F. Leung

Môle hydatiforme hétérotopique ovarienne. À propos d’un cas

We report a case of ruptured ovarian molar pregnancy, diagnosed in the context of haemorragic shock 19 days following evacuation of an intrauterine hydatiform mole. To our knowledge, this is the first reported case of heterotopic molar pregnancy.

Postmenopausal pure rhabdomyosarcoma of the uterine corpus associated with previous pelvic irradiation.

Rhabdomyosarcoma of the uterine corpus is rare in adult females and can be encountered in two distinct histopathological contexts: usually as a component of a malignant mixed mullerian tumor (MMMT) and exceptionally as a pure heterologous sarcoma. Previous pelvic irradiation is a known risk factor for US. The histological type associated with previous pelvic irradiation is usually MMMT. We report a case of pure RMS of the uterine corpus in a post menopausal woman with a past history of pelvic radiotherapy. Our observation is worthy of publication because (1) pure RMS of the uterine corpus is extremely rare in post menopausal patients and (2) to our knowledge, this is the Wrst reported case of pure RMS of the uterine corpus associated with previous pelvic irradiation.

Traitement adjuvant du cancer du sein par le tamoxifène : réflexions sur le risque de carcinosarcome utérin

A descriptive analysis of available data on reported cases of uterine carcinosarcomas associated with tamoxifen therapy is undertaken. The role of aromatase inhibitors as alternative to tamoxifen therapy in the adjuvant setting of breast cancer is discussed. The eventual implications of the presumed association of uterine carcinosarcoma and tamoxifen therapy on the choice of the therapeutic agent in the adjuvant setting of hormone-sensitive breast cancer are discussed.

Actinomycose secondaire du psoas : une complication du dispositif intra-utérin

Genital-pelvic actinomycosis is an uncommon disease which often arises on women with long term use of intrauterine device. Its diagnostic remains difficult. Even if different clinical locations has been reported, location to the psoas muscle is exceptional. We report such a case, diagnosed on a 53 years old woman. Both a tumoral and a severe infectious syndrome appeared three months after an intra-uterine device removal. The septic syndrome led to a laparotomic approach. Unusual clinical presentation, delay between device removal and septic syndrome and lack of genital infection explain the issues to reach the final diagnosis.

Angiosarcome mammaire radio-induit après traitement conservateur du cancer du sein. À propos de deux cas

Breast angiosarcoma is a rare but serious complication of radiotherapy. We report two cases of radiation-induced breast angiosarcoma in two patients having benefited from breast conserving surgery with radiation. We shall put emphasis on the etiopathogeny of these tumours and their clinical and therapeutic aspects.