Title:	Differential diagnosis of a calcified cyst found in an 18th century female burial site at St. Nicholas Church cemetery (Libkovice, Czechia)
Authors:	Kwiatkowska, Barbara Bisiecka, Agata Pawelec, Łukasz Witek, Agnieszka Witan, Joanna Nowakowski, Dariusz Konczewski, Paweł Biel, Radosłav Król, Katarzyna Martewicz, Katarzyna Lissek, Petr Vařeka, Pavel Lipowicz, Anna
Citation:	KWIATKOWSKA, B. BISIECKA, A. PAWELEC, Ł. WITEK, A. WITAN, J. NOWAKOWSKI, D. KONCZEWSKI, P. BIEL, R. KRÓL, K. MARTEWICZ, K. LISSEK, P. VAŘEKA, P. LIPOWICZ, A. Differential diagnosis of a calcified cyst found in an 18th century female burial site at St. Nicholas Church cemetery (Libkovice, Czechia). Plos One, 2021, roč. 16, č. 7, s. 1-16. ISSN: 1932-6203
Issue Date:	2021
Publisher:	Public Library of Science
Document type:	článek article
URI:	2-s2.0-85109185208 http://hdl.handle.net/11025/46984
ISSN:	1932-6203
Keywords in different language:	Libkovice;Czech republic;cemetery;human remains
Abstract in different language:	During archaeological excavations in burial sites, sometimes stoned organic objects are found, in addition to human remains. Those objects might be of a different origin, depending on various factors influencing members of a community (i.e. diseases, trauma), which pro- vides information about their living conditions. The St. Nicholas Church archaeological site (Libkovice, Czechia) in the 18th century horizon of the cemetery, yielded a maturus-senilis female skeleton with a stone object in the left iliac fossa. This object was an oviform cyst-like rough structure, measuring 54 mm in length, 35 mm in maximum diameter and 0.2–0.7 mm shell thickness. Within the object there were small fetal bones (long bones, i.e. femur and two tibias, two scapulas, three ribs, vertebrae and other tiny bone fragments). Methods uti- lized to analyze the outer and inner surface morphology of the cyst and its inside, included: X-ray, CT imaging, SEM, histological staining and EDS. The EDS analysis revealed the presence of primarily oxygen, calcium and phosphorus in bone samples, and oxygen and silicon, in stone shell. Based on the length of the femur (20.2 mm) and tibia (16 mm) shafts, the fetal age was determined as being in the 15–18 week of pregnancy. The differential diag- nosis was conducted, including for the three most probable cases: fetiform teratoma (FT), fetus-in-fetu (FIF) and lithopedion. The possibility of fetiform teratoma was discounted due to the presence of an anatomically correct spine, long bones and the proportions of the find. Although the low calcium content in the shell (2.3% atom mass), the lack of skull bones and the better developed lower limbs indicate fetus-in-fetu rather than lithopedion, the analyses results are unable to conclusively identify the object under one of these two categories since there are insufficient such cases in excavation material with which to draw comparison.
Rights:	© authors
Appears in Collections:	Články / Articles (KAR) OBD

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