Inguinal Tumor Research Articles

Inguinal granular cell tumour with epithelial hyperplasia

Inguinal granular cell tumour with epithelial hyperplasia

Testicular cancer and cryptorchidism.

The records of 273 patients with germ cell tumours of the testis referred between 1970 and July 1991 were reviewed. There were 25 (9%) black, 40 (14%) mixed race and 214 (77%) white patients. Histology showed seminoma in 53% and non-seminomatous and germ cell tumours in 47% of patients. Maldescent of the testis (MDT) was found in 30 patients--an incidence of 11% overall. MDT was present in 8 of 25 (32%) black, 7 of 40 (18%) mixed race and 15 of 214 (7%) white patients with testicular cancer. The incidence of MDT was statistically significantly higher in both black and mixed race patients compared with white patients. None of the black patients had undergone orchiopexy but 71% of mixed race and 87% of white patients had done so. This resulted in a different pattern of presentation in black compared with mixed race and white patients with MDT and testicular cancer. The mean age was 40 years for black, 32 years for mixed race and 33 years for white patients. Black patients presented with abdominal or inguinal tumours rather than scrotal tumours and they had an increased tendency to present with seminomas.

CASE REPORTS OF ONE GLUTEAL DESMOID AND TWO ABDOMINAL DESMOIDS

Three cases of desmoid tumor, a rare benign tumor, are presented. A 17-year-old girl without a history of pregnancy or surgery was subjected to excision of a left buttock tumor with suppurative drainage. The tumor measured 14×10×10cm and was cystic. Microscopic study revealed fibromatosis and abscess. Four operations were necessary during the next six months for recurrence. A 34-year-old woman with a history of pregnancy and surgery for ectopic pregnancy was subjected to excision of a left inguinal tumor not related to the operative scar. The tumor measured 4.5×3.5×2cm and was whitish-gray and tendon-like in appearance. Microscopic study revealed fibromatosis. There was no evidence of recurrence for six years. A 31-year-old woman with a history of pregnancy and cholecystectomy was subjected to excision of a right lower quodrant tumor. The peripheral portion of the tumor was connected with the opeartive scar. The tumor measured 13×7×6cm and consisted of a cystic part and a whitish-gray part with tendon-like appearance. Microscopic study revealed fibromatosis. Polypropylene mesh and dura mater were used for repairing the abdominal wall defect after tumor excision. There was no evidence of recurrence for two and half years.

Giant Condyloma Acuminatum (Buschke-Lowenstein Tumor) Involving a Pilonidal Sinus: A Case Report and Review of the Literature

Giant condyloma acuminatum or Buschke-Lowenstein tumor has been reported to involve many areas about the perineum. The majority of previous documentations have implicated the coronal sulcus, prepuce, and fossa navicularis of the penis as the most likely foci to support growth. Authors have contributed multiple cases of perianal and rectal involvement as well as rare reports of inguinal, bladder, and endocervix-low uterine segment tumors. A case of giant condyloma acuminatum involving a chronic pilonidal sinus overlying the sacrum is described. Wide surgical extirpation was found to be a curative means of management.

Cryptorchidism and non-seminomatous testis cancer.

An analysis of 107 cases of cryptorchidism and non-seminomatous germ cell cancer treated between 1960 and 1976 is presented. The incidence of cryptorchidism in patients with testicular cancer is 9.8%. Eighty patients presented with ipsilateral inguinal tumours, 12 with contralateral intrascrotal tumours and 15 with abdominal tumours. There were 52 embryonal, 36 teratocarcinoma, 9 teratoma, and 10 choriocarcinoma tumours. The 5 year survival for all patients was 52.3%. The age distribution, pathology and stage of the patients was similar to non-seminomatous tumours not associated with cryptorchidism.

LEIOMYOMA OF THE ROUND LIGAMENT

Wells1is generally credited with being the first to report a case of leiomyoma of the round ligament. In 1865 he reported 2 cases of inguinal tumors which were described as fibrous tumors of the round ligament; one growth was the size of a small orange and the other the size of a coconut. Sanger,2in 1883, found reports of 11 cases of tumor of the round ligament in the literature and added 1 of his own. In his case the tumor was a fibromyosarcoma. Emanuel,3in 1903, added 68 cases. Taussig,4in 1914, brought the total number of cases to 141. Watkins,5in 1933, collected 173 cases of tumor of the round ligament from the literature; in 87 of these the tumor was a fibromyoma and was reported as a fibroma or a myoma. In 8 cases a diagnosis of sarcoma was made, and

On Inguinal Tumour Associated with Symptoms of Strangulated Hernia and Absence of the Testicle on the Affected Side

On Inguinal Tumour Associated with Symptoms of Strangulated Hernia and Absence of the Testicle on the Affected Side

Unusual Hæmorrhage from Inguinal Tumor — False Diagnosis — Reported Cases — Surgical Emergencies

Unusual Hæmorrhage from Inguinal Tumor — False Diagnosis — Reported Cases — Surgical Emergencies