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Fat-poor renal angiomyolipoma with prominent cystic degeneration:A case report and review of the literature

World Journal of Clinical Cases 2023年第2期11卷 417-425页

作者： Shi-Qi Lu Wei Lv You-Jun Liu Huan Deng Medical College Nanchang UniversityNanchang 330006Jiangxi ProvinceChina Department of Gastroenterology West China HospitalSichuan UniversityChengdu 610044Sichuan ProvinceChina Department of Radiology The Fourth Affiliated Hospital of Nanchang UniversityNanchang 330003Jiangxi ProvinceChina Department of Pathology The Fourth Affiliated Hospital of Nanchang UniversityNanchang 330003Jiangxi ProvinceChina

BACKGROUND Angiomyolipoma(AML),the most common benign tumor of the kidney,is usually composed of dysmorphic blood vessels,smooth muscle,and mature adipose *** our knowledge,AML with cystic degeneration has rarely been *** degeneration,hemorrhage,and a lack of fat bring great challenges to the *** SUMMARY A 60-year-old man with hypertension presented with a 5-year history of cystic mass in his left *** fell 2 mo ago.A preoperative computed tomography(CT)scan showed a mixed-density cystic lesion without macroscopic fat density,the size of which had increased compared with before,probably due to hemorrhage caused by a *** nephrectomy was *** studies revealed that the lesion mainly consisted of tortuous,ectatic,and thick-walled blood vessels,mature adipose tissue,and smooth muscle-like spindle cells arranged around the abnormal blood *** tumor cells exhibited positivity for human melanoma black-45,Melan-A,smooth muscle actin,calponin,S-100,and neuron-specific enolase,rather than estrogen receptor,progesterone receptor,CD68,and *** Ki-67 labeling index was less than 5%.The final diagnosis was a fat-poor renal AML(RAML)with prominent cystic *** When confronting a large renal cystic mass,RAML should be included in the differential diagnosis.

关键词： Kidney Angiomyolipoma cystic degeneration Pathogenesis Diagnosis Case report

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cystic degeneration of Uterine Leiomyoma Misdiagnosed as Ovarian Malignancy: A Case Report

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Open Journal of Obstetrics and Gynecology 2023年第4期13卷 745-751页

作者： Kossi Edem Logbo-Akey Kignomon Bingo M’bortche Pierre Yendoubé Kambote Kibandou Noe Patidi Dédé Régine Diane Ajavon Abdoul-Samadou Aboubakari 1Department of Gynecology and Obstetrics of the University Hospital of Kara University of Kara Kara Togo Department of Gynecology and Obstetrics of the University Hospital of Kara University of Kara Kara Togo Togolese Association for Family Welfare (ATBEF) Clinic University of Lomé Lomé Togo Department of Gynecology and Obstetrics of the University Hospital Sylvanus Olympio University of Lomé Lomé Togo Department of Gynecology and Obstetrics of the Regional Hospital Center of Tomdé University of Kara Kara Togo

Background: Massive cystic degeneration of the uterine myoma might mimic an ovarian tumor, especially a malignant ovarian tumor, causing misdiagnosis. We present a case of a woman with marked cystic degeneration of a uterine leiomyoma mimicking an ovarian neoplasm. Case: A 65-year-old woman (gravida 6, para 6) visited us due to an abdominal tumor. Clinical examination and radiology exploration suggested the presence of an ovarian tumour. The patient underwent a total abdominal hysterectomy with bilateral adnexectomy. Histopathology confirmed a final diagnosis of a degenerated leiomyoma. The patient’s postoperative course was uneventful and she was discharged on her 5th post-operative day. Conclusions: When a patient has a huge abdomino-pelvic mass, mimicking an ovarian tumor, cystic degeneration of uterine myoma should be considered as a differential diagnosis.

关键词： Leiomyoma cystic degeneration Ovarian Tumor

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Successful treatment of pancreatic accessory splenic hamartoma by laparoscopic spleen-preserving distal pancreatectomy:A case report

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World Journal of Gastrointestinal Oncology 2022年第5期14卷 1057-1064页

作者： Shao-Yan Xu Bo Zhou Shu-Mei Wei Ya-Nan Zhao Sheng Yan Division of Hepatobiliary and Pancreatic Surgery Department of SurgeryThe Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina Department of Pathology The Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina Department of Ultrasound The Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina

BACKGROUND Pancreatic accessory spleen(PAS)is an uncommon congenital abnormality of the *** hamartoma(SH)is also ***,hamartoma in the PAS has not been reported thus *** report the first case *** SUMMARY A 26-year-old male presented with a one-month history of left upper quadrant abdominal pain,and computerized tomography(CT)examination suggested a mass in the pancreas *** patient then attended our hospital for diagnosis and ***,CT,and magnetic resonance imaging revealed a solid mass with cystic degeneration growing from the tail of the *** tumor marker carbohydrate antigen 19-9(CA19-9)increased to 96.7 U/mL(normal range 0-37 U/mL).An epidermoid cyst in a PAS was considered ***,a malignant tumor cannot be ruled *** performed laparoscopic surgery,and two pancreatic masses were found growing from the pancreatic *** two masses were so closely connected that preoperative imaging examinations suggested only one *** carefully isolated the masses from the splenic artery and vein.A laparoscopic spleen-preserving distal pancreatectomy was successfully *** pathological examination,the masses were well-defined,homogeneous red-tan,4×3,and 4.5×1.5 in size,*** of them was cystically *** microscopical examination,the mass contained unorganized small slit-like vascular channels enclosing red blood cells and lined with plump endothelial *** area of cytologic atypia was *** lymphoid aggregates were found in the intravascular *** pulp or fibrosis was not *** final diagnosis was pancreatic accessory SH with cystic *** the operation,CA19-9 was reduced to *** patient recovered well,and the 34-mo follow-up period was *** Here,we report the first case of pancreatic accessory SH.A laparoscopic spleen-preserving distal pancreatectomy was successfully *** patient recovered well and h

关键词： Pancreatic accessory spleen Splenic hamartoma cystic degeneration Laparoscopic spleenpreserving distal pancreatectomy Case report

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cystic liver metastasis of gastric cancer:report and analysis of two cases

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The Chinese-German Journal of Clinical Oncology 2014年第3期13卷 140-144页

作者： Wei Huang Fang Huang Junying Xu Chaoying Liu Department of Oncology Changzhou No.2 People's Hospital Department of Oncology Wuxi People's Hospital

cystic liver metastasis, which lacks specific clinical manifestations and standardized treatment, rarely occurs after radical gastrectomy. This study presented two gastric cancer cases with cystic liver metastasis treated in Wuxi People＇s Hospital from September 2008 to November 2012. The two female patients were 66 and 65 years old, respectively. Poorly differentiated ulcerated adenocarcinoma classified as stage III B [Tumor, Node, and Metastasis Classification （T4aN2MQ）] and clinical manifestations of abdominal distension and ascites were detected in both patients. Cyst fluids were subjected to cy- tological analysis. Results confirmed the presence of liver metastasis of gastric cancer. The two patients benefited from local intracavitary chemotherapy or systemic intravenous chemotherapy.

关键词： gastric cancer cystic degeneration liver metastasis

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