1.Squamous cell carcinoma cervix stage IIIB metastatic to oral cavity: A case report and literature review
Sigit Purbadi ; Kade Yudi Saspriyana ; Primariadewi Rustamadji
The Medical Journal of Malaysia 2020;75(4):450-451
Metastatic cervical cancers to the oral cavity are uncommon.
These metastases most commonly present as lesions of the jaw
bones and the mandible. A 57-year-old female patient
complained of mass lesion in her oral cavity after definitive
treatment for squamous cell carcinoma of the cervix stage IIIB.
On examination a swelling of 3cm in size was found on the left
side of buccal vestibule adjacent to the lower canine tooth.
Wide local excision was performed, and histopathology results
showed a squamous cell carcinoma of moderate differentiation.
She was continued with segmental mandibulectomy,
supraomohyoid neck dissection and plate-screw reconstruction.
Radiotherapy was given as an adjuvant therapy.
2.Primary squamous cell carcinoma of the endometrium: A rare case report
Sigit Purbadi ; Kade Yudi Saspriyana ; Tantri Hellyanti
The Medical Journal of Malaysia 2020;75(5):603-605
occur sporadically. It is defined as a primary carcinoma ofthe endometrium composed of squamous cells of varyingdegrees of differentiation. A 57-year-old female patient wasreferred to the gynaecological clinic of Faculty of Medicine,Universitas Indonesia, Dr Cipto Mangunkusumo NationalReferral Hospital because of abdominal enlargement withpain. Total hysterectomy and bilateral salpingectomy wereperformed. Histopathological examination confirmed amoderately differentiated squamous cell carcinoma, withlymph-vascular invasion. Two weeks after the operation, thepatient complained of a mass on her left supraclaviculararea. Fine needle aspiration biopsy revealed squamous cellcarcinoma metastatic in nature. The recommendedtreatment was paclitaxel (175mg/m2) and carboplatin (AUC-6), combined with pelvic radiotherapy.
3.Mature ovarian teratoma associated with anti-N-Methyl-Daspartate receptor encephalitis: A case report
I Nyoman Bayu Mahendra ; Kade Yudi Saspriyana ; Ni Putu Ekawati
The Medical Journal of Malaysia 2021;76(1):110-113
Encephalitis associated with anti-N-Methyl-D-aspartate
(NMDA) receptor is a rare form of autoimmune encephalitis.
We report the first case of anti-NMDAR encephalitis in an
unmarried 16-years old female who was admitted to the
Neurology Emergency Unit Faculty of Medicine, Udayana
University, Sanglah General Hospital Bali, Indonesia due to
decreased consciousness, repetitive talking, headache,
involuntary movements in the mouth and feet, and seizures.
She was initially diagnosed with viral encephalitis and
symptomatic epilepsy. After four weeks of treatment, she
was referred to the Gynecology Department. Rectal
ultrasound revealed a cystic lesion with a solid component
measuring 3.6x2.64x3.18 cm from the left ovary. Laparotomy
cystectomy was performed, and the histopathological
examination revealed glial cells and mesoderm components
in the form of cartilage tissue. Serum and cerebrospinal fluid
were positive for anti-NMDA receptor antibodies. She was
treated with human intravenous immunoglobulin and
rituximab. Her condition was improved gradually. She
recovered fully after almost six weeks of hospitalisation.