Bilateral cystic swelling over scapula-an unusual presentation of filariasis

Lymphatic filariasis is a parasitic infection commonly known as elephantiasis. Filariasis presents as hydrocele, genital/scrotal swelling, adenolymphangitis (ADL), swelling of limbs, and genitalia. The causative agent resides in lymphatic channels and causes its obstructions leading to lymphedema. In India, males commonly present with hydrocele and females with lymphedema. Filariasis presenting as bilateral cystic swelling over the scapula is very rare even in endemic areas like India. Wuchereria bancrofti is the common causative agent of filarial infections in India. Here, we present a rare case of filariasis presenting as bilateral cystic swelling over the scapula. The imaging findings are discussed in the case report, which leads us to the diagnosis with further confirmation on microscopy by the presence of microfilariae within the cyst.No such case has been reported in the literature

SMALL CELL NEUROENDOCRINE CARCINOMA OF THE BLADDER: REPORT OF FOUR CASES AND A REVIEW OF THE LITERATURE

Purpose: Small cell neuroendocrine bladder carcinoma is a rare entity, account for less than 1% of all bladder tumors. They are of particular histological entity characterized by an aggressive clinical behaviour, high potential for metastatic spread and poor prognosis. The aim of this study was to describe the epidemiological, clinical, therapeutic modalities and the evolution data of small cell neuroendocrine bladder carcinomas. Patients and methods: During a period of 10 years, four patients with neuroendocrine bladder carcinoma were treated at the National Institute of Oncology in Rabat. Results: The median age was 66 years. There were three men and a woman. Neuroendocrine carcinoma was pure in one case and associated with transitional cell carcinoma in the other three cases. Two patients were diagnosed with lymph nodes involvement and one patient at a metastatic stage. A cystectomy was performed in one case. Two patients received a concurrent chemoradiation and the fourth patient received chemotherapy alone. A single case of complete remission was observed. Median survival was 18 months (6–30 months). Only one patient is still alive 30 months after diagnosis. Conclusion: The management of neuroendocrine carcinoma of the bladder remains debated and vary from institution to author. Despite multimodality regimens, the prognosis of these tumours remains poor

A Recurrence Biphasic Pulmonary Blastoma After Adjuvant Chemotherapy : A Case Report Of Rare Lung Malignancy

Pulmonary Blastoma is a rare malignant lung tumor. The Biphasic pulmonary blastoma is composed of a mixture of immature epithelial and mesenchymal tissue ressembling fetal lung tissue with poor prognosis . The surgery is the treatment of choice. The strategy of treatment remains unclear due to the rarity of this tumor. We report a case of 26 year old women presenting with biphasic pulmonary blastoma who was treated with surgery and 6 cycles of adjuvant chemotherapy Etoposide-Cisplatine. Before she underwent adjuvant radiotherapy due to the positive margins, she developed dyspnea and the CT scan showed a massive local recurrence tumor compressing the heart. The patient received a palliative radiotherapy in the chest at the dose of 20Gy followed by palliative chemotherapy based on Adriamycin and Ifosfamide