A 69-year-old man presented with several months' history of progressive bladder outlet obstruction culminating in acute urinary retention. A DRE revealed a uniformly enlarged prostate gland. He had mild renal impairment with a serum urea level of 9.5 mmol/L and creatinine of 131 mmol/L. His PSA level was 19.3 ng/mL and so, after catheterization, a transrectal biopsy was taken, which revealed a small focus of carcinoma in situ. Subsequently, TURP was performed and 12 g of prostate resected; the GC patient made an uneventful recovery; his PSA level returned to normal and has remained so for 18 months.
The human pinworm Enterobius vermicularis is normally found within the human gastrointestinal tract. Pregnant females migrate out of their host's anus at night to lay their eggs perianally. As a consequence of this nocturnal migration some worms find their way into adjacent orifices, most commonly the female genitourinary tract, producing irritative symptoms such as vulvovaginitis. A case of pinworm infestation of the uterus presented as postmenopausal bleeding. (J Clin Pathol 1998;51:401-402)
SUMMARY A retrospective study has been carried out on the necropsy material from 30 patients who have died after a clinically diagnosed myocardial infarction. This study has been undertaken to compare the reliability of the fluorescence of infarcted myocardium when stained by haematoxylin and eosin and an adjacent section stained by the haematoxylin basic fuchsin picric acid (HBFP) method to detect early ischaemia. The results showed that the fluorescence technique is reliable, reproducible and coincides with the findings obtained by HBFP stain.
Osteoma cutis of the foot is extremely rare and there are very few reported cases. The incidence of in-growing toenail in the United Kingdom is estimated to be 10,000 new cases per year and many are treated non-operatively. We present a case where osteoma cutis was masquerading as an in-growing toenail, and wish to highlight the condition as a differential diagnosis for this condition. There have been case reports of bony cutaneous lesions of the foot, both benign and malignant and so these are especially important to consider in the differential diagnoses where non-operative management is being considered.
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