International Journal of Surgery Case Reports最新文献_第10页

A case of glenohumeral joint impingement caused by a giant secondary synovial osteochondromatosis 一例由巨大继发性滑膜骨软骨瘤病引起的盂肱关节撞击症病例

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-26 DOI: 10.1016/j.ijscr.2024.110527

{"title":"A case of glenohumeral joint impingement caused by a giant secondary synovial osteochondromatosis","authors":"","doi":"10.1016/j.ijscr.2024.110527","DOIUrl":"10.1016/j.ijscr.2024.110527","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Synovial osteochondromatosis of the shoulder joint is predominantly primary, characterized by multiple osteochondral fragments, with reports of secondary synovial osteochondromatosis being rare.</div></div><div><h3>Case presentation</h3><div>The patient, a 48-year-old male, presented to our hospital with right shoulder pain persisting for several months. While there was no significant restriction in the range of motion, pain was noted during horizontal adduction and external rotation in the dependent position. Radiographs and CT scans revealed an osteochondral loose body in the glenohumeral joint and an osteophyte on the anterior margin of the glenoid cavity. A lidocaine test in the glenohumeral joint was positive, suggesting impingement by the loose body, leading to its surgical removal. Arthroscopically, the loose body was grasped and removed from the anterior aspect of the glenohumeral joint. The osteochondral fragment measured approximately 15 mm, with the total length including soft tissue being about 40 mm. Pathological findings indicated a layered arrangement of synovial cells, consistent with secondary synovial osteochondromatosis. Postoperatively, the shoulder pain improved rapidly, and follow-up was concluded six months after surgery.</div></div><div><h3>Clinical discussion</h3><div>In this case, arthroscopy revealed a Hill-Sachs-like lesion and labral deficiency on the glenoid, suggesting past trauma. However, no bone defect matching the size of the loose body was observed. In secondary synovial osteochondromatosis, small osteochondral fragments can grow with nourishment from the synovium, suggesting the loose body in this case might have similarly enlarged post-trauma.</div></div><div><h3>Conclusion</h3><div>The shoulder pain caused by a giant secondary synovial osteochondromatosis improved by removing the loose body arthroscopically.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561474","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}

引用次数: 0

Hemorrhagic pericardial effusion superimposed on total anomalous pulmonary venous connection: First-reported case 出血性心包积液叠加全肺静脉连接异常：首例报告病例。

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110520

{"title":"Hemorrhagic pericardial effusion superimposed on total anomalous pulmonary venous connection: First-reported case","authors":"","doi":"10.1016/j.ijscr.2024.110520","DOIUrl":"10.1016/j.ijscr.2024.110520","url":null,"abstract":"<div><h3>Introduction</h3><div>Among congenital heart diseases (CHD), total anomalous pulmonary venous connection (TAPVC), constitutes approximately 0.5–2 % of all detected cardiac anomalies in newborns. Hemorrhagic pericardial effusions are frequently caused by malignancy and iatrogenic cause; however, they can be idiopathic.</div></div><div><h3>Presentation of case</h3><div>We introduce an exceptional case of a previously healthy young adult male who sought medical attention at our institution due to chest discomfort. Investigation revealed a large hemorrhagic pericardial effusion, which recurred three times despite treatment with pericardiocentesis. Further investigation revealed a TAPVC, which subsequently resolved following surgical repair.</div></div><div><h3>Discussion</h3><div>TAPVC carries a mortality rate of up to 80 % if unrepaired by one year of age. The supracardiac type of TAPVC and presence of atrial septal defect (ASD) are factors that contribute to survival. The simultaneous occurrence of hemorrhagic pericardial effusions in the setting of unrepaired TAPVC in adults is uncommon. The resolution of the hemorrhagic pericardial effusion suggests a possible association between the two disease entities.</div></div><div><h3>Conclusion</h3><div>Our case draws attention due to the scarcity of available medical literature reporting such a unique occurrence. Providers should remain vigilant regarding a possible superimposed hemorrhagic pericardial effusion, which could develop in the setting of unrepaired TAPVC in adults.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548336","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}

