AIM:Inflammatory fibroid polyp (IFP) is a rare benign lesion that may occur throughout the digestive tract.IFP is more commonly found in the antrum of the stomach in particular. It mostly affects adults at the average...AIM:Inflammatory fibroid polyp (IFP) is a rare benign lesion that may occur throughout the digestive tract.IFP is more commonly found in the antrum of the stomach in particular. It mostly affects adults at the average age of 60 years.These polyps are able to cause abdominal pain,gastrointestinal bleeding,intestinal obstruction or intussusception.In this paper we report a case of gastric TIP with unusual presenting features. METHODS:A child with gastric IFP was described and the literature was reviewed, RESULTS:A 4-year-old girl presented with fever for 2 months,arthralgia of knees and ankles,iron defidency anemia, and hypoalbuminemia.Her stool examination was positive for occult blood.The upper gastrointestinal study demonstrated a large Iobulated mass at the upper part of gastric body.Partial gastrectomy en blocwith this 5 cm×8 cm mass was subsequently performed.Pathological examination was consistent with IFP.Following the mass excision,her fever abruptly declined and disappeared together with anemia and arthralgia.She remained asymptomatic and the abdominal ultrasonography performed at the 24-month follow-up demonstrated no recurrence of the tumor. CONCLUSION:The etiopathogenesis of IFP still remains unclear,The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose,The inflammatory symptoms found in this patient support the hypothesis of inflammatory benign lesions of IFP.展开更多
Three cases of pituitary metastases were reported. They all had operations and the pathological exami-nation confirming the diagnosis. The clinical features of diabetes insipidus and extraocular nerve palsy were prese...Three cases of pituitary metastases were reported. They all had operations and the pathological exami-nation confirming the diagnosis. The clinical features of diabetes insipidus and extraocular nerve palsy were presented. In two cases, the original tumors were bronchioloalveolar carcinoma; in the other one, the original tumor was unknown. All three cases had poor outcome. These cases illustrate the fact that a pituitary metastasis can closely mimic a pituitary benign tumor, such as pituitary adenoma. Especially in the presence of suggestive symptoms such as diabetes insipidus and/or cranical nerve paralysis, the possibility of metastatic disease in the differential diagnosis of a pituitary mass should always be considered.展开更多
Objective: To promote the accuracy of diagnosis and the efficiency of treatment of primary epididymal adenocarcinoma.Methods: A 57 years old man was admitted in April 2000 with the right epididymal mass. We treated hi...Objective: To promote the accuracy of diagnosis and the efficiency of treatment of primary epididymal adenocarcinoma.Methods: A 57 years old man was admitted in April 2000 with the right epididymal mass. We treated him as right epididymal neoplasm according to his symptom, physical examination, diagnostic therapy and specific carcinoembryonic antigen about epididymis.Results: The patient suffered a right orchiectomy by transscrotal approach. The pathologic analysis displayed a right adenocarcinoma of the epididymis, grade Ⅱ-Ⅲ with a positive surgical margin of right spermatic cord, and immunohistochemical PSA staining was negative. Then a upper right spermatic cord excision and biopsy of the lymph nodes in pelvic cavity was performed. Intraoperatively, the metastasis disease was found during inguinal exploration. Metastasis or invaded adenocarcinoma was found in right spermatic cord and fibrous tissue based on pathologic examination. No intravascular metastasis was found. No furthermore treatment was given and the patient died half an year after diagnosis.Conclusion: The adenocarcinoma of the epididymis is easily misdiagnosed to be the tuberculosis of the epididymis and chronic epididymitis, and usually the neoplasm was poorly differentiated. The prognosis of these cases are very poor, and usually die in a short term.展开更多
基金Supported by the Thailand Research Fund and Center of Excellence,Viral Hepatitis Research Unit,Chulalongkorn University
文摘AIM:Inflammatory fibroid polyp (IFP) is a rare benign lesion that may occur throughout the digestive tract.IFP is more commonly found in the antrum of the stomach in particular. It mostly affects adults at the average age of 60 years.These polyps are able to cause abdominal pain,gastrointestinal bleeding,intestinal obstruction or intussusception.In this paper we report a case of gastric TIP with unusual presenting features. METHODS:A child with gastric IFP was described and the literature was reviewed, RESULTS:A 4-year-old girl presented with fever for 2 months,arthralgia of knees and ankles,iron defidency anemia, and hypoalbuminemia.Her stool examination was positive for occult blood.The upper gastrointestinal study demonstrated a large Iobulated mass at the upper part of gastric body.Partial gastrectomy en blocwith this 5 cm×8 cm mass was subsequently performed.Pathological examination was consistent with IFP.Following the mass excision,her fever abruptly declined and disappeared together with anemia and arthralgia.She remained asymptomatic and the abdominal ultrasonography performed at the 24-month follow-up demonstrated no recurrence of the tumor. CONCLUSION:The etiopathogenesis of IFP still remains unclear,The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose,The inflammatory symptoms found in this patient support the hypothesis of inflammatory benign lesions of IFP.
文摘Three cases of pituitary metastases were reported. They all had operations and the pathological exami-nation confirming the diagnosis. The clinical features of diabetes insipidus and extraocular nerve palsy were presented. In two cases, the original tumors were bronchioloalveolar carcinoma; in the other one, the original tumor was unknown. All three cases had poor outcome. These cases illustrate the fact that a pituitary metastasis can closely mimic a pituitary benign tumor, such as pituitary adenoma. Especially in the presence of suggestive symptoms such as diabetes insipidus and/or cranical nerve paralysis, the possibility of metastatic disease in the differential diagnosis of a pituitary mass should always be considered.
文摘Objective: To promote the accuracy of diagnosis and the efficiency of treatment of primary epididymal adenocarcinoma.Methods: A 57 years old man was admitted in April 2000 with the right epididymal mass. We treated him as right epididymal neoplasm according to his symptom, physical examination, diagnostic therapy and specific carcinoembryonic antigen about epididymis.Results: The patient suffered a right orchiectomy by transscrotal approach. The pathologic analysis displayed a right adenocarcinoma of the epididymis, grade Ⅱ-Ⅲ with a positive surgical margin of right spermatic cord, and immunohistochemical PSA staining was negative. Then a upper right spermatic cord excision and biopsy of the lymph nodes in pelvic cavity was performed. Intraoperatively, the metastasis disease was found during inguinal exploration. Metastasis or invaded adenocarcinoma was found in right spermatic cord and fibrous tissue based on pathologic examination. No intravascular metastasis was found. No furthermore treatment was given and the patient died half an year after diagnosis.Conclusion: The adenocarcinoma of the epididymis is easily misdiagnosed to be the tuberculosis of the epididymis and chronic epididymitis, and usually the neoplasm was poorly differentiated. The prognosis of these cases are very poor, and usually die in a short term.
