ABSTRACT
Lymphangiomas are a common form of vascular malformation of the lymphatic vessels, mainly in the head and neck region. Most cases are progressive evolution and require a multidisciplinary approach. Currently, the first therapeutic option is sclerotherapy, leaving surgery for the treatment of remaining lesions. Objective: To present a case of facial lymphatic malformation (LM) treated with sclerotherapy, surgery and orthodontics in a 15-year follow up. Case report: A one-year-old female patient who consulted health professionals due to a progressive volume increase of the soft parts of her right cheek. The imaging study confirmed the diagnosis of microcystic lymphatic malformation. It was managed with OK-432 sclerotherapy and Bleomycin. At 2 years of age, the patient response was considered adequate; an intralesional submandibular surgical excision was then performed, with partial resection of the lesion. The biopsy confirmed the diagnosis of microcystic LM. Six months after, a re-resection was planned using the same approach and removing the remaining lesion, with favorable development until the age of 9 years when the patient required surgery and orthodontic management due to intraoral recurrence. No major developments until the age of 13 when a new orthodontic surgery and handling are planned to perform right oral commissure suspension. Conclusion: LM management by sclerotherapy, surgery, and orthodontics has shown the advantages of a multidisciplinary long-term treatment in this case.
El linfangioma corresponde a una malformación vascular de los vasos linfáticos, preferentemente de la región de cabeza y cuello. La mayoría de los casos son de evolución progresiva y requieren un manejo multidisciplinario. Actualmente la primera opción terapéutica es la esclerosis, reservando la cirugía para el tratamiento de las lesiones remanentes. Objetivo: Presentar un caso de malformación linfática (ML) facial, tratado con escleroterapia, cirugía y ortodoncia en un seguimiento a 15 años. Caso clínico: Paciente de sexo femenino que consulta al año de edad por aumento de volumen progresivo de partes blandas en su mejilla derecha. El estudio de imágenes confirmó el diagnóstico de Malformación Linfática microquística. Se manejó con esclerosis seriada con OK-432 y Bleomicina. A los 2 años de edad se consideró que la respuesta era adecuada, y se procedió a realizar extirpación quirúrgica intralesional submandibular, con resección parcial de la lesión. La biopsia confirmó el diagnóstico de ML microquística. Seis meses después se planificó nueva resección utilizando el mismo abordaje y extirpando lesión remanente, con evolución favorable hasta la edad de 9 años en que requiere cirugía y manejo por ortodoncia, por recidiva de lesión a nivel intraoral. Evolución favorable hasta que a la edad de 13 años se planifica nueva cirugía y manejo por ortodoncia para suspender la comisura bucal derecha. Conclusión: El manejo de la ML mediante escleroterapia, cirugía, y ortodoncia muestra en este caso las ventajas de un tratamiento multidisciplinarion a largo plazo.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Facial Neoplasms/therapy , Lymphangioma/therapy , Lymphatic Abnormalities/therapy , Sclerotherapy/methods , Bleomycin/administration & dosage , Follow-Up Studies , Facial Neoplasms/diagnosis , Facial Neoplasms/pathology , Lymphangioma/diagnosis , Lymphangioma/pathology , Lymphatic Abnormalities/diagnosis , Lymphatic Abnormalities/pathology , Orthodontics, Corrective/methods , Picibanil/administration & dosageABSTRACT
O rabdomiossarcoma é o tumor de partes moles mais comum na infância, sendo raro o acometimento exclusivamente cutâneo. Apresenta-se caso de criança com nódulo doloroso na face, cuja análise histopatológica e imunoistoquímica confirmou tratar-se de rabdomiossarcoma, o qual foi conduzido por equipe multidisciplinar. Os tumores de partes moles são responsáveis por 6 por cento de todos os tumores infantis; destes, 53 por cento são rabdomiossarcomas, que podem acometer qualquer sítio. A manifestação como nódulo dérmico é incomum, representando um desafio diagnóstico, já que não possui características clínicas que o diferenciem de outras patologias.
Rhabdomyosarcoma is the most common soft tissue tumor in childhood; however, it rarely affects only the skin. This case report describes a child with a painful nodule on her face. Histopathology and immunohistochemistry confirmed the diagnosis of rhabdomyosarcoma, and a multidisciplinary team then followed up the patient. Soft tissue tumors are responsible for 6 percent of all childhood tumors, and 53 percent of these are rhabdomyosarcomas, which may affect any part of the body. Presentation in the form of skin nodules is rare and represents a diagnostic challenge, since there are no clinical characteristics that differentiate this condition from other pathologies.
