ABSTRACT
Abstract Squamous cell carcinoma (SCC) is the second-most common malignant cutaneous cancer, with 60% occurring in the head and neck region. Metastases are uncommon and imply a more conservative prognosis. This report describes a case of parotid-invasive, facial squamous cell carcinoma, highlighting the importance of its prognostic and therapeutic management. The patient is an 81-year-old female, exhibiting extensive tumoral lesions in the pre-auricular region, affecting the parotid parenchyma and implying the metastatic involvement of the intra-parotid lymph node. Parotid involvement caused by SCC in specificity tumors is discussed herein. Parotid invasion is currently recognized as an isolated variable. It affects survival rates and determines certain changes in case management, such as the broadening of resection areas and adjuvant radiotherapy.
Subject(s)
Humans , Female , Aged, 80 and over , Facial Neoplasms/pathology , Parotid Neoplasms/secondary , Carcinoma, Squamous Cell/secondary , Prognosis , Facial Neoplasms/surgery , Parotid Neoplasms/surgery , Carcinoma, Squamous Cell/surgery , Follow-Up Studies , Lymph Node Excision , Neck/surgeryABSTRACT
O adenoma alveolar é uma neoplasia benigna rara dos pulmões, com poucos casos descritos na literatura. Freqüentemente, o paciente é assintomático e apresenta-se com um achado acidental em telerradiografias de tórax de um nódulo solitário e bem circunscrito. O diagnóstico definitivo é histológico e o tratamento consiste na ressecção cirúrgica do nódulo.
Alveolar adenoma is a rare benign neoplasm of the lungs, and very few cases have been described in the literature. Patients with alveolar adenoma are frequently asymptomatic and are diagnosed through the accidental discovery of a singular, well-delineated nodule on a routine chest X-ray. The definitive diagnosis is made histologically, and the treatment consists of surgical resection of the nodule.
Subject(s)
Humans , Female , Adult , Adenoma/diagnosis , Lung Neoplasms/diagnosis , Adenoma/surgery , Lung Neoplasms/surgery , Thoracotomy , Tomography, X-Ray ComputedABSTRACT
Granulomas hialinizantes são lesões fibrosantes benignas que em geral se apresentam radiologicamente sob a forma de nódulos múltiplos, freqüentemente escavados e/ou calcificados. Neste trabalho é relatado o caso de uma paciente de 28 anos de idade que apresentou a doença provavelmente secundária a infecção tuberculosa prévia. Ressalta-se a necessidade da inclusão deste diagnóstico diferencial frente ao quadro radiológico de múltiplas lesões nodulares.
Hyalinizing granulomas are benign fibrotic lesions that generally present multiple nodules seen on radiological examinations, which are frequently cavitary and/or calcified lesions. We report a case of a 28 year-old-woman with hyalinizing granulomas probably secondary to a previous tuberculosis infection. Hyalinizing granulomas should be included in the differential diagnosis of patients with multiple pulmonary nodules.