Autopsy and Case Reports最新文献_第8页

Bilateral Virchow nodes: an unusual finding of pulmonary small-cell neuroendocrine carcinoma metastasis. 双侧Virchow淋巴结:肺小细胞神经内分泌癌转移的罕见表现。

Autopsy and Case Reports Pub Date : 2023-11-13 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.455

Matthew J Zdilla, Alexander R Gross, Tara Hajarat, Jeffrey A Vos

引用次数: 0

Non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS)/Nesidioblastosis as the underlying cause of recurrent hypoglycemia in a diabetic adult. 非胰岛素瘤性胰源性低血糖综合征(NIPHS)/Nesidioblastosis是糖尿病成人复发性低血糖的潜在原因。

Autopsy and Case Reports Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.451

Samikshya Thapa, Kirandeep Kaur, Gajendra Kumar Yadav, Divya Kumari, Ravi Hari Phulware

{"title":"Non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS)/Nesidioblastosis as the underlying cause of recurrent hypoglycemia in a diabetic adult.","authors":"Samikshya Thapa, Kirandeep Kaur, Gajendra Kumar Yadav, Divya Kumari, Ravi Hari Phulware","doi":"10.4322/acr.2023.451","DOIUrl":"10.4322/acr.2023.451","url":null,"abstract":"Non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS), without previous bariatric surgery, is a rare form of hypoglycemia in adult patients and is associated with nesidioblastosis. Adult-onset nesidioblastosis in diabetic patients is rare and histologically identical to \"non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS)\". Nesidioblastosis is rare in adults and clinically and biochemically mimics Insulinoma. In the literature, there have only been four cases of adult nesidioblastosis that followed diabetes mellitus. We report a case of nesidioblastosis in a 36-year-old diabetic female presenting with dizziness, sweating, and palpitations for three years. Selective non-invasive techniques failed to detect a tumor. Based on the pursuit of an insulinoma, a distal pancreatectomy specimen was received at our laboratory, and a diagnosis of nesidioblastosis was made. She is currently on follow-up with a favorable outcome. The definitive diagnosis of nesidioblastosis is made on a histological basis. The preferred form of treatment is pancreatic surgical resection. Nesidioblastosis should be taken into consideration in cases where diabetes transforms into hyperinsulinemic hypoglycemia.","PeriodicalId":53117,"journal":{"name":"Autopsy and Case Reports","volume":"13 ","pages":"e2023451"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464321","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

Radiologic-pathologic autopsy correlation of an internal watershed infarct, a case report. 内部分水岭梗死的影像学-病理尸检相关性1例报告。

Autopsy and Case Reports Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.448

Thomas Dimitrios Zaikos, David M Yousem, Juan C Troncoso, James Stephen Nix

{"title":"Radiologic-pathologic autopsy correlation of an internal watershed infarct, a case report.","authors":"Thomas Dimitrios Zaikos, David M Yousem, Juan C Troncoso, James Stephen Nix","doi":"10.4322/acr.2023.448","DOIUrl":"10.4322/acr.2023.448","url":null,"abstract":"Internal watershed infarcts (IWIs) occur at the junction of the deep and superficial perforating arterial branches of the cerebrum. Despite documentation in the radiology literature, IWIs are rarely encountered at the time of autopsy. Here, we report the case of a 59-year-old incarcerated male who was brought to the emergency department after being found unresponsive on the floor of his jail cell. Initial examination and imaging demonstrated right-sided hemiplegia, aphasia, right facial droop, and severe stenosis of the left middle cerebral artery, respectively. Repeat imaging 4 days after admission and 26 days before death demonstrated advanced stenosis of the intracranial, communicating segment of the right internal carotid artery, a large acute infarct in the right posterior cerebral artery territory, and bilateral deep white matter ischemic changes with a right-sided \"rosary-like\" pattern of injury that is typical of IWIs. Postmortem gross examination showed that the right deep white matter lesion had progressed to a confluent, \"cigar-shaped\" subacute IWI involving the right corona radiata. This is the first well-documented case of an IWI with radiologic imaging and photographic gross pathology correlation. This case uniquely highlights a rarely encountered lesion at the time of autopsy and provides an excellent visual representation of internal watershed neuroanatomy.","PeriodicalId":53117,"journal":{"name":"Autopsy and Case Reports","volume":"13 ","pages":"e2023448"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464322","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

