1.Multiple metastatic renal cell carcinoma isolated to pancreas
Cem Comunoglu ; Gulum Altaca ; Ebru Demiralay ; Gokhan Moray
The Malaysian Journal of Pathology 2012;34(1):63-66
Renal cell carcinoma (RCC) metastases to the pancreas are reported to be rare. Isolated multiple
pancreatic metastases are even rarer. We report a 68-year-old asymptomatic male patient who
presented with multiple metastatic nodular lesions in the pancreas demonstrated by computerized
tomography 3.5 years after radical nephrectomy performed for clear cell RCC. Spleen-preserving
total pancreatectomy was performed. Gross examination revealed fi ve well-demarcated tumoral
nodules in the head, body and tail of the pancreas. Histopathological examination revealed clusters
of epithelial clear cells, immunohistochemically positive for CD10 and vimentin, and negative for
CK19 and chromogranin, supporting a diagnosis of metastatic RCC. The patient has remained well
at 29 months post-resection, in agreement with recent experience that radical resection for multiple
isolated metastatic nodular lesions can achieve improved survival and better quality of life.
2.Primary Leiomyosarcoma of the Breast: A Case Report.
Zulfikar KARABULUT ; Hampar AKKAYA ; Gokhan MORAY
Journal of Breast Cancer 2012;15(1):124-127
Primary leiomyosarcoma of the breast is an extremely rare tumor, accounting for less than 1% of all breast tumors and only 24 cases have been reported in the English medical journals. It is quite difficult to diagnose leiomyosarcoma preoperatively. Establishing an accurate diagnosis is very important in planning treatment. When preoperative diagnosis can be achieved before or during the operation, wide resection should be performed. There is no need for axillary lymph node dissection. In this case report, we present a case involving primary leiomysarcoma of the breast in a 48-year-old woman and we discuss optimal treatment options.
Accounting
;
Breast
;
Breast Neoplasms
;
Female
;
Humans
;
Leiomyosarcoma
;
Lymph Node Excision
;
Mastectomy
;
Middle Aged
3.Giant Ovarian Tumor Presenting as an Incarcerated Umbilical Hernia: A Case Report.
Zulfikar KARABULUT ; Ozgur AYDIN ; Erdal ONUR ; Nilufer Yigit CELIK ; Gokhan MORAY
Journal of Korean Medical Science 2009;24(3):539-541
We report a rare case of a giant ovarian tumor presenting as an incarcerated umbilical hernia. A 61-yr-old woman was admitted to the hospital with severe abdominal pain, an umbilical mass, nausea and vomiting. On examination, a large, irreducible umbilical hernia was found. The woman underwent an urgent operation for a possible strangulated hernia. A large, multilocular tumor was found. The tumor was excised, and a total abdominal hysterectomy and bilateral salphingo-oophorectomy were performed. The woman was discharged 6 days after her admission. This is the first report of incarcerated umbilical hernia containing a giant ovarian tumor within the sac.
Diagnosis, Differential
;
Female
;
Granulosa Cell Tumor/*diagnosis/pathology/surgery
;
Hernia, Umbilical/diagnosis/*etiology/surgery
;
Humans
;
Middle Aged
;
Ovarian Neoplasms/*diagnosis/pathology/surgery