Kaposi's sarcoma is the malignant proliferation of the endothelial cell vessels. Its genesis is still unclear; however, it seems to be related to the herpes virus infection (HHV-8). This neoplasia usually affects the lower limbs and the affected persons are mostly from the Mediterranean region. The exclusive penile localization of the Kaposi's sarcoma in a patient with a negative HIV serologia is exceptional. Our case is of a 73-year old patient with a negative HIV serology presenting an exclusive penile localization of the Kaposi's sarcoma treated by radiotherapy.
Genitourinary tuberculosis is a common type of extra-pulmonary tuberculosis . The kidneys, ureter, bladder or genital organs are usually involved. Tuberculosis of the prostate has mainly been described in immune-compromised patients. However, it can exceptionally be found as an isolated lesion in immune-competent patients. Tuberculosis of the prostate may be difficult to differentiate from carcinoma of the prostate and the chronic prostatitis when the prostate is hard and nodular on digital rectal examination and the urine is negative for tuberculosis bacilli. In many cases, a diagnosis of tuberculous prostatitis is made by the pathologist, or the disease is found incidentally after transurethral resection. Therefore, suspicion of tuberculous prostatitis requires a confirmatory biopsy of the prostate. We report the case of 60-year-old man who presented a low urinary tract syndrome. After clinical and biological examination, and imaging, prostate cancer was highly suspected. Transrectal needle biopsy of the prostate was performed and histological examination showed tuberculosis lesions.
Urinary bladder calculi are rarely seen in women and any history of previous pelvic surgery must, therefore, raise suspicion of an iatrogenic etiology. According to the literature, fewer than 2% of all bladder calculi occur in female subjects and, thus, their presence should provoke careful assessment of the etiology. We report one case of a fragment of Foley catheter balloon as a cause of Bladder stone in 28 years old woman. Weanalyzed the diagnosis, aspect and therapeutic management of this case which is the first described in literature to our knowledge.
Tumoral Calcinosis is a distinct clinical and histological entity that is characterized by large periarticular deposits of calcium resembling a neoplasm and is found foremost in the region of hip, shoulder and elbow. We report a case of Tumoral Calcinosis in a 25-year-old male who presented to us with gradually increasing swelling of right axilla, and both hips of nearly two years duration. It was diagnostic enigma for the treating surgeons but with the help of an astute pathologist we diagnosed this rare condition and successfully treated it surgically. Keywords Case reportA 25-year-old male came to our outdoor with complaints of gradually increasing swelling on both hips and right axilla for last 2 years. Two years back he noticed some restriction of right shoulder joint movement for which he had some massage therapy. Couple of days later he noticed a lump of about 2 inches size in right axilla. About 2 weeks later he noticed two similar lumps on the sides of both hip joints. As these swellings were gradually increasing in size he sought local medical help and treating physician thought it to be chronic abscesses and did I & D of these swellings. Since then thick chalky white discharge used to come.Examination revealed three lumps, one in axilla of about 3 x 2 inches, fi rm in consistency, nontender, nonmobile with ulcerated surface, fl oor of which was covered with chalkywhite exudates. Two hip masses were about 5 x 3 inches with similar characteristics as that of axillary lump. There were no other signifi cant clinical fi ndings.Investigation revealed normal hemoglobin, normal total and differential count and normal routine urine. Renal function was normal. Plain X-ray of both hips and axilla revealed spotty calcifi cation in periarticular soft tissues. Serum calcium was 8.4 mg/dL and inorganic phosphorus 4.2 mg/dL. Serum parathormone level was normal. Histopathology showed diffuse and extensive areas of spotty calcifi cation and fi brocollagenous tissue interspersed with macrophages and mixed infl ammatory cell infi ltrate, appearance suggestive of Tumoral Calcinosis. Chemical analysis showed Calcium Phosphate crystals. Diagnosis of Tumoral Calcinosis was thus made. We performed complete excision of these lumps in 2 settings and patient is doing fi ne postoperatively. We will follow him up 3 monthly for any evidence of recurrence.
Résumé L'exstrophie de vessie est une pathologie malformative rare avec une incidence d'un cas pour 50000 naissances. Non traité à temps expose à deux principales complications: l'insuffisance rénale et La cancérisation de la plaque vésicale avec un risque allant jusqu'à 200 fois la normale, qui survient généralement vers la quatrième et la cinquième décennie. Dans 95% il s'agit d'un adénocarcinome et 5% un carcinome épidermoïdes. Nous présentons un cas rare d'adénocarcinome développé sur une exstrophie vésicale chez un patient de 61 ans qui a subi d'une exérèse de la plaque vésicale emportant toute la masse tumorale avec une dérivation urinaire non continente type bricker.
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