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El Omri G, Rais H, Lazrak O, Rachid M, Khmou M, El Khannoussi B, Heddat A. Epidermoid cyst discovered concomitant with torsion of the spermatic cord: A case report. SAGE Open Med Case Rep 2024; 12:2050313X241245286. [PMID: 38595943 PMCID: PMC11003338 DOI: 10.1177/2050313x241245286] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 03/15/2024] [Indexed: 04/11/2024] Open
Abstract
Testicular epidermoid cysts, accounting for 1%-2% of all testicular masses, present a diagnostic challenge often identified post-orchiectomy. Conservative surgery is recommended, emphasizing the need for accurate preoperative diagnosis. A 28-year-old patient with acute left scrotal pain, initially suggestive of testicular torsion, underwent intraoperative exploration revealing extra-vaginal torsion with an incidentally discovered 2-cm intra-testicular mass. Due to suspected malignancy, a total orchiectomy was performed. Pathological analysis confirmed an epidermoid cyst with normal postoperative tumor markers. The patient had a good postoperative outcome and underwent testicular prosthesis placement 3 months after the surgery. Epidermoid cysts, often identified incidentally during urgent scenarios, underscore the importance of accurate preoperative diagnosis. Conservative surgery remains the preferred approach, emphasizing the consideration of benign factors to prevent unnecessary orchiectomies.
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Affiliation(s)
- Ghassane El Omri
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Hamza Rais
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Omar Lazrak
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Moussaab Rachid
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Mouna Khmou
- Department of Pathological Anatomy, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Basma El Khannoussi
- Department of Pathological Anatomy, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Abdeljalil Heddat
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
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2
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El Omri G, Rais H, Bourial A, Heddat A. Prostatic cyst: A rare entity with differential diagnostic challenges in urology - A case report. Urol Case Rep 2024; 53:102696. [PMID: 38444616 PMCID: PMC10914547 DOI: 10.1016/j.eucr.2024.102696] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 02/20/2024] [Accepted: 02/27/2024] [Indexed: 03/07/2024] Open
Abstract
A 62-year-old man presented with a Prostate Specific Antigen (PSA) level of 9.89 ng/mL during routine screening. The clinical examination revealed lower urinary tract symptoms, along with a soft, bulging, painless mass in the left lobe of the prostate during digital rectal examination. Imaging confirmed the presence of a left latero-prostatic cystic formation with a low level of malignancy. A prostate biopsy indicated a benign prostatic parenchyma with no signs of malignancy. Medical treatment with alpha-blockers resulted in improved urinary symptoms, and follow-up monitored PSA levels at 3 and 6 months, recording 8.05 ng/mL and 6.87 ng/mL, respectively.
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Affiliation(s)
- Ghassane El Omri
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Hamza Rais
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Abderrahim Bourial
- Department of Oto-laryngology, Head and Neck Surgery, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Abdeljalil Heddat
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
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3
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El Omri G, Rais H, Rachid M, Guennouni M, Heddat A. Intravesical Textiloma: A Rare Complication Following Laparoscopic Inguinal Hernia Repair - A Case report. Clin Med Insights Case Rep 2023; 16:11795476231219073. [PMID: 38106618 PMCID: PMC10725085 DOI: 10.1177/11795476231219073] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Accepted: 11/21/2023] [Indexed: 12/19/2023]
Abstract
Introduction Today, surgical errors are becoming less and less frequent, thanks to the development of new techniques and the choice of different approaches. Nevertheless, they are still possible, and it is important to mention them in order to prevent them and avoid their recurrence. Case Presentation We report a case of intravesical textiloma, rarely observed in urological surgery, in an 80-year-old patient who underwent laparoscopic inguinal hernia repair and presented to a urological consultation with hematuria and irritative lower urinary tract signs. Abdominal ultrasound revealed a hyperechoic tissue-like formation in the posterior wall of the bladder. The diagnosis of a bladder tumor was therefore raised, and cystoscopy was performed, which revealed an intravesical textiloma. All foreign bodies were removed endoscopically, and the patient had a good post-operative outcome. Conclusion The rarity of the urological location of textilomas and the importance of their prevention remain a goal in surgery, whatever the specialty.
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Affiliation(s)
- Ghassane El Omri
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Hamza Rais
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Moussaab Rachid
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Meryem Guennouni
- Department of Pediatrics, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Abdeljalil Heddat
- Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
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Ouertani E, Yahyaoui Y, Ghodhbani Z, Letaief-Ksontini F, Gabsi A, Meddeb K, Ayadi M, Mokrani A, Chraiet N, Rais H, Zenzri Y, Ben Mansour H, Mezlini A. 26P Uterine sarcoma: A retrospective Tunisian study of 103 cases. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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5
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Achibane A, Taouti H, Elmansouri O, Bannouk Y, Messoudi R, Kreit M, Arrab A, Rais H. Giant conjunctival nevus. J Fr Ophtalmol 2021; 44:1457-1459. [PMID: 34602303 DOI: 10.1016/j.jfo.2021.01.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 12/26/2020] [Accepted: 01/04/2021] [Indexed: 11/15/2022]
Affiliation(s)
- A Achibane
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco.