Dermal cylindroma of the external auditory canal. 外耳道真皮圆筒状瘤。

Autopsy and Case Reports Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.447

Vivek Dokania, Indranil Mukherjee

{"title":"Dermal cylindroma of the external auditory canal.","authors":"Vivek Dokania, Indranil Mukherjee","doi":"10.4322/acr.2023.447","DOIUrl":"10.4322/acr.2023.447","url":null,"abstract":"External auditory canal (EAC) cylindroma is a rare tumor that mainly presents as a painless mass over the lateral aspect of the ear canal. They have been designated under different nomenclatures in the literature, and controversies persist about their etiology and histogenesis. Moreover, a clinical diagnosis of EAC cylindroma is often challenging because of their rarity and a close resemblance with other adnexal benign and malignant tumors. None of the previous authors have extensively reviewed the dermal cylindroma of the EAC. We provide an extensive review involving PubMed and Google Scholar and report by Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. A total of 8 cases are included in the current study. The mean age is 55.13 years. There are six females and two males. The left and right ear are involved in 62.50% and 37.50% of cases, respectively. The most common sign/symptom is painless mass (50%). Five authors reported a primary lesion (62.50%), while the remaining 3 reported a recurrent tumor (37.50%). Benign versus malignant cylindroma is reported in 87.50% and 12.50% of cases, respectively. All, except one case, reported a solitary swelling. Surgical excision was employed in all the cases. Primary defect closure versus defect closure with local/distant skin graft /flap is utilized in 37.50% and 62.50% of cases, respectively.","PeriodicalId":53117,"journal":{"name":"Autopsy and Case Reports","volume":"13 ","pages":"e2023447"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479278","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

Rare association between giant-cell aortitis and giant-cell aortic valvulitis. 巨细胞性主动脉炎与巨细胞性主动脉瓣膜炎的罕见关联。

Autopsy and Case Reports Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.449

Georgina Del Cisne Jadán Luzuriaga, Ricardo Ribeiro Dias, José Augusto Duncan Santiago, Vagner Madrini, Walther Yoshiharu Ishikawa, Fabio Fernandes, Vera Demarchi Aiello

引用次数: 0

Alcoholic foamy degeneration: an unusual presentation of the alcoholic liver disease diagnosed on autopsy. 酒精性泡沫变性:酒精性肝病尸检诊断的一种不寻常的表现。

Autopsy and Case Reports Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.446

Rashmi Joshi, Mayur Parkhi, Anjali Gupta, Terence Susngi, Ashwani Kumar, Deba Prasad Dhibar, Suvradeep Mitra

引用次数: 0

Acantholytic oral squamous cell carcinoma with clear cell change - a rare amalgamated variant. 伴有透明细胞改变的口腔棘溶性鳞状细胞癌-一种罕见的合并变异体。

Autopsy and Case Reports Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.450

