Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 236
Filter
1.
Rev. bras. oftalmol ; 81: e0030, 2022. graf
Article in Portuguese | LILACS | ID: biblio-1376783

ABSTRACT

RESUMO O hemangioma de coroide é um tumor vascular benigno, de coloração vermelho-alaranjada, bem delimitado, caracterizado por uma placa elevada. É um tumor raro, com prevalência de um caso a cada 40 tumores de coroide. O diagnóstico pode ser feito por meio da clínica associada à avaliação biomicroscópica e a exames complementares para diferenciação de outros tumores. O tratamento pode ser expectante nos casos assintomáticos. Para os casos sintomáticos ou com presença de fluido sub-retiniano, existem diversas terapias. O objetivo deste estudo foi relatar um caso de hemangioma circunscrito de coroide submetido a tratamento combinado de terapia fotodinâmica com verteporfina e injeção intravítrea de antiangiogênico (bevacizumabe). A decisão de tratar um hemangioma de coroide deve ser individualizada com base nos sintomas, na perda visual e em qualquer potencial de sua recuperação. O exame oftalmológico completo é necessário, mesmo em casos assintomáticos, para rastreamento precoce de doenças oculares.


ABSTRACT Choroid hemangioma is a benign, well-delimited orange-red, vascular tumor characterized by an elevated plaque. It is a rare tumor with a prevalence of one case in every 40 choroidal tumors. It can be diagnosed by the clinic associated with biomicroscopic evaluation and complementary tests to differentiate from other tumors. Treatment can be expectant in asymptomatic cases. For symptomatic cases or those with the presence of subretinal fluid, there are several therapies. The objective of this study was to report a case of circumscribed choroidal hemangioma submitted to combined treatment of photodynamic therapy with verteporfin and intravitreal injection of an antiangiogenic agent (bevacizumab). The decision to treat choroidal hemangioma must be individualized based on symptoms, visual loss, and any potential for recovery. A complete eye examination is necessary, even in asymptomatic cases, for early screening for eye diseases.


Subject(s)
Humans , Male , Middle Aged , Photochemotherapy/methods , Choroid Neoplasms/diagnosis , Choroid Neoplasms/therapy , Tomography, Optical Coherence , Bevacizumab/therapeutic use , Verteporfin/therapeutic use , Hemangioma/diagnosis , Hemangioma/therapy , Fluorescein Angiography , Choroid Neoplasms/pathology , Ultrasonography , Angiogenesis Inhibitors/therapeutic use , Receptors, Vascular Endothelial Growth Factor/antagonists & inhibitors , Drug Therapy, Combination , Hemangioma/pathology
2.
Arch. argent. pediatr ; 119(1): e36-e40, feb. 2021. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1147255

ABSTRACT

El hemangioma fusocelular es una neoplasia vascular benigna infrecuente. Afecta la dermis y la hipodermis de la parte distal de las extremidades; la afectación de la cabeza y el cuello es muy poco frecuente y nunca se informó compromiso de los senos paranasales. Este es el caso de un lactante de 4 meses con obstrucción nasal desde las 2 semanas debido a un tumor en los senos etmoidales que obstruía las fosas nasales. Se diagnosticó hemangioma fusocelular y se extirpó parcialmente el tumor. A los seis meses de seguimiento, se observó una regresión mínima con lesiones residuales. A los 30 meses, se observó que el tumor residual había desaparecido. El hemangioma fusocelular es infrecuente en cabeza y cuello y, a veces, la presentación no es indicativa del diagnóstico. El examen histopatológico ayuda con el diagnóstico diferencial y el tratamiento. La sensibilización sobre el hemangioma fusocelular podría aumentar los casos informados.