| | - H Taouti
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - O Elmansouri
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - Y Bannouk
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - R Messoudi
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - M Kreit
- Service d'ophtalmologie, hôpital militaire Avicenne, avenue Al-Mouqaouama, 40000 Marrakech, Morocco
| | - A Arrab
- Service d'anatomopathologie, CHU de Mohammed 6, BP2360 Principal, avenue Ibn-Sina, Marrakech, Morocco
| | - H Rais
- Service d'anatomopathologie, CHU de Mohammed 6, BP2360 Principal, avenue Ibn-Sina, Marrakech, Morocco
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6
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Naitlho A, Lahlou W, Bourial A, Rais H, Ismaili N, Abousahfa I, Belyamani L. A Rare Case of Henoch-Schönlein Purpura Following a COVID-19 Vaccine-Case Report. SN Compr Clin Med 2021; 3:2618-2621. [PMID: 34518812 PMCID: PMC8425851 DOI: 10.1007/s42399-021-01025-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/09/2021] [Indexed: 12/12/2022]
Abstract
In the COVID-19 pandemic era, anti-SARS-CoV-2 vaccination is considered to be the most efficient way to overtake the COVID-19 scourge. Like all medicines, vaccines are not devoid of risks and can in rare cases cause some various side effects. The objective of this case report is to highlight this unusual presentation of Henoch-Schönlein purpura following an anti-COVID-19 vaccination in a 62-year-old adult. The 62-year-old patient admitted to the emergency room for a petechial purpuric rash, sloping, occurring within hours, involving both legs and ascending. The clinical signs also included polyarthralgia and hematuria. Reported in the history the notion of an anti-COVID-19 vaccination 8 days prior to the onset of symptomatology. In the case of our patient, we retain the diagnosis of rheumatoid purpura based on the EULAR/PRINTO/PReS diagnostic criteria. Corticosteroid therapy (prednisone) was started, resulting to a rapid regression of clinical and laboratory symptoms, few days after the treatment. Patient was asymptomatic on subsequent visits. The low number of published cases of post-vaccine vasculitis does not question the safety of vaccines, but knowledge of such complications deserves to be known in order to avoid new immunizations that could have more serious consequences, and to avoid aggravating or reactivating a pre-existing vasculitis.
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Affiliation(s)
- Abdelhamid Naitlho
- Department of Internal Medicine, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Wahib Lahlou
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Abderrahim Bourial
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Hamza Rais
- Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Nabil Ismaili
- Department of Oncology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Imad Abousahfa
- Department of Emergency, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Lahcen Belyamani
- Department of Emergency, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
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7
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Gabsi A, N. Jbali, Yahiaoui Y, Letaief-Ksontini F, Mghirbi F, A. Mokrani, Meddeb K, Ayadi M, Rais H, Chraiet N, Mezlini A. 1832P Nutritional status assessment in patients followed for head and neck cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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8
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Souilhi A, Gabsi A, Letaief-Ksontini F, Chraiet N, Yahiaoui Y, Mghirbi F, Mokrani A, Meddeb K, Ayadi M, Rais H, Mezlini A. 1572P Psychological impact of the COVID-19 pandemic on health care workers in oncology in Tunisia. Ann Oncol 2020. [PMCID: PMC7506482 DOI: 10.1016/j.annonc.2020.08.2055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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9
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Nefzi R, BATTI R, Khrouf S, Krir W, Chraiet N, Rais H, Mezlini A, Oumaya A. 1575P Psychological burden in mothers of children with cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.2058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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10
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Alaoui M'hamdi H, Abbad F, Rais H, Asmouki H, Soumani A, Khouchani M, Belbaraka R. Rare variant of metaplastic carcinoma of the breast: a case report and review of the literature. J Med Case Rep 2018; 12:43. [PMID: 29463294 PMCID: PMC5820794 DOI: 10.1186/s13256-017-1553-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 12/23/2017] [Indexed: 01/03/2023] Open
Abstract
Background Metaplastic carcinoma encompasses a group of neoplasms characterized by differentiation of the neoplastic epithelium into squamous cells and/or mesenchymal-looking elements. Spindle cell carcinoma is a rare variant of this special histological type. Its prognosis remains poor, with a high rate of local recurrence and distant metastasis. To date, only a small number of cases have been described. There is no clear agreement on this histological subtype. Case presentation We report a case of a 53-year-old Moroccan woman who consulted our institution following palpation of a nodule of the left breast. Mammography in combination with breast ultrasonography revealed a lesion classified as Breast Imaging Reporting and Data System 4 with microcalcification. The patient was diagnosed with spindle cell carcinoma of the breast. The diagnosis was based primarily on histological and immunohistochemical studies of the breast biopsy and secondarily on the surgical specimen. No local or distant metastasis was found. The treatment used was total surgical excision followed by radiotherapy. Conclusions We describe the features (epidemiological, clinical, histological, immunohistochemical, and therapeutic outcomes) of our patient’s case and compare them with literature data.
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Affiliation(s)
- H Alaoui M'hamdi
- Department of Medical Oncology of Marrakech, University Hospital of Marrakech, Marrakech, Morocco.
| | - F Abbad
- Department of Pathology, University Hospital of Marrakech, Marrakech, Morocco
| | - H Rais
- Department of Pathology, University Hospital of Marrakech, Marrakech, Morocco
| | - H Asmouki
- Department of Gynecology and Obstetrics, University Hospital of Marrakech, Marrakech, Morocco
| | - A Soumani
- Department of Gynecology and Obstetrics, University Hospital of Marrakech, Marrakech, Morocco
| | - M Khouchani
- Department of Radiotherapy of Marrakech, University Hospital of Marrakech, Marrakech, Morocco
| | - R Belbaraka
- Department of Medical Oncology of Marrakech, University Hospital of Marrakech, Marrakech, Morocco
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11
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Hazmiri FE, Nachite F, Skandour D, Raji A, El ganouni NCI, Rais H. Lateral cervical thymic cyst in a child: a case report. BMC Res Notes 2018; 11:85. [PMID: 29382377 PMCID: PMC5791249 DOI: 10.1186/s13104-018-3208-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Accepted: 01/25/2018] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Cervical thymic cysts are uncommon lesions, rarely considered in the differential diagnosis of neck cysts in children. CASE PRESENTATION We report a rare case of multiloculated thymic cyst in an 8-year-old boy on the right side of the neck. Perioperative diagnosis was a cystic hygroma. Macroscopic examination showed a cystic mass measuring 6.5 cm in total length. Histopathology of the excised specimen revealed thymic tissue with prominent Hassall's corpuscles associated with multiloculated cyst. The cyst wall is bordered by a flattened or multilayered epithelium, often abraded. CONCLUSION This case is presented here for its rarity and should be included in the differential diagnosis of neck masses in children. So, it's a lesion to be well aware of, particularly by pathologists.
