1.Intrapancreatic accessory spleen: An eluding diagnosis
Teoh Keat How ; Balraj Singh ; Navarasi S Raja Gopal
The Medical Journal of Malaysia 2017;72(1):68-70
Intrapancreatic accessory spleen (IPAS) is a benign anomaly
of splenic embryology and a rare cause of pancreatic
pseudotumour. Here, we report a case of a 70-year-old Malay
lady whose IPAS was discovered incidentally during her
surveillance computed tomography for her underlying left
lower lung fibrosis. Radiologically, the lesion mimicked a
neuroendocrine pancreatic tumour and was only diagnosed
pathologically as IPAS after surgery. In conclusion,
recognising IPAS as a differential for enhancing pancreatic
mass allows us to exhaust all non-invasive diagnostic
means to diagnose this benign lesion. It will allow the patient
to avoid unnecessary surgery and its accompanying
complications.
Spleen
;
Splenectomy
;
Pancrelipase
2.A dedifferentiated large posterior mediastinal liposarcoma – An incidental finding successfully resected
Narasimman Sathiamurthy ; Jasjit Singh Nijhar ; Navarasi S Raja Gopal ; Premnath Nagalingam
The Medical Journal of Malaysia 2016;71(4):201-202
This is a case of a posterior mediastinal mass in an
asymptomatic gentleman, which was resected successfully
and he has been disease free for more than a year of follow
up. The histopathology findings happen to be a rare
occurrence.
Liposarcoma
3.Solitary adrenal metastasis from invasive infiltrating ductal carcinoma: A case report and review of literature
Sangeetha Poovaneswaran ; Justin Zon Ern Lee ; Whei Ying Lim ; Navarasi S Raja Gopal ; Fauziah Mohd Dali ; Ibtisam Mohamad
International e-Journal of Science, Medicine and Education 2013;7(1):33-36
Abstract: Solitary adrenal metastasis is a rare
presentation in breast cancer and it presents the
clinician with a difficult therapeutic dilemma as there
are no existing guidelines for optimal management.
On literature review, we only found one published case
report of solitary adrenal metastasis from infiltrating
ductal carcinoma of the breast. Here we present a case
of a 75 year-old lady who presented with a right breast
lump which was subsequently confirmed to be infiltrating
ductal carcinoma. She underwent a right mastectomy
and axillary clearance. Computerised tomography
(CT) staging revealed a solitary adrenal metastasis. She
was treated with aromatase inhibitors and her tumour
markers which were initially raised has now normalised.
4.Cutaneous Lesions As A Presenting Sign Of Metastases In Male Breast Cancer: A Rare Clinical Entity
Sangeetha Poovaneswaran ; Zon Ern Justin Lee ; Whei Ying Lim ; Navarasi S Raja Gopal ; Fauziah Mohd Dali ; Ibtisam Mohamad
The Medical Journal of Malaysia 2013;68(2):168-170
Male breast cancer accounts for only 1% of cancers in men
and 1% of breast cancers. Cutaneous metastases occur less
than 10% of all patients with visceral malignancies and are
considered a rare and late event in progression of metastatic disease. A 45-year-old man presented with a lump in the left breast which was confirmed to be infiltrating ductal carcinoma. He underwent a left mastectomy and axillary clearance followed by chemotherapy and radiotherapy to the left chest wall. However, he was non-compliant to adjuvant tamoxifen due to hot flushes. One year later, he presented with biopsy proven cutaneous metastases. Initially he had complete excision of the lesions, however, two months later
more skin lesions appeared predominantly over the chest
wall and back. Hormonal therapy failed to control the
metastases as such he was treated with systemic
chemotherapy. He is currently on third line chemotherapy.