ABSTRACT
The mass are among the possible alterations observed in the axilla. When found, the most frequent differential diagnosis are lymphadenopathy, metastatic lymphadenomegaly, lymphoma, lipoma or tumors in the apocrine glands. Besides that, the presence of accessory breast tissue must also be considered and, as the topical breast tissue, can be the target of breast diseases, either benign or malignant. Female patient, 23 years old, with the presence of hardened palpable node in the right axilla. At the ultrasound, it presented characteristics that classified it as Bi-Rads® 4. An aspiration biopsy of the node was performed with fine-needle, which resulted in unsatisfying material. After the explanation of the therapeutic choices, the patient opted for the excision of the axillary node. The anatomical pathological result showed a nodular formation compatible with fibroadenoma. The occurrence of a node in the axillary region is common. However, in the vast majority of times, it is merely an inflammatory response, manifested as a lymphadenomegaly. In case of chronic mass with suspicious characteristics, it is convenient to suspect the presence of lymphoid neoplasms, locoregional metastasis of breast cancer or melanoma and alterations in accessory breast tissue. In young patients, it is important to evaluate the existence of accessory breast tissue with the presence of suspicious axillary node, because, although controversial, some authors believe that such alterations occur more frequently in these patients. Additionally, in cases of inconclusive imaging, an excision of the lesion must be performed for a definite diagnosis.
ABSTRACT
Orofacial clefts are the most prevalent craniofacial birth defects and these malformations transform an infant with severe functional and esthetic handicaps. Cleft lip and palate is a common malformation that occurs in about 2 in 1000 live births. The cleft can vary from a hardly visible furrow in the palate or on one side of the lip to bilateral complete clefts of the lip, alveolus and palate. Clefts of the lip, alveolus and palate are highly complicated malformations. The problems associated such as speech, function, esthetic, and socio-psychological and more precisely deleterious effect on the growth and development of teeth, alveolus and jaws. A specialized corrective surgery is mandatory and indicated in early months of life to achieve the best outcome to improve the function and appearance. We are presenting a case of unilateral incomplete cleft lip with primary repair in a 4months and 20days baby boy.
ABSTRACT
Se estudió un paciente masculino, negro, de 17 años de edad, caribeño, aparentemente sano hasta el año 2007 cuando aparece un tumor témporo-parieto-frontal izquierdo de crecimiento rápido, que compromete la cara. Al examen físico se constató, además, piel y mucosas pálidas con desnutrición severa. El diagnóstico histopatológico fue de melanoma maligno de células epiteloides...
The case of a black Caribbean patient aged 17 apparently healthy until 2007 when to appear a left temporal-parietal-frontal tumor of fast growth involving the face. At physical examination authors also confirmed a pale skin and mucosae with a severe malnutrition. The histopathological diagnosis was a malignant melanoma of epithelioid cells...