Primary breast lymphoma: a case report

Primary breast lymphoma is a primary degeneration of the breast lymphoid tissue. Study aim to describe primary breast lymphoma; its clinical presentations, histological particularities and management methods. A 33 years-old patient with no medical history underwent a breast surgery. Its anatomo-pathological study, supplemented by immunohistochemistry, showed a primary breast lymphoma. The extension assessment was negative. The patient underwent chemotherapy with regression of the tumor. Breast lymphomas are rare conditions. Its clinical symptomatology is polymorphic and the imaging aspects are non-specific. It should be evoked in front of any breast tumor in order to avoid heavy breast surgery since the basic treatment is based on chemotherapy

Malignant degeneration of cystic teratoma of the ovary: two cases report

The malignant degeneration of mature ovarian teratomas is a rare phenomenon. Case reported two cases of squamous cell carcinoma developed on mature teratoma of the ovary in patients aged 54 and 41 who were seen for chronic pelvic pain. Their pelvic ultrasound showed cystic double-component images with sizes of 103 and 95 mm respectively suggestive of dermoid cysts, and the anatomopathological study of the pieces of adnexectomy confirmed the diagnosis. Although no clinical, radiological or biological signs are specific, ovarian dermal cyst degeneration is suspected in the presence of a large dermoid cyst in a postmenopausal or peri-menopausal woman. The careful anatomo-pathological study of the cyst in this case makes it possible to pose the diagnosis of certainty. A rare complication of the dermoid cyst, its prognosis is pejorative and depends mainly on its clinical stage at the time of diagnosis and the quality of its surgical treatment which must be as radical as possible

Primary squamous cell carcinoma of the breast about one case, Presentation of a rare entity

Squamous cell carcinoma of the breast is a rare disease, it is presented as a palpable mass, often of large volume. The clinical aspects are not specific. Squamous cell carcinomas of the breast are not hormone-dependent and are not very lymphophilic. The diagnosis is histological after eliminating the metastatic origin. Overall survival and no recurrence are worse than any other forms of breast cancer. Treatment is similar to the ductal infiltrating carcinomas one and is based on surgery, radiotherapy and chemotherapy. The prognosis is poor. We reported one case of squamous cell carcinoma of the breast collected at the department of gynecology and obstetrics at Mohammed VI university hospital of Oujda through this observation we will focus on the different characteristics of this entity which remains rare

La grossesse gémellaire sur un utérus pseudo unicorne: à propos d’un cas

L'incidence des malformations utérines est estimée dans la population générale entre 0,1 et 3%. La survenue d'une grossesse en cas de malformation utérine est une situation potentiellement à haut risque obstétrical. Nous décrivons un cas très rare d'une grossesse gémellaire sur un utérus pseudo unicorne découverte précocement à 8 SA, permettant la réalisation d'une hémihysterectomie de la corne rudimentaire prévenant ainsi le risque majeur de la rupture utérine. L'évolution était favorable jusqu'à 37 SA où la patiente a été programmée pour césarienne prophylactique. Le dépistage échographique au premier trimestre de la grossesse est donc primordial permettant la détection systématique de ce genre de malformation afin de prévenir les complications.Pan African Medical Journal 2015; 2

A rare localization of a foreign body: breast

We report a case of 52 years old that presented with an intramamary foreign body that was introduced by the patient herself, the foreign body was removed and the sent to Psychiatric Department for follow up. It’s a rare case of foreign body localization that can induce infections and abscess, but our patient was not infected hopefully.

Necrotizing fasciitis of the breast: case report and brief review of literature

Necrotizing fasciitis of the breast is a rare entity, with very few cases reported in the literature. It is rapidly progressive and can lead to sepsis and multi-organ failure without prompt medical and surgical management. In this particular case, a 71-year-old diabetic female presented with primary necrotizing fasciitis affecting her right breast. Upon arrival, she was in septic shock, exhibiting noticeable breast necrosis and nipple discharge. Immediate resuscitation was administered, followed by a muscle-sparing mastectomy. A vacuum-assisted closure (VAC) device dressing was applied during the procedure, and the patient was subsequently managed in intensive care postoperatively. As of now, the patient is free from the disease, and her wound has completely healed.

Non-puerperal uterine inversion caused by a leiomyoma

Uterine inversion is characterized by the invagination of the fundus of the uterus through the vagina. It’s a rare postpartum complication leading to massive bleeding and it’s extremely rare in non-puerperal cases. Non-puerperal uterine inversion is caused by tumors exerting force on the fundus of the uterus, turning the uterus inside out. It is most frequently associated with benign tumors such as submucosal leiomyomas however, malignant tumors can also be associated. We reported the case of 43-year-old women, G1P1, who was admitted at the emergency department for a bleeding vaginal prolapsed mass. A pelvic MRI performed revealing a complete uterine inversion probably due to a submucous myoma or a malignant process. She underwent a total abdominal hysterectomy with bilateral salpingectomy by both natural and abdominal way. Pathological study revealed a degenerating leiomyoma. The patient recovered well from the operation with no complications.

Pregnancy related breast cancer: report of three cases

Pregnancy-related breast cancer is defined as breast cancer diagnosed during pregnancy or within a year after delivery. In current report, 3 cases of breast cancer, diagnosed during pregnancy are presented. Different diagnostic challenges, different therapeutic methods and major influences of breast cancer on obstetrical outcomes are also discussed in current report. In current case series, the three patients had ages of 36, 40 and 44 years old. They were all diagnosed as having breast cancer during pregnancy. Diagnosis was achieved using imaging, and histopathology through breast biopsy. The histological type was not otherwise specified breast cancer in all three cases. Delivery was vaginal in two cases and through caesarean section in one case. Interruption of pregnancy was performed in one case. A bad prognosis was observed in one patient with death after chemotherapy and surgery, and a favourable evolution was observed in the two other cases. The management of this complex entity must be multidisciplinary

A case of hepatocellular carcinoma recurring during pregnancy

The hepatocellular carcinoma is more common in African and Asian countries with an incidence in women at around 5.5/10,000. Hepatocellular carcinoma is an aggressive tumour, with high recurrence rates, reaching around 50%. Hepatocellular carcinoma is rare in pregnant women. In the English literature, we have found only one case of hepatocellular carcinoma recurrence during pregnancy that was described in a 39 years old patient with the recurrence occurring during her second pregnancy. In our work, we describe the second case of pregnancy complicated by recurrent, advanced and inoperable hepatocellular carcinoma. We also present a literature review about management challenges and the importance of multi-disciplinary care in pregnant women with hepatocellular carcinoma

Tuberculous mastitis: a rare case report

Tuberculous mastitis is a granulomatous mastitis due to infection by mycobacterium tuberculosis. It’s a rare entity witch is often confused with breast carcinoma or pyogenic breast abscess because of its clinical and radiological aspect. The diagnosis is histological with identification of an epithelioid cell granulomas and necrosis. The treatment is based on anti-tuberculous therapy with a good clinical issue. Authors report a case of tubercular mastitis in a post-menopausal female diagnosed on adenectomy