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Affiliation(s)
- F. E. Hazmiri
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - F. Nachite
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - D. Skandour
- Department of E.N.T, FMFM-UCAM-CHU Mohammed VI-50 Assif, Arrazi Hospital, 40000 Marrakech, Morocco
| | - A. Raji
- Department of E.N.T, FMFM-UCAM-CHU Mohammed VI-50 Assif, Arrazi Hospital, 40000 Marrakech, Morocco
| | | | - H. Rais
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
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12
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Maghrebi H, Batti R, Zehani A, Chrait N, Rais H, Makni A, Haddad A, Ayadi M, Daghfous A, Jrad M, Kchir N, Bensafta Z, Mezlini A. Round cell sarcoma of the colon with CIC rearrangement. BMC Res Notes 2017; 10:582. [PMID: 29121995 PMCID: PMC5679348 DOI: 10.1186/s13104-017-2906-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 11/01/2017] [Indexed: 11/16/2022] Open
Abstract
Background The CIC-rearranged sarcoma is a very rare highly aggressive malignant soft tissue group of tumors. It has recently been described as highly aggressive soft tissue tumors of children and young adults sharing similar morphological features with the Ewing sarcoma. The digestive localization is exceptional. Case presentation A 14-year-old male presented with a history of abdominal pain for 1 year, which increased in intensity over the last 2 months. Imaging findings showed a large heterogeneous mesenteric mass on the left flank of the abdomen. Exploratory laparotomy was performed and revealed a large cystic hypervascularized mass depending on the transverse colon and mesocolon. A wide excision of the lesion was performed with segmental colectomy. No postoperative complications were noted. The microscopic examination revealed a vaguely nodular growth of undifferentiated small round cells, arranged in solid sheets separated by thin fibrous septa with a scarce stroma. After an uncomplicated post-operative course, the patient was referred for chemotherapy. The patient died 2 months later with a peritoneal and pleural progression. Conclusions The CIC-rearranged sarcoma is an aggressive tumor. There is no standard therapy for this rare disease. Their treatment includes surgery and chemotherapy. Resistance to chemotherapy is common. Further publications and studies will help to determine a standard therapy for this rare disease.
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Affiliation(s)
- H Maghrebi
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia. .,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - R Batti
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Zehani
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Chrait
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - H Rais
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Makni
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Haddad
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Ayadi
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Daghfous
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Jrad
- Radiology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Kchir
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Z Bensafta
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Mezlini
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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13
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Belarbi F, Amal S, Akhdari N, Amouzoune S, Belbachir A, Rais H, Hocar O. Hypoplasie dermique focale (syndrome de Goltz) associée à une bicuspidie de l’aorte. Ann Dermatol Venereol 2017; 144:719-720. [DOI: 10.1016/j.annder.2017.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Revised: 02/21/2017] [Accepted: 06/12/2017] [Indexed: 11/26/2022]
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14
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Bousrih C, Mokrani A, Ayadi M, Meddeb K, Yahyaoui Y, Letaief F, Chraiet N, Rais H, Mezlini A. Facteurs prédictifs de rechute locale au cours des rhabdomyosarcomes de l’orbite de l’enfant. Cancer Radiother 2017. [DOI: 10.1016/j.canrad.2017.08.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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15
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Abstract
Background Primary hyperoxaluria is a rare disease with an estimated prevalence of 1 to 3 cases per million. It is due to a hepatic enzyme deficiency responsible for an endogenous overproduction of oxalate. Oxalate crystals commonly deposit in the kidney and more rarely in bone marrow. The literature has reported, to the best of our knowledge, only two cases of hyperoxaluria diagnosed by bone marrow biopsy and our case is the only one that does not show radiological bone lesions. Case presentation A young 22 year old chronic hemodialysis patient with nephrocalcinosis. The patient had a personal and family history of recurrent kidney stones. He presented bone pain with worsening of his general state. On physical examination, no organomegaly was detected. Biological check-up showed only a normochromic and normocytic regenerative anemia resistant to treatment and a bone marrow biopsy was performed. It showed deposits of crystals of oxalate in the bone marrow surrounded by inflammatory reaction against foreign bodies. Given our context, no liver biopsy or genetic studies, which are gold standard of diagnosis testing, were done. The diagnosis of primary hyperoxaluria was made based on morphological characteristics of crystals, his medical and family history, and the absence of any secondary cause of the condition. Since curative treatment is not available in our country, the patient only receives a palliative treatment. Conclusion Primary hyperoxaluria is rarely evoked by the histological study of a bone marrow biopsy. The lack of the possibility of the only effective treatment in our context and the diagnosis, usually late, of this pathology are at the origin of the fatal evolution of the disease in almost all the cases.
