Henry Elsenpeter, Paxten Wahlund, Selly Strauch, Susan Roe
{"title":"A Twisted Tale: A Case of Intestinal Volvulus in an 85-Year-Old Female.","authors":"Henry Elsenpeter, Paxten Wahlund, Selly Strauch, Susan Roe","doi":"10.1155/crip/6843513","DOIUrl":"10.1155/crip/6843513","url":null,"abstract":"<p><p>Medicolegal death investigation (MDI) includes sudden and unexpected deaths, with the most common being cardiovascular deaths, cerebral, pulmonary, and cancer causes. Less commonly, gastrointestinal conditions can occur, and most conditions are symptomatic. Occasionally, pain is masked or absent. Of the many intestinal conditions that may cause death, intestinal volvulus occurs in all ages and is part of the larger intestinal obstruction disease states. The individual in our report was an active, articulate 85-year-old female in excellent health; her medical history was positive only for hypothyroidism, treated for over 30 years with Synthroid. She died following vague abdominal complaints and nausea following a meal. At autopsy, a volvulus of the ileum and adjacent mesentery was present. The ileum was necrotic, and 700 cc of bloody, dark peritoneal fluid was present. Major arteries, including celiac, superior, and inferior mesenteric arteries, were patent. A volvulus occurs when the bowel twists upon its associated mesentery, causing obstruction within the intestine, vascular compromise of the supporting vessels in the mesentery, and ultimate distal ischemia of the affected bowel. Correct assessment in this case provided answers for the family and allowed correct death certificate classification.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"6843513"},"PeriodicalIF":0.4,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Case of Collision Tumor at the Periampullary Region.","authors":"Kshitija Kale, Vikram Chaudhari, Vikas Ostwal, Shailesh V Shrikhande, Kedar Deodhar","doi":"10.1155/crip/7777605","DOIUrl":"10.1155/crip/7777605","url":null,"abstract":"<p><p>Collision tumors are rare neoplasms composed of two histologically distinct components without a transitional zone. Only nine cases involving periampullary adenocarcinoma and neuroendocrine tumor (NET) have been reported. A 55-year-old male presented with recurrent fever and jaundice. Imaging and biopsy revealed a periampullary lesion diagnosed as tubule-villous adenoma with high-grade dysplasia. He underwent pylorus-preserving pancreatoduodenectomy. Histology revealed moderately differentiated intestinal-type adenocarcinoma (pT2N1) with regional lymph node metastasis. Additionally, a 2-mm well-differentiated NET was found 2.5 cm proximal to the primary tumor, also with nodal metastasis. Immunohistochemistry confirmed distinct lineages, fulfilling the criteria for a collision tumor. This case represents a rare periampullary collision tumor with both adenocarcinoma and NET components showing independent lymph node metastases. The absence of transitional zones rules out MiNEN. This report underscores the importance of thorough pathological assessment and adds to the limited literature on the behavior and prognosis of periampullary collision tumors.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"7777605"},"PeriodicalIF":0.4,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145864836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rare Mucinous Tumors of the Alveolar Space: Two Case Reports.","authors":"Calista Sha, Michael Esposito, Paul C Lee","doi":"10.1155/crip/6177155","DOIUrl":"10.1155/crip/6177155","url":null,"abstract":"<p><p>Pulmonary mucinous adenocarcinomas are rare, and the knowledge about them is gleaned from case reports and small case series. To support the growing recognition of these rare tumors, we present two cases: one of a low-grade mucinous tumor and another of a colloid adenocarcinoma to illuminate the underreported differences between these two mucinous tumors.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"6177155"},"PeriodicalIF":0.4,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica A Ortega-Balderas, Hayde S Ramos-Marrero, Raquel Garza-Guajardo, Oralia Barboza-Quintana, Barbara Saenz-Ibarra
