While gastric cancer often metastasizes to the liver, lymph nodes, and lungs, skeletal muscle metastasis is a rare event. The most common primary tumor metastasizing to the extraocular structures is breast cancer. Gastric carcinoma metastatic to the extraocular muscles is a rare event announcing a spreading disease with a bad prognosis. Here, we report a case of an asymptomatic gastric carcinoma metastasizing to the superior oblique muscle diagnosed via an endoscopic endonasal biopsy.
Actinomycosis is an uncommon bacterial disease caused by actinomyces.Cervicofacial infection accounts for more than 60% of all cases. However, nasal and paranasal sinus involvement has rarely been described. We report herein a case of a patient presenting with middle turbinate actinomycosis.
Cancer and tuberculosis are two common diseases that affect health worldwide. They affect various organs and typically present with different clinical manifestations. However, these two diseases can sometimes present with unusual but similar clinical manifestations, leading to misdiagnosis of cancer and tuberculosis [1]. The thyroid gland is not spared from this risk of diagnostic error. It is more common for thyroid tuberculosis to be misdiagnosed as thyroid cancer than the opposite [2,3] In fact, Thyroid tuberculosis is a great mimicker and diagnostic chameleon and is prone to be diagnostic as thyroid carcinoma [2,3]. However, it is very rare for thyroid cancer to present as cervical tuberculosis. To our knowledge, only three cases of thyroid carcinoma initially manifesting as a neck abscess have been reported [4,5,6]. In this report, we describe a very rare case of an adult who presented with symptoms resembling cervical tuberculosis and pathological results ultimately revealed anaplastic thyroid carcinoma.
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