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Affiliation(s)
- F Nachite
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - M Dref
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - A Fakhri
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
| | - H Rais
- Department of Pathology, FMFM-UCAM-CHU Mohammed VI-50 Assif, 40000 Marrakech, Morocco
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16
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Abbad F, Boukis F, Cherifidrissielganouni N, Matrane A, Khouchani M, Rais H. Une approche pédagogique innovante des métastases thoraciques de carcinome de primitif inconnu-Un outil digital, didactique et algorithmique. Ann Pathol 2017. [DOI: 10.1016/j.annpat.2017.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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17
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Behi K, Ayadi M, Mezni E, Meddeb K, Mokrani A, Yahyaoui Y, Ksontini F, Rais H, Chrait N, Mezlini A. Two years survival of primary cardiac leiomyosarcoma managed by surgical and adjuvant therapy. Clin Sarcoma Res 2017; 7:5. [PMID: 28286642 PMCID: PMC5343408 DOI: 10.1186/s13569-017-0069-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 02/09/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cardiac tumors are a very rare entity. Leiomyosarcoma represents less than 1% of cases. CASE PRESENTATION a 51-year-old woman diagnosed with primary left atrium leiomyosarcoma. She was treated by optimal surgery and adjuvant chemotherapy. She is still alive after a follow-up of 24 months without evidence of local or distant recurrence. CONCLUSIONS Cardiac leiomyosarcoma is a rare tumor with a dismal prognosis. Surgery is the mainstay of treatment. Adjuvant treatment is still controversial.
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Affiliation(s)
- K Behi
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - M Ayadi
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - E Mezni
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - K Meddeb
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - A Mokrani
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - Y Yahyaoui
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - F Ksontini
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - H Rais
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - N Chrait
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
| | - A Mezlini
- Medical Oncology Department, Salah Azaeiz Institute, Tunis, Tunisia
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Mghirbi F, Ayadi M, El Behi K, Letaief-ksontini F, Jmour O, Meddeb K, Mokrani A, Yahyaoui Y, Rais H, Chraiet N, Mezlini A. RM-016 Prognostic factors and assessment of postoperative chemoradiotherapy in gastric cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw201.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Belarbi F, Hocar O, Akhadari N, Amal S, Amouzoune S, Hazmiri F, Fakhri A, Rais H. P 65 : Présentation particulière d’un sarcome d’éwing cutané primitif. Ann Dermatol Venereol 2016. [DOI: 10.1016/s0151-9638(16)30240-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Baino A, Akhdari N, Amal S, Hamdaoui A, Abbad F, Rais H. [Syringocystadenoma papilliferum]. Ann Dermatol Venereol 2015; 142:460-2. [PMID: 25956460 DOI: 10.1016/j.annder.2015.03.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 03/02/2015] [Accepted: 03/31/2015] [Indexed: 11/16/2022]
Affiliation(s)
- A Baino
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc.
| | - N Akhdari
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - S Amal
- Service de dermatologie et vénérologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - A Hamdaoui
- Laboratoire privé « Zohor » d'anatomie et cytologie pathologiques, 70, rue de la Liberté-Guéliz, Marrakech, Maroc
| | - F Abbad
- Service d'anatomopathologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
| | - H Rais
- Service d'anatomopathologie, CHU Med VI, faculté de médecine et de pharmacie, université Cadi Ayyad, Sakar, Marrakech, Maroc
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Atarguine H, Hocar O, Abbad F, Rais H, Idalene M, Tassi N, Akhdari N, Moutaj R, Amal S. [Cutaneous cryptococcosis mimicking basal cell carcinoma and revealing systemic involvement in acquired immunodeficiency]. J Mycol Med 2015; 25:163-8. [PMID: 25959736 DOI: 10.1016/j.mycmed.2015.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 02/01/2015] [Revised: 04/03/2015] [Accepted: 04/11/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Cryptococcosis is a rare and a serious opportunistic infection that occurs primarily on the field of immunodeficiency. We report a case of disseminated cryptococcosis in acquired immunodeficiency syndrome revealed by unusual skin lesions. OBSERVATION A 52-year-old patient consulted for two crusty ulcerative lesions situated on the left supraorbital and on the nasal tip that appeared 6 months ago. He also reported respiratory symptoms present since one year, with dry cough and dyspnea, chronic headache and vomiting with no alteration in visual acuity. The mycological study of the skin biopsy on both lesions isolated Cryptococcus neoformans as well as in the sputum and cerebrospinal fluid. Serology of human immunodeficiency virus infection was positive. Treatment with fluconazole, local care and antiretroviral triple therapy was implemented. DISCUSSION Skin lesions during cryptococcosis are rare and observed in 2-10% of cases. Cutaneous symptoms were the reason for consultation in our patient. This is a rare form of cutaneous cryptococcosis leading to the discovery of both pulmonary and central nervous system locations, and to diagnosis of HIV infection.
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Affiliation(s)
- H Atarguine
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc.
| | - O Hocar
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - F Abbad
- Service d'anatomie pathologique, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - H Rais
- Service d'anatomie pathologique, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - M Idalene
- Service de maladies infectieuses, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - N Tassi
- Service de maladies infectieuses, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - N Akhdari
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - R Moutaj
- Service de parasitologie-mycologie médicale, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital militaire Avicenne, CHU Mohamed VI, 40000 Marrakech, Maroc
| | - S Amal
- Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, hôpital Errazi, CHU Mohamed VI, 40000 Marrakech, Maroc
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Belaid I, Jlassi H, Debbiche G, Rais H, Ben Ayed F. [Lung adenocarcinoma with intramedullary spinal cord metastasis: a case report and review of the literature]. Rev Pneumol Clin 2013; 69:149-151. [PMID: 23582264 DOI: 10.1016/j.pneumo.2013.02.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Revised: 02/25/2013] [Accepted: 02/26/2013] [Indexed: 06/02/2023]
Abstract
Intramedullary spinal cord metastases are extremely rare and affect 0.1 to 0.4% of all cancer patients. We report the case of intramedullary metastases in a 42-year-old patient, 12 months after the initial diagnosis of a lung adenocarcinoma. The patient was on third-line chemotherapy for a progressive disease with node and bone metastases. He complained of weakness and difficulty walking. The MRI permitted confirmation of the diagnosis. Corticotherapy was started and the patient underwent radiotherapy. A targeted therapy was indicated. The patient died three months after the initiation of this treatment. The aim of this paper is to report a new case of intramedullary spinal cord metastases from a pulmonary adenocarcinoma, focus on its rarity and diagnostic and therapeutic difficulties through a review of the literature.