Spindle cell hemangioma (SCH) is a benign unusual vascular neoplasm. It does not have gender predilection and can occur at all ages. The disease affects dermis and subcutis of distal extremities predominantly; head and neck involvement is very rare, paranasal sinus involvement has not been reported before. Herein we present a 4-month-old infant with nasal obstruction since two weeks of age due to a mass in ethmoid sinus obliterating the nasal passage. After the histopathological diagnosis of SCH, the tumor was partially resected. In the sixth month follow-up, there was minimal regression of residual lesions. In the imaging studies performed 30 months after the surgery, the residual mass was found to be disappeared. SCH is not frequent in the head and neck, and presentation of some patients may not suggest the diagnosis. Histopathology is important for differential diagnosis and to orientate treatment. Awareness of SCH may increase the reported cases


Subject(s)
Humans , Male , Infant , Paranasal Sinuses , Head and Neck Neoplasms/surgery , Hemangioma/diagnosis , Nasal Obstruction
3.
Rev. bras. oftalmol ; 79(4): 273-275, July-Aug. 2020. graf
Article in Portuguese | LILACS | ID: biblio-1137975

ABSTRACT

Resumo O hemangioma de coroide é um tumor benigno relativamente raro, que se apresenta de forma circunscrita ou difusa, sendo esta última normalmente associada à Síndrome de Sturge-Weber. Os tumores circunscritos manifestam-se de forma insidiosa, com o diagnóstico realizado comumente após o aparecimento de sintomas secundários. Apresentam como diagnóstico diferencial lesões graves e potencialmente letais, como melanoma de coroide e doença metastática. Neste relato descrevemos o caso de um hemangioma intraocular nodular avançado associado a descolamento hemorrágico da retina, evidenciando o desafio do diagnóstico diferencial devido às semelhanças clínicas e radiológicas compartilhadas pelos tumores.


Abstract Choroidal hemangioma is a fairly rare benign vascular tumor that can manifest in either circumscribed or diffuse type; the latter one is usually related to Sturge-Weber Syndrome. The circumscribed tumors have an insidious presentation and diagnosis is commonly made after the onset of secondary symptoms. Serious and potentially lethal lesions, such as choroidal melanoma and metastatic disease, may represent a differential diagnosis. In this report, we describe an advanced case of nodular hemangioma associated with hemorrhagic retinal detachment. This case highlights the challenge of differential diagnosis in intraocular tumors, due to their similar clinical and radiologic features.


Subject(s)
Humans , Male , Adult , Retinal Detachment/diagnosis , Glaucoma, Neovascular/diagnosis , Choroid Neoplasms/diagnosis , Choroid Neoplasms/pathology , Hemangioma/diagnosis , Hemangioma/pathology , Eye Enucleation , Diagnosis, Differential
4.
Arq. bras. oftalmol ; 83(4): 338-341, July-Aug. 2020. tab, graf
Article in English | LILACS | ID: biblio-1131607

ABSTRACT

ABSTRACT Infantile hemangioma, the most common benign tumor in infancy, is usually an isolated condition occurring in many different locations in the body. However, large infantile hemangioma may be associated with other systemic malformations, including central nervous system, cerebrovascular, cardiac, and ophthalmology abnormalities, a condition termed PHACE syndrome. In this paper, we describe a case of PHACE syndrome that was presented with the unique association of a large facial infantile hemangioma and morning glory anomaly.


RESUMO O hemangioma infantil é a causa mais comum de tumor benigno na infância e usualmente é uma condição isolada podendo ocorrer em diferentes regiões do corpo. No entanto, hemangiomas infantil extensos podem ser associados com outras malformações sistêmicas incluindo anomalias no sistema nervoso central, cerebrovasculares, cardíacas e oftalmológicas, uma condição denominada síndrome PHACE. Neste trabalho, descrevemos o caso de um paciente com síndrome PHACE que se apresentou com um extenso hemangioma facial e anomalia de "morning glory".


Subject(s)
Humans , Infant , Aortic Coarctation/complications , Abnormalities, Multiple , Eye Abnormalities/complications , Neurocutaneous Syndromes/complications , Eye Neoplasms/complications , Hemangioma , Abnormalities, Multiple/diagnosis , Eye Abnormalities/diagnosis , Eye Neoplasms/diagnosis , Hemangioma/complications , Hemangioma/diagnosis
5.
Rev. medica electron ; 41(2): 522-529, mar.-abr. 2019. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1004284

