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Jahan S, Begum F, Nigar K, Sarkar S, Beg A, Haque SMA, Nesa F. Primary Tuberculosis of Cervix Which Simulated Endocervical Polyp: A Case Study. Mymensingh Med J 2024; 33:307-310. [PMID: 38163809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
Tuberculosis has been described as the second great "Imitator" as it can imitate various other disease processes. The manifestations of genitourinary tuberculosis are protean in nature; still tuberculosis is a health concern in South-East Asia region. Tuberculosis of the cervix is rarely found and accounts for 5-10% among all types of genital tuberculosis. Despite meticulous history and clinical examination does not always lead to suspect this disease, the definitive diagnosis is based on the demonstration of the characteristic lesion on histopathology or on bacterial isolation. We are reporting a case of a 26-years-old woman who presented with secondary amenorrhea and a benign looking endocervical polyp. Diagnosis of cervical tuberculosis could be clinched after tissue biopsy which revealed caseous granuloma on histopathological examination along with other supportive laboratory investigation reports. Patient was subsequently started on antitubercular therapy (ATT) according to directly observed treatment schedule- category I, resulting in resumption of her menses after four months of starting of ATT. An awareness of the atypical clinical manifestations of tuberculosis is important, especially in regions where tuberculosis continues to be a major public health problem, such as Bangladesh. One should have high index of suspicion in order to diagnose tuberculosis of cervix in such cases, especially in high prevalence areas, so that patients can be managed appropriately with antitubercular therapy and complications can be prevented.
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Affiliation(s)
- S Jahan
- Dr Shahanaz Jahan, Associate Professor, Department of Pathology, Community Based Medical College Bangladesh (CBMCB), Mymensingh, Bangladesh; E-mail:
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Cassardo O, Perugino G, Nesa F, Ossola MW, Ferrazzi E, D´Ambrosi F. Giant leiomyoma management during elective cesarean section: a case report. Pan Afr Med J 2023; 45:73. [PMID: 37663633 PMCID: PMC10474799 DOI: 10.11604/pamj.2023.45.73.39357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 05/04/2023] [Indexed: 09/05/2023] Open
Abstract
We present the unique case of a 44-year-old gravida 3 para 2 woman with complaints of monolateral perception of fetal movements who underwent elective cesarean section and hysterectomy for the presence of an exceptionally voluminous infralegamentary leiomyoma. Cesarean section required in-depth preoperative planning and was possible only after gravid uterus exteriorization. Myomectomy and hysterectomy were then necessary to reestablish the physio-anatomical pelvic environment. The patient was discharged after regular and uncomplicated postoperative time. In recent years, the paradigma of avoiding cesarean myomectomy due to fear of hemorrhage has been questioned by many authors and in certain cases cesarean myomectomy may even be undeferrable. We describe an innovative surgical technique which could be useful to obstetricians approaching similar uterine masses during cesarean sections.
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Affiliation(s)
- Ottavio Cassardo
- Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giuseppe Perugino
- Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Francesco Nesa
- Division of Pathology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Manuela Wally Ossola
- Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Enrico Ferrazzi
- Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Francesco D´Ambrosi
- Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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Maurichi A, Barretta F, Patuzzo R, Miceli R, Gallino G, Mattavelli I, Barbieri C, Leva A, Angi M, Lanza FB, Spadola G, Cossa M, Nesa F, Cortinovis U, Sala L, Di Guardo L, Cimminiello C, Del Vecchio M, Valeri B, Santinami M. Survival in Patients With Sentinel Node-Positive Melanoma With Extranodal Extension. J Natl Compr Canc Netw 2021; 19:1165-1173. [PMID: 34311443 DOI: 10.6004/jnccn.2020.7693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Accepted: 11/30/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Prognostic parameters in sentinel node (SN)-positive melanoma are important indicators to identify patients at high risk of recurrence who should be candidates for adjuvant therapy. We aimed to evaluate the presence of melanoma cells beyond the SN capsule-extranodal extension (ENE)-as a prognostic factor in patients with positive SNs. METHODS Data from 1,047 patients with melanoma and positive SNs treated from 2001 to 2020 at the Istituto Nazionale dei Tumori in Milano, Italy, were retrospectively investigated. Kaplan-Meier survival and crude cumulative incidence of recurrence curves were estimated. A multivariable logistic model was used to investigate the association between ENE and selected predictive factors. Cox models estimated the effect of the selected predictors on survival endpoints. RESULTS Median follow-up was 69 months. The 5-year overall survival rate was 62.5% and 71.7% for patients with positive SNs with and without ENE, respectively. The 5-year disease-free survival rate was 54.0% and 64.0% for patients with positive SNs with and without ENE, respectively. The multivariable logistic model showed that age, size of the main metastatic focus in the SN, and numbers of metastatic non-SNs were associated with ENE (all P<.0001). The multivariable Cox regression models showed the estimated prognostic effects of ENE associated with age, ulceration, size of the main metastatic focus in the SN, and number of metastatic non-SNs (all P<.0001) on disease-free survival and overall survival. CONCLUSIONS ENE was a significant prognostic factor in patients with positive-SN melanoma. This parameter may be useful in clinical practice as a selection criterion for adjuvant treatment in patients with stage IIIA disease with a tumor burden <1 mm in the SN. We recommend its inclusion as an independent prognostic determinant in future updates of melanoma guidelines.