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Affiliation(s)
- I Belaid
- Service de carcinologie médicale, institut Salah-Azaiz, faculté de médecine de Tunis, Tunis, Tunisie.
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Chabli H, Hocar O, Akhdari N, Rais H, Belaabidia B, Amal S. Incontinentia pigmenti avec le stade vésiculaire in utero. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rais H, Jghaimi F, Bassi L, Ziad T, Cherif Idrissi El Ganouni N, Belaabidia B. [Hydatid cyst of the scalp]. Rev Stomatol Chir Maxillofac 2012; 113:472-474. [PMID: 22703598 DOI: 10.1016/j.stomax.2012.04.004] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2011] [Revised: 10/05/2011] [Accepted: 04/30/2012] [Indexed: 06/01/2023]
Abstract
INTRODUCTION Hydatid disease is a broad-based anthropozoonosis common to humans and several mammal species. The disease results from the development of Echinococcus granulosis in the body. CASE REPORT We report a new case involving a 58-year old woman hospitalized for a subcutaneous mass in the scalp with no local inflammatory signs. Radiological examination was consistent with a subcutaneous cyst. Complete surgical resection of the mass was performed. Histopathological examination demonstrated hydatid cyst. DISCUSSION Subcutaneous localization of hydatid cyst is uncommon even in endemic zone. Diagnosis is suggested by ultrasonography and confirmed by histology.
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Affiliation(s)
- H Rais
- FMPM/UCAM, service d'anatomie pathologique, CHU Mohammed VI, Marrakech, Maroc
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Hocar O, Madhar M, Akhdari N, Rais H, Belaabidia B, Fikry T, Amal S. [Myxoid neurofibroma of the thumb]. ACTA ACUST UNITED AC 2012; 31:217-9. [PMID: 22980987 DOI: 10.1016/j.main.2012.07.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2012] [Revised: 06/15/2012] [Accepted: 07/01/2012] [Indexed: 10/28/2022]
Abstract
UNLABELLED Myxoid neurofibroma (MN) is a benign tumor of poorly identified perineural cell origin. We report a case of NM of left thumb and discuss the main differential diagnosis. CASE REPORT A 34-year-old woman presented with a painless, slowly progressive tumor of the left thumb of 6 months duration. This tumor had recurred after resection done 26 years before. Clinical examination revealed a tumor on the anterior surface of the left thumb, painless, firm, 4×3cm, ulcerated and covered with thin telangiectasia. The X-ray of the phalanx showed no alteration to the underlying bone. The histopathological study of a skin biopsy reported a myxoid neurofibroma. Excision of the lesion was performed with preservation of the nail. Neither the patient nor her family members had neurofibromatosis. The outcome was favorable and no recurrence was noted after 18 months of follow-up. COMMENTS The usual sites of the MN are the face, shoulders, arms, and periungual regions. It is usually a solitary lesion; however, lesions may be multiple or recur after initial incomplete excision as in our patient. It must be considered in the differential diagnosis of tumors of the extremities. We report this case because of the rarity of both the tumor and its site.
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Affiliation(s)
- O Hocar
- Service de dermatologie, université Cadi Ayyad, CHU Mohammed VI, Marrakech, Maroc.
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Hocar O, Yacoubi H, Akhdari N, Amal S, Ait Essi F, Latifi M, Rais H, Belaabidia B. Unusual presentation of a rare tumor of the dorsal surface of the foot. ISRN Dermatol 2012; 2011:704549. [PMID: 22363857 PMCID: PMC3262540 DOI: 10.5402/2011/704549] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2011] [Accepted: 02/15/2011] [Indexed: 11/23/2022]
Abstract
Calcifying aponeurotic fibroma (CAF) was originally described by Keasbey in 1953 as juvenile aponeurotic fibroma, most commonly occurring in the palms of the hands and soles of the feet in children and adolescents. It usually presents as a firm, painless mass without preceding trauma. We report a case of this rare condition with an unusual presentation in a 60-year-old woman affecting the dorsal surface of the foot. It is a relatively benign condition with a good prognosis following complete surgical excision. It may have a slightly increased incidence in males. The accurate diagnosis is based only on histology but it is essential to differentiate it from other sinister lesions such as fibrosarcoma that may lead to amputation.
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Affiliation(s)
- O Hocar
- Dermatology Department, School of Medicine, Cadi Ayyad University, Mohammed the VIth University Hospital, Marrakesh 40000, Morocco
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Rais H, Jghaimi F, Baalal H, Naji Y, Essaadouni L, Essadki O, Oussehal A, Mejjati M, Aitbenali S, Elyazidi AA, Belaabidia B. [Blastomycosis in Morocco: imported mycosis]. Rev Pneumol Clin 2012; 68:45-49. [PMID: 22305137 DOI: 10.1016/j.pneumo.2011.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2010] [Revised: 03/17/2011] [Accepted: 04/03/2011] [Indexed: 05/31/2023]
Abstract
Blastomycosis is a rare case. We report a first Moroccan case. A 41-year-old male presented with a 6-month history of dyspnea, fever and significant chest pain associated with night sweats and weight loss. The physical examination disclosed a firm painful paravertebral mass. The chest radiograph demonstrated a left apical opacity. The thoracic scan showed parenchymal infiltration of the apico-dorsal segment of the left upper lobe with vertebral and costal lytic lesions. Surgical biopsy showed granulomatous inflammation with giant-cell intracytoplasmic inclusions. Fungal studies yielded Blastomyces dermatitidis which responded excellently to ketoconazole. Outcome has been excellent at 3.5 years months follow-up. The clinical and radiographic presentation of blastomycosis is non-specific and can be mistaken for a neoplasm. Delay in diagnosis is common.
