[Primary synovialosarcoma: a case of unusual location]

AIM

Report a new case of primary Synovialosarcoma.

CASE

We report a case of a 16 year old girl, who presented with a tumefaction on the right clavicle evolving for 3 months. Various explorations carried out, in particular thoracic scanner and imagery by magnetic resonance, showed a multilocular cystic formation of the seat and the clavicle reaching the mediastinum. A pathological examination of the part (piece) highlighted a biphasic synovialosarcoma of grade III. This diagnosis was validated by the immunohistochemistry study and the detection of transcribed specific fusion of the synovialosarcoma, SYT-SSX1.

CONCLUSION

The unusual locations of the primitive SS must be known because the diversity of their microscopic aspects may cause confusion in the diagnosis. The immunohistochemistry, and more recently the cytogenetic studies, helps to solve these problems of differential diagnosis.

[A case of Nasal septum abscess]

INTRODUCTION

Abscess of the nasal septum is a rare and serious infection, because of the complications which it can generate. The authors report a new case of nasal septum abscess probably of dental origin.

OBSERVATION

A 47-year-old man consulted for bilateral nasal obstruction and rhinorrhea for 3 days with fever. The clinical examination as well as TDM imagery revealed a septal abscess. The patient underwent surgical drainage associated to triple antibiotherapy, with a good evolution at the end of 10 days. The etiologic assessment suggested dental infection.

CONCLUSION

This is a rare and serious infection of the nasal septum. This new case of rare abscess of the nasal septum gives us the opportunity to describe out the various etiologies, their management, and to insist on the preventive treatment of this infection.

[Nasal septal abscess: a case report]

INTRODUCTION

The nasal septum abscess is a rare and serious infection because of the complications which can be generated. The authors report a new case of nasal septum abscess to probably from dental origin.

OBSERVATION

A 47 year old man consulted for bilateral nasal obstruction and rhinorrhea for 3 days with an infectious context. The clinical examination as well as the CT scan demonstrated a septal abscess. The patient had a surgical drainage associated with a triple antibiotherapy with favourable evolution at the end of 10 days. The etiologic investigation is in favour of a dental etiology.

CONCLUSION

It is about a rare and serious infectious pathology of the nasal septum. We point out its various etiologies, its management, while insisting on the preventive treatment of this affection.