引用次数: 0

Pediatric traumatic spiegelian hernia, not always a handlebar hernia: A case report 小儿外伤性椎弓根疝，不一定是车把疝：病例报告。

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International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110507

{"title":"Pediatric traumatic spiegelian hernia, not always a handlebar hernia: A case report","authors":"","doi":"10.1016/j.ijscr.2024.110507","DOIUrl":"10.1016/j.ijscr.2024.110507","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Traumatic abdominal wall hernia is rare in children, and traumatic Spiegelian hernia is exceptional. Most of them occur due to a handlebar accident in older children. This report concerns a case of a toddler with a rare mechanism and location.</div></div><div><h3>Case presentation</h3><div>We report a case of a 28-month-old girl who was hit by a car and immediately presented at our institution with a right upper quadrant 5-cm defect traumatic Spiegelian hernia associated with a congenital umbilical hernia and no other associated lesions, as confirmed by a computed tomography scan. Three weeks later, the defect along the semilunar line was still palpable (3 cm), so open tissue repair was performed for both hernias, with good outcomes four months postoperatively.</div></div><div><h3>Clinical discussion</h3><div>When traumatic Spiegelian hernia occurs mainly due to handlebar accidents, it is rare in children under 5-year-olds, with a different mechanism. The lesion seems more frequent in the right upper quadrant in this population.</div></div><div><h3>Conclusion</h3><div>Traumatic Spiegelian hernia can occur in toddlers, with a different mechanism and location compared to older children. Computed tomography is essential to explore associated intraabdominal injuries. Despite the tendency for the defect size reduction, repair must be performed for palpable defects.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510535","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}

引用次数: 0

Isolated posterior malleolus fracture: A case report and review of the literature 孤立性后踝骨折：病例报告和文献综述

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International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110519

{"title":"Isolated posterior malleolus fracture: A case report and review of the literature","authors":"","doi":"10.1016/j.ijscr.2024.110519","DOIUrl":"10.1016/j.ijscr.2024.110519","url":null,"abstract":"<div><h3>Introduction</h3><div>Fractures involving the ankle joint typically manifest as bimalleolar or trimalleolar fractures, with isolated posterior malleolus fractures (IPMF) representing a rare subset, comprising 0.5–4 % of cases. Due to its rarity and subtle clinical presentation, IPMF poses unique diagnostic and management challenges. This case report presents the diagnosis and treatment of a 50-year-old woman with an IPMF following a fall, alongside a review of relevant literature.</div></div><div><h3>Case presentation</h3><div>A 50-year-old woman presented with severe right ankle pain and inability to bear weight after a backward fall. Physical examination showed swelling, tenderness in the medial retromalleolar region, and pain with passive dorsiflexion. Imaging through X-rays and CT scans revealed an isolated posterior malleolus fracture involving 40 % of the tibiotalar articular surface. The patient underwent surgical fixation using two posteroanterior cannulated screws via a posterolateral approach. Post-operative X-rays confirmed adequate reduction and fixation. She remained non-weight-bearing for six weeks, followed by physical therapy.</div></div><div><h3>Discussion</h3><div>IPMFs are challenging to diagnose due to subtle signs and limitations of standard radiographs. Advanced imaging, particularly CT with 3D reconstruction, is crucial for accurate diagnosis. Classification systems, such as Haraguchi and Mason, guide treatment. Surgical fixation is often necessary for fractures involving significant joint surfaces, displacement, or instability. Posteroanterior cannulated screws offer a minimally invasive and effective stabilization method, as demonstrated in this case.</div></div><div><h3>Conclusion</h3><div>Early recognition and proper surgical management of IPMF are essential to prevent complications. Increased awareness and further research are needed to improve outcomes for this rare ankle injury.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537400","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}