{"title":"Primary Intracranial Sarcomatoid Yolk Sac Tumor With Unique Histology: A Case Report.","authors":"Jessica A Ortega-Balderas, Hayde S Ramos-Marrero, Raquel Garza-Guajardo, Oralia Barboza-Quintana, Barbara Saenz-Ibarra","doi":"10.1155/crip/2011129","DOIUrl":"10.1155/crip/2011129","url":null,"abstract":"<p><p>Primary intracranial pure yolk sac tumors (YSTs) are rare, and their typical histological findings have been documented in the literature. We report a case of a 20-year-old young man with an intra-axial primary YST exhibiting a unique sarcomatoid morphology. This case demonstrates that primary intracranial YSTs present uncommon patterns underscoring the importance of including YSTs in the differential diagnosis of midline masses. To the best of our knowledge, this is the first reported pure primary intracranial YST showing sarcomatoid histology.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"2011129"},"PeriodicalIF":0.4,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ominous Mediastinal Mass Revealing Ectopic Thyroid.","authors":"Cameron Summers, Gabriella Morey, Susana Ferra","doi":"10.1155/crip/5583511","DOIUrl":"10.1155/crip/5583511","url":null,"abstract":"<p><p>Mediastinal ectopic thyroid is a rare condition in which benign thyroid tissue manifests in an area other than its normal anatomical location. This report describes a 63-year-old female who was incidentally found via chest CT scan to have a right paratracheal soft tissue mass compressing and displacing the trachea to the left. She underwent an elective resection revealing unremarkable thyroid tissue. Subsequent neck ultrasound confirmed the presence of cervical thyroid supporting a diagnosis of ectopic thyroid tissue. The epidemiology, clinical manifestation, diagnosis, and management of mediastinal ectopic thyroids are discussed within this case report. Accurate diagnosis and management of ectopic thyroid relies on a combination of imaging studies and histological examination to confirm the presence of the thyroid tissue. Treatment for ectopic thyroid tissue depends on the nature of the symptoms and the potential risk of malignancy.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"5583511"},"PeriodicalIF":0.5,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam Bedeir, Guilherme Rabinowits, Tolulope Adeyelu, Matthew J Oberley, Mark G Evans
{"title":"Novel <i>SZT2::MAST2</i> Fusion Detected in Salivary Duct Carcinoma.","authors":"Adam Bedeir, Guilherme Rabinowits, Tolulope Adeyelu, Matthew J Oberley, Mark G Evans","doi":"10.1155/crip/3728015","DOIUrl":"10.1155/crip/3728015","url":null,"abstract":"<p><p>Salivary duct carcinoma (SDC) is an uncommon neoplasm that often develops early regional and distant metastasis. Standard treatment for SDC is wide surgical resection along with lymph node dissection followed by adjuvant radiation therapy. The role of adjuvant chemotherapy is not clear with an overall low survival rate. SDC resembles high-grade invasive ductal carcinoma (IDC) of the breast both histologically and by immunohistochemistry (IHC). Fusions involving microtubule-associated serine/threonine (MAST) kinases have been suggested to play role in a subset of breast cancer, although the exact mechanism remains unclear. In this report, we present a case of SDC harboring a novel exon 1 of <i>SZT2</i> joined to exon 4 of <i>MAST2</i> leading to a likely pathogenic <i>SZT2::MAST2</i> fusion. Given the reported fusions involving the MAST kinases in breast cancer, this finding demonstrates an additional similarity between these two tumor types.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"3728015"},"PeriodicalIF":0.5,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ernesto Martinez Duarte, Ross Germani, Charles Nicholson, Amy Baruch, Trisha Shattuck
{"title":"Cribriform Adenocarcinoma of the Nasal Cavity Harboring a Novel <i>NAP1L1::PRKD1</i> Fusion, Expanding the Molecular Landscape of Minor Salivary Gland Tumors.","authors":"Ernesto Martinez Duarte, Ross Germani, Charles Nicholson, Amy Baruch, Trisha Shattuck","doi":"10.1155/crip/9431983","DOIUrl":"10.1155/crip/9431983","url":null,"abstract":"<p><p>Cribriform adenocarcinoma of the salivary glands (CASG) is a rare tumor of minor salivary glands, predominantly of the oral cavity, characterized by distinct morphologic and immunophenotypic features. In this article, we describe a unique case of CASG arising in the sinonasal cavity of a 49-year-old female, with a novel <i>NAP1L1::PRKD1</i> fusion, expanding the molecular complexities of salivary gland neoplasms. This neoplasm showed typical morphology with nests of tumor cells with cribriform and papillary architecture and a classic immunohistochemical profile with tumor cells positive for S100 and p63 while negative for p40. Molecular studies showed a <i>NAP1L1::PRKD1</i> fusion, which has not been previously detected in cribriform adenocarcinoma.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"9431983"},"PeriodicalIF":0.5,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12677983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Case of Adult Rhabdomyoma in the Parapharyngeal Space: Diagnostic Challenges and Surgical Management.","authors":"Alkmini Gatsounia, Pinelopi Bosgana, Gerasimos Danielides, Athanasios Vlachodimitropoulos, Hamida Kurabi, Spyridon Lygeros","doi":"10.1155/crip/1626816","DOIUrl":"10.1155/crip/1626816","url":null,"abstract":"<p><strong>Introduction: </strong>Adult rhabdomyoma (ARM) is an exceedingly rare benign neoplasm accounting for less than 2% of all striated muscle tumors. Originating from striated muscle cells, it primarily occurs in the head and neck region but is particularly rare in the parapharyngeal space.