Purpose: Cavernous haemangiomas of the uterine cervix are very rare and usually harmless. It is a benign tumor that may cause gynecological obstetrical complications. Although it is a benign condition but it can have serious consequences for the mother as well as for the baby. The treatment is often surgical and diagnosis is histological. Methods and Result: we reported a case of cavernous haemangioma of the cervix in a 25-year old multiparous patient, referred to our Centre in the 33 -34 gestational weeks for premature labor with membranes rupture. A 3 cm × 6 cm soft regular purplish red mass is found in the uterine cervix. Tocolosys, prophylactic antibiotic therapy and corticotherapy for fetus pulmonary maturation were then decided after elimination of chorioamniotite signs. Caesarean has been made during labor, a week later, for tumor previa. The tumor excision has been made through the vagina after fetus extraction. The histological examination confirmed diagnosis of the cavernous haemangioma. Discussion: Further to this observation, the clinical, histological and therapeutic characteristics of the cavernous haemangioma unusual presentation were drawn up and literature enriched since this pathology is rare. Most previous reports in the literature consist of single-case histories, and the experience of individual institutions is limited. The patients dramatically present dilemmas in the disease management. This can result in uncontrolled bleeding especially during operative delivery and may require hysterectomy. To avoid unexpected bleeding from haemangioma, patients should be repeatedly examined for haemangioma of the birth canal, and special care should be taken in choosing the delivery mode.
The granular cell rhabdomyoma, or myoblastoma, is commonly known as Abrikossoff's tumor. It is a rare benign tumor thought to originate from the Schwann cell, and can occur anywhere in the body. When occurring in the breast, the clinical and radiological signs can mimic a primary breast carcinoma. Our case involves a patient who presented via the routine breast screening program. The combination of mammography and sonography suggested a malignant lesion. An ultrasound-guided microbiopsy of the suspicious nodule gave the diagnosis of a rhabdomyoma, and this was confirmed by immunohistochemical studies. The definitive histopathology result confirmed an Abrikossoff tumor, which was completely excised with clear margins of healthy breast tissue. The microbiopsy and immunohistochemical studies allowed the diagnosis to be confirmed and avoided any unnecessary surgery.The subject is a 67-year-old multiparous woman, who has the following risk factors for breast cancer: obesity
Actinomycosis is a chronic suppurative granulomatous disease caused by the Gram-positive bacteria Actinomycoses israelii. This infection rarely involves the pelvis where the main etiological risk factor is the use of an intra-uterine contraceptive device. We report on a case of pelvic actinomycosis which mimicked ovarian neoplasia both clinically, radiologically, and surgically. The final diagnosis was made based on the histopathology study of the removed organ. The clinical picture is often nonspecific and may suggest ovarian neoplasia. First line treatment is essentially medical, involving prolonged treatment with antibiotics. Additional surgical treatment may occasionally be appropriate.
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