ABSTRACT
Nasal T lymphoma constitute a type of lymphoproliferative very infrequent symdrome. One of the fondamental problems it presents to bring a high probability of survival obtain a precocious diagnose. It is due that it originates inespecific histologic lesions, and to its clinic. Only the close cooperation between the otorhinolaryngologist and the anatomopathologist can arrive to obtain a very speedy diagnose and in that way the possibility of a correct treatment, because newly treatments appear, to which this type of disease every day better respond. We present the cases of nasal T lymphomas diagnosticated in the ORL Service of the Toledo area during 15 years, their symptomotology, treatment, evolution and survival. Besides a up to date bibliographic revision on this controversial syndrome.
Subject(s)
Lymphoma, T-Cell/therapy , Nasal Cavity , Nose Neoplasms/therapy , Adult , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Combined Modality Therapy , Disease-Free Survival , Follow-Up Studies , Humans , Lymphoma, T-Cell/diagnosis , Lymphoma, T-Cell/diagnostic imaging , Lymphoma, T-Cell/drug therapy , Lymphoma, T-Cell/mortality , Lymphoma, T-Cell/radiotherapy , Magnetic Resonance Imaging , Male , Middle Aged , Nasal Cavity/diagnostic imaging , Nose Neoplasms/diagnosis , Nose Neoplasms/diagnostic imaging , Nose Neoplasms/drug therapy , Nose Neoplasms/mortality , Nose Neoplasms/radiotherapy , Time Factors , Tomography, X-Ray ComputedABSTRACT
Los linfomas T nasals constituyen un tipo de síndrome linfoproliferativo muy infrecuente. Uno de los problemas fundamentales que presenta para aportar una alta probabilidad de supervivencia a quien lo padece, es la dificultad que presenta para poder llevar a un precoz diagnóstico. Esto es debido a que origina unas lesiones histológicas inespecíficas, así como su clínica. Únicamente la estrecha cooperación entre el otorrinolaringólogo y el anatomopatologo, piuede llegar a obtener un diagnóstico con la mayor celeridad, y por tanto, poder tratarlo de forma correcta; ya que están apareciendo tratamientos novedosos a los que este tipo de enfermedad cada vez están respondiendo mejor. Se presentan los casos de linfomas T nasales diagnosticados en el Servicio de ORL del área sanitaria de Toledo, en un período de 15 años, su sintomatología, tratamiento, evolución y supervivencia. Además de una revisión bibliográfica actualizada sobre este controvertido síndrome
Nasal T lymphoma constitute a type of lymphoproliferative very infrequent symdrome. One of the fondamental problems it presents to bring a high probability of survival obtain a precocious diagnose. It is due that it originates inespecific histologic lesions, and to its clinic. Only the close cooperation between the otorhinolaryngologist and the anatomopathologist can arrive to obtain a very speedy diagnose and in that way the possibility of a correct treatment, because newly treatments appear, to which this type of disease every day better respond. We present the cases of nasal T lymphomas diagnosticated in the ORL Service of the Toledo area during 15 years, their symptomotology, treatment, evolution and survival. Besides a up to date bibliographic revision on this controversial syndrome
Subject(s)
Humans , Adult , Male , Nose Neoplasms/diagnosis , Nose Neoplasms/mortality , Nose Neoplasms/therapy , Lymphoma, T-Cell/diagnosis , Lymphoma, T-Cell/mortality , Lymphoma, T-Cell/therapy , Disease-Free Survival , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Nose Neoplasms/drug therapy , Nose Neoplasms/pathology , Nose Neoplasms , Magnetic Resonance Imaging , Time Factors , Lymphoproliferative Disorders/pathologyABSTRACT
A case ofparotid tuberculosis (PTB) that during its clinical presentation complementary proofs, exploration and realised treatment made suspect as first possibility a parotid tumor is presented. After an histologic study, it could be proved that the real problem of the patient was that she had suffered a parotid tuberculosis. An exposition of the case is made with the different technics that must be realised facing a patient of these caracteristics, before thinking in surgery, although secure, but with its mortal risks in these times where the incidence of tuberculosis is increasing in the first world.
