Endometrial adenocarcinoma usually occurs after menopause. This tumor is extremely rare in women younger than 30 years. Its treatment includes hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy and in same cases, radiotherapy. We report a case of endometrial Adenocarcinoma in a 26-year-old patient. Through this case the authors emphasize the need of endometrial evaluation in young females with abnormal bleeding before starting any medical treatment. Specific problems of endometrial cancer at young age include delay in diagnosis, difficulty in pathologic interpretation of the curetting tissues and the motivation of most patients to preserve their fertility.
Tuberculosis of the breast is a very rare infection, it occurs chiefly in women of childbearing potential, usually as an apparently primary infection and constitute a diagnosis and therapeutic challenge. Administration of antituberculosis agents is the mainstay of therapy. Surgery is required in some cases. We report one case of breast tuberculosis. The diagnosis was put on histology with good outcome under anti bacillary treatment. Through the literature data we recall the epidemiological, clinical, diagnostic and treatment of this pathology.
Endometriosis of a wall scar is a rare clinical entity, and in the perineum is exceptional occurring after gynaecological or obstetrical surgery. The origin remains vague. The clinical characteristic of these lesions implies an inconstant painful swelling during menstruation; however only the histological examination of the specimen will be able to confirm the diagnosis. The treatment is primarily surgical and relies on the complete surgical excision of the lesion.
Granulosa cell tumors of the ovary are rare, and included in the sex cord-stromal tumor category. They have a low malignancy potential and generally have a good prognosis. They are the most frequent hormone-secreting tumors of the ovary and may lead to suggestive clinical symptoms. Some biological markers (serum inhibin B and AMH) may be helpful for diagnosis, though their sensitivity is not perfect. Preoperative imaging diagnosis remains challenging due to the wide variability in morphology and lack of epidemiological data in the literature (small patient populations). From a review of the clinical of one case of granulosa cell tumor of the adult and a review of the literature, we will describe its clinical, paraclinical, therapeutic and prognostic.
As a consequence of breast imaging development and development of screening, benign epithelial breast diseases (BEBD) represent a growing percentage of breast pathology diagnoses. Some BEBD have to be individualized (radial scars, papillomas, complex sclerosing adenosis, lobular intraepithelial neoplasia, flat epithelial atypia, atypical hyperplasia), being preinvasive lesions or markers of increased breast cancer risk, or being associated with suspect radiological aspect. BEBD should be managed in a pluridisciplinar way and correctly diagnosed by percutaneous biopsies or surgical specimens. The goals of surgery vary according to lesions. It always allows a complete surgical specimen analysis and therefore a search for atypical or cancerous cells. Surgery can also have a preventive role by reducing the risk of potential malignant transformation. Finally, it enables in some cases the excision of a radiologically suspect mass. So the aim of this review is to give a clinical and morphological description of most common BEBD, underlying their cancer risk, specific diagnosis, therapeutic, follow-up and psychological repercussions.
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