immature teratoma that was treated surgically and discovered sooner to have a liver metastasis that was treated with hepatic embolization and hepatectomy. Furthermore, she developed recurrence with lung metastasis that was intended to be treated with chemotherapy. Conclusion: Prognosis of this type of cancer is reported to be good as long as it is discovered and treated early in the course. Patients usually present before metastasis. In terms of liver metastasis our patient had a hepatic embolization followed by a right hepatectomy which when compared to other reported cases almost all had a hepatectomy without embolization. Five months later our patient presented with lung metastasis which is uncommon specially after the patient had a right hepatectomy. Based on these findings our patient had a very short disease-free period which is not typical for this kind of disease. Platinum-based chemotherapy is considered the standard of care as an adjuvant therapy. This patient showed resistance to cisplatin where up to our knowledge there were no reported cases that had resistance to this regimen.
{"title":"Grade 4 immature teratoma followed by portal vein embolization and hepatectomy with recurrence: A case report","authors":"Ahmed A Mousa, Abdullah Khaled Agabawi, Rayan S Rozzah, Hassan K Abdulwasie","doi":"10.5348/100026g06am2022cs","DOIUrl":"https://doi.org/10.5348/100026g06am2022cs","url":null,"abstract":"\u0000 Introduction: Immature teratomas or in another way malignant germ cell tumors are considered a very rare type of aggressive ovarian cancers. Of teratomas it represents 1%. In ovarian cancers it still presents 1% and as an overall it presents 35.6% of all malignant ovarian germ cell tumors. In most cases it has been found during the first two decades of life.\u0000\u0000 Case Report: The present case describes a case of a patient who was diagnosed with immature teratoma that was treated surgically and discovered sooner to have a liver metastasis that was treated with hepatic embolization and hepatectomy. Furthermore, she developed recurrence with lung metastasis that was intended to be treated with chemotherapy.\u0000\u0000 Conclusion: Prognosis of this type of cancer is reported to be good as long as it is discovered and treated early in the course. Patients usually present before metastasis. In terms of liver metastasis our patient had a hepatic embolization followed by a right hepatectomy which when compared to other reported cases almost all had a hepatectomy without embolization. Five months later our patient presented with lung metastasis which is uncommon specially after the patient had a right hepatectomy. Based on these findings our patient had a very short disease-free period which is not typical for this kind of disease. Platinum-based chemotherapy is considered the standard of care as an adjuvant therapy. This patient showed resistance to cisplatin where up to our knowledge there were no reported cases that had resistance to this regimen.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121747529","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 : 2022-06-16DOI: 10.5348/100027g06na2022cr
N. Amsiguine, Mohamed Ismail Halfi, Elghorfi Najlae, N. Allali, Chat Latifa
Uterine inversion is a rare and potentially life-threatening complication. It is mainly of two types: puerperal and non-puerperal with further subdivision into complete and incomplete. Earlier diagnosis was crucial in order to avoid irreversible damage to the reproductive organs and adjacent structures. We present a case of a 45-year-old woman where the imaging diagnosis of her chronic pelvic pain fortuitously revealed a non-puerperal uterine inversion. This rare case emphasized the importance of a better understanding of the pelvic anatomy by radiologist in order to facilitate the comprehension of such pathologies with lost clear anatomy in imaging.
{"title":"US and MRI contribution in non-puerperal uterine inversion: A case report","authors":"N. Amsiguine, Mohamed Ismail Halfi, Elghorfi Najlae, N. Allali, Chat Latifa","doi":"10.5348/100027g06na2022cr","DOIUrl":"https://doi.org/10.5348/100027g06na2022cr","url":null,"abstract":"\u0000 Uterine inversion is a rare and potentially life-threatening complication. It is mainly of two types: puerperal and non-puerperal with further subdivision into complete and incomplete. Earlier diagnosis was crucial in order to avoid irreversible damage to the reproductive organs and adjacent structures. We present a case of a 45-year-old woman where the imaging diagnosis of her chronic pelvic pain fortuitously revealed a non-puerperal uterine inversion. This rare case emphasized the importance of a better understanding of the pelvic anatomy by radiologist in order to facilitate the comprehension of such pathologies with lost clear anatomy in imaging.\u0000","PeriodicalId":436406,"journal":{"name":"Edorium Journal of Gynecology and Obstetrics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115121528","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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