The medico-legal observation of an aggressive urogenital fibromatosis with isolated development not related to any traumatic event
| Autor: | Alessandra Rancati, Stefano Mantero, Enrico Muccino, Matteo Marchesi, Guendalina Gentile, Riccardo Zoja |
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| Přispěvatelé: | Muccino, E, Gentile, G, Mantero, S, Marchesi, M, Rancati, A, Zoja, R |
| Rok vydání: | 2016 |
| Předmět: |
Male
Forensic pathology medicine.medical_specialty Aggressive fibromatosi Urinary Bladder Autopsy Malignancy Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Cardiac tamponade Incidental Finding Scrotum Humans Medicine Retroperitoneal space Neoplasm Invasiveness Desmoid tumor Retroperitoneal Space 030216 legal & forensic medicine Forensic Pathology Aged Neoplasm Invasivene Incidental Findings MED/43 - MEDICINA LEGALE business.industry Fibromatosis medicine.disease Surgery Fibromatosis Aggressive medicine.anatomical_structure 030220 oncology & carcinogenesis Aggressive fibromatosis Genital Neoplasms Male business Law Human |
| Zdroj: | Forensic Science International. 260:e1-e6 |
| ISSN: | 0379-0738 |
| DOI: | 10.1016/j.forsciint.2016.01.001 |
| Popis: | Desmoid tumor is a fibroproliferative neoplasm with an intermediate malignancy and it can be localized in every bodily district: some locations are considered exceptional, like the urogenital localization. The Author point out a rare case of giant idiopathic scrotal fibromatosis that was found during an autopsy. A widower, that lived alone in poor hygienic conditions, was found dead in his house. The Judicial Authority ordered the autopsy, that was performed two days later at the Medico-Legal Section of Milan University. External examinations revealed only the considerable dimension of the scrotum (cm 24 × 41). The cause of death was fixed in a cardiac tamponade due to a natural heart laceration localized in correspondence of a transmural infarction. The toxicological exam resulted negative, while the histopathological and immunohistochemical analysis qualify the scrotal mass as a desmoids tumor. Due to the absence of predisposing conditions and of fibroproliferative infiltration in bladder and retroperitoneal space, the neoplasm was configured as an idiopathic desmoid tumor. The presented case gives the reason for the discussion concerning medico-legal aspects that are typical of rare neoplasms. |
| Databáze: | OpenAIRE |
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