RESUMEN
El cáncer de ovario es la segunda neoplasia maligna ginecológica más común, pero la principal causa de muerte entre las mujeres que padecen algún cáncer ginecológico. El hallazgo de metástasis a distancia en cáncer de ovario tanto en el diagnostico como durante el seguimiento, se encuentra en cerca del 18 por ciento de las pacientes. Las metástasis en piel se han reportado en cifras menores a un 4 por ciento. El compromiso cutáneo se ha descrito como un fenómeno tardío en la historia natural de la, enfermedad, reportándose una sobrevida promedio de 4 meses, posterior al hallazgo de la metástasis en piel. En éste trabajo se reporta el caso de una paciente con éste tipo de diseminación metastásica en piel, junto con una revisión bibliográfica del tema.
Ovarian carcinoma is the second most common gynecologic neoplasm, but it is still the main cause of death among the gynecologic tumors in women. Distant metastases are found in 18 percent of the patients with ovarian carcinoma. Skin metastases of ovarian carcinoma are very rare. It has been reported in almost 4 percent and in some cases as the first manifestation of the disease. Skin metastases have been described as a late manifestation during the natural history of the disease, reporting an average of 4 month survival after the finding of skin lesions. In this paper a case of a patient with this type of metastatic dissemination on skin is reported, including a bibliographic review of the literature.
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Adenocarcinoma Papilar/secundario , Neoplasias Cutáneas/secundario , Neoplasias Ováricas/patología , Resultado FatalRESUMEN
Objective: To perform an epidemiological data of the number and characteristics of patients who consult with ophthalmological emergencies in an Ophthalmology Service. Methods: Aretrospective analysis was performed of all patients attending to the Ophthalmology Service of José Joaquín Aguirre Hospital with ophthalmic emergencies, during one-month period. Consultation distributions were determined by gender, age, consultation reason and final diagnosis. Results: of the 2056 consultations seen in the Ophthalmology Service during the monitoring period, only 60 patients came due to an emergency. 48 percent were men and 52 percent women. Ages of the sample ranged from 0 to 86 years, were the 51-70 years interval represented 43.3 percent; 23.3 percent were due to traumatic causes and 76.7 percent of non-traumatic origin. In 40 percent of the cases the reason of consultation was red eye, while the most common final diagnosis was acute conjunctivitis (28.3 percent). Patients who required control represented 31.7 percent and hospitalization was not considered necessary. Conclusion: the medical emergencies caused by eye problems area major cause of disease, representing a significant proportion of the general ophthalmological consultations. Therefore, general doctors and other health professionals should be trained to identify, handle and refer to specialist if necessary, the most prevalent eye pathologies.