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Affiliation(s)
- H Rais
- Service d'anatomie pathologie, faculté de médecine et de pharmacie, CHU Mohammed VI, université Cadi Ayyad, Marrakech, Maroc
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Hazmiri F, Oubaha I, Rais H, Fakhri A, Soummani A, Abbassi H, Essadki O, Oussehal A, Belaabidia B. Le cancer inflammatoire du sein : à propos de 69 cas avec une revue de la littérature. Ann Pathol 2011. [DOI: 10.1016/j.annpat.2011.09.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Janati S, Rais H, Ouali Idrissi M, Khouchani M, Tahri A, Belaabidia B, Essadki O, Ousehal A. Prise en charge des tumeurs osseuses malignes primitives : expérience du centre hospitalo-universitaire Mohammed-VI de Marrakech. Cancer Radiother 2011. [DOI: 10.1016/j.canrad.2011.07.207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ayoub WHB, Rais H, Zehani S, Hamadi H, Abdallah MB. SP3-4 Incidence of nasopharyngeal carcinoma in the north of Tunisia: tendency and projections until 2024. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976o.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ayoub WHB, Rais H, Zehani S, Hsairi H, Achour N, Abdallah MB. P1-172 Cancer epidemiology in the North of Tunisia 1999-2003. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976d.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Abdallah MB, Ayoub WHB, Rais H, Zehani S, Hsairi H, Achour N. SP3-5 Incidence of breast cancer in northern Tunisia: trend and projection into 2024. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976o.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Rais H, Elmansouri F, Belaabidia B, Essadki O, Oussehal A, Sarf I. [Paratesticular desmoplastic small round cell tumour: case report with literature review]. Cancer Radiother 2010; 14:111-4. [PMID: 20189431 DOI: 10.1016/j.canrad.2009.09.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2007] [Revised: 09/24/2009] [Accepted: 09/30/2009] [Indexed: 11/16/2022]
Abstract
Desmoplastic small round cell tumors are rare aggressive cancers of adolescence and early adulthood. It has recently been separated from other small round cell tumors because of its pathological characteristics and clinical features. They are usually intra-abdominal tumors affecting young people and have classically been associated with a bad prognosis. However, in recent years there have been reports on desmoplastic small round cell tumors affecting other body regions, including the paratesticular area. We report the case of a 27-year-old male who consulted on a progressive enlargement of the right hemiscrotum. He referred no previous urological symptoms and had no systemic symptomatology. Physical examination revealed a round elastic firm 1-cm mass of the epididymis, which was excised. A computed tomography scan showed a para-aortic mass of 1cm. Histological and immunohistochemical diagnosis confirmed a desmoplastic small round cell tumor. The patient received chemotherapy. Today, 6 months after diagnosis the patient remains well and free of disease. Recent reviews on desmoplastic small round cell tumors affecting the paratesticular area have shown a better prognosis for tumors of this origin compared to abdominal ones. We should include this lesion among the differential diagnosis of paratesticular tumors, mainly in children and adolescents.
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Affiliation(s)
- H Rais
- Service de pathologie, hôpital Ibn-Tofail-Gueliz, CHU Mohammed-VI, 4000 Marrakech, Morocco.
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Rais H, Fakhri A, Al Attar H, Aniba K, Ait Ben Ali S, Essadki O, Oussehal A, Belaabidia B. Les tumeurs cérébrales de l’enfant : à propos de 64 observations avec revue de la littérature. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78503-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Rais H, Fakhri A, Al Attar H, Fikri T, Essadki B, Belaabidia B. La ténosynovite granulomateuse à grains riziformes du poignet : à propos d’une observation avec revue de la littérature. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78530-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Benadra F, Alatawna H, Rais H, Lakhmichi M, Elhaouss A, Sarf I, Belaabidia B. Le carcinome sarcomatoïde à propos de cinq cas. Ann Pathol 2004. [DOI: 10.1016/s0242-6498(04)94220-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Rais H, Rodrigues P, Ramos C, Almedia V, Forgacs E, Cserhati T, Oliveira J. Note. Effect of Blanching and Frozen Storage on the Stability of B-Carotene and Capsanthin in Red Pepper (Capsicum Annuum) Fruit. FOOD SCI TECHNOL INT 2002. [DOI: 10.1177/1082013202008001914] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ben Ayed F, Rais H, Gharbi N, Khalfallah S, Mezlini A, Riahi B, Amara S, Zouari B. [Dispensation of opioids by pharmacists in Tunisia]. Therapie 2001; 56:711-7. [PMID: 11878095] [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: 02/24/2023]
Abstract
This national survey aims to evaluate opioid availability and prescription by pharmacists in Tunisia and to examine pharmacists' attitude regarding Tunisian law. We surveyed a sample of 300 pharmacists randomly selected from the National Council of Pharmacists list and using the random table. This study started in September 1999 by sending to pharmacists a confidential questionnaire asking about the importance, the rate of sale and the availability of analgesics in their pharmacy. It also tried to determine pharmacists' opinions regarding Tunisian law. A total of 157 pharmacists out of 300 responded to the survey (52 per cent), 95 per cent were working in pharmacies and 15 per cent in hospitals. Analgesics were estimated to be important to very important in their work in 84 per cent and less important in 16 per cent of cases. They were given under advice with great importance in 85 per cent of cases and with less importance in 15 per cent of cases. Analgesic self-medication was frequent in 95 per cent of cases and rare in 4 per cent of cases. Analgesics of levels 1 and 2 were often to always available in 97 per cent of cases and rarely available in 1.5 per cent of cases. Some 84.7 per cent of pharmacists had opioid supplies and 8.9 per cent had no opioids in stock and 6.4 per cent hadn't given a response. 30 per cent of pharmacists think that the 7 days law for opioid prescription should be modified and 66 per cent think it should not, fearing illicit use, fraud and dependance. Pharmacists think that the minimal list of opioids to be stocked in a pharmacy is sufficient because of low demand.
