ABSTRACT
The presence of two or more different histologic types of neoplasms in patients treated for head and neck cancer is well known. It is provided the clinical case of a woman of 48 years old who developed two primary tumors, a squamous carcinoma of larynx and a clear cell carcinoma of kidney (hypernephroma). The diagnosis of second primary tumor was a casual find when an abdominal TC was being carried out. The more frequent association of a head and neck cancer is with a malignant tumors of lung, being unusual the malignant tumors of kidney association.
Subject(s)
Carcinoma, Renal Cell/diagnosis , Kidney Neoplasms/diagnosis , Laryngeal Neoplasms/diagnosis , Neoplasms, Multiple Primary/diagnosis , Female , Humans , Middle AgedABSTRACT
Aportamos el caso clínico de una mujer de 48 años que desarrolló dos tumores primarios, un carcinoma escamoso de laringe y un carcinoma de células claras de riñón (hipernefroma). El diagnóstico del segundo tumor primario fue un hallazgo casual al realizar un TC abdominal. La asociación más frecuente de un cáncer de cabeza y cuello es con una neoplasia maligna de pulmón, siendo inusual la asociación con una neoplasia de riñón
The presence of two or more different histologic types of neoplasms in patients treated for head and neck cancer is well known. It is provided the clinical case of a woman of 48 years old developed two primary tumors, a squamous carcinoma of larynx and a clear cell carcinoma of kidney (hypernephroma). The diagnosis of second primary tumors was a casual find when an abdominal TC was being carried out. The more frequent association of a head and neck cancer is with a malignant tumors of lung, being unusual the malignant tumors of kidney association
Subject(s)
Humans , Female , Middle Aged , Carcinoma, Renal Cell/complications , Carcinoma, Renal Cell/diagnosis , Carcinoma, Renal Cell/therapy , Laryngeal Neoplasms/complications , Laryngeal Neoplasms/diagnosis , Carcinoma/complications , Tomography, Emission-Computed/methods , Head and Neck Neoplasms/complications , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary , Lung Neoplasms/complications , Lung NeoplasmsABSTRACT
Tumors originating in the parapharyngeal space are rare. Eighty percent of the parapharyngeal space neoplasms are benign, and 20% are malignant. The most frequent tumours of this localization are those of salivary origin followed by neurogenic tumor and in third place the paragangliomas. This paper presents three representative cases of parapharyngeal space neoplasms. The literature is reviewed.
Subject(s)
Pharyngeal Neoplasms/pathology , Adult , Aged , Combined Modality Therapy , Humans , Middle Aged , Pharyngeal Neoplasms/therapyABSTRACT
Los tumores que se originan en el espacio parafaríngeo son poco frecuentes. Un 80 por ciento de las neoplasias del espacio parafaríngeo son benignas y un 20 por ciento son malignas. Los tumores que se encuentran con más frecuencia en esta localización son los que se originan en las glándulas salivares, seguidos por tumores neurogénicos y en tercer lugar por los paragangliomas. El objetivo de este trabajo es presentar tres casos representativos de los tipos más frecuentes de tumores en esta localización y realizar una revisión de la literatura de este tipo de tumores (AU)
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Subject(s)
Middle Aged , Adult , Aged , Humans , Combined Modality Therapy , Pharyngeal NeoplasmsABSTRACT
We present the case of a localized monostotic fibrous dysplasia in the frontal sinus with orbital extension and persistency after the first surgery; it had to be operated again with a fronto-orbitary reconstruction. The fibrous dysplasia is a rare bony alteration with transformation of the healthy bony tissue for a disestructuredone. Its etiology is unknown and can be associated to different syndromes, such as Albright's Disease. Its treatment is surgical, but presents a high percentage of recurrence, this is the xenson why it needs a close follow up.