ABSTRACT

RESUMEN El síndrome de Blue Rubber Bled Nevus se caracteriza por múltiples malformaciones cutáneas, asociadas con malformaciones menores en órganos internos, (comúnmente afectan los órganos del sistema digestivo y el sistema nervioso central). A nivel mundial, se afirma que hay cerca de 1 a 2 millones de individuos afectados por este síndrome, y se cree que incide en 1 de cada 6000. En recién nacidos la incidencia se ha calculado en menos de 1 caso por 100 000 persona/año. Se presentó un caso de una paciente femenina de 8 años de edad, con antecedentes de hemangiomas múltiples de color azul violáceo, distribuidos por toda la superficie corporal, de diferentes diámetros. Algunos protruyen y depresibles al tacto. Presentaba ptosis palpebral y movimientos torpes de los cuatro miembros, epilepsia y afectaciones del neurodesarrollo el cual corresponde con una edad cronológica de 11 meses. Mostraba una disminución importante de la visión. Presencia de pie valgo a predominio derecho. Apareció anemia leve por déficit de hierro, inmunoglobulina C3 y C4, la química sanguínea al límite de lo normal. La resonancia magnética nuclear mostró importantes signos de atrofia cortical, más acentuados en región temporal derecha. Son entidades de muy escasa presentación y en la provincia de Matanzas es el único caso con este diagnóstico, por lo que constituyó el motivo para la presentación del caso.


ABSTRACT The syndrome of Blue Rubber Bled Nevus is characterized by multiple skin malformations, associated to minor malformations in internal organs (it commonly affects the organs of the digestive system and the central nervous system). It is affirmed that around 1 to 2 millions of individuals are affected by this syndrome worldwide, and it is believed that it has incidence on 1 of each 6000 persons. In newborns the incidence has been calculated in less than 1 case per 100 000 persons/year. The authors presented the case of a female patient, aged 8 years, with antecedents of purplish-blue multiple hemangiomas of different diameters, distributed all over the surface if the body. Several of them are protruding and depressible to the touch. She presented eyelid ptosis and slow movements of the four limbs, epilepsy, and neurodevelopment affectations corresponding to a chronological age of 11 months. She showed an important decrease of the vision. The study showed a slight iron-deficiency anemia, immunoglobulin C3 and C4, blood chemistry at the normal limit. The magnetic resonance imaging showed important signs of cortical atrophy, stronger in the right temporal region. These are entities of scarce presentation and it is the only case with this diagnosis found in the province of Matanzas; that motivated this case presentation.


Subject(s)
Humans , Female , Child , Psychomotor Disorders/diagnosis , Syndrome , Nevus, Blue/diagnosis , Nevus, Blue/microbiology , Nevus, Blue/diagnostic imaging , Hemangioma/diagnosis , Hemangioma/microbiology , Hemangioma/diagnostic imaging , Nevus, Blue/rehabilitation , Epilepsy/diagnosis
6.
Rev. chil. dermatol ; 35(4): 158-161, 2019. ilus
Article in Spanish | LILACS | ID: biblio-1120283

ABSTRACT

El hemangioma microvenular corresponde a una neoplasia infrecuente de origen vascular y estirpe benigno. Su etiología es desconocida; sin embargo, se han reportado casos asociados a la inmunosupresión y factores hormonales. Suele aparecer en adultos jóvenes con ligera predominancia en mujeres y en la mayoría de los casos se presenta como un nódulo asintomático en extremidades. Clínicamente, puede imitar lesiones vasculares benignas y malignas. Dentro de su diagnóstico diferencial debe considerarse el Sarcoma de Kaposi y otros tipos de hemangiomas. Debido a su inespecificidad clínica, el diagnóstico debe ser realizado histológicamente. Se han descrito múltiples alternativas terapéuticas además del seguimiento periódico. Algunos casos han sido tratados con una escisión completa sin recurrencias a 5 años de seguimiento y otros tratados con láser pulsado con excelente respuesta. Se presenta el caso de una mujer de 44 años con una placa eritematoviolácea asintomática de aproximadamente 8 centímetros en su antebrazo derecho de 1 mes de evolución, con biopsia compatible y control clínico a 10 meses sin cambios significativos.


Microvenular hemangioma is a rare neoplasm of vascular origin and benign lineage. Its etiology is unknown; however, there are some cases associated with immunosuppression and hormonal factors. It usually appears in young adults with a slight predominance in women and in most cases, it presents as an asymptomatic nodule on the extremities. Clinically, it can mimic benign and malignant vascular lesions. Its differential diagnosis includes Kaposi's sarcoma and other types of hemangiomas. The diagnosis must be made histologically. Multiple therapeutic alternatives have been described. Some cases have been treated with complete excision without recurrence at 5 years, and others with pulsed laser with excellent response. We present the case of a 44 year old woman with a 1 month history of an asymptomatic erythematous plaque of approximately 8 centimeters in her right forearm with compatible biopsy. The lesion had no significant changes at 10 months followup.


Subject(s)
Humans , Female , Adult , Skin Neoplasms/diagnosis , Skin Neoplasms/pathology , Hemangioma/diagnosis , Hemangioma/pathology
7.
An. bras. dermatol ; 93(5): 712-715, Sept.-Oct. 2018. tab, graf
Article in English | LILACS | ID: biblio-949960

ABSTRACT

Abstract: Verrucous hemangioma is a rare vascular skin disorder with an immune profile similar to vascular neoplasms, but with behavior and evolution of vascular malformations. Its main differential diagnosis is angiokeratoma circumscriptum neviforme, with an almost indistinguishable clinical presentation because both diseases appear as erythematous patches that evolve to violaceous plaques, becoming scaly and even verrucous, most commonly affecting the lower limbs. Histopathology is crucial for the correct diagnosis: while in angiokeratoma the vascular alterations are limited to the papillary dermis, verrucous hemangioma extends deep into the dermis, reaching the subcutaneous tissue.


Subject(s)
Humans , Female , Child, Preschool , Skin Neoplasms/pathology , Hemangioma/pathology , Angiokeratoma/pathology , Skin Neoplasms/diagnosis , Diagnosis, Differential , Hemangioma/diagnosis , Angiokeratoma/diagnosis
8.
Rev. Hosp. Ital. B. Aires (2004) ; 38(3): 115-118, sept. 2018. ilus.
Article in Spanish | LILACS | ID: biblio-1022829

ABSTRACT

Los hemangiomas son tumores benignos infrecuentes en la laringe. El tratamiento está indicado cuando el tumor produce síntomas (disnea, hemoptisis, odinofagia) y también cuando el riesgo de hemorragia severa por traumatismo es alto. Tres hemangiomas de laringe e hipofaringe fueron tratados con éxito por vía transoral con láser de C02 y radiofrecuencia. Todos los pacientes se alimentaron por vía oral a las 24/48 horas y ninguno tuvo traqueostomía. La tasa de resección completa de los hemangiomas tratados por vía transoral fue 100%. (AU)


Hemangiomas are a rare type of benign tumors of the larynx. The treatment is indicated when the tumor produces symptoms (dyspnea, hemoptysis, odynophagia) and also when the risk of severe bleeding from trauma is high. Three hemangiomas of the larynx and hypopharynx were successfully treated transorally with C02 laser and radiofrequency. All were orally fed at 24/48 hours, and none had a tracheostomy The complete resection rate of hemangiomas treated transorally was 100%. (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Surgery, Oral/methods , Hypopharyngeal Neoplasms/surgery , Laryngeal Neoplasms/surgery , Hemangioma/surgery , Radio Waves/therapeutic use , Pharyngitis , Treatment Outcome , Dyspnea , Lasers, Gas/therapeutic use , Hemangioma/diagnosis , Hemangioma/etiology , Hemangioma/therapy , Hemoptysis , Hemorrhage/pathology
9.
Rev. bras. ginecol. obstet ; 40(6): 369-371, June 2018. graf
Article in English | LILACS | ID: biblio-958996

ABSTRACT

Abstract Hemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.


Resumo O hemangioma é uma neoplasia benigna que pode afetar a vulva e pode causar incapacidade funcional ou emocional. Este artigo relata o caso de uma paciente de 52 anos com história de úlcera genital nos últimos 3 anos, submetida a diversos tratamentos com cremes e pomadas. A paciente foi biopsiada e diagnosticada com hemangioma vulvar e subsequentemente submetida a excisão cirúrgica da lesão. Ressaltamos a importância de seguir as etapas do diagnóstico diferencial e proceder a uma abordagem cirúrgica somente se necessário.


Subject(s)
Humans , Female , Vulvar Neoplasms/surgery , Vulvar Neoplasms/diagnosis , Hemangioma/surgery , Hemangioma/diagnosis , Middle Aged
10.
An. bras. dermatol ; 93(3): 405-411, May-June 2018. tab, graf
Article in English | LILACS | ID: biblio-949868

ABSTRACT

Abstract: Infantile hemangioma can be linked to other organ malformations. In 1996, PHACE syndrome was first defined as the association of large and segmental infantile hemangioma, usually on the face, head, or cervical region, with malformations of the posterior fossa of the brain, arterial anomalies of the central nervous system, coarctation of the aorta, cardiac defects, and ocular abnormalities. Over 300 cases of PHACE syndrome have been reported, and it is cconsidered one of the most common neurocutaneous vascular disorders in childhood. Knowledge of the features and locations of lesions that imply a greater risk of systemic involvement is crucial for the diagnosis and proper management of PHACE syndrome patients. This review highlights the diagnostic criteria for PHACE syndrome, the imaging workup for extracutaneous involvement, the treatment of infantile hemangioma, and the importance of a multidisciplinary approach in the management of these patients.


Subject(s)
Humans , Aortic Coarctation/diagnosis , Facial Neoplasms/diagnosis , Eye Abnormalities/diagnosis , Neurocutaneous Syndromes/diagnosis , Hemangioma/diagnosis , Aortic Coarctation/complications , Aortic Coarctation/diagnostic imaging , Propranolol/therapeutic use , Brain/abnormalities , Brain/diagnostic imaging , Facial Neoplasms/drug therapy , Magnetic Resonance Imaging , Eye Abnormalities/complications , Eye Abnormalities/diagnostic imaging , Stroke/etiology , Neurocutaneous Syndromes/complications , Neurocutaneous Syndromes/diagnostic imaging , Face/diagnostic imaging , Hemangioma/drug therapy , Infant
11.
Medisan ; 22(3)mar. 2018.
Article in Spanish | LILACS | ID: biblio-987698

ABSTRACT

Los hemangiomas son tumores vasculares benignos con características biológicas muy específicas en la infancia; estos se pueden localizar en órganos, y reciben el nombre de internos, o en cabeza, cuello, tronco y extremidades, que son los denominados externos, los cuales crecen a una velocidad variable. Con este trabajo se buscó exponer algunas particulares clinicoepidemiológicas de los hemangiomas externos, su clasificación, diagnóstico y evolución. Asimismo, se refieren aspectos relacionados con la efectividad del propranolol como propuesta terapéutica de primera elección en niños y se presentan los resultados de algunos autores al respecto, que en su mayoría convergen en cuanto a la aplicación de este medicamento como de primera línea.


Hemangiomas are benign vascular tumors with very specific biological characteristics during childhood; these tumors can be located in organs, and receive the name of internal, or in head, neck, trunk and extremities that are denominated external, which grow to a variable speed. Some clinical epidemiological particularities of external hemangiomas were exposed with this work, such as their classification, diagnosis and clinical course. Also, there is a reference to some aspects related to the effectiveness of propranolol as therapeutic proposal of first election in children and the results of some authors in this respect are presented, most of which coincide as for its use as first line medication.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Propranolol/therapeutic use , Hemangioma/diagnosis , Hemangioma/drug therapy , Neoplasms, Vascular Tissue/therapy , Communication , Evaluation of the Efficacy-Effectiveness of Interventions , Hemangioma/classification
12.
Arch. argent. pediatr ; 116(1): 98-101, feb. 2018. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-887437

ABSTRACT

La patología mamaria en pediatría es infrecuente. El hallazgo de una masa a nivel mamario en un lactante es una situación poco común. Los posibles diagnósticos a esta edad son absceso mamario, mastitis, ingurgitación mamaria por estimulación hormonal materna y hemangioma. Es importante llegar al diagnóstico adecuado para emplear un tratamiento acorde y evitar la aparición de complicaciones de dichas patologías. Se presenta un caso de una lactante con una masa en la mama derecha detectada desde el nacimiento. Inicialmente, se trató como una mastitis, pero dada la mala evolución, se plantearon diagnósticos diferenciales y se concluyó que se trataba de un hemangioma. Debido a la ulceración de la lesión, junto con el riesgo existente de desarrollar hipoplasia mamaria, se decidió iniciar tratamiento con propanolol, con resolución casi completa de la tumoración.


Mammary pathology is infrequent during childhood. It is rare the probability of finding a breast mass in an infant. The most frequent possible diagnoses at this age are breast abscess, mastitis, breast engorgement due to maternal hormonal stimulation and hemangioma. Reaching the proper diagnosis is essential in order to apply a suitable treatment and avoid the potential disease complications. We present the case of a female infant having a mass in the right breast from birth. Initially the entity was treated as mastitis. Nevertheless, the bad evolution made necessary considering the differential diagnosis. It was concluded to be a hemangioma. Due to the lesion ulceration and the potential risk of developing breast hypoplasia, treatment with propranolol was started. The tumor was almost completely resolved.


Subject(s)
Humans , Female , Infant , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Hemangioma/diagnosis , Hemangioma/drug therapy , Mastitis/diagnosis , Nipples , Diagnosis, Differential
13.
Rev. chil. dermatol ; 34(4): 134-137, 2018. ilus
Article in Spanish | LILACS | ID: biblio-1103099

ABSTRACT

Los hemangiomas de la infancia (HI) son tumo-res vasculares que presentan un patrón evolutivo característico. Existe un subgrupo de HI que pre-senta un tipo de crecimiento distinto denominados hemangiomas de la infancia con crecimiento míni-mo o detenido (HI-CMD). En estos, el componen-te proliferativo no supera el 25% de la superficie total; además, afecta a niños de al menos dos meses de edad en la consulta inicial o a niños menores de dicha edad en los que se realiza un seguimiento mayor a 2 meses. Los HI- CMD con lipoatrofia son una variante poco frecuente de HI de la cual exis-ten escasos reportes en la literatura. El objetivo de nuestro trabajo es presentar un caso de HI-CMD con lipoatrofia en una lactante. Los HI-CMD presentan un desafío diagnóstico ya que deben ser reconocidos precozmente y diferencia-dos de otras lesiones vasculares.


Infantile hemangiomas (IH) are vascular tumors that present a characteristic evolutive pattern. There is a subgroup of hemangiomas that pre-sents a different type of growth called infantile hemangiomas with minimal or arrested growth (IH-MAG). In these, the proliferative component does not exceed 25% of the total surface; it also affects children of at least two months of age in the initial consultation or children under that age in which a follow-up of more than 2 months is carried out. IH-MAG with lipoatrophy is a rare variant of IH of which there are few reports in the literature.The aim of our report is to present a case of IH-MAG with lipoatrophy in an infant. IH-MAGs present a diagnostic challenge since they must be recognized early, and differentiated from other vascular lesions.


Subject(s)
Humans , Female , Infant , Skin Neoplasms/complications , Hemangioma/complications , Lipodystrophy/complications , Propranolol/therapeutic use , Skin Neoplasms/diagnosis , Skin Neoplasms/drug therapy , Hemangioma/diagnosis , Hemangioma/drug therapy , Lipodystrophy/diagnosis
15.
Rev. Soc. Bras. Med. Trop ; 50(4): 571-574, July-Aug. 2017. graf
Article in English | LILACS | ID: biblio-897002

ABSTRACT

Abstract Fascioliasis is a zoonotic disease caused by a leaf-like worm (fluke) called Fasciola. Herein, we present a case of human hepatic fascioliasis. A 57-year-old man was referred to the hospital for ambiguous gastrointestinal symptoms with suspected hemangioma. Hepatic fascioliasis was diagnosed using abdominal computed tomography and serology. He tested positive for the IgG antibody against Fasciola hepatica. The patient was treated successfully with triclabendazole. This is the first published report on the occurrence of fascioliasis in Northeast Iran, a non-endemic area for fascioliasis. Our results suggest the emergence of a new focus in the region.


Subject(s)
Humans , Animals , Male , Fascioliasis/diagnosis , Hemangioma/diagnosis , Abdominal Neoplasms/diagnosis , Diagnosis, Differential , Fascioliasis/epidemiology , Iran/epidemiology , Middle Aged
17.
J. coloproctol. (Rio J., Impr.) ; 37(1): 44-46, Jan.-Mar. 2017. ilus
Article in English | LILACS | ID: biblio-841308

ABSTRACT

ABSTRACT Anorectal hemangioma is one of the rarest causes of lower gastrointestinal bleeding, but is often neglected and confused in the differential diagnosis. The clinical examination is a turning point for a correct diagnosis and management of patients, thus avoiding unnecessary procedures. The treatment of choice for this condition is surgical and intraoperative bleeding is the main complication of this therapy. The present case reports a 25-year old patient with a history of bleeding from the age of 13, being diagnosed with anorectal hemangioma, and surgically treated with resection of the affected segment and with wound synthesis by marsupialization, with a good progression postoperatively.


RESUMO O Hemangioma Anorretal é uma das mais raras causas de Hemorragia digestiva baixa, sendo muitas vezes negligenciada e confundida no diagnóstico diferencial. O exame clínico representa um ponto decisivo para correto diagnóstico e manejo do paciente, evitando realização de exames desnecessários, e o tratamento de escolha dessa patologia é cirúrgico, sendo o sangramento intraoperatorio a principal complicação dessa terapêutica. O relato de caso a seguir reporta a história de paciente com 25 anos, que apresentava sangramento desde os 13, sendo diagnosticado com Hemangioma Anorretal e tratado cirurgicamente com ressecção do segmento afetado e síntese de ferida com marsupialização, evoluindo bem no pós-operatório.


Subject(s)
Humans , Male , Adult , Rectal Diseases/diagnosis , Hemangioma/diagnosis , Hemorrhage/diagnosis , Neoplasms, Vascular Tissue/diagnosis
18.
Reprod. clim ; 32(1): 63-65, 2017. ilus
Article in English | LILACS | ID: biblio-882668

ABSTRACT

Chorioangiomas are the most common benign placental tumors, with an estimated prevalence of 1%. Whilst small chorioangiomas usually remain asymptomatic and are of no clinical significance, larger tumors (>4cm) can be associated with a variety of complications, ranging from fetal anemia to in-utero demise in up to 40% of cases. Despite size being a major determinant for the risk of complications, the degree of the chorioangioma's vascularity also seems to play a role. In fact, in selected cases, occluding the tumors vessels (e.g. with alcoholic instillation) appears to improve the prognosis due to the subsequent tumor ischemia. We present the case of a 40-year-old woman who at 29 weeks was found to have a large placental hypervascular mass (93mm×66mm) and polyhydramnios, with an elevated peak systolic volume in the middle cerebral artery. She was given corticosteroids for fetal lung maturation, and throughout her admission both the volume of amniotic fluid stabilized and the peak systolic volume in the middle cerebral artery normalized, with changing of the ultrasonographic characteristics of the chorioangioma, with apparent progressive necrosis. At 34 weeks, a large subchorionic hematoma was found and, due to the risk of impending placental abruption, we opted to deliver by cesarean section, with a favorable outcome.(AU)


Corioangiomas são os tumores placentários benignos mais comuns, com uma prevalência estimada de 1%. Embora pequenos corioangiomas geralmente permaneçam assintomáticos e não tenham significância clínica, tumores maiores (> 4cm) podem estar associados a diversas complicações, que variam de anemia fetal até a morte intraútero em até 40% dos casos. Ainda que o tamanho do tumor seja um determinante principal para o risco de complicações, o grau da vascularidade do corioangioma também parece desempenhar um papel importante. De fato, em casos selecionados, a oclusão dos vasos tumorais (por exemplo, através de instilação de álcool) parece melhorar o prognóstico devido à subsequente isquemia tumoral. Apresentamos o caso de uma mulher de 40 anos a qual, com 29 semanas de gestação, apresentava grande massa hipervascular placentária (93×66mm) e poli-hidrâmnio, com elevação do peak systolic volume in the middle cerebral artery. Ela recebeu corticosteroides para a estimulação da maturação pulmonar fetal e durante a sua internação o volume de líquido amniótico foi estabilizado e o peak systolic volume in the middle cerebral artery normalizado, com mudança nas características ultrassonográficas do corioangioma, com necrose progressiva aparente. Com 34 semanas de gestação, observou-se a presença de hematoma subcoriônico de grande porte e, devido ao risco de descolamento prematuro da placenta, optou-se por parto cesariano, com desfecho favorável.(AU)


Subject(s)
Humans , Female , Pregnancy , Adult , Hemangioma/diagnosis , Hemangioma/pathology , Placenta/abnormalities , Trophoblastic Neoplasms
19.
Cir. parag ; 40(2): 34-35, nov. 2016. ilus
Article in Spanish | LILACS, BDNPAR | ID: biblio-972590

ABSTRACT

Los hemangiomas hepáticos son los tumores benignos más frecuentes, comúnmente se presentan en mujeres y son considerados gigantes cuando su diámetro supera 4 cm1.Se manifiestan con dolor abdominal y efecto de masa. Estos tumores pueden ser manejados por observación, enucleación, resección, y embolización.


Liver haemangiomas are the most common benign tumours, commonly presented in women and considered giant when their diameter surpasses 4cm1 . They manifest with abdominal pain and mass effect. These tumours can be managed by observation, enucleation, resection, and embolisation.


Subject(s)
Female , Humans , Middle Aged , Giant Cell Tumors/surgery , Hemangioma/diagnosis , Hemangioma/surgery
20.
Rev. cuba. angiol. cir. vasc ; 17(1): 0-0, ene.-jun. 2016. ilus
Article in Spanish | LILACS | ID: lil-783743

ABSTRACT

Introducción: las anomalías vasculares son motivo frecuente de consultas en la infancia; en Cuba se desconoce su prevalencia de las mismas, así como las conductas tomadas y las complicaciones que aparecen en la edad pediátrica. Objetivo: determinar la prevalencia de las anomalías vasculares en niños menores de cinco años del municipio Cerro. Métodos: estudio descriptivo exploratorio intencionado de corte transversal con técnica de muestreo aleatorio simple, en el período entre septiembre de 2013 a febrero de 2014. Se requirió una muestra de 312 niños de los 5 343 que conformaron el universo de estudio. La tasa de prevalencia se expresó por cada 1 000 niños. Resultados: se identificaron tres pacientes del sexo femenino con antecedentes patológicos familiares y personales de hemangioma. Se encontró que la tasa de prevalencia fue de 9,6 × 1 000 niños. El cuero cabelludo fue el sitio más afectado con el 66,7 por ciento (n= 2). No se constataron complicaciones en ninguno de los casos. Solo una paciente recibió tratamiento con esteroides sistémicos (n= 1; 33,4 por ciento). Conclusión: la tasa de prevalencia encontrada (9,6 × 1 000) de las anomalías vasculares en niños menores de cinco años pertenecientes al municipio Cerro es similar a la registrada mundialmente. Su mayor frecuencia se encuentra en el sexo femenino(AU)


Introduction: vascular anomalies are frequent reason for going to the doctor's in children, but their prevalence, behaviors to be followed and the complications at pediatric ages barely known in Cuba. Objective: to determine the prevalence of vascular anomalies in children aged less than five years in Cerro municipality. Methods: intentional cross-sectional, exploratory and descriptive study performed with simple random sampling technique, in the period from September 2013 to February 2014. The final sample was 312 children out of a study universe of 5 343 ones. The prevalence rate was estimated per 1 000 children. Results: three female patients were found to have personal and family history of hemangioma, the prevalence rate was 9.6 per 1 000 children. The scalp was the most affected area with 66.7 percent (n= 2). No complications were observed. Just one patient was treated with systemic steroids (n= 1; 33.4 percent). Conclusions: the prevalence rate for vascular anomalies in children less than five years old was 9.6 per 1 000 children in Cerro municipality, which is similar to that reported worldwide. It is more frequent in females(AU)


Subject(s)
Humans , Child, Preschool , Hemangioma/complications , Hemangioma/diagnosis , Peripheral Vascular Diseases/pathology , Cross-Sectional Studies , Epidemiology, Descriptive
SELECTION OF CITATIONS
SEARCH DETAIL