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Affiliation(s)
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- 4Plastic and Reconstructive Surgical Unit, and
| | - Lorenza Di Guardo
- 5Melanoma Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Carolina Cimminiello
- 5Melanoma Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Michele Del Vecchio
- 5Melanoma Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
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Pelosi G, Nesa F, Taietti D, Servillo SP, Papanikolaou N, Zompatori M, Meroni A, Harari S, Incarbone M. Spread of hyperplastic pulmonary neuroendocrine cells into air spaces (S.H.I.P.M.E.N.T.S): A proof for artifact. Lung Cancer 2019; 137:43-47. [DOI: 10.1016/j.lungcan.2019.09.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2019] [Revised: 08/31/2019] [Accepted: 09/11/2019] [Indexed: 11/15/2022]
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Abstract
Extensive extracellular mucin deposition is a rare pathological thyroid condition with 6 cases described in literature so far. We report another case of a 67-year-old woman, discussing histopathological features, and review the literature. Our findings showed a diffuse mucin deposition in the stromal compartment of thyroid parenchyma. Histochemical stainings showed positivity for Alcian blue staining, but not for periodic acid-Shiff staining. Our case is peculiar because this mucin deposition was associated with benign nodular hyperplasia, in contrast with the other 6 reports, which described the same stromal alterations associated with benign or malignant thyroid tumors.
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Affiliation(s)
- Francesco Nesa
- 1 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Luca Poggi
- 1 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Stefano Ferrero
- 1 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,2 University of Milan, Milan, Italy
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Begum A, Baten MA, Begum Z, Alam MM, Ahsan MM, Ansari NP, Zahan S, Khan MK, Nesa F, Huq MM. A Retrospective Histopathological Study on Extra-pulmonary Tuberculosis in Mymensingh. Mymensingh Med J 2017; 26:104-108. [PMID: 28260763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Tuberculosis is a very common disease in our country. This retrospective histopathological study was designed to assess the distribution of extra-pulmonary tuberculosis (EPTB) in various organs through examination of biopsy specimens. A total of 216 specimens were diagnosed as tubercular lesion by histopathological evaluation in the Department of pathology, Community Based Medical College and a private laboratory during the period from January 2014 to December 2014. Mean age of the case was 32 years. Majority of the cases were female (126 out of 216). Lymph nodes were the most common site of EPTB (62.96%) followed by skin and subcutaneous tissue (17.59%), intestine (11.11%), breast (2.77%), female genital tract (2.31%), male genital tract (1.38%), bone and joint (1.85%). Out of 136 cases of tubercular lymphadenitis, 96(70.58%) were cervical, 18(13.23%) were axillary, 12(3.82%) were mesenteric and 10(7.35%) were inguinal. This study reveals, in our locality, EPTB is very common in adulthood with female preponderance. Cervical lymph node is very common sites for EPTB.
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Affiliation(s)
- A Begum
- Dr Ambia Begum, Assistant Professor, Department of Pathology, CBMCB, Mymensingh, Bangladesh
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Couairon A, Kosareva OG, Panov NA, Shipilo DE, Andreeva VA, Jukna V, Nesa F. Propagation equation for tight-focusing by a parabolic mirror. Opt Express 2015; 23:31240-31252. [PMID: 26698752 DOI: 10.1364/oe.23.031240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Part of the chain in petawatt laser systems may involve extreme focusing conditions for which nonparaxial and vectorial effects have high impact on the propagation of radiation. We investigate the possibility of using propagation equations to simulate numerically the focal spot under these conditions. We derive a unidirectional propagation equation for the Hertz vector, describing linear and nonlinear propagation under situations where nonparaxial diffraction and vectorial effects become significant. By comparing our simulations to the results of vector diffraction integrals in the case of linear tight-focusing by a parabolic mirror, we establish a practical criterion for the critical f -number below which initializing a propagation equation with a parabolic input phase becomes inaccurate. We propose a method to find suitable input conditions for propagation equations beyond this limit. Extreme focusing conditions are shown to be modeled accurately by means of numerical simulations of the unidirectional Hertz-vector propagation equation initialized with suitable input conditions.
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Fattizzo B, Zaninoni A, Nesa F, Sciumbata VM, Zanella A, Cortelezzi A, Barcellini W. Lessons from very severe, refractory, and fatal primary autoimmune hemolytic anemias. Am J Hematol 2015; 90:E149-51. [PMID: 25963403 DOI: 10.1002/ajh.24047] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Accepted: 04/30/2015] [Indexed: 11/11/2022]
Affiliation(s)
- Bruno Fattizzo
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
| | - Anna Zaninoni
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
| | - Francesco Nesa
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
| | - Veronica M. Sciumbata
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
| | - Alberto Zanella
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
| | - Agostino Cortelezzi
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Università Degli Studi Di Milano; Milano Italy
| | - Wilma Barcellini
- UO Oncoematologia, Fondazione Istituto Di Ricovero E Cura a Carattere Scientifico Ca’ Granda Ospedale Maggiore Policlinico; Milano Italy
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