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Affiliation(s)
- F Ben Ayed
- Service de médecine carcinologique de l'Institut Salah Azaiez (ISA), Association Tunisienne de lutte Contre le Cancer, Boite postale 173, Tunis, Tunisie
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Rabii R, Joual A, Rais H, Fekak H, Moufid K, Bennani S, el Mrini M, Benjelloun S. [Pyonephrosis: diagnosis and treatment: report of 14 cases]. Ann Urol (Paris) 2000; 34:161-4. [PMID: 10953791] [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] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Prior to the introduction of antibiotics, the treatment of pyelonephrosis frequently consisted of nephrectomy to remove the non-functional kidney, which was a potentially dangerous source of systemic infection. This approach was later modified as a result of the advances made in antibiotic therapy, and included vigorous antibiotic treatment and prompt drainage of the kidney. At present, percutaneous nephrostomy provides a means of draining off the pus and determining a possible residual renal function. In this study, 14 cases of pyonephrosis were observed over a 7-month period. Lumbar pain was noted in 70% of cases, painful lumbar contact in 5 cases and fever, shivering and pyuria in all cases. Cytobacteriological urine analysis showed the presence of Escherichia coli in 7 patients, Proteus in 4 patients, and in 3 cases abacterial leucocyturia; in 2 patients with only one functional kidney, renal insufficiency was observed. In all cases, the diagnosis was confirmed by ultrasonography. The main etiological factors were urinary lithiasis in 10 patients (71%), followed by uropathy of the pyeloureteral junction in 4 patients (29%). Treatment consisted of primary nephrectomy in 10 cases; in 3 cases, primary nephrostomy was performed with a positive outcome and recovery of renal function in 2 subjects; in one case of renal failure treated by nephrostomy followed by conservative surgery, the patient did not survive. In conclusion, nephrectomy is advocated as the treatment of choice in the case of a damaged kidney and a normal contralateral kidney. Conservative treatment should be envisaged particularly in the case of a single kidney, or if the patient's state of health is poor. The best treatment consists of the detection and cure of the lithiasis which is the main etiological factor in this pathology.
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Affiliation(s)
- R Rabii
- Service d'urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, Joual A, el Mrini M, Benjelloun S. [Prostatic abscesses. A review]. Ann Urol (Paris) 1999; 33:271-3. [PMID: 10510710] [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] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
We review the literature to the diagnosis and therapeutic aspect of prostatic abscess. The prostatic abscess having become an uncommon disease. The diagnosis of prostatic abscess has been nearly made by transrectal ultrasound and computed tomography scan. The best diagnostic method is considered to be the transrectal ultrasound. The choice therapy was intravenous antibiotic, and drainage by ultrasound guided transperineal percutaneous puncture.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, el Moussaoui A, Joual A, el Mrini M, Benjelloun S. [Perineal recurrence of resected penile cancer. A case report]. Ann Urol (Paris) 1999; 33:100-3. [PMID: 10352819] [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] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
The authors report an unusual case of perineal recurrence of squamous carcinoma of the penis in a 50-year-old, white man, circumcised during infancy and operated 5 years previously for stage T3N0M0 squamous carcinoma of the penis by total amputation of the penis. Clinical examination revealed a very large, infected perineal tumour associated with bilateral inguinal lymphadenopathy. This stage T4N2M0 tumour was treated palliatively by cystostomy, emasculation with perineal tumour reduction and antibiotics. The patient became afebrile and the infection resolved and was referred to the radiotherapy department for further treatment.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Joual A, Rais H, Bennani S, el Mrini M, Benjelloun S. [Pheochromocytoma. Report of 10 cases]. Ann Urol (Paris) 1999; 33:5-8. [PMID: 10095906] [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] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
We report 10 cases of adrenal pheochromocytoma seen over a period 15-years. A female predominance was noted (8 women/2 men). Patients were aged between 16-46 years with a mean of 34 years. Clinical manifestations consisted of hypertension observed in all cases, with vasomotor symptoms (90%). Time to consultation was prolonged (mean: 23 months). CT scan performed in 7 cases showed pheochromocytoma in all cases, located on the right side in 6 cases, while one pheochromocytoma was located in Zukerkandal organ. All patients were operated via anterior approach and adrenalectomy was performed. A favourable course was observed in 90% of cases with normalisation blood pressure. One death was noted. Histological examination showed no malignancy in all cases.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, Joual A, Moussaoui AE, el Mrini M, Benjelloun S. [Diagnostic and therapeutic problems of an atypical cyst of the kidney]. Ann Urol (Paris) 1999; 33:25-8. [PMID: 10095910] [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] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Atypical renal cyst raises diagnostic and therapeutic problems. The authors report a case of atypical renal cyst which raised numerous diagnostic and therapeutic problems. The authors discuss theses problems in the light of this case. A farmer consulted for right lumbar pain without hematuria and hydaturia. Hydatic serology was negative. Ultrasonography and CT scan showed atypical cyst in favour of hydatic cyst. Surgical investigations showed a necrotico-hemorragic cyst, and cystectomy was performed. Histological examination revealed a chronic inflammatory process without malignancy. One year after the operation, clinical and radiological examination were normal.