Intracystic papillary carcinoma (IPC) of the breast is a rare malignant tumour, found mainly but not exclusively in elderly women. IPC may be asymptomatic or presents with a palpable mass or blood-stained nipple discharge. Radiologic manifestations of IPC are not specific. On ultrasonography, it can be a pure cyst, a mixed image, or a solid mass. Histologic features of the tumor include cellular proliferations surrounding fibrovascular cores, with or without invasion. The mainstay of treatment is breast-conserving surgery or mastectomy. Sentinel node biopsy could be considered in invasive cases. Adjuvant radiotherapy and/or endocrine therapy is considered in appropriate cases. Through the observation of a 58-year-old patient, we report the epidemiological, clinical and radiological data of papillary breast carcinoma.
Pemphigoid gestationis is a gravidic dermatosis usually appearing between the 28th and 32nd week of amenorrhea. The rash is pruritic, bullous or vesiculopapular and of periumbilical topography. In addition to clinical findings, Thediagnosis is confirmed by direct immunofluorescence. If local treatment fails, systemic corticosteroid therapy should be administered. Oral corticosteroids are the therapeutic mainstay in pregnancy and postpartum.. Consequences may be maternal (threat of premature delivery), fetal (intrauterine growth retardation), and neonatal (skin rash). Through this observation and a review of theliterature the authors will try to focus on the physiopathology, clinicalprofile, immunological diagnosis, treatment and evolution of PG.
Objective: Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the fetus. Diagnosis and management can pose some difficulties especially in low-resource centers. The objective of this stady is to illustrate the different epidemiological, clinical and therapeutic data of abdominal pregnancy. Patient and observation: We present an additional case of primary omental pregnancy at 12 gestational weeks presenting with symptoms of hemoperitoneum and acute abdomen. Pregnancy status was confirmed after admission. Transvaginal ultrasound examination revealed a single viable fetus with a large amount of free peritoneal fluid, but no intrauterine sac or adnexal mass Laparotomy was done according to pre-operative diagnosis of ruptured tubal pregnancy. Bilateral tubes and ovaries were intact omental pregnancy was detected and partial omentectomy was performed. Conclusion: Early diagnostic of omental pregnancy is difficult but essential to reduce the high mortality.
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