Tumeurs rares de l’ovaire: à propos d’une série de 11 cas de tumeurs non épithéliales malignes de l’ovaire

Les tumeurs non épithéliales malignes de l'ovaire représentent environ 20% des cancers de l'ovaire. L'objectif de notre travail est de dresser lesparticularités diagnostiques cliniques et d'imagerie de ces tumeurs. Nous avons procédé à une étude rétrospective portant sur 11 cas de tumeursnon épithéliales de l'ovaire. Ces tumeurs ont été colligées au service de gynécologie et obstétrique I du CHU Hassan II de Fès sur une période de 4 ans, entre janvier 2009 et décembre 2012. Les tumeurs germinales représentant 54% (6 patientes) des cas alors que les tumeurs du cordonsexuel ont été représentées par 4 cas de tumeurs de granulosa de type adulte et nous avons colligés un cas de lymphome ovarien primitif. Lasymptomatologie clinique était dominée par la distension abdominale associée souvent à des douleurs abdominopelviennes chroniques. La tailletumorale moyenne était de 175 mm avec un aspect solido-kystique dans 54% des cas. Le dosage des marqueurs tumoraux (hormone chorioniquegonadotrope, lactate déshydrogénase, CA 125, alpha-foetoprotéine) a été réalisé chez toutes les patientes. La découverte d'une masse annexiellesuspecte chez une jeune femme doit, outre une tumeur frontière ou un cancer épithélial de l'ovaire, évoquer une tumeur non épithéliale, a fortiorisi cette masse est volumineuse, si elle est associée à des signes d'hyperestrogénie ou d'androgénie

Dermatomyositis revealing breast cancer: report of a case

Dermatomyositis (DM) is a rare connective corresponding to an inflammatory disease of skeletal muscles. Paraneoplastic origin must always be sought, primarily gynecological tumor in women, but the investigations are often made difficult by the fact that a primary tumor is often not detectable at the time of the cutaneous manifestations. This approach includes in addition to the monitoring report at regular intervals of 6 to 12 months for two years after diagnosis. We report a case of Dermatomyositis revealing breast cancer

Complete remission of an advanced hormone receptor positive Her2-negative breast cancer treated by first line palbociclib-letrozole and local treatment

The palbociclib-letrozole combination has revolutionized the treatment of Hormone-receptor-positive Her2-negative advanced breast cancers. The aim of the inclusion of targeted agents in endocrine based therapy is to prolong hormonsensitivity and to delay the initiation of subsequent chemotherapy, especially for patients with low disease burden. However, the interest of locoregional treatment after response to initial therapy in advanced disease still investigational especially in the era of biotherapy. In the present case report, we showed the possible complete response with hormone-therapy associated to targeted therapy and highlighted the role of loco-regional treatment in this situation

Uterine Inversion; A case report

The puerperal uterine inversion is a rare and severe complication occurring in the third stage of labour. The mechanisms are not completely known. However, extrinsic factors such as oxytocic arrests after a prolonged labour, umbilical cord traction or abdominal expression are pointed. Other intrinsic factors such as primiparity, uterine hypotonia, various placental localizations, fundic myoma or short umbilical cord were also reported. The diagnosis of the uterine inversion is mainly supported by clinical symptoms. It is based on three elements: haemorrhage, shock and a strong pelvic pain. The immediate treatment of the uterine inversion is required. It is based on a medical reanimation associated with firstly a manual reduction then surgical treatment using various techniques. We report an observation of a 25 years old grand multiparous patient with a subacute uterine inversion after delivery at home

Sheehan's Syndrome A Case Report and Literature Review

Post-partum pituitary necrosis (Sheehan's syndrome) is a rare complication of post-partum hemorrhage. The diagnosis can be erratic and often delayed. In this case report of Sheehan's syndrome in the post-partum period, the signs were characterized by agalactia, severe hypoglycemia, and low serum levels of thyroid hormones, cortico-adrenal hormones, and gonadotrophin (FSH, LH). The hypophyseal magnetic resonance imaging confirmed the diagnosis of hypopituitarism secondary to pituitary necrosis

Recurrence of Uterine Rupture in a Pseudo-Unicornuate Uterus at 17 Weeks of Amenorrhea: Case Report and Literature Review

Pregnancy in a rudimentary horn is a very rare condition. It is responsible for several complications. Prognosis is reserved because the natural evolution generally leads to a cataclysmic uterine rupture at the beginning of the second trimester. Classically, the treatment after foetal extraction consists of ablation of the rudimentary horn and associated fallopian tube. We report the obstetric outcome of a patient with history of rudimentary uterine horn rupture, the treatment of which was ablation of the rudimentary horn

Correspondance: A Rare Case of a Giant Pelvic Retroperitoneal Epidermoid Cyst

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