Open Access Case Report

The Solitary Fibrous Tumor with Unusual Retroperitoneal Localization

Taoufik Elabbassi, Karim Yaqine, Mohamed Asmar, Mohamed Rachid Lefriyekh

Asian Journal of Case Reports in Surgery, Page 6-11

Solitary fibrous tumors (SFTs) are rare mesenchymal tumors, usually described at the pleura level, but since they can develop in different extra pleural locations. Retroperitoneal location is rarely described.

The anatomopathological study remains the key to the diagnosis of SFT, the curative treatment is based on surgical excision. Most extra-thoracic SFT are benign, but may recur or metastasize after complete removal, even in the absence of histopathological evidence of malignancy. Careful long-term monitoring is therefore recommended.

We report the case of retroperitoneal SFT in a 70-year-old male who was consulting for generalized abdominal pain. The aspects of imaging, anatomopathology and immunohistochemistry are detailed.

Open Access Case Study

A Rare Reason of Dyspnea in an Elderly Patient

Mehmet Ozgel

Asian Journal of Case Reports in Surgery, Page 1-5

Aims: Morgagni hernia is a rare congenital diaphragmatic hernia in an adult. The issue of Morgagni Hernia, which was difficult for surgical selection, was tried to be explained with articles. It was presented because it is scarce in adults.

Presentation: A 76-year-old woman, admitted to our clinic with dyspnea had typical cardiorespiratory symptoms, dyspnea, tachypnea, tachycardia, fatigue, constipation, due to Morgagni hernia sac pressure. Her body mass index was 35. On x-ray and computed tomography scans of the thorax revealed intestines were full in the left hemithorax and anterior mediastinum. The primary diaphragmatic repair was performed through a posterolateral thoracotomy. No mortality or morbidity has occurred. 

In this study, diagnosis of Morgagni hernia, preoperative and postoperative approach, and operation were discussed. Discussion: Surgical treatment of Morgagni hernia with thoracotomy is a safe method in elderly and obese patients.

Open Access Case Study

Myofibroblastic Tumours; A Case Report of Nodular Fasciitis

Mehmet Ozgel

Asian Journal of Case Reports in Surgery, Page 12-15

Aims: Nodular fasciitis (NF) is a benign, reactive proliferation of fibroblasts in the subcutaneous tissues and commonly associated with the deep fascia. It is caused the lesion to be misdiagnosed as sarcoma due to this fibroblastic proliferation. Early surgical excision can be performed for both diagnostic and therapeutic purposes. So we can save the patient from both misdiagnosis and latent malignancy. In this report, we presented slower-growing NF on the chest wall according to in oral cavity.

Presentation: A 37-year-old female patient had chest pain and dyspnea. A mass of 2 cm in diameter was detected and removed on the chest wall. She was discharged early period after the operation.

Discussion: Nodule is most commonly seen single, solid and palpable. Curative excision can be performed in both diagnostic and treatment. The recurrence rate is around 1% from it. If it would relapse, the diagnosis should be revised.

Open Access Case Study

The Human Horn

Pon Rachel Vedamanickam

Asian Journal of Case Reports in Surgery, Page 16-18

Aims: To revisit the once common condition- the sebaceous horn- long forgotten with the development of the medical field.

Presentation of Case: A 65 year old woman presented to the outpatient department with a lesion on the left upper arm which resembled an animal horn on inspection. This lesion had been painlessly progressive for more than 15 years but had become painful over the last 7 days. After thorough clinical examination she underwent wide local excision. Her post-operative period was uneventful.

Discussion: Sebaceous horn is an uncommon entity formed by condensation of Keratin- from the sebaceous cyst. It is mostly benign, but can harbor malignancy underneath. Treatment is by wide local excision and biopsy.

Conclusion: Sebaceous horn, is an uncommon entity which are predominantly benign. But they may harbor malignancy in approximately 20% of the cases and hence should be excised with a margin and sent for biopsy.

Open Access Original Research Article

Multiple Fibroadenomas in Bilateral Breasts of A 20-Year-old Woman – A Rare Case Report

Vinod Atreya, Ashok Kumar Rajpura, Gajendra Singh Rajpoot, Shashi Rai

Asian Journal of Case Reports in Surgery, Page 19-22

Introduction: Fibroadenomas are the most common tumours of the female breast, occurring most frequently in women of child-bearing age, especially those under 30 years.

Presentation of Case: We report a case with a total no of 25 fibroadenomas presenting bilaterally of a 20-year-old woman. The clinical and histopathologic features of the fibroadenomas are described.

Discussion: Most fibroadenomas are present as a single mass, however, the presence of multiple fibroadenomas can be seen in 15–20% of the patients. It has been reported that the average number of masses in cases of multiple fibroadenomas is 2–4 in a single breast but the occurrence of more than five fibroadenomas in an individual patient is very less common.

Conclusion: There are few reports of multiple fibroadenomas. We report this case in hoping to expand the literature and to provide insight into the etiology of multiple fibroadenoma formation and advice on management.