ABSTRACT
Since 1992, when our department acquired a flexible fiberscope with a working channel, we have used it in surgery on the upper respiratory and digestive tract. We call our technique laryngeal fiberscopic surgery. We report the results of four years of experience in this field. A total of 368 surgical interventions were performed, almost half to remove benign lesions of the vocal cords (polyps, nodules, etc). This technique is a major advance in our field of study. Its main advantages are avoidance of general anesthesia and hospitalization, reduction of surgical risk, and savings of time and money. We consider it to be a useful alternative to traditional direct laryngoscopy (Kleinsasser technique) for many applications.
Subject(s)
Fiber Optic Technology/methods , Laryngoscopy/methods , Larynx/surgery , Equipment Design , Fiber Optic Technology/instrumentation , HumansABSTRACT
A case is presented of cervical sarcomatoid carcinoma that was initially confused with malignant fibrohistiocytoma. The similarity in their histological features and compatible immunohistochemical tests make it necessary to include sarcomatoid carcinoma in the differential diagnosis malignant fibrohistiocytoma. Many atypical presentations of malignant fibrohistiocytoma may be true sarcomatoid carcinomas. Our case is special because the patient had a recent spinocellular carcinoma of the lip, in which the undifferentiated portion had originated lymph node metastasis.
Subject(s)
Carcinoma/pathology , Head and Neck Neoplasms/pathology , Histiocytoma, Benign Fibrous/pathology , Sarcoma/pathology , Aged , Carcinoma/secondary , Carcinoma/surgery , Carcinoma, Squamous Cell/pathology , Diagnosis, Differential , Female , Head and Neck Neoplasms/secondary , Histiocytoma, Benign Fibrous/secondary , Humans , Lip Neoplasms/pathology , Sarcoma/secondary , Sarcoma/surgeryABSTRACT
The AA. present a case of disseminated primitive melanoma of the rhinopharynx. The main difficulty was to establish the differential diagnosis, owing to the rarity of this tumor's type in such a sitting. The patient showed intracranial metastases which took him to death in a short term.
Subject(s)
Melanoma/pathology , Nasopharyngeal Neoplasms/pathology , Nasopharynx/pathology , Adult , Drug Therapy , Fatal Outcome , Humans , Male , Melanins/analysis , Melanocytes/chemistry , Melanocytes/ultrastructure , Melanoma/drug therapy , Melanoma/surgery , Nasopharyngeal Neoplasms/drug therapy , Nasopharyngeal Neoplasms/surgery , Nasopharynx/surgery , Tomography, X-Ray ComputedABSTRACT
We present 4 cases of adenoid cystic carcinoma from different locations (parotid, submaxillary, larynx and auditory duct) and we underline the supraglottic origin of one of them. We point out the good clinical behaviour of this carcinoma, with a long tested survival, more than 5 years, in 2 of our cases. All of them showed morphological features independently of the sitting.
Subject(s)
Carcinoma, Adenoid Cystic/diagnosis , Adult , Aged , Carcinoma, Adenoid Cystic/pathology , Carcinoma, Adenoid Cystic/surgery , Female , Humans , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/surgery , Larynx/pathology , Larynx/surgery , Male , Maxilla/pathology , Maxilla/surgery , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Parotid Gland/pathology , Parotid Gland/surgery , Parotid Neoplasms/pathology , Parotid Neoplasms/surgeryABSTRACT
Report of one case of Bell's peripheral bilateral facial paralyse in a woman, 62-year-old. This bening acute cranial polyneuritis is a frequent complaint, but its bilaterally makes the interest of the case. The clinical course of the illness parallels that of the unilateral cases, both having a good pronostic.
Subject(s)
Facial Paralysis/surgery , Electromyography , Facial Muscles/physiopathology , Facial Nerve/physiopathology , Facial Paralysis/complications , Facial Paralysis/physiopathology , Female , Functional Laterality , Humans , Middle Aged , Polyneuropathies/complicationsABSTRACT
Report of one case of Laryngocele in a 49 years old male, without previous anamnestic data, but urticaria and orchitis recurrens till the removal of the pyolaryngocele. The diagnosis was awkward because of its rare behaviour with torpid evolution and distant manifestations. The AA. think it was consistent with a septic focus.
Subject(s)
Laryngeal Diseases/diagnosis , Cysts/pathology , Cysts/surgery , Diagnosis, Differential , Humans , Laryngeal Diseases/pathology , Laryngeal Diseases/surgery , Laryngoscopy , Larynx/diagnostic imaging , Larynx/pathology , Larynx/surgery , Male , Middle Aged , Orchitis/diagnosis , Orchitis/etiology , Tomography, X-Ray Computed , Urticaria/diagnosis , Urticaria/etiologyABSTRACT
We present a case of parotid tuberculosis diagnosed through F.N.A.C. (fine needle aspiration cytology). Due to this rare extrapulmonary location of the tuberculosis, the AA. make a review of the last 12 years concerning literature together with a monographic study of the process.
Subject(s)
Parotid Diseases/physiopathology , Parotid Gland/physiopathology , Tuberculosis/diagnosis , Demyelinating Diseases , Electromyography , Facial Nerve/physiopathology , Facial Paralysis/physiopathology , Female , Functional Laterality , Hemiplegia/physiopathology , Humans , Hypoglossal Nerve/physiopathology , Isoniazid/administration & dosage , Isoniazid/therapeutic use , Middle Aged , Parotid Diseases/diagnosis , Parotid Diseases/drug therapy , Parotid Gland/diagnostic imaging , Pyridoxine/administration & dosage , Pyridoxine/therapeutic use , Rifampin/administration & dosage , Rifampin/therapeutic use , Sialography , Tuberculosis/drug therapy , Tuberculosis/physiopathologyABSTRACT
We have studied a 67 years old woman suffering from a 40 years evolution Pleomorphic adenoma. The specimen weighed 250 g, and showed several areas displaying carcinoma. This report confirms the relationship between long-term evolution and malignant transformation.
