Wegener granulomatosis is an autoimmune small vessel vasculitis highly associated with anti-neutrophil cytoplasmic antibodies and characterized by necrotizing granuloma of respiratory tract, disseminated vasculitis and glomerulonephritis. Its clinical manifestations and organ involvement arevery widely.
The etiology of Wegener granulomatosis is linked to environmental and infectious triggers inciting onset of disease in genetically predisposed individuals. Complications most often occur when the disease is not treated. Kidney disease causes glomerulonephritis with hematuria. It can quickly get worse with kidney failure, but can be prevented when the condition are controlled by medicines.
We report a case of a pregnant woman with Wegener
Ovaries are a frequent site of metastasis of the breast cancer. The annexielles metastases of breast cancer often present as a challenge for diagnosis and therapeutic.. Distinction between ovarian metastasis and primary ovarian cancer may sometimes be difficult. The surgical resection tends to increase survival a surgical option should consist of at least bilateral oophorectomy, even when the contralateral ovary appears to be normal. We presente cas of patient of 36years old female, followed by breast cancer since 2011 stade 1 initially (T1N1Mx), was underwent Patey (infiltrating ductal carcinoma) followed radiotherapy and chemotherapy, hormonotherapy, four years later the patient complaint of abdominal distention, abdominal ultrasound showed ovarian masse then open laparoscopy was done, left adnexectomy was realized and finally histological diagnosis revealed Ovarian metastasis of the breast cancer.
Endometrial stromal tumors are rare and are less than 5% of uterine tumors. They are composed of cells closely resembling endometrial stromal cells in the proliferative phase. They are classified into two categories: the stromal nodules, benign, and endometrial stromal sarcomas, including endometrial stromal sarcoma (low grade) and undifferentiated endometrial sarcoma (formerly high grade). The diagnosis is most often does retrospectively after histological analysis of the surgical specimen. The classical treatment is abdominal hysterectomy with bilateral oophorectomy. The adjuvant treatment are not yet established and the optimal treatment of this entity is still not clear. We report the case of a patient of 46 years, admitted for pelvic pain with abdomino-pelvic mass Ultrasound and MRI have found a polymyomatous uterus with interstitial body mass with a compression effect on the endometrium. The patient underwent total hysterectomy with bilateral oophorectomy, Histology with additional immunohistochemical concluded endometrial stromal sarcoma of low grade, stage IB, hormone receptor-negative. Through this rare case and with a literature review, we focus on the epidemiological, diagnostic, therapeutic and prognostic of that entity.
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