18 January 2023: Case of the Month #523

Thanks to Dr. Raul Gonzalez, Emory University School of Medicine, Atlanta, Georgia, USA for contributing this case and discussion and to Dr. Aaron R. Huber, University of Rochester Medical Center, Rochester, New York, USA, for reviewing the discussion.

Clinical history:

A 25 year old man complaining of abdominal pain is found to have a 4 cm gastric mass, which is resected.

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21 December 2022: Case of the Month #522

Thanks to Drs. Anna Sarah Erem and Gulisa Turashvili, Emory University School of Medicine, Atlanta, Georgia, USA for contributing this case and discussion and to Dr. Jennifer Bennett, University of Chicago, Chicago, Illinois, USA for reviewing the discussion.

Clinical history:

A 55 year old woman underwent a total hysterectomy with bilateral salpingo-oophorectomy and a sentinel lymph node biopsy for FIGO grade 1 endometrioid adenocarcinoma of the endometrium. One of the lymph nodes showed the following findings.

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8 November 2022: Case of the Month #521

Thanks to Drs. Leandro Freitas, Ana Grizotto and Athanase Billis, State University of Campinas (Unicamp), Campinas, Brazil and the Genitourinary Pathology Society (GUPS), for contributing this case and discussion and to Dr. Debra Zynger, Ohio State University, Columbus, Ohio, USA for reviewing the discussion.

Clinical history:

A 76 year old man with an incidental renal tumor in the lower pole of the right side of a horseshoe kidney underwent a partial nephrectomy.

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12 October 2022: Case of the Month #520

Thanks to Dr. Debra Zynger, Ohio State University, Columbus, Ohio, USA, for contributing this case and discussion, and to Dr. Bonnie Choy, Northwestern University, Chicago, Illinois, USA, for reviewing the discussion.

Clinical history:

A 61 year old man with no cancer history had a flaky rash in the penoscrotal region for 9 months. CT scans of the abdomen and pelvis were negative. He underwent a scrotal excision and partial penectomy.

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23 September 2022: Case of the Month #519

Thanks to Drs. Mario Marques-Piubelli and Roberto Miranda, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, for contributing this case and discussion and to Dr. Genevieve Crane, Cleveland Clinic, Cleveland, Ohio, USA, for reviewing the discussion.

Clinical history:

A 51 year old man with a medical history of HIV infection who was noncompliant with antiretroviral therapy presented with cough, dyspnea, chest pain, fever and pancytopenia. CT showed pleural and pericardial effusions but no masses. A pleurocentesis was performed.

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17 August 2022: Case of the Month #518

Thanks to Drs. Mariel Molina Nunez and Julie Jorns, Medical College of Wisconsin, Milwaukee, Wisconsin, USA, for contributing this case and discussion and to Dr. Kristen Muller, Dartmouth Geisel School of Medicine, Lebanon, New Hampshire, USA for reviewing the discussion.

Clinical history:

A postmenopausal woman, on a screening mammogram, was found to have a 15 mm mass in the lower inner quadrant of the left breast. Breast ultrasound revealed a 1.7 cm complex solid and cystic mass.

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20 July 2022: Case of the Month #517

Thanks to Dr. Viktoryia Kazlouskaya, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, for contributing this case and discussion and to Dr. Jonathan Ho, University of the West Indies, Mona, Jamaica for reviewing the discussion.

Clinical history:

A man in his 50s presented with leonine (resembling a lion) facies and keratotic papules all over his body. He mentioned that the condition has been present since he was a child and that his mother and siblings had similar skin features. A skin biopsy was obtained.

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22 June 2022: Case of the Month #516

Thanks to Drs. Hyunkyu Shin and Christian M. Schürch, University Hospital and Comprehensive Cancer Center, Tübingen, Germany, for contributing this case and discussion and to Dr. Borislav Alexiev, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA for reviewing the discussion.

Clinical history:

A 27 year old man presented with multiple peritoneal masses, up to 3.5 cm in size, with extension into the retroperitoneum and abdominal lymphadenopathy with necrosis.

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18 May 2022: Case of the Month #515

Thanks to Dr. Ayesha Farooq, Mayo Clinic, Rochester, Minnesota, USA and Dr. Julie Jorns, Medical College of Wisconsin, Milwaukee, Wisconsin, USA for contributing this case and discussion and to Dr. Gary Tozbikian, Ohio State University, Columbus, Ohio, USA for reviewing the discussion.

Clinical history:

A young woman presented to the emergency department with right breast pain, erythema and drainage. She recently had her bilateral nipples pierced and developed a small sore near the border of her right nipple that progressed to an open wound. She developed fevers, chills and nausea. She had a prior history of breast reduction complicated by skin infection but no personal or family history of breast disease.

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20 April 2022: Case of the Month #514

Thanks to Dr. Chunyu Cai, University of Texas Southwestern Medical Center, Dallas, Texas, USA for contributing this case and discussion and to Dr. Meaghan Morris, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA for reviewing the discussion.

Clinical history:

A 51 year old man presents with progressive hearing loss in the left ear, intermittent dizziness, difficulty walking and recent onset of severe headaches.

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