Lactating adenoma is a benign tumor of pregnancy and lactation, found most often in the third trimester of pregnancy and less frequently during lactation. Clinically, it presents itself as a unique and discrete mobile mass. It is a rare benign tumor which the diagnosis requires pathological confirmation. Usually it disappears spontaneously. Chirurgical treatment is offered for aesthetic problems related to the size of the adenoma. The authors report a case of lactating adenoma discovered at eight months of the post partum. Through this case, they discuss the clinical, radiological, histopathological aspects and various therapeutic modalities of this tumor.
Isolated massive vulval edema in pregnancy is rare. The causative mechanisms remains poorly understood but it is probably related to mechanical, osmotic and hormonal factors. The differential diagnosis of vulval edema includes infections, tumors, lymph birth defects, trauma, inflammatory and metabolic diseases. The authors report a case of a 27 year-old primigravida woman with twin pregnancy who was admitted to the obstetrical emergency at 37 weeks of gestation for a severe anemic syndrom associated to a massive vulval edema with no sign of pre-eclampsia. Biological examination showed a severe microcytic hypochromic anemia associated to a hypoproteinemia. Other causes of vulval edema were excluded. After blood transfusion, the patient gave birth by Caesarean section. In the post partum period, the vulval edema resolved progressively. By the fourteenth day post cesarean section, the vulval edema had completely regressed. Three weeks later, a spontaneous regression of the vulval edema was observed. The aim of this report this case is to discuss the clinical aspects, differential diagnosis, causes and evolution of vulval edema in pregnancy.
Introduction: Cystic lymphangioma of the ovary is a rare benign vascular tumor. Its histogenesis is still hypothetical and its preoperative diagnosis difficult to establish. We report a case of cystic lymphangioma of the ovary that was a problem with differential malignant ovarian tumor diagnosis, with a recent review of the literature. Observation: Patient 35 years primigravida primipara without significant pelvic pain consults history dating back more than three months without increased abdominal volume or urinary or digestive signs associated. A pelvic ultrasound done complemented by magnetic resonance imaging have objectified aspect for a right ovarian cyst formation by 8 cm to confront the histological data. The patient underwent a right oophorectomy returned for mature cystic teratoma of a cystic hygroma associated. The postoperative course was uneventful and no recurrence was noted. Results: Cystic lymphangioma of the ovary is rare benign tumor formation. There are no specific symptoms. Radiology despite progress remains inconclusive in the diagnosis of this tumor type. Histological study is the only way to confirm the diagnosis. The outcome was favorable, no cases of malignant transformation have been reported. Conclusion: Cystic lymphangioma of the ovary is a rare benign tumor of the malformation. The diagnosis rarely made preoperatively should be considered in any cystic ovarian mass. Only complete surgical resection of the tumor is associated with prolonged survival and a favorable prognosis.