A case of adenomatous polyps with prostatic type epithelium

A 41-year-old male presented with gross hematuria and was found to have a polypoid lesion of the prostatic urethra. This proved to be an adenomatous polyp with prostatic type epithelium. Transurethral resection was performed on August 3, 1985. He had no evidence of recurrence following the operation. Previously reported cases of relevance are briefly discussed.     

Inverted papilloma of the prostatic urethra: a report of two cases

Two men with inverted papilloma of the prostatic urethra are reported. Case 1 was a 67-year-old man with complaints of gross hematuria and urinary retention. Urethroscopy revealed a smooth-surface tumor with a stalk at the prostatic urethra. Case 2 was a 76-year-old man with complaints of gross hematuria and urinary retention. In these cases, the tumors were resected transurethrally and were consistent with inverted papilloma histopathologically.     

Phyllodes type of atypical prostatic hyperplasia: a report of 3 new cases

We report 3 new cases of phyllodes type of atypical prostatic hyperplasia. This lesion is characterized by epithelial and stromal proliferation. Stromal changes are the most characteristic finding in phyllodes type of atypical prostatic hyperplasia, which show atypical cells with enlarged, hyperchromatic sarcomatoid nuclei. Mitotic figures are not present. Although the histological appearance may mimic that of cystosarcoma phyllodes of the breast, this pattern is present only focally or not at all in phyllodes type of atypical prostatic hyperplasia. On computerized tomographic imaging phyllodes type of atypical prostatic hyperplasia has a distinct appearance. These patients can be expected to have a benign clinical course and distant metastases have not been reported. Treatment is by surgical excision as in benign prostatic hyperplasia.     

Ossifying subperiosteal hematoma associated with neurofibromatosis type 1: a report of two cases

Neurofibromatosis may be associated with ossifying subperiosteal hematoma resulting in lower extremity hypertrophy. We presented two girls, aged 10 and 13 years, with neurofibromatosis type 1, who exhibited increased thigh girth on the right side. Plain radiographs showed an ossifying cystic formation. Magnetic resonance scans demonstrated a fluid-fluid level. Diagnosis of ossifying subperiosteal hematoma was confirmed with a biopsy in both cases. In the older patient, radiologic studies after 1.5 years showed an increase in the wall thickness of the femoral cyst from 3 mm to 5 mm. In the other patient, cystic formation surrounding the tibia became more prominent at the end of five years. This patient died from multiple lung metastases following chemotherapy and wide resection for Ewing's sarcoma that developed in the right shoulder.     

Adenomatous hyperplasia of the rete testis: Report of two cases

We present two adenomatous hyperplasia of the rete testis (AHRT) cases. One of them was a 67-year old patient with prostatic adenocarcinoma and the other was a 38-year old patient with undescended testis. AHRT is a rarely seen lesion and usually detected as incidental microscopic finding. It may be confused with malignancy and related to testicular atrophy and hormonal imbalance.The treatment of choice is complete excision.     

Epignathus: a report of two cases

Two cases of epignathus are presented. The classification and clinical and radiological diagnoses are reviewed. Epignathi are rare embryological tumors, but with better preoperative assessment and awareness, safe surgical excision can be carried out. A careful long-term follow-up with regular examinations is essential to detect any residual lesions or extensions of the original embryological malformation.     

Urethral polyps in children: A review of the literature and report of two cases

A solitary polyp of the urethra is a rare benign fibroepithelial growth and has often been described in boys. Its occurrence in girls is exceptional. In the present paper, two children with solitary polyps of the urethra are presented and discussed. The first case was an 18-month-old boy with a posterior urethral polyp arising from the posterior urethra and extending to the bladder. It was excised by cystostomy because of an unsuccessful endoscopic removal attempt. The second case was a 2-year-old girl with an interlabial mass arising from the posterior wall of urethra and protruding from the external urethral meatus. It was excised transurethrally.     

Pachydermodactyly: a report of two cases

Pachydermodactyly is a superficial benign, symmetrical and painless fibromatosis, characterized by a swelling of the proximal interphalangeal joints of the fingers. Histological examination shows epidermal hyperplasia increase of dermal collagen bundles and an increased number of fibroblasts. We report two cases of pachydermodactyly in male teenagers. The aetiology remains unknown. Pachydermodactyly has to be distinguished from knuckle pads.     

Benign villous polyp with prostatic type epithelium of the penile urethra

We report a case of a benign polyp of the penile urethra composed of prostatic type epithelial tissue. The etiology, pathology, diagnosis and treatment of these uncommon lesions are discussed.     

Paraduodenal hernia: a report of two cases

Paraduodenal hernias are uncommon congenital herniations into the mesentery of the colon that present as small bowel obstruction. The diagnosis is elusive but may be made by CT scan or upper gastrointestinal series. There are three types: left, right, and transverse. The repair involves reduction of the hernia and closure of the mesenteric defect in accordance with the anatomy of the hernia. We present two cases of paraduodenal hernia that are representative of this unusual class of internal herniation.     

Tarlov cysts: a report of two cases

Perineural cysts are common and usually detected incidentally during magnetic resonance imaging of the lumbosacral spine. Treatment is indicated only when the cyst is symptomatic. We report one such patients presented with cauda equina syndrome and another with low back pain with claudication. They underwent excision and duraplasty; both motor and sensory fibres were carefully separated from the cyst wall using a nerve root retractor and penfield. There was no nerve root damage or neural deficit. Symptoms were relieved postoperatively.