Subject(s)
Fibrous Dysplasia, Monostotic/diagnosis , Frontal Bone , Orbit , Adult , Fibrous Dysplasia, Monostotic/complications , Humans , MaleABSTRACT
Presentamos un caso de displasia fibrosa monostótica localizada en el seno frontal con extensión orbitaria y persistencia tras la primera intervención, siendo operado nuevamente con reconstrucción fronto-orbitaria. La displasia fibrosa es una alteración ósea infrecuente con transformación del tejido óseo sano por otro fibro-óseo desestructurado, es de etiologia desconocida y puede asociarse a varios síndromes, entre ellos el síndrome de Albright (sólo en casos de displasia poliostótica). Su tratamiento es quirúrgico aunque presenta altas tasas de recidiva, por lo que su seguimiento debe ser continuado. (AU)
We present the case of a localized monostotic fibrous dysplasia in the frontal sinus with orbital extension and persistency after the first surgery; it had to be operated again with a fronto-orbitary reconstruction. The fibrous dysplasia is a rare bony alteration with transformation of the healthy bony tissue for a disestructuredone. Its etiology is unknown and can be associated to different syndromes, such as Albright's Disease. Its treatment is surgical, but presents a high percentage of recurrence, this is the xenson why it needs a close follow up (AU)
Subject(s)
Adult , Male , Humans , Frontal Bone , Orbit , Fibrous Dysplasia, Monostotic/diagnosis , Fibrous Dysplasia, Monostotic/complicationsABSTRACT
We report in this work the casual find of two bilateral and symmetrical cystic images on the apex petrosus, asymptomatic and with periodic controls. In the review of the literature we haven't found another case of this entity. The differential diagnosis of this pathology is showed. We expose the most characteristic imagings.
Subject(s)
Bone Cysts/diagnosis , Petrous Bone , Diagnosis, Differential , Female , Humans , Middle AgedABSTRACT
Presentamos en este trabajo el hallazgo casual de dos lesiones quísticas bilaterales y simétricas a nivel de la punta del peñasco, asintomáticas y sometidas a controles periódicos. En la revisión bibliográfica realizada no hemos encontrado ningún otro caso de bilateralidad de esta entidad. Hacemos el diagnóstico diferencial de su posible etiología y presentamos las imágenes más características (AU)
We report in this work the casual find of two bilateral and symmetrical cystic images on the apex petrosus, asymptomatic and with periodic controls. In the review of the literature we haven't found another case of this entity. The differential diagnosis of this pathology is showed. We expose the most characteristic imagings (AU)
Subject(s)
Middle Aged , Female , Humans , Petrous Bone , Bone Cysts/diagnosis , Diagnosis, DifferentialABSTRACT
A 57-year-old patient diagnosed as squamous cell carcinoma of the larynx underwent total laryngectomy and homolateral radical neck dissection. Twenty-eight days after an uncomplicated postoperative evolution, he presented headache, lowgrade evening fever, and a neurologic process with involvement at different levels. He quickly worsened and died within 72 hours. The case is analyzed and the literature is reviewed.
Subject(s)
Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Carcinoma, Squamous Cell/pathology , Humans , Laryngeal Neoplasms/pathology , Laryngectomy/methods , Magnetic Resonance Imaging , Male , Middle Aged , Neoplasm StagingABSTRACT
Presentamos el caso de un paciente de 57 años de edad diagnosticado de carcinoma epidermoide de laringe y sometido a laringuectomía total con vaciamiento cervical ganglionar bilateral que a los 28 días de la intervención, y tras un postoperatorio sin complicaciones, debuta con un cuadro de cefalea, febrícula vespertina y un cuadro neurológico con afectación multinivel, que empeora de forma rápidamente progresiva produciendo la muerte del paciente en 72 horas. En este trabajo analizamos el caso y revisamos la literatura (AU)
A 57-year-old patient diagnosed as squamous cell carcinoma of the larynx underwent total laryngectomy and homolateral radical neck dissection. Twenty-eight days after an uncomplicated postoperative evolution, he presented headache, lowgrade evening fever, and a neurologic process with involvement at different levels. He quickly worsened and died within 72 hours. The case is analyzed and the literature is reviewed (AU)
