ABSTRACT
Spontaneous esophageal rupture carries high morbidity and mortality. The main prognostic factor is early diagnosis, before 12 hours, and appropriate treatment. This is a case report of a 41-years-old man with late esophageal rupture diagnosis treated successfully with transmediatinal esophagectomy and esophageal-gastric tube cervical anastomosis.
Subject(s)
Adult , Humans , Male , Esophageal Perforation , Mediastinal DiseasesABSTRACT
Foram investigados cinco casos de carcinoma espinocelular (CEC) da mama e um tumor raro, e foram descritos menos de 150 casos na literatura médica. Foram analisadas as características clínicas, anatomopatológicas e terapêuticas das pacientes portadoras de CEC da mama, atendidas no Hospital de Câncer de Barretos. Quatro pacientes chegaram ao hospital com tumores volumosos e localmente avançados (pT4b), sendo submetidas a mastectomia e esvaziamento axilar, e, ao contrário da literatura, todas apresentavam metástase axilar. A radioterapia foi realizada em todas as pacientes, e a quimioterapia com antracíclicos foi realizada em três pacientes. Os receptores de estrogênio, progesterona e c-erb B2 foram negativos. Todas as pacientes encontram-se vivas e sem doença em um período de seguimento mediano de 55,6 meses; fato superior ao observado para o carcinoma ductal. Esses casos vêm a contribuir para melhor conhecimento da biologia desse raro tumor.
The authors report five cases of breast squamous cell carcinoma, a very rare tumor, whose there were described lower than 150 cases in medical literature. We analyze the clinical, pathologic and therapeutic aspects of breast squamous cell carcinoma. Pour patients had large and locally advanced tumors (PT4b), and they were submitted to mastectomy and axillary dissection; whose were noted axillary metastases, uncommon fact. Radiotherapy was done in all patients, and three patients received antraciclic chemotherapy. The receptors of estrogen, progesterone and c-erb B2 were negative. The patients are live without disease in a median period of 55,6 months which is superior to invasive ductal carcinoma. This report of a case represents a contribution to better knowledge of biology of this rare tumor.
Subject(s)
Humans , Female , Adult , Middle Aged , Aged, 80 and over , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/therapy , Carcinoma, Squamous Cell/pathology , Immunohistochemistry , PrognosisABSTRACT
Os autores analisaram quatro casos de carcinoma espinocelular da mama, um tumor raro, no qual foram descritos menos de cem casos na literatura médica. Analisaram-se as características clínicas, anatomopatológicas, terapêuticas das pacientes portadoras de carcinoma espinocelular da mama atendidas no Hospital de Câncer de Barretos. Todas as pacientes chegaram ao hospital com tumores volumosos e localmente avançados (pT4b). Os receptores de estrogênio, progesterona e c-erb B2 foram negativos. Todas as pacientes se submeteram a mastectomia e esvaziamento axilar e, ao contrário do que diz a literatura, todas apresentavam metástase axilar. Radioterapia foi realizada em todas as pacientes e quimioterapia com antracíclicos foi realizada em três pacientes. As pacientes encontram-se vivas e sem doença num período de seguimento mediano de 14,8 meses. Esses casos vêm a contribuir para melhor conhecimento da biologia desse raro tumor.
The authors report four cases of breast squamous cell carcinoma, a very rare tumor, whose with less than one hundred cases in described medical literature. We analyse the clinical, pathologic and therapeutic aspects of breast squamous cell carcinoma. All four patients had large e locally advanced tumors (pT4b). The receptors of estrogen, progesterone and c-erb B2 were negative. All patients were submitted to mastectomy and axillary dissection; whose were noted axillary metastases, uncommon fact. Radiotherapy was done in all patients, and three patients received antraciclic chemotherapy. The patients are alive without disease in a median period of 14,8 months. These cases represent a contribution to better knowledge of the biology of this rare tumor.