Tumeur

Tumeur
  • DOI:
    文章类型: English Abstract
    The psoas major muscle is one of the three muscle chiefs of the ilio-psoas muscle. The pathological processes concerning it are dominated by tumor lesions which are mostly malignant. The diagnostic approach is based on the clinic and the abdomino-pelvic scanner. If necessary, it will make it possible to direct a puncture and / or a biopsy. We report the observation of a 33-year-old patient admitted to the Bouaké University Hospital presenting with a mass in the left iliac fossa and an intermittent claudication of chronic evolution in whom the diagnosis of a psoas tumor was diagnosedthrough the abdomino-pelvic scanner and the pathology concluded to an angiomyolipoma.
    Le muscle psoas major ou grand psoas est un des trois chefs musculaires du muscle ilio-psoas. Les processus pathologiques le concernant sont dominés par les lésions tumorales qui sont pour la plupart malignes.La démarche diagnostique s\'appuie sur la clinique et l\'imagerie médicale où le scanner abdomino-pelvien est un examen majeur. Il permettra le cas échéant de guider une ponction et ou une biopsie à visée étiologique et ou thérapeutique. Nous rapportons l\'observation d\'un patient de 33 ans admis au CHU de Bouaké (Côte d\'Ivoire) présentant une masse de la fosse iliaque gauche et une claudication intermittente d\'évolution chronique chez qui le diagnostic d\'une tumeur du psoas a étésuspecté auscanner abdomino-pelvien et l\'anatomo-pathologie a conclu àun angiomyolipome.
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  • 文章类型: Case Reports
    丛状神经纤维瘤是一种良性外周神经鞘肿瘤,很少涉及四肢的主要神经。在文学中,对于主要周围神经丛状神经纤维瘤,目前尚无明确的治疗策略。我们的经验遇到了两名正中神经丛状神经纤维瘤患者,表现为手掌肿块和腕管压迫症状。术前,MRI和临床检查均诊断为丛状神经纤维瘤。两名患者也经历了显著的神经系统恶化,手指麻木和神经/肿瘤大小增加。还考虑了潜在的恶性转化。由于这些原因,涉及的神经区域的切除和修复被认为是。在这两个病人中,术中病理诊断为丛状神经纤维瘤。这位45岁的男性患者在腕管松解术后拒绝进一步手术,在腋窝阻滞下进行。术后一年,神经压迫症状中度减轻。在另一个病人身上,一个7岁的男孩,切除了一个明显扩大的正中神经区域,并进行了神经吻合术。术后一年,正中神经运动感觉功能完全恢复。术后四年,未观察到残余肿瘤的扩大。
    Plexiform neurofibroma is a benign peripheral nerve-sheath tumor, rarely involving major nerves of the extremities. In the literature, there are no clear treatment strategies for plexiform neurofibroma of major peripheral nerves. Our experience encountered two patients with plexiform neurofibroma of the median nerve, presenting with a palmar mass and symptoms of carpal tunnel compression. Preoperatively, plexiform neurofibroma was diagnosed on MRI and clinical examination. Both patients also experienced significant neurological deterioration, with finger numbness and increased nerve/tumor size. Potential malignant transformation was also considered. For these reasons, resection of the involved area of the nerve and repair were indicated. In both patients, intraoperative pathological diagnosis was plexiform neurofibroma. The 45-year-old male patient refused further surgery after carpal tunnel release, which was performed under axillary block. One year postoperatively, nerve compression symptoms decreased moderately. In the other patient, a 7-year-old boy, a significantly enlarged area of the median nerve was resected, and neurorrhaphy was performed. One year postoperatively, median nerve motor-sensory functions recovered completely. Four years postoperatively, no enlargement of the residual tumor was observed.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    婴儿期原始粘液样间充质肿瘤(PMMTI)是一种极为罕见的软组织肿瘤,仅有少数病例。在这里,我们报道了一例5个月大的左足底有软组织肿块的女孩,在第一次切除2个月后复发。多普勒超声成像显示肿瘤中有丰富的血流。磁共振成像(MRI)显示左脚脚掌上有一个界限分明的肿瘤。手术切除的肿瘤由原始间充质肿瘤细胞组成,这些细胞分散在粘液样背景中,并带有精致的小血管。免疫组织化学,肿瘤细胞表达波形蛋白,但AE1/AE3,Desmin,肌肉特异性肌动蛋白,MyoD1,Myogenin,CD34、S-100蛋白和CD99。荧光原位杂交(FISH)显示不存在涉及SYT和ETV6的染色体易位。因此,该患者被诊断为婴儿期的原始粘液样间质瘤。据我们所知,这是PMMTI影响脚底的第一种情况。