Subject(s)
Child, Preschool , Female , Humans , Facial Neoplasms/pathology , Rhabdomyosarcoma, Alveolar/pathology , Skin Neoplasms/pathology , Chemotherapy, Adjuvant , Facial Neoplasms/therapy , Neoplasm Staging , Rhabdomyosarcoma, Alveolar/therapy , Skin Neoplasms/therapyABSTRACT
Osteoma cutis é a formação óssea no interior da pele, podendo ser primária ou secundária. Única ou múltipla, de tamanhos variados e acometendo ambos os sexos, é uma lesão cutânea rara, de etiopatogenia e classificação ainda discutidas. Nosso objetivo foi relatar o diagnóstico e a terapêutica minimamente invasiva de lesões múltiplas de osteoma cutis na face em pacientes com sequelas de acne. Fizemos a retirada dos osteomas com agulhas BD 0,70 x 25 22G1, sem anestésicos tópicos ou injetáveis no local. As pequenas incisões foram deixadas expostas, com pomada cicatrizante. Obteve-se um excelente resultado estético em 15 dias.
Osteoma cutis is a bone formation in the dermis can to be primary or secondary forms. Only, multiples, many forms, occurring on either sex, they are a rare cutaneous disease. The pathogenesis and classification remains unclear. Our objective was the diagnostic and small invasive surgery treatment of the osteoma cutis multiple of the face, in patients as a sequel of acne. To remove the osteoma we used needle BD 0,70x25 22G1, without anesthetic topic or inject able site. The small wounds were exposed with scarring balsam. We got an excellent esthetic result after 15 days.
Subject(s)
Adult , Aged , Female , Humans , Male , Acne Vulgaris/complications , Facial Neoplasms/etiology , Ossification, Heterotopic/etiology , Osteoma/etiology , Skin Neoplasms/etiology , Facial Neoplasms/diagnosis , Facial Neoplasms/therapy , Ossification, Heterotopic/diagnosis , Ossification, Heterotopic/therapy , Osteoma/diagnosis , Osteoma/therapy , Skin Neoplasms/diagnosis , Skin Neoplasms/therapyABSTRACT
Después de la cirugía oncológica, el paciente portador de tumor facial encuentra un desafío tan difícil como la propia enfermedad. Tal problema tiene que ver con la reducción de autoestima provocada por su nueva imagen corporal. Siendo así, el presente artículo describe una técnica de simple confección que puede solucionar problemas vividos por el paciente portador de prótesis nasal, sujetada mecánicamente por las gafas, pues por la noche el paciente se ve imposibilitado de usar ese aparato, por existir la posibilidad de estropearse. Para estos pacientes, la prótesis nasal de uso nocturno, a pesar de ser un aparato no estético se vuelve extremamente satisfactorio proporcionando así una mejoría significativa en la cualidad de vida de estos pacientes
After an oncological surgery, a patient who has a facial tumor encounters a challenge as hard as his own illness. This problem is related to the reduction of his self-esteem, caused by his new body image. Therefore, the following article describes a simple technique that may solve problems experienced by the patient that wears nasal prosthesis mechanically retained to glasses. During his rest, the patient is unable to normally wear his prosthesis because of the risk of breaking them up. For those patients, the night-wear prosthesis, in spite of not being an esthetical prosthesis, becomes extremely satisfying, thus providing a improvement in his quality of life
Subject(s)
Aged , Facial Injuries , Facial Neoplasms/diagnosis , Facial Neoplasms/therapy , Prostheses and Implants , Quality of LifeABSTRACT
A autora tece consideraçöes a respeito do tratamento ambulatorial dos pequenos tumores da face, enfatizando as dificuldades cirúrgicas encontradas e a forma de contorná-las.
Subject(s)
Humans , Facial Neoplasms/therapy , EstheticsABSTRACT
Os autores relatam um caso de granuloma facial, em adulto branco, masculino, com 38 anos de idade. A lesäo inicial e as duas outras que surgiram após o tratamento, na regiäo nasal, apresentavam aspecto nodular, cor purpúrea e a consistência moderadamente firme. Realizaram shaving, seguido de curetagem simples e eletrocoagulaçäo. Complementaram a observaçäo com revisäo bibliográfica.
Subject(s)
Humans , Male , Adult , Facial Neoplasms , Granuloma , Diagnosis, Differential , Facial Neoplasms/etiology , Facial Neoplasms/pathology , Facial Neoplasms/therapy , Granuloma/etiology , Granuloma/pathology , Granuloma/therapy , NoseABSTRACT
The understructure cancer is of bad prognosis about a study of 26 cases in 10 years in a cancer and ORL department, we show the contribution of the scanner and the extention study and the importance of the prothetic treatment of the functional rehabilitation
Subject(s)
Facial Neoplasms/therapyABSTRACT
Os autores mostram a técnica intra-arterial de infusäo de imuno e quimioterápicos para tumores da face. Eles a chamam de seletiva porque as substâncias säo dirigidas apenas para a área do tumor. A técnica, o esquema e os resultados imediatos säo mostrados, evidenciando o sucesso deste tipo de terapia, que evita a realizaçäo de cirurgias mutiladoras, proporcionando aos pacientes uma sobrevivência maior e mais normal