The Ovarian Carcinosarcoma also known as malignant mixed Müllerian tumor is a rare malignant neoplasm that histologically contain both epithelial and stromal components. This aggressive tumor is found not only in the ovary but also in other organs of the genito-urinary tract, including uterus. It is usually diagnosed at older age and advanced stage. The Ovarian Carcinosarcoma patients have very poor prognosis. Surgical treatment is a determining factor for the survival of patients. The response rate to chemotherapy is about 20 %. We illustrate the article with a clinical case reporting the positive diagnosis of ovarian carcinosarcoma.
The Belly Prune Syndrome is an extremely rare and complex anatomo-radiological entity with a clear male predominance. It is characterized by hypoplasia of the abdominal musculature, abnormalities of the urinary tract and bilateral cryptorchidism forming the classic triad of the syndrome. This pathology is associated in 75% of cases with pulmonary, skeletal, cardiac and gastrointestinal malformations. Nous illustrons l’article par un cas clinique rapportant le diagnostic positif du syndrome de Prune Belly.
We illustrate a rare association of a primitive cancer of the breast and the lung primitive cancer by the case of a 67-year-old woman, a fortuitous discovery during a balance sheet operating meadow in particular of extension of a nodule of the left breast classified radiologically BIRADS 4.
This exceptional known association imposes a search for the genetic factors, and the factors which favor the arisen of the cancer. But especially, she requires a multidisciplinary coverage seen the difficulty of the therapeutic decision.
Conjoined twins (JC) represent a malformative abnormality that concerns monozygotic twin pregnancies, it is a rare entity that poses a real diagnostic and therapeutic challenge. We report a case of Conjoined twins through which we will expose the various difficulties encountered during the management of this type of anomalies.
Ovarian pregnancy (GO) is rare. Unlike other types of GEU, GO remains an isolated and exceptional phenomenon in a woman's life, independent of the usual risk factors and the exact mechanism leading to a GO remains poorly understood. The anatomopathological study authenticates the diagnosis, sometimes referred to intraoperatively. . We report the case of ovarian pregnancy met at the Souissi maternity hospital in Rabat and the different stages of care.
The diagnosis of rectal cancer during pregnancy remains difficult today. This association is rare. the diagnostic problem is mainly therapeutic and is not yet the subject of a consensus. Indeed, the care need a multidisciplinary team to be able to remedy this pathological situation. We report two cases of rectal cancer discovered during pregnancy, with the management of the disease, the outcome of the patients, and a review of the literature.
Idiopathic granulomatous mastitis is a chronic inflammatory benign mastopathy of the young woman. It is quite rare and his etiology remains poorly known. The clinic can sometimes be confused with a carcinomatous lesion, so the diagnosis is essentially histological, and the treatment is based on the use of anti-inflammatories, corticosteroids or colchicine to allow healing and avoid repetitive surgical mutilations. We report two cases of idiopathic granulomatous mastitis, one having been treated with colchicine and the other by corticosteroid with favorable evolution, while analyzing the clinical, radiological and therapeutic aspects.
The subcapsular hematoma of the liver (HSCF) is a rare complication of pregnancy with high maternal-fetal mortality. This therefore requires rapid diagnosis and appropriate care. His secondary rupture is one of the most serious obstetric complications. Maternal mortality is 50% to 75%, that of the fetus is 60% to 80%. We illustrate the article with a clinical case reporting the management of a subcapsular hematoma of the liver.
Metaplastic breast carcinomas are rare tumors, represent less than 1% of invasive breast cancers, and constitute a heterogeneous group of tumors defined by the World Health Organization as infiltrating ductal carcinoma but with zones of metaplastic rearrangements of Epidermoid, fusiform, chondroid, bone or mixed type. Histopathology combined with immunohistochemistry makes it possible to make the diagnosis. Treatment combines surgery, and chemotherapy, radiotherapy is discussed and hormone therapy has no place. Their prognosis is bleak and the evolution is marked by locoregional recurrences and distant metastases. We report two cases of metaplastic breast carcinoma diagnosed by histology supplemented by immunohistochemistry, the treatment consisted of a mastectomy with axillary dissection supplemented by chemotherapy.
Angiosarcoma of the breast is a very rare conjunctive tumor. It is a primitive malignant proliferation of the endothelial cells of the vascular tissue of the gland. It occurs in both a primary form without a known precursor, and a secondary form that has been associated to a history of irradiated breast tissue. Both forms have a malignant behavior and a poor prognosis. We report a case of breast angiosarcoma diagnosed by histology and treatment consisting of a mastectomy supplemented by chemotherapy and radiotherapy.
Mammary tuberculosis is a rare disease even in endemic countries, accounts for 0.07℅ of all tuberculous sites and 0.025℅ to 4.5℅ of all breast tumor diseases. There is renewed interest in the spread of AIDS in developed countries. We report three cases of mammary tuberculosis, the diagnosis of which could only be based on the histology seen in the multiplicity and non-specificity of its clinical and radiological aspects.
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