    Primitive myxoid mesenchymal tumor of infancy (PMMTI) is an extremely rare soft tissue tumor with only a few cases. Herein, we report a case of 5-months-old girl presenting with a soft tissue mass on the sole of the left foot that recurred 2months after a first resection. The Doppler ultrasound imaging showed abundant blood flow in the tumor. Magnetic resonance imaging (MRI) showed a well demarcated tumor on the sole of the left foot. The surgically resected tumor consisted of primitive mesenchymal tumor cells dispersed in a myxoid background with delicate small blood vessels. Immunohistochemically, tumor cells expressed vimentin but were negative for AE1/AE3, Desmin, Muscle-Specific Actin, MyoD1, Myogenin, CD34, S-100 protein and CD99. Fluorescence in situ hybridization (FISH) showed absence of chromosomal translocation involving SYT and ETV6. Thus, the patient was diagnosed with a primitive myxoid mesenchymal tumor of infancy. To our knowledge, this is the first case of PMMTI affecting the sole of the foot.
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  • 文章类型: Letter
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  • 文章类型: Case Reports
    OBJECTIVE: To provide a systematic review on ophthalmologic presentations of dermatofibrosarcoma protuberans (DFSP) in conjunction with a case report of primary orbital involvement by this tumor.
    METHODS: A thorough electronic search on PubMed, Medline, Scopus, EMBASE and web of science databases was performed. All available data from reported cases along with our described case were extracted and analyzed.
    RESULTS: We describe a 66-year-old male with primary orbital DFSP who was managed by total excision of the tumor without recurrence after 18 months of follow-up. In the literature, 14 studies reporting 15 cases were identified and reviewed. Our review topics included epidemiology, clinical presentations, pathologic features, differential diagnosis, imaging, treatment and prognosis.
    CONCLUSIONS: Rarely, but crucially, ophthalmologists may encounter DFSP in the orbital or periorbital area. They should be familiar with the pathologic nature and treatment options for this tumor. This diagnosis should be kept in mind when approaching a case with a non-tender, nodular, firm, mass or more rarely an indenting orbital mass.
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  • 文章类型: Case Reports
    Nodular fasciitis is a benign reactive lesion, often mistaken for a soft-tissue sarcoma in clinical practice. Involvement of the finger is rare, and a finger joint even rarer. We report on the clinical, radiological and histological features of intra-articular nodular fasciitis in a 52-year-old man, originating from the proximal interphalangeal joint of the right ring finger, with cortical erosion of adjacent bone. The discussion is focused on the tumor diagnosis and therapeutic approach, the differential diagnosis and the importance of immunohistochemical staining to establish the final diagnosis.
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  • 文章类型: Case Reports
    Among soft tissue tumors, nodular fasciitis is a relatively common tumor process, which occurs in the 30 first years of life. Nodular fasciitis is a benign tumor with a rapid proliferation of myofibroblastic cells, which develops at the expense of a muscular fascia in the subcutaneous tissue. Usual localizations are the trunk and upper limbs. Difficulty of diagnosis consists in the need to eliminate many differential diagnoses especially malignant tumor processes. From a clinical point of view, the rapid development of nodular fasciitis (from some days to some weeks) must fear a malignant process. This benign lesion, which does not recur (even if incomplete resection), may regress spontaneously. We report such a tumor located at the cubital fossa confirmed by a pathological examination.
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