1/52. Adenoma of the nipple in an adolescent.We recently treated a 14-year-old girl with a clinically and histologically diagnosed with adenoma of the nipple. Enucleation of a mass preserving the nipple was successfully performed. Adenoma of the nipple is a rare disease which is often mistaken clinically for Paget's disease. About 200 cases of the tumors have been reported worldwide so far. The most common symptom is erosion of the nipple and nipple discharge. Our case had erosion of the nipple but no discharge. Adenoma of the nipple is a benign lesion which can be successfully treated by a simple surgery.- - - - - - - - - - ranking = 1keywords = adenoma (Clic here for more details about this article) |
2/52. A case of neurilemmoma of the breast.neurilemmoma of the breast is rarely seen, although it is common at intracranial or peripheral sites. There have been only 14 cases described in the literature. We present the fifteenth case of a 64-year-old woman with neurilemmoma of the breast, the first to be diagnosed by fine needle aspiration cytology. fibroadenoma must be distinguished from this tumor. Complete removal is the treatment of choice, considering the possibility of local recurrence and malignant change.- - - - - - - - - - ranking = 1keywords = adenoma (Clic here for more details about this article) |
3/52. Constrictive pericarditis caused by candida glabrata in an immunocompetent patient: case report and review of literature.Candida pericarditis is a rare disease described mostly in patients with recent cardiothoracic surgery or debilitating chronic diseases and is generally considered to be associated with high mortality. To our knowledge, we report the first case of Candida pericarditis in a healthy host who had not undergone thoracic surgery and the first documented case and cure of pericarditis caused by C. glabrata. The most probable underlying factor in the development of this pericarditis was the abdominal surgery the patient underwent to correct a gastrogastric fistula, without an intraabdominal leak, which developed 10 y after surgical gastric stapling for weight reduction. The literature on Candida pericarditis is reviewed. If Candida pericarditis is diagnosed early and treated with a combined medical and surgical approach, the prognosis today is much more favorable than that previously reported.- - - - - - - - - - ranking = 0.58432634303666keywords = duct (Clic here for more details about this article) |
4/52. Coil embolization therapy in congenital coronary arterial fistulas.Three pediatric patients (8.5 years, 3 years, and 1 month) presented with congenital coronary arterial fistulas. In all cases the fistulas entered into the right side of the heart (main pulmonary artery, n = 1; right ventricle, n = 2). In the first patient, the fistula and an open ductus arteriosus were closed during the same intervention. The second patient presented with a single left coronary ostium and residual shunt from the coronary artery system to the right ventricle after surgery. The third child had pulmonary atresia with intact ventricular septum and a fistula from the left coronary artery to the right ventricle. The fistulas in all patients were managed with coil occlusion. fistula occlusion was documented with angiocardiography.- - - - - - - - - - ranking = 0.58432634303666keywords = duct (Clic here for more details about this article) |
5/52. Lipoid proteinosis of the larynx.Lipoid proteinosis is a rare disease that presents with hyaline deposits in many tissues. It involves predominantly the skin and upper aerodigestive tract, presenting with small yellowish papules and hoarseness. It may involve the central nervous system and cause intracerebral calcifications. Laryngeal lesions may resemble singer's nodule or chronic laryngitis. The pathogenesis of the disease is not clear although several studies suggest a defective collagen production and/or lysosomal storage disease. In this article two cases with skin and larynx involvement are reported.- - - - - - - - - - ranking = 0.58432634303666keywords = duct (Clic here for more details about this article) |
6/52. First place winner. Recurrent febrile seizures: an unusual presentation of nutritional rickets.Nutritional rickets is a serious disease that is infrequently encountered in the united states today because of the fortification of infant formulas and dairy products with vitamin d. We report a case of undiagnosed nutritional rickets presenting with recurrent febrile seizures. Febrile seizures, a common and usually benign presenting complaint, are not among the symptoms generally known to be associated with rickets. Therefore, the disease was uncovered only after a careful history and physical examination prompted a more thorough investigation into an underlying cause for recurrent seizures. The diagnosis was subsequently confirmed by quantitative laboratory testing. We review the historical and cultural factors, symptoms, and physical findings suggestive of this potentially serious yet easily treatable disease.- - - - - - - - - - ranking = 0.58432634303666keywords = duct (Clic here for more details about this article) |
7/52. Salivary duct carcinoma of the larynx: report of a rare case.Salivary duct carcinomas are primarily high-grade, aggressive malignancies that affect men in the fifth and sixth decades of life. These tumors are usually found in the major salivary glands; rarely do they originate in the minor salivary glands. The distinctive feature of these neoplasms is their remarkable histologic resemblance to infiltrating ductal carcinomas of the mammary gland; both types of tumor feature epithelial and myoepithelial cells arrayed in solid, papillary, and cribriform patterns. To the best of our knowledge, only one case of a primary salivary duct carcinoma of the larynx has been previously reported. In this article, we describe a new case, and we review the literature on salivary duct carcinomas.- - - - - - - - - - ranking = 4.6746107442933keywords = duct (Clic here for more details about this article) |
8/52. Calcified patent ductus arteriosus diagnosed following aortic valve replacement.A 71-year-old woman underwent aortic valve replacement for severe, symptomatic aortic stenosis. The left ventricle filled rapidly when the left ventricular vent was switched off and postoperatively she was slow to recover with bilateral pleural effusions. These findings prompted early reinvestigation, initially with echocardiography and subsequently with multi-detector row computed tomography. Using a retrospectively electrocardiographic-gated acquisition, adapted from a noninvasive coronary angiography protocol, a calcified, persistently patent ductus arteriosus was identified as the cause for her perioperative and postoperative condition. The defect has since been closed successfully using a transcatheter technique.- - - - - - - - - - ranking = 2.9216317151833keywords = duct (Clic here for more details about this article) |
9/52. Left cervical chyloma following right thyroidectomy.Cervical chylomas are rare entities, as only four cases have been previously reported. All of these previous cases involved the left side, all were related to the thoracic duct, and all occurred following trauma or surgery. We report a new case of a left-sided chyloma that was unusual because it arose following a right-sided subtotal thyroidectomy. The chyloma arose as a left supraclavicular mass within 3 months of the thyroidectomy, and it slowly enlarged over a period of 9 years. Following evaluation by computed tomography, the mass was excised, and the patient recovered uneventfully. We also review what is known about the diagnosis and treatment of cervical chylomas.- - - - - - - - - - ranking = 0.58432634303666keywords = duct (Clic here for more details about this article) |
10/52. Hepatic subcapsular biloma: a rare complication of laparoscopic cholecystectomy and common bile duct exploration.PURPOSE: Description of an unusual complication of laparoscopic cholecystectomy and common bile duct exploration. methods: Case report from experience at an Air Force tertiary care hospital in a 70-year-old woman undergoing laparoscopic cholecystectomy. literature search for journal articles reporting similar complications using medline, pubmed, and Ovid internet search systems. RESULTS: A hepatic subcapsular biloma was diagnosed on postoperative day 11 from an elective laparoscopic cholecystectomy and common bile duct exploration. review of the literature found only 2 other reports of this complication. CONCLUSIONS: Hepatic subcapsular biloma is a rare complication of laparoscopic cholecystectomy. Computed tomography is highly sensitive for diagnosing bilomas, and percutaneous drainage procedures are appropriate treatment. Imaging of the biliary tree should be performed early to determine the location and extent of bile leaks.- - - - - - - - - - ranking = 11.357273758948keywords = bile duct, duct, bile (Clic here for more details about this article) |
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