Open Access DOI:10.23937/2377-9004/1410050

Diagnosis and Management of Embryonal Rhabdomyosarcoma in a Woman with Prolapsing Cervical Mass

Elizabeth V. Connor and Paul A. Disilvestro

Article Type: Case Report | First Published: July 10, 2015

Background: Cervical rhabdomyosarcoma is very rare, comprising less than 1% of cervical cancers in adult women. Less than 40 cases of cervical rhabdomyosarcoma have been reported in adult women in the last 50 years. Due to the rarity of this disease, management guidelines are non-existent. Case: We present a 36-year-old woman who presented with pelvic pain and a vaginal mass. The mass was excised, and pathology confirmed poorly differentiated embryonal type rhabdomyosarcoma....

 Open Access DOI:10.23937/2378-3001/2/2/1029

Clock Drawing Test (CDT): is Qualitative Analysis of the CDT Better to Screen Mild Cognitive Impairment than Quantitative Analysis?

Ji Hee Lee, Eung Seok Oh, Eun Hee Sohn and Ae Young Lee

Article Type: Original Article | First Published: July 06, 2015

Mild cognitive impairment (MCI) was originally used to describe a transitional state between normal condition and dementia. Revised and extended definition of MCI has been proposed that covers a broader range of cognitive impairment, distinct from normal ageing and from Alzheimer's disease. Despite the existence of reports regarding analyses of the Clock Drawing test (CDT) in Alzheimer's disease and vascular dementia, those focusing on MCI subjects are still lacking. The purpose of this study wa...

 Open Access DOI:10.23937/2377-9004/1410049

Uterine Tumour Resembling Ovarian Sex Cord Tumour (UTROSCT): Experience with a Rare Disease. Two Case Reports and Overview of the Literature

Brenda Hermsen, Fabrizio Bogliatto, Maaike Bleeker, Luciano Leidi, Hans Trum, Erika Comello and Christianne Lok

Article Type: Case Report | First Published: July 09, 2015

Background: Uterine tumour resembling an ovarian sex cord tumour (UTROSCT) is a rare neoplastic lesion. Patients are generally of reproductive age. Although conservative treatment to preserve fertility has been reported, literature on the optimal treatment on UTROSCT is scarce and only case reports or small case series are available. Aim: To describe the difficulties and resemblances of two different cases of UTROSCT in a pre- and post-menopausal woman in order to classify this uncommon tumour.....

 Open Access DOI:10.23937/2377-9004/1410048

Retroperitoneal Lymphoma Presenting as Gynecologic Malignancy: Case Report and Review of the Literature

Devin Miller, Sarah Andiman, Elena Ratner and Diana English

Article Type: Case Report | First Published: July 04, 2015

Pelvic malignancy is commonly thought to represent a gynecologic primary on presentation. In reality, the differential diagnosis is wide and tumors which do not fit typical patterns on imaging or initial pathology can present a significant diagnostic dilemma as these patients may undergo radical gynecologic surgery unnecessarily. We present the case of a 63 year old female presenting with abdominal pain, back pain, weight gain, and hydronephrosis with acute kidney injury. She was initially admit...

 Open Access DOI:10.23937/2469-5726/1510017

Pathological Relationship of Osteomalacia at the Site of Atypical Periprosthetic Femoral Shaft Fracture after Typical Femoral Neck Fracture Occurred in the Patient with Rheumatoid Arthritis: A Case Report

Takanori Wakayama, Yoshitomo Saita, Tomonori Baba, Hidetoshi Nojiri and Kazuo Kaneko

Article Type: Case Report | First Published: July 17, 2015

We describe a patient who suffered an atypical periprosthetic femoral shaft fracture two years after surgical treatment for a typical osteoporotic femoral neck fracture. This patient had been suffering from rheumatoid arthritis (RA), steroid-induced diabetes, and steroid-induced osteoporosis, and had undergone long term administration of glucocorticoids (GCs), bisphosphonates (BPs), and active vitamin D (aVD) analog. Prodromal pain and periprosthetic cortical stress reaction had occurred in the ...

 Open Access DOI:10.23937/2377-9004/1410047

Minimal Deviation Adenocarcinoma Associated with High-Grade Squamous Cervical Intraepithelial Neoplasia

Carlos Villegas-Cruz, Alhely Lopez Arias, Delia Perez Montiel, Jose Chanona-Vilchis, Luis Alonso Herrera Montalvo and David Cantu de Leon

Article Type: Case Report | First Published: June 30, 2015

Cancer of the uterine cervix is the second cause of cancer at the worldwide level in women, with an incidence of 529,409 new cases annually and is the third place in mortality with 274,883 deaths; in Mexico it represents the second cause of cancer in women with 10,186 new cases each year and the second cause of cancer-related mortality with 5,061 cases, second only to breast cancer....

 Open Access DOI:10.23937/2377-9004/1410046

Liposarcoma of the Vagina

Mieczyslaw R. Gajda, Masoud Mireskandari, Harald Winzer, Herbert Diebolder, Matthias Regensberger, Ingo B. Runnebaum and Iver Petersen

Article Type: Case Report | First Published: June 28, 2015

Liposarcoma is the most common soft tissue sarcoma in adults. It typically occurs in retroperitoneum or extremities. However, this malignant tumor is very rare in the female reproductive system. In this article we present detailed clinical and histopathologic features of a case with liposarcoma of vagina and review the literature on this theme using PUBMED database. The tumor was presented as a rapidly growing mass in the vagina in a 50 year old woman. Pathological evaluation of the biopsy speci...

 Open Access DOI:10.23937/2378-2951/1410038

Chiari Network: An Embryological Remnant - A Case Report and Review

Shivadeep S, Anandaraja S and Devi Jansirani D

Article Type: Case Report | First Published: June 30, 2015

Chiari network is a fenestrated membranous structure most commonly observed near the valve of inferior vena cava. It is considered as an embryological remnant of right valve of sinus venosus. Inspite of its benignity, its complications have been reported in the literature. This article contributes a detailed review compiling the association of Chiari network with various pathological conditions and its complications. We report a case of Chiari network diagnosed in a 36-year old female by trans-e...

 Open Access DOI:10.23937/2469-5726/1510016

A Case of Malignant Malaria Complicated By Symmetrical Peripheral Gangrene

Amira A Shahin, Noha M Abdelbaky and Sahar S Emam

Article Type: Case Report | First Published: July 09, 2015

Symmetrical peripheral gangrene (SPG) is a rare complication of malaria. The ischemic changes begin distally and progress rapidly to cause irreversible tissue necrosis requiring amputation in almost all cases. We report a case of a 21-years-old female with malignant malaria complicated by SPG. Our treatment regimen includes corticosteroids in addition to the anti-malaria and anticoagulation therapy. Clinicians should be aware of this entity as early recognition can help in reducing morbidity and...

 Open Access DOI:10.23937/2469-5726/1510015

Anxiety and its Impact on Osteoarthritis Pain: An Update

Prof. Ray Marks

Article Type: Review Article | First Published: July 03, 2015

Anxiety is a very common psychological syndrome occurring in the adult population either as a trait or specific condition, and/or in response to a variety of situations, especially adverse health conditions. This narrative review examines the extent to which anxiety may preside among adults with a diagnosis of osteoarthritis, regardless of site, and its linkage to the pain experience. Drawn from the English language peer reviewed work over the last 35 years, articles that focused on the topic of...