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Rais H, Sarf I, Joual A, Aboutaieb R, Bennani S, el Mrini M, Benjelloun S, Hamoudi D, Idali B, Harti A, Barrou L. [Peritonitis caused by spontaneous rupture of pyonephrosis in pregnancy. Report of a case]. Ann Urol (Paris) 1999; 33:31-5. [PMID: 10095911] [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] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Peritonitis after spontaneous rupture of pyonephrosis into the peritoneal cavity is a rare complication, usually diagnosed intraoperatively. We report a case of a woman presenting with left lumbar pain and fever during pregnancy. On admission, ultrasonography showed a pregnancy with fetal activity for 16 weeks, and pyonephrosis in the left kidney, but on a normal right kidney. After antibiotic therapy and upper urinary, tract stenting renal drainage revealed purulent urine, fever persisted with acute abdomen. Clinical and radiological assessment showed features of acute peritonitis with pyonephrosis. Treatment consisted of laparotomy with nephrectomy and abdominal lavage and drainage. The postoperative complication was septic shock requiring resuscitation and artificial ventilation and prolonged convalescence.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, el Moussaoui A, Rais H, Joual A, Debbagh A, el Mrini M, Benjelloun S. [Tumors of the bladder in women. Epidemiologic and therapeutic aspects. Apropos of 40 cases]. Ann Urol (Paris) 1998; 32:166-71. [PMID: 9657034] [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] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Bladder tumours in women. Epidemiological aspects and treatments, based on a series of 48 cases. Bladder tumours are more frequent in men than in women, in whom they present certain epidemiological, clinical and therapeutic characteristics. The authors report a retrospective study of 48 cases of bladder tumour in women, observed in the urology department over a 20-year period. These tumours represented 4.2% of all bladder tumours. The patients had a mean age of 59 years (range: 29 to 77). Only one patient was a smoker (2%). Haematuria was present in 93% of cases, and signs of bladder irritation were present in 60% of cases. All tumours were transitional cell carcinomas. The tumour was classified as stage 0 in 10 cases (20.9%), stage A in 15 patients (31.2%), stage B in 22 patients (45.8%) and stage C in 1 case (2.1%); no patients (0%) were classified as stage D. Our therapeutic protocol was established as a function of the stage of tumour invasion. For example, superficial tumours were treated conservatively by transurethral resection, either alone or combined with intravesical instillation. Radical surgery was performed whenever possible for invasive tumours. External urinary diversion was performed in 11 cases, ureterosigmoidostomy in 3 cases and enterocystoplasty in 5 cases. The clinical course of the 15 superficial tumours was marked by recurrence in 5 cases, while that of the 23 invasive tumours was marked by local recurrence (3 cases), renal failure (1 case) and 3 deaths.
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Affiliation(s)
- R Rabii
- Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc
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Boussen H, Jerbi G, Khalfallah S, Hechiche M, Rais H, Mezlini A, Rahal K, Ben Ayed F. [Value of long term central venous catheters im medical oncology:prospective study of 102 cases]. Tunis Med 1998; 76:120-3. [PMID: 9739204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- H Boussen
- Service de carcinologie médicale, Institut Salah Azaïz, Tunis
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el Moussaoui A, Rabii R, Hafiani M, Rais H, Debbagh A, Benjelloun S. [Appendiceal mucocele disclosed by a psoas tumor. Apropos of a case]. Ann Urol (Paris) 1998; 32:29-31. [PMID: 9559073] [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] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Mucocele of the appendix is a rare lesion. Rupture of appendicular mucocele into the psoas is uncommon. We report a case of a 77-year-old man, with psoas tumor on abdominopelvic ultrasonography and computed tomography. The preoperative diagnosis was type III hydatid cyst of the psoas, psoas tumor or retroperitoneal mass. Surgical exploration revealed an appendicular mucocele ruptured into the psoas. Appendicectomy was performed with an uneventful postoperative course after 3 years. The authors discuss the diagnostic and therapeutic problems raised by this rare lesion.
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Rabii R, Rais H, Hafiani M, Dassouli BE, Bennani S, el Mrini M, Benjelloun S. [Torsion of an undescended testis. Apropos of a case]. Ann Urol (Paris) 1998; 32:49-51. [PMID: 9559077] [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] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The authors report an uncommon case of torsion of an inguinal undescended testis occurring in a 15-year-old child. He consulted seven days later for isolated left inguinal pain. Physical examination showed a left inguinal mass, and only the right testis was palpable within the scrotum. Sonography revealed left inguinal mass with echogenic and heterogeneous contents in keeping with undescended testis. The diagnoses of testis tumor or testis torsion were suggested. Surgical exploration revealed a mass suggesting a testis tumor. Orchidectomy was performed. Histological examination showed that the mass corresponded to a necrotic ischemic testis without tumor cells. In the light of this case, the authors analyse the diagnostic aspects and management of torsion of an undescended testis.
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Affiliation(s)
- R Rabii
- Service d'Urologie Pr S. Benjelloun. CHU Ibn Rochd, Casablanca, Maroc
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Rabii R, Hafiani M, Rais H, Debbagh A, Bennani S, el Moussaoui A, el Mrini M, Benjelloun S. [Primary urothelial carcinoma of the urethra. Apropos of a case]. Ann Urol (Paris) 1998; 32:45-8. [PMID: 9559076] [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] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
We report an unusual case of primary transitional cell carcinoma in the bulbar urethra. The patient was a 52-year-old man with a history of sexually transmitted disease. The clinical presentation was bladder retention with urethral bleeding. Radiological examination and cystoscopy showed a bulbar urethral tumor. The pathological diagnosis was Grade III transitional cell carcinoma with invasion of the corpus spongiosum (T2). Partial resection of the urethra was performed and the patient has been without evidence of disease for two years.
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Affiliation(s)
- R Rabii
- Service d'Urologie (Pr S. Benjelloun), CHU Ibn Rochd, Casablanca, Maroc
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