Subject(s)
Mycobacterium Infections/complications , Mycobacterium tuberculosis/isolation & purification , Parotitis/microbiology , Adult , Biopsy, Fine-Needle , Female , Humans , Mycobacterium Infections/diagnosis , Parotitis/diagnostic imaging , Parotitis/pathology , Tomography, X-Ray ComputedABSTRACT
Leishmaniasis consists in a zoonotic infection, that means affect animals. Due to the puncture of the female sand fly type Phlebotomus (Ancient World) or Lutzomya (New World) the human being can be also affected. The clinical manifestations are very varied, depending to factors related with host, vector and the proper parasit. In this present work, we expose the three unic cases of Leishmaniasis affecting the larynx, diagnosticated in the sanitary area of Toledo. Due to the specific characteristics that present each case different treatments for each one have been realised, and its results and treatment exposed.
Subject(s)
Laryngeal Diseases , Leishmaniasis , Aged , Amphotericin B/administration & dosage , Amphotericin B/therapeutic use , Animals , Antiprotozoal Agents/administration & dosage , Antiprotozoal Agents/therapeutic use , Chronic Disease , Diagnosis, Differential , Follow-Up Studies , Humans , Laryngeal Diseases/diagnosis , Laryngeal Diseases/diagnostic imaging , Laryngeal Diseases/drug therapy , Laryngeal Diseases/surgery , Laryngitis/diagnosis , Laryngoscopy , Leishmania donovani/isolation & purification , Leishmaniasis/diagnosis , Leishmaniasis/diagnostic imaging , Leishmaniasis/drug therapy , Leishmaniasis/surgery , Leishmaniasis, Visceral/diagnosis , Male , Middle Aged , Radiography, Thoracic , Time Factors , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Se presenta un caso de tuberculosis parotídea (PTB), que durante su presentación clínica, pruebas complementarias exploratorias y tratamientos realizados; hizo sospechar como primera posibilidad, que presentaba un tumor en dicha glándula. Una vez estudiada histológicamente, se pudo comprobar como realmente el problema de la paciente era que había padecido una tuberculosis parotídea. Se hace una exposición del caso, así como las diferentes técnicas que se deben realizar ante un paciente de estas características, antes de llegar a someterle a una cirugía, que aunque segura, siempre entraña cierto riesgo de morbilidad. Sobre todo en estos tiempos en los que de nuevo la incidencia de tuberculosis está aumentando en el primer mundo
A case of parotid tuberculosis (PTB) that during its clinical presentation complementary proofs, exploration and realised treatment made suspect as first possibility a parotid tumor is presented. After and histologic study, it could be proved that the real problem of the patient was that she had suffered a parotid tuberculosis. An exposition of the case is made with the different technics that must be realised facing a patient of these characteristics, before thinking in surgery, although secure, but with its mortal risks in these times where the incidence of tuberculosis is increasing in the first world
Subject(s)
Female , Adult , Humans , Parotid Gland , Tuberculosis/diagnosis , Parotitis/etiology , Mycobacterium tuberculosis/isolation & purificationABSTRACT
La leishmaniasis consiste en una infección zoonótica, es decir, que afecta a los animales. Debido a la picadura de la hembra de la mosca de arena del género Phlebotomus (en el Viejo Mundo) o Lutzomyia (en el Nuevo Mundo), el ser humano también la puede padecer. Las manifestaciones clínicas son muy variadas, dependiendo de factores relacionados con el huésped, el vector y el propio parásito. En el presente trabajo se exponen los tres únicos casos de leishmaniasis que afectan a la laringe, diagnosticados en el área sanitaria de Toledo. Debido a las características específicas que presentan cada caso, se han