Journal of Case Reports in Practice
Volume:4 Issue: 2, Apr 2016

A rare case of secretory carcinoma of breast in 10 year old Bangladeshi girl is presented briefly in this paper. She had a palpable lymph node of about 1 x 1 cm in size, firm in consistency and mobile in the left axillary region. She underwent excision of a mass in the same area about 1 year ago, then after 6 months interval, she noticed the lump to grow progressively again. Though fine needle aspiration cytology revealed benign fibroadenoma, the histopathology report confirmed the diagnosis of infiltrative secretory juvenile carcinoma of left breast. There are insufficient cases from Bangladesh to draw conclusions about presentation in the region.

Report on a clinical case that is experienced during the daily practice of medicine is of prime importance provided that its content add additional information to the knowledge in the field and help clinicians to be aware of the reported condition. Many case reports are published on a daily basis with various degrees of importance. The main idea underlying the report of a case is to share information on a rare or extraordinary presentation of a clinical condition or its association with a specific condition, or the response to a treatment modality or adverse effects of a treatment. Traditionally, case reports provide information on novel clinical phenomena and are easily accessible by clinicians. Numerous examples of case reports exist that have led to the discovery of many important findings. For example the association of HIV and Kaposi’s sarcoma came to attention through a case report1 or the identification of a slowly proliferating subtype of rabies encephalitis was also by a case report.2 In addition, regarding the new treatment modality and adverse effects of therapy, case reports have played a significant role. As examples, the usefulness of propranolol for infantile hemangioma3, development of peripheral neuropathy after the use of pyridoxine4, development of congenital abnormalities after the use of thalidomide5, and the risk of death due to selenium overdose6 were all through gaining knowledge from the case reports. In general, factors that contribute to the potential value of a case report include extraordinary nature of the case, informative or learning message that is conveyed, and originality and state-of-the-art conditions. An acceptable case report therefore should address several points such as well-documentation of the case, uniqueness and/or educational value, objectivity of the report description and well-interpretation of the case as to the applicability of information to other patients.7 Critical reading and appropriate use of the information provided in a case report is of prime importance in order to incorporate maximal advantage in clinical practice. For case reports to be transparent and accurate in reporting of information from a clinical experience and also in the publication, standardization guidelines termed CARE (CAse REporting) have been adapted.8 These guidelines will help in uniform reporting of the cases and make it possible more accurate analysis of large number of cases related to a specific condition. Educational content of a case report provides a valuable resource for learning, especially for clinicians involved in treating and management of patients. In fact, reporting a case could also be a suitable and preliminary step for beginners in the field of medicine who are interested in pursuing writing academic articles. 9, 10

Tonsillar cyst in esophagus is a very rare type of benign tumor, which arises in the submucosa of the esophagus and contains a squamous epithelia lining with abundant follicular lymphoid tissue. The tonsillar cysts, which had not previously been recognized in esophagus, are always exclusively located in the oral cavity and throat region. And there was no report of tonsillar cyst in esophagus in previous reports. The article represents a 65-year-old woman who was diagnosed as esophageal tonsillar cyst with operative pathological findings, and the gastroscopy showed no recurrence after a 2-year follow-up.

Solitary rectal ulcer syndrome is a chronic, benign lesion of the rectum. Its estimated prevalence is 1 case per 100,000 people per year. It is most frequently diagnosed in young females (in the fourth decade of life; in men it is most commonly diagnosed in the third decade). Reports of solitary rectal ulcer syndrome in children are scarce. Three largest series of pediatric cases include 12, 15 and 22 children. The choice of a therapeutic method for solitary rectal ulcer syndrome depends on the severity of clinical symptoms (including the presence of rectal prolapse) and includes dietary treatment (high-residue diet), topical pharmacological treatment (preparations with sucralfate, glucocorticosteroids, sulfasalazine and mesalazine), endoscopic treatment (argon plasma coagulation) and surgical treatment. The paper presents a case of a 15-year-old boy with solitary rectal ulcer syndrome, who after typical initial conservative treatment was treated endoscopically with one argon plasma coagulation (APC) procedure and presented with macroscopic improvement and subsidence of troublesome clinical symptoms. This is the first case, so far, of a child with solitary rectal ulcer syndrome successfully treated with endoscopy.

This case report explains the presence of bilateral temporal macular thinning without dot and fleck retinopathy in a patient with Alport syndrome. The case is a 32-year-old male patient, previously known as Alport syndrome, with no dots and flecks retinopathy or any other retinal lesions in his fundus. Optical coherence tomography showed bilateral thinning of the neurosensory retina in temporal region of the macula. In this case, thining of temporal area of the macula at the site of inner retina was obvious especially for territory of ganglionic cell layer and inner plexiform layer as well. In outer retina there was no difference in thickness between nasal and temporal part of the macula.