فهرست مطالب

Journal of Case Reports in Practice
Volume:2 Issue: 4, Oct 2014

  • تاریخ انتشار: 1394/04/28
  • تعداد عناوین: 8
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  • Mohammad Bagher Owlia *, Masoud Mirzaei Page 98
  • David Cm Chan, John M. Hill, Lionel D. Lewis Hong*, Kee Lee Page 100
    Hypophosphatemia is a rare occurrence in multiple myeloma patients due to compromised renal function. We describe a male patient who presented with acute renal failure, anemia, hypercalcemia, hyperphosphatemia, and was diagnosed with Stage IIIB IgG kappa multiple myeloma. He subsequently developed profound hypophosphatemia during the course of his treatment, which included zoledronic acid, cyclophosphamide, and furosemide. A combination of the phosphate depleting effect of the three drugs and his improving renal function may have contributed to the profound hypophosphatemia.
    Keywords: hypophosphatemia, multiple myeloma, zoledronic acid, cyclophosphamide, furosemide
  • Anila Kr*, Chandramohan K., Jayaprakash Pg, Jiji V., Anitha Mathews, Jayasree K Page 104
    A 62-year-old lady who was a known diabetic and hypertensive presented to a local hospital with complaints of post-menopausal bleeding of three weeks duration. She also complained of a dragging sensation in the lower abdomen. Per vaginal examination revealed an ulceroproliferative growth in the cervix with extra cervical spread. A biopsy was taken. With an outside report of non-keratinizing squamous cell carcinoma, patient was referred to our oncology unit. Clinical examination confirmed a stage IIIB cervical cancer. Magnetic resonance imaging (MRI) of pelvis and abdomen showed the cervical cancer infiltrating the parametriae, upper third of vagina and the bladder wall. In addition, the MRI revealed a well defined lobulated heterogeneous lesion in left anterior para renal space, which was radiologically considered as metastatic deposit. A right ovarian cyst was also detected radiologically. Patient was given chemotherapy and radiotherapy for cervical cancer. Following this the pararenal mass and ovarian cyst was excised. Based on histopathology and immunohistochemistry the pararenal mass was diagnosed as fat- forming (lipomatous) solitary fibrous tumor [SFT] containing foci of metastatic carcinoma. Ovarian cyst was a mature cystic teratoma. We are reporting this case because of its rarity and also to highlight the importance of adequate sampling and careful screening of slides so as to avoid missing relevant findings. Lipomatous SFT is a rare variant of SFT.There are only very few reports of SFT serving as the recipient in tumor to tumor metastasis. According to our knowledge this is the first reported case of cervical carcinoma metastasizing to lipomatous SFT.
    Keywords: fat, forming solitary fibrous tumor, metastasis, cervical cancer
  • Haleh Zokaee, Mohammad Hasan Sheikhha*, Seyed Mehdi Kalantar Page 107
    An Iranian girl with ectodermal dysplasia, cleft lip/palate, and syndactyly is reported here whose mental status was briefly impaired. The case was born in the fourth pregnancy from a first cousin marriage. The family’s first offspring was aborted in the first pregnancy. The case has an 11-year-old brother with cleft lip and palate without other signs and symptoms. The third child had died just several hours after birth with unknown reason. In this report the clinical and genetic findings and the inheritance pattern of the disease is discussed.
    Keywords: ectodermal dysplasia, cleft lip, cleft palate, syndactyly
  • Vijaya Raj Bhatt *, Rajesh Shrestha, Joel D. Armitage, James O. Armitage Page 111
    The development of fevers, night sweats and weight loss or ‘B-symptoms’ are some of the early indications of possible relapse in lymphoma survivors. However, these symptoms are non-specific and could be the result of many other medical conditions. We report a case of a woman with the prior history of lymphoma who presented with B symptoms (drenching sweats and weight loss) and hypermetabolic cervical lymph node enlargement. This was highly suspicious for recurrent lymphoma, however, the biopsy of the lymph node was negative. Further evaluation revealed the presence of thyrotoxicosis. As illustrated by this case report, what seems like an obvious relapse is not always a lymphoma. Understanding such possibilities is important for the management of lymphoma survivors.
    Keywords: lymphoma, late relapse, thyrotoxicosis
  • Osama Saber Eldib*, Mohammed Shakwer, Khalid Habeeb Page 113
    Malignant lymphoma can involve the mediastinum as a primary lesion or part of dissemination process. Compression on nearby structures determines the clinical picture. Few cases presenting initially by pericardial effusion had been reported. We present a 48-year-old female patient emergently managed for cardiac tamponade initially by pericardiocentesis then by surgical drainage. Large mediastinal mass had been found intraoperatively that proved to be non Hodgkin lymphoma.
    Keywords: malignant lymphoma, cardiac tamponade, mediastinal widening, Hodgkin's disease
  • Nikhil Ganjoo*, Nilesh Agrawal, Mona Aslam Page 116
    Persistence of the vitello-intestinal duct in children is not uncommon. It may present as a thin cord up to the umbilicus, or rarely lead to formation of an umbilical polyp with, or without, a patent diverticulum. It is formed at around eleven days post fertilization. The obliterative process begins at the umbilical end of the duct and extends towards the intestine making Meckel’s diverticulum more likely. This case report is of an infant who had a vitello-intestinal duct, which was treated in primary care on multiple occasions as an umbilical granuloma and then as an umbilical infection.
    Keywords: umbilicus, granuloma, vitello, intestinal duct, neonate, surgery, silver nitrate cauterization
  • Salahaddin Ubaid *, Iman Ali Page 118
    A young female patient presented with an incidental finding of a painless skin mass in the anterior chest wall, which was later confirmed to be advanced primary mediastinal B-cell lymphoma. Our patient was asymptomatic in spite of the disease being at an advanced stage. This is unusual for this type of tumours.
    Keywords: mass, mediastinum, lymphoma