引用次数: 0

A rare case of strangulated femoral hernia in a male child: Case report 一例罕见的男童绞窄性股疝：病例报告

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International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110518

{"title":"A rare case of strangulated femoral hernia in a male child: Case report","authors":"","doi":"10.1016/j.ijscr.2024.110518","DOIUrl":"10.1016/j.ijscr.2024.110518","url":null,"abstract":"<div><h3>Background and importance</h3><div>Strangulated femoral hernias are rare in pediatric patients. This case highlights the importance of early suspicion and diagnosis to prevent complications.</div></div><div><h3>Case presentation</h3><div>A 14-years old male presented to our emergency department with a two-days history of worsening left groin pain. Clinical examination confirmed the diagnosis of a strangulated femoral hernia. A hernia sac was identified and the content was necrotic adipose tissue. Resection and hernia repair was performed successfully.</div></div><div><h3>Clinical dissection</h3><div>Femoral hernia is an uncommon surgical entity in the pediatric population, and its diagnosis remains a challenge, with an incidence ranging from 0.3 % to 1 %. Unlike in adults, the incidence rates are similar by sex, though, like adults, right-side hernias are more common. However, our case presents with a left-side hernia.</div></div><div><h3>Conclusion</h3><div>Strangulated femoral hernias should be considered in pediatric patients with acute groin pain and a history of reducible hernias. Early diagnosis and prompt surgical intervention are crucial to preventing complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537403","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}

引用次数: 0

A rare case of posterior reversible encephalopathy syndrome following posterior fossa ependymoma resection a surgical case report 一例罕见的后窝脑膜瘤切除术后可逆性脑病综合征手术病例报告。

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110514

{"title":"A rare case of posterior reversible encephalopathy syndrome following posterior fossa ependymoma resection a surgical case report","authors":"","doi":"10.1016/j.ijscr.2024.110514","DOIUrl":"10.1016/j.ijscr.2024.110514","url":null,"abstract":"<div><h3>Introduction</h3><div>Posterior reversible encephalopathy syndrome (PRES) is a rare complication following surgical intervention, with varied neurological manifestations. The inherent pathophysiology is diverse and risk factors include certain medical co-morbidities.</div></div><div><h3>Presentation of case</h3><div>A previously well 24-year-old female, presented with signs of elevated intracranial pressure, with further investigations highlighting a posterior fossa tumor. She was scheduled for resection of this intracranial lesion and the surgical procedure was uneventful. However, moderate but significant labile increases in blood pressures were noted intra- and post- operatively. Following surgery, a clinical presentation of limb weakness and gaze deviation was observed, leading to investigative imaging demonstrating PRES. She was treated expeditiously by a multi-disciplinary team. There was complete resolution of her symptomology once the underlying cause was identified.</div></div><div><h3>Discussion</h3><div>PRES is not a typical complication of a neurosurgical patient. Moreso, in a young patient without any medical comorbidities. Deviation of her blood pressures from the normal lead to the formation of vasogenic edema along the cerebral hemispheres. The manifestation of this clinically made it arduous to pinpoint a definitive diagnosis. With the aid of different specialists, a diagnosis was clenched, and treatment was successfully implemented.</div></div><div><h3>Conclusion</h3><div>The major learning point of this case history is the recognition of alterations from a patient's baseline vital signs (blood pressure) during and following surgical procedures. Additionally, the resultant consequences of these deviations, which may manifest as rare neurological conditions, such as PRES. The importance of a multi-disciplinary team in the management of this case was paramount.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510530","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}

引用次数: 0

Operative management of cholecystogastric fistula as a rare complication of gallbladder empyema: A case report 胆囊水肿罕见并发症之胆囊胃瘘的手术治疗：病例报告

