ABSTRACT
O angioceratoma é um tumor de origem vascular, semelhante ao hemangioma, que se diferencia deste por alterações histológicas epiteliais. A apresentação ocular do angioceratoma é pouco frequente em cães, sendo mais comum a ocorrência de hemangioma e hemangiossarcoma. Neste relato, é descrito o caso de um cão, macho, da raça Border Collie, que apresentava uma massa localizada, hiperêmica, bem vascularizada e protrusa, na região temporal da conjuntiva bulbar do olho direito (OD). Foi realizado exame oftalmológico completo e ultrassonografia ocular, tendo sido possível observar que a massa não envolvia outras estruturas oculares além da conjuntiva. Dessa forma, foi realizada a conjuntivectomia parcial, e o material foi encaminhado para análise histológica. O exame histopatológico foi conclusivo para um angioceratoma e mostrou que as margens da amostra estavam livres. O procedimento cirúrgico com margem de segurança foi eficiente no tratamento da neoplasia, sem recorrência até o momento do presente relato.(AU)
Angiokeratomas have been described as tumors of vascular origin, similar to hemangioma but with participation of adjacent epithelium and less frequent in dogs. In this case we have reported an adult, male, Border Collie dog presenting a localized and hyperemic mass with protrusion surface and well vascularized region of temporal bulbar conjunctiva of the right eye (OD). Complete ocular examination and ocular ultrasound have revealed no involvement of other ocular structures beyond the conjunctiva. A partial conjuntivectomy was surgically performed, tissue material sent for histological analysis and angiokeratoma diagnosis was accurately made. Surgical procedure with a safety tissue margin has shown adequate treatment efficiency, with no neoplasia recurrence to date.(AU)
Subject(s)
Animals , Male , Dogs , Angiokeratoma/veterinary , Conjunctival Neoplasms/veterinary , Hemangioma/veterinaryABSTRACT
Paciente masculino de 29 años de edad, raza blanca, soltero, profesor universitario, con antecedentes de padecer crisis de epilepsia tratado con fenitoína y actualmente controlado, menciona que desde hace aproximadamente 4 semanas comenzó con ojo rojo y molestias oculares del ojo derecho, por lo cual acudió a su área de salud donde fue tratado como cuadro de conjuntivitis. No mostró mejoría alguna, sino empeoramiento del cuadro clínico, y observó un enrojecimiento ocular intenso en el ángulo interno de dicho ojo que se fue extendiendo, acompañado de ligera fotofobia. Por la tórpida evolución del cuadro decidió acudir a nuestra institución por lo cual fue remitido a la Consulta de Oculoplastia. También refirió que desde hacía dos meses había presentado anorexia, dificultad al comer, así como pérdida de peso, por lo cual se decidió comenzar estudio y tratamiento. Se decidió realizar la resección de la masa tumoral en conjuntiva bulbar y se envió para estudio anatomopatológico. El resultado fue compatible con un sarcoma de Kaposi(AU)
A twenty-nine years-old male Caucasian patient, single and university professor, with a history of epilepsy treated with fenitoin and managed at present. He stated that 4 weeks ago approximately, he began feeling ocular discomfort in addition to reddened eye, so he went to his health area where he was treated as a conjunctivitis case. No improvement occurred, the clinical picture worsened and there was intensive ocular reddening in the internal angle of the eye that extended and mild photofobia. Because of the rapid profession of the clinical picture, he decided to go to our institution where he was referred to the Oculoplasty Service. He also said that he had been suffering anorexia, difficulties to eating and weight loss two months ago. It was then decided to start the study and treatment of this case. First, the tumor mass from the bulbar conjunctiva was resected and then sent to anatomical pathological study service. The result was compatible with Kaposi´s sarcoma diagnosis(AU)
Subject(s)
Humans , Male , Adult , Conjunctiva/injuries , Epithelium, Corneal/injuries , Sarcoma, Kaposi/diagnosis , Sarcoma, Kaposi/therapyABSTRACT
Introducción: El Quiste de inclusión conjuntival gigante, forma parte de los quistes de inclusión epitelial, y en la literatura revisada solo se reportan esporádicos casos, asociados en la mayoría de ellos a cirugías previas, donde las células epiteliales son capturadas por la sutura e implantados en otros sitios Presentación del caso: Se describe el caso en paciente de 19 años, piel negra, oriunda de Malí, África, portadora de una lesión tumoral conjuntival, la cual recibió tratamiento médico sintomático durante 18 meses, sin resolución. Luego de evaluar el caso, se decide exéresis de la lesión con su posterior estudio anatomopatológico. Conclusiones: Se recibe el resultado con el diagnóstico confirmativo: quiste de inclusión conjuntival gigante. Se logró la recuperación total de la paciente. Se finaliza con un breve comentario de esta entidad a través de la literatura consultada.
Introduction: The Cyst of conjunctival giant inclusion, form departs from the cysts of epithelial inclusion, and occasional cases, associates report themselves in literature checked only in the their majority to previous surgeries, where epithelial cells are captured by the suture and established at another places. Case presentation: Describes him the case in patient of 19 years, black, native skin of Mali, Africa, beneficiary of a lesion conjunctival tumoral, which he received symptomatic medical treatment during 18 months, without resolution. Right after evaluating the case, makes a decision exéresis of the lesion with his posterior study anatomopatológico. Conclusions: The result with the confirmative diagnosis is received: Cyst of conjunctival giant inclusion. He got for himself the patient's total recuperation. It comes to an end with a brief comment of this entity through looked up literature.