Journal of Clinical Case Reports

No Abstract

We report a case of 70 yr old woman with history of mass per abdomen since 5 months, which was insidious in onset and gradually progressed to present size. It was not associated with fever, haematuria, but gives history of loss of weight and loss of appetite. She was emaciated, poorly nourished with no significant past history. On examination she had mass per abdomen occupying Right lumbar, hypochondrium, umbilical, Right iliac fossa and hypogastrium abutting the anterior abdominal wall. No free fluid, no organomegaly. No evidence of swellings in other part of body, and no supraclavicular lymphadenopathy.

Objective: To present a case of retrorectal chordoma and a literature review of this condition. Introduction: Tumors of the retrorectal area are rather rare. Retrorectal lesions can be cystic or solid, benign or malignant, and can be classified as congenital, neurogenic, osseous or miscellaneous. Diagnosis is frequently delayed until the tumors reach considerable size. Wide en bloc resection should be performed once the diagnosis is made. Case report: A 63 year old male patient, who complaint of progressive and recent onset constipation, and light pain at the coccigeal area. At the digital examination of the rectum we appreciate a firm, smooth presacral mass swelling the posterior rectal wall, with intact rectal mucosa. The MRI showed a multilobulated retrorectal mass; and the patient underwent to a wide en bloc resection of the tumor. The histopathological study of the specimen corroborates the presence of chordoma. Conclusions: Retrorectal tumors are rare; their diagnosis is difficult and late. Treatment is surgical with wide resection; chordomas have poor sensitivity to radiotherapy and chemotherapy.

Phyllodes tumours are rare neoplasms of the female breast. Ten-year survival of 42% is reported after surgical treatment of malignant phyllodes tumours. Metastatic tumours have a poor prognosis with no long-term survival. We present the case history of a 43 year old woman with a pulmonary metastasis from a malignant phyllodes tumour of the breast treated with chemotherapy. The role of radiation therapy and chemotherapy is not established and has not been studied in randomized trials due to the rarity of the tumor. At present, there is no consensus that patients with high-grade phyllodes tumors of the breast will benefit from either of these modalities.

Cysts of the Cavum Septum Pellucidum (CSP) though uncommon, can be treacherous. We present the case of an adult male with a Neuro Cysticercal Cyst (NCC) within the CSP which was retrieved endoscopically with a novel technique using an angiographic catheter. This specific location for NCC has never been reported in the literature and together with its unique endoscopic management makes it worth reporting.