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.ijscr.2024.110515

{"title":"Operative management of cholecystogastric fistula as a rare complication of gallbladder empyema: A case report","authors":"","doi":"10.1016/j.ijscr.2024.110515","DOIUrl":"10.1016/j.ijscr.2024.110515","url":null,"abstract":"<div><h3>Introduction</h3><div>Cholecysto-gastric fistula is a rare, life-threatening complication of cholelithiasis that presents significant challenge to surgeons. Early diagnosis can be obtained and surgical intervention can be planned as elective case. Dilemma comes when patient presenting with acute acute abdominal symptoms necessitating immediate surgery, decision-making becomes more complex increasing morbidity and mortality.</div></div><div><h3>Presentation of case</h3><div>A 59-year-old gentleman, was admitted for acute epigastric and right hyochondrium pain along with fever persisting for one week. The diagnosis of gallbladder empyema was retained. Emergency laparotomy revealed a cholecysto-gastric fistula, an inter hepatico-diaphragmatic abscess, and acute gangrenous cholecystitis. Surgical intervention included drainage of the abscess, cholecystectomy with placement of a trans-cystic drain, closure of the cholecysto-gastric fistula, and contact drainage.</div></div><div><h3>Discussion</h3><div>Cholecystogastric fistula a rare, life-threatening complication of cholelithiasis, The pathogenesis underlying is complicated. Despite improvements in imaging techniques, diagnosing remains challenging is associated with considerable morbidity and mortality, necessitating prompt diagnosis and early intervention. The surgical management of cholecysto-enteric fistulas remains a contentious issue, with many surgeons favoring conversion to an open approach over laparoscopic surgery.</div></div><div><h3>Conclusion</h3><div>Cholecystogastric fistula, although rare, is associated with considerable morbidity and mortality, necessitating prompt diagnosis and early intervention. Advances in radiological and endoscopic techniques facilitate accurate and timely diagnosis, enabling the planning of appropriate surgical management. This brief report sheds light on the importance of a multidisciplinary team preventing a potentially fatal outcome.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592691","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}

引用次数: 0

Pilonidal granuloma formation after an incision and drainage procedure is associated with retained hair within the sinus – A case series 切口引流术后形成的乳头肉芽肿与窦内毛发滞留有关--病例系列。

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.ijscr.2024.110500

{"title":"Pilonidal granuloma formation after an incision and drainage procedure is associated with retained hair within the sinus – A case series","authors":"","doi":"10.1016/j.ijscr.2024.110500","DOIUrl":"10.1016/j.ijscr.2024.110500","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Pilonidal disease may present with a draining secondary sinus or granuloma, but the development of these findings is not well-characterized.</div></div><div><h3>Case presentation</h3><div>Two adolescent males presented with pilonidal disease. The first patient had a gluteal cleft abscess, and an incision and drainage procedure was performed. Although the abscess resolved, the incision site formed a granuloma with intermittent draining wound with granulation tissue. He underwent a pit-picking procedure along with excision of the granuloma. A large amount of hair was also removed from within the pilonidal sinus. The second patient underwent an incision and drainage procedure to treat the pilonidal abscess. The incision site evolved into a granuloma with recurring drainage. A pit-picking procedure was performed, and the granuloma was excised. During the excision, a moderate amount of hair was evacuated from the pilonidal sinus.</div></div><div><h3>Clinical discussion</h3><div>Many pilonidal patients present with a granuloma or secondary sinus at the gluteal cleft, but there has been no documentation of the natural history of this development. The role of hair is central to pilonidal disease pathophysiology and is a known factor in foreign body granuloma formation – a cutaneous inflammatory response to endogenous or exogenous material in the dermis that is not broken down readily by macrophages.</div></div><div><h3>Conclusion</h3><div>Even though the pilonidal abscess was drained with an incision, a granuloma was able to form with recurrent drainage when hair was retained within the pilonidal sinus.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510537","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}

引用次数: 0

Successful management of a pancreatic mature cystic teratoma with Whipple procedure: A case report 用 Whipple 手术成功治疗胰腺成熟囊性畸胎瘤：病例报告