Gitika Sharma, Anju Devi, Mala Kamboj, Anjali Narwal

{"title":"Acantholytic oral squamous cell carcinoma with clear cell change - a rare amalgamated variant.","authors":"Gitika Sharma, Anju Devi, Mala Kamboj, Anjali Narwal","doi":"10.4322/acr.2023.450","DOIUrl":"10.4322/acr.2023.450","url":null,"abstract":"Background: Acantholytic squamous cell carcinoma (ASCC) is an uncommon histological variation of oral squamous cell carcinoma (OSCC), accounting for fewer than 4% of all occurrences. The tumor shows a slight masculine predisposition, with the lower lip being the most commonly affected location. ASCC is reported to have a diverse biologic behavior, which explains its ability to metastasize to distant places and, thus, its poor prognosis. Similarly, clear cell change in OSCC is a rare occurrence with an unknown etiology that suggests its aggressive nature.Method and results: Histopathology reveals central acantholytic cells with numerous duct-like features. The presence of distinct cytological atypia contributes to the diagnosis of SCC. Special stains and IHC aid in distinguishing tumor from other histopathologically similar entities.Conclusion: The case of a 29-year-old male presented here with an updated literature review highlights the need for histological study of the unique and seldom seen oral ASCC with clear cell change, which can be ignored because of similarities with other entities. Because recurrence rates are so high for ASCC, amalgamated clear cell change makes it critical for proper treatment initiation with a definite diagnosis. To the best of our knowledge, this is the first documented occurrence. Our experience with the present case suspected a more aggressive behavior due to a high Ki-67 index, anticipating a poorer prognosis in the oral cavity considering the patient's young age.","PeriodicalId":53117,"journal":{"name":"Autopsy and Case Reports","volume":"13 ","pages":"e2023450"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464315","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

Myocardial infarction due to septic thromboembolism in chronic rheumatic heart disease. 慢性风湿性心脏病感染性血栓栓塞引起的心肌梗死。

Autopsy and Case Reports Pub Date : 2023-08-28 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.444

Suneel Rachagiri, Aravind Sekar, Saurabh Mehrotra, Uma Nahar Saikia

引用次数: 0

A bolt from the blue in a testicular mass - continuous Splenogonadal fusion with maturation arrest. 睾丸肿块中的晴天霹雳-持续的脾-脾融合伴成熟停滞。

Autopsy and Case Reports Pub Date : 2023-08-07 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.442

Thotadamane Nagaraja Chandrashekhar, Priyadharshini Bargunam, Ragashree Apparasanahalli Siddalingamurthy

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Invasive Candida pneumonia, in association with Candida esophagitis and gastritis, in a presumably immunocompetent patient. 侵袭性念珠菌肺炎，与念珠菌性食管炎和胃炎相关，发生在一名可能具有免疫功能的患者身上。

Autopsy and Case Reports Pub Date : 2023-08-07 eCollection Date: 2023-01-01 DOI: 10.4322/acr.2023.443

Devon Jackson, Lamarque Coke, Kamilah Fernandez, Kathriel Brister

{"title":"Invasive Candida pneumonia, in association with Candida esophagitis and gastritis, in a presumably immunocompetent patient.","authors":"Devon Jackson, Lamarque Coke, Kamilah Fernandez, Kathriel Brister","doi":"10.4322/acr.2023.443","DOIUrl":"https://doi.org/10.4322/acr.2023.443","url":null,"abstract":"Candida pneumonia remains a difficult diagnosis and is most common in immunocompromised individuals. It has been rarely reported in immunocompetent individuals. We present a case of unsuspected Candida pneumonia associated with Candida esophagitis and gastritis discovered on postmortem examination in a presumably immunocompetent patient. The patient was a 71-year-old male who presented with chest pain and was subsequently found to have a myocardial infarction treated with angioplasty and drug-eluting stent placement. The patient's recovery was complicated by pneumonia refractory to antibiotics, and he went on to experience acute hypoxic respiratory failure, sepsis, disseminated intravascular coagulation (DIC), and ultimately expired. Autopsy revealed evidence of myocardial infarction as well as unsuspected Candida albicans pneumonia, esophagitis, and gastritis. Our case highlights how a presumably immunocompetent individual can develop this infection and how Candida esophagitis and Candida gastritis can be seen in association with Candida pneumonia. Due to the difficulty in diagnosing Candida pneumonia antemortem, autopsies provide a key opportunity to better understand these cases and the factors that may contribute to their development.","PeriodicalId":53117,"journal":{"name":"Autopsy and Case Reports","volume":"13 ","pages":"e2023443"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163407","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