</p><p><strong>Case presentation: </strong>We report a case of a 64-year-old male patient who presented with a 6-month history of progressive dysphagia and globus pharyngeus. CT and MRI scans revealed a well-defined multilobular mass in the right parapharyngeal space. Surgical excision was performed, and histopathological evaluation confirmed ARM. ARM diagnosis presents a challenge due to nonspecific clinical and radiological manifestations. Histopathological examination remains the gold standard for definitive diagnosis. Surgical excision is the treatment of choice, and close postoperative monitoring is crucial due to high recurrence rates.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenges and treatment modalities for ARM in a rare anatomical location. A multidisciplinary approach incorporating radiological, cytological, and histopathological evaluations is essential for accurate diagnosis and effective management.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"1626816"},"PeriodicalIF":0.5,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12595224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Autopsy Case Report of an Infant Born to a Diabetic Mother, With Review of Literature-A Pandora's Box of Pathologies.","authors":"Gurpreet Kaur, Raghav Sharma, Vikram Singh, Ankur Ahuja, Somasundaram Venkatesan","doi":"10.1155/crip/6662921","DOIUrl":"10.1155/crip/6662921","url":null,"abstract":"<p><p>Gestational diabetes mellitus (GDM) affects approximately 2%-17.8% of pregnancies, with preexisting diabetes also contributing to significant fetal risks. Despite advancements in obstetric and medical care, pregnancies complicated by maternal diabetes continue to carry a higher likelihood of fetal loss compared to nondiabetic pregnancies. Infants born to diabetic mothers (IDMs) are predisposed to complications such as birth trauma, respiratory difficulties, metabolic derangements including hypoglycemia and hypocalcemia, jaundice, increased blood viscosity, and various congenital anomalies-all potentially contributing to fetal mortality. We report the autopsy findings of a male IDM, born to a 25-year-old primigravida conceived via intrauterine insemination (IUI) with GDM, delivered at 38 weeks and 3 days of gestation, weighing 3.1 kg with reassuring Apgar scores at birth. Despite an apparently uncomplicated delivery and no immediate congenital anomalies detected, the infant developed sudden respiratory distress and unresponsiveness at 90 min of life, leading to unsuccessful resuscitation efforts. The autopsy revealed hallmark features of maternal-fetal glucose imbalance, including cardiopulmonary hypertrophy, hepatomegaly, immature lungs, pulmonary hypertension, and marked pancreatic islet cell hyperplasia. Inflammatory changes in the meninges and hypoxic neuronal injury were also observed. No structural malformations were identified. Although neonatal autopsies are inherently challenging, they provide critical insights that may influence neonatal care practices and guide future genetic counseling for affected families.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"6662921"},"PeriodicalIF":0.5,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12580034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intracholecystic Papillary Neoplasm With Associated Invasive Carcinoma, Accompanied by Tumor Thrombi of Hepatoid Adenocarcinoma: A Case Report.","authors":"Sho Yoshida, Yusuke Kouchi, Ryotaro Eto, Masayuki Ohtsuka, Takashi Kishimoto","doi":"10.1155/crip/7736309","DOIUrl":"10.1155/crip/7736309","url":null,"abstract":"<p><p>Hepatoid adenocarcinoma (HAC) is a rare extrahepatic adenocarcinoma characterized by hepatocellular differentiation. HAC arising in the gallbladder is rare. We report a case of intracholecystic papillary neoplasm (ICPN) with HAC, most of which were tumor thrombi. The patient was a 78-year-old Japanese woman diagnosed with a gallbladder mass, detected by ultrasonography. She underwent cholecystectomy with lymph node dissection. Histopathological examination revealed exophytic papillary growth consistent with ICPN with associated invasive carcinoma. Notably, many tumor nests displayed characteristics of HAC, including eosinophilic granular cytoplasm and solid trabecular patterns. Immunohistochemically, tumor cells were positive for AFP, Glypican 3, and Hep Par 1 but negative for SALL4. Our findings underscore the importance of recognizing HAC components in gallbladder lesions, particularly in the context of ICPN with associated invasive carcinoma, as they may significantly impact patient prognosis.</p>","PeriodicalId":45638,"journal":{"name":"Case Reports in Pathology","volume":"2025 ","pages":"7736309"},"PeriodicalIF":0.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}