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.ijscr.2024.110504

{"title":"Successful management of a pancreatic mature cystic teratoma with Whipple procedure: A case report","authors":"","doi":"10.1016/j.ijscr.2024.110504","DOIUrl":"10.1016/j.ijscr.2024.110504","url":null,"abstract":"<div><h3>Background</h3><div>Mature cystic teratomas of the pancreas, also known as dermoid cysts, are exceptionally rare tumors characterized by well-differentiated parenchymal tissues. Typically containing diverse tissues from all three germ layers, these teratomas are most commonly found in the ovaries and testes, with infrequent occurrences in the pancreas.</div></div><div><h3>Case presentation</h3><div>A 30-year-old male with type 2 diabetes mellitus presented with elevated liver enzymes and serum CEA levels. A CT scan detected an 8.8 × 7.2 cm retroperitoneal mass with calcifications. Due to the tumor's involvement with critical structures, a Whipple procedure was performed. Post-surgery, the tumor was confirmed to be a mature cystic teratoma, and the patient experienced a smooth recovery.</div></div><div><h3>Discussion</h3><div>Pancreatic teratomas are rare, typically affecting younger patients and predominantly occurring in the body or head of the pancreas. These tumors, often categorized into mature and immature types. Diagnosis relies on imaging techniques such as ultrasound, CT, and MRI, which reveal key features like fat, calcifications, and fat-fluid levels. Differential diagnoses include various pancreatic cystic lesions. Surgical resection is the primary treatment, and this case highlights the diagnostic challenges and the critical role of imaging in guiding surgical decisions.</div></div><div><h3>Conclusion</h3><div>This report describes a rare case of a pancreatic mature cystic teratoma, one of only 52 documented cases. Despite the absence of significant symptoms, imaging revealed a large mass, and Whipple procedure was performed due to its complex relationship with vital structures. This case illustrates the diagnostic and therapeutic challenges associated with such rare tumors.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510540","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}

引用次数: 0

Periductal stromal tumor of the breast; Can we expect the diagnosis? A case report and literature review 乳腺导管周围间质瘤；我们能期待确诊吗？病例报告和文献综述。

IF 0.6

International Journal of Surgery Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.ijscr.2024.110505

{"title":"Periductal stromal tumor of the breast; Can we expect the diagnosis? A case report and literature review","authors":"","doi":"10.1016/j.ijscr.2024.110505","DOIUrl":"10.1016/j.ijscr.2024.110505","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Periductal stromal tumors are rare breast neoplasms characterized by a unique combination of epithelial and mesenchymal tissue. Due to their infrequent occurrence, these tumors are often misdiagnosed as other breast lesions.</div></div><div><h3>Case presentation</h3><div>A 47-year-old female presented with a right breast swelling. She has a sister treated for breast cancer. Imaging revealed a central lesion of mixed density measuring 38 × 20 mm. The provisional diagnosis was a hamartoma BIRADS 3. The patient underwent wide local excision. Microscopic examination demonstrated biphasic fibroepithelial proliferation. The nodules comprised breast ducts lined by both epithelial and myoepithelial layers; some ducts were patent, while others were compressed into a slit-like configuration. However, the specimen lacked the leaf-like architecture. Immunohistochemical analysis revealed CD34 positivity in stromal cells, while Ki67 was positive in approximately 5 % of cells. The tumor cells were negative for Pan-CK and S-100. These findings led to the diagnosis of a right breast periductal stromal tumor.</div></div><div><h3>Clinical discussion</h3><div>The clinical presentation of PDST is often misleading. According to the recent pathological classification system, periductal stromal tumors are similar to phyllodes tumors but lack characteristic leaf-like structures. Immunohistochemical studies play a role in supporting the diagnosis. Complete surgical excision of the mass with negative margins is the standard of care.</div></div><div><h3>Conclusion</h3><div>Periductal stromal tumor is a rare breast neoplasm with potentially benign behavior. Complete excision is the standard management approach, which not only reveals the final diagnosis but may also help reduce the rates of local recurrence and malignant transformation.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510536","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}

引用次数: 0