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Abstract Objective: We sought to evaluate the added value of complementary functional imaging in the differential diagnosis of parapharyngeal space lesions, as well as the benefit of performing a structured evaluation of diagnostic cross-sectional examinations. Materials and Methods This was a retrospective study of 16 patients with parapharyngeal space lesions who were referred to our facility following a cross-sectional imaging study listing head and neck paraganglioma as a possible diagnosis. Each patient underwent somatostatin receptor scintigraphy with111In-pentetreotide (Octreoscan) prior to surgical resection of the lesion. In addition, the initial computed tomography (CT) or magnetic resonance imaging (MRI) scans were reviewed by two radiologists specializing in head and neck imaging, working independently, according to predefined diagnostic criteria. Results: Increased somatostatin receptor expression was observed in 14 of the 16 lesions evaluated. Histopathology of the surgical specimens showed that 11 of those 14 lesions were paragangliomas. Upon review, none of the three lesions for which there was a false-positive scintigraphy result (one intravascular meningioma and two schwannomas) were found to meet enough of the conventional imaging criteria for a diagnosis of paraganglioma. Conclusion: Structured analysis of imaging data increases the accuracy of the diagnosis of indeterminate parapharyngeal space lesions. Because of its high sensitivity, functional evaluation by somatostatin receptor scintigraphy should be considered a useful complementary tool for the detection of head and neck paraganglioma, provided that its limited specificity is taken into account.
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OBJETIVOS: caracterizar sociodemograficamente pacientes diabéticos adultos de um hospital público universitário, avaliar o conhecimento da doença e seu impacto psicossocial. MÉTODO: realizadas 62 entrevistas, criadas categorias com conteúdos verbais e feita contagem da frequência. RESULTADOS: da amostra, 54,8% eram do sexo feminino, 67,7% casados, 77,4% cursaram o Ensino Fundamental e 88,7% tinham Diabetes Mellitus tipo 2. Sabiam da necessidade de fazer dieta 82,3%, mas 46,8% tinham dificuldade em segui-la. Quanto ao impacto psicossocial, 37,1% deixavam de sair de casa devido à doença, 45,2% referiram prejuízo da capacidade ocupacional e 29%, dificuldade nos relacionamentos. Apresentaram queixa emocional 67,7%. CONCLUSÃO: observou-se alta frequência de queixas emocionais, pouco conhecimento e dificuldade para lidar com a doença. Ressalta-se a importância das ações multidisciplinares, auxiliando o paciente no processo de aceitação da doença e adaptação às mudanças necessárias, favorecendo a adesão ao tratamento.
OBJECTIVE: To characterize diabetic adult patients of a public university hospital, to evaluate their disease's knowledge, and the psychosocial impact of their illness. METHOD: 62 interviews were performed, verbal contents categorized and frequency counted. RESULTS: 54.8% of the patients were female, 67.7% were married, 77.4% with high school educational level and 88.7% with type 2 Diabetes Mellitus. 82.3% of the population knew the importance of a diet, but 46.8% had difficulties in following it. About psychosocial impact, 37,1% gave up on going out because of the disease, 45,2% had affected their ability to work, 29% reported relationship problems. 67.7% presented emotional complaints. CONCLUSION: Patients reported high frequency of emotional complaints, little knowledge and difficulties in dealing with their disease. It is also pointed out the importance of multidisciplinary actions, helping the patient in the disease acceptance process and in the adaptation to the necessary changes favoring treatment adherence.
OBJETIVOS: caracterizar sociodemográficamente pacientes diabéticos adultos de un hospital público universitario, evaluar el conocimiento de la enfermedad y su impacto psicosocial. MÉTODO: se realizaron 62 entrevistas, se crearon categorías con contenidos verbales y se hizo el cómputo de frecuencia. RESULTADOS: el 54,8% de la muestra fueron mujeres, el 67,7% casados, el 77,4% asistió a la escuela primaria y el 88,7% tenían Diabetes Mellitus tipo 2. Sabían de la necesidad de dietas el 82,3%, pero el 46,8% tenía dificultad en seguirla. En cuanto al impacto psicosocial, el 37,1% dejaba de salir de casa debido a la enfermedad, el 45,2% reportó pérdida de capacidad laboral y el 29%, dificultad en las relaciones. Presentó queja emocional el 67,7%. CONCLUSIÓN: hubo una alta frecuencia de quejas emocionales, poco conocimiento y dificultad para hacer frente a la enfermedad. Destacando la importancia de acciones multidisciplinarias, ayudando al paciente en el proceso de aceptación de la enfermedad y adaptarse a los cambios requeridos, alentando la adherencia al tratamiento.