HighlightsDevelopmental abnormalities of liver including ectopic liver are rare conditions.Although it does not usually produce any symptom clinically, it can rarely result in serious complications such as bleeding, pyloric and portal vein obstruction.Ectopic liver has the capacity of malignant transformation to hepatocellular carcinoma that makes it essential to be removed.The vascular anatomy of ectopic liver should be identified before the dissection of gallbladder in order to prevent hemorrhage from the liver parenchyma.
Skeletal muscle metastasis of nonsmall cell lung carcinoma (NSCLC) is a rare occurrence, and the most effective treatment modality is currently unknown. In this case presentation, we report a patient with NSCLC who underwent palliative radiotherapy for biceps muscle metastasis of NSLCS. Our case was a 49-year-old woman who had lung adenocarcinoma with biceps muscle metastasis. She had been followed up for 2 years due to Stage IV lung adenocarcinoma from whom a biopsy was taken from a painful mass in right arm that was found to be compatible with metastasis of lung adenocarcinoma. She had palliative radiotherapy for her painful mass and systemic chemotherapy was planned. After palliative radiotherapy, the pain originating from the metastatic mass in right biceps muscle alleviated. Palliative radiotherapy can be a valuable treatment option for cases with skeletal muscle metastasis.
Discoid lupus erythematosus (DLE) is characterized by atrophic patches with peripheral hyperpigmentation on sun-exposed skin areas. It rarely presents with diffuse hyperpigmented patches without erythema, adherent scales and atrophy on the face and neck. This presentation is called melanotic lupus erythematosus and it has rarely been reported in the literature. Other conditions that cause facial pigmentation, such as melasma, Riehl melanosis, lichen planus pigmentosus, and drug-related pigmentation should be considered in the differential diagnosis. We herein, report a 66-year-old male patient with diffuse blue-brown pigmentations on his face who was diagnosed as having melanotic lupus erythematosus based on the clinical, histopathological and immunofluoresence findings.
Summary
Özet
GirişYüzde yerleşen ve akkiz hiperpigmentasyonla seyreden lezyonların ayırıcı tanısında melazma, solar, lentigo, çiller, Riehl melanozu, liken planus pigmentozus (LPP), ilaca bağlı hiperpigmentasyon, ekzojen okronoz, argirya, Ota nevüs, Hori nevüs, Becker nevüs, fiks ilaç erüpsiyonu, akantozis nigrikans ve diskoid lupus eritematozus (DLE) gibi hastalıklar düşünülmelidir 1 . Bunlar arasında DLE sıklıkla güneş gören bölgelerde ortaları atrofik kenarları hiperpigmente plaklar şeklinde görülür. Nadir olarak yüz ve boyunda eşlik eden eritem, yapışık skuam ya da atrofi olmadan diffüz hiperpigmente plaklar şeklinde ortaya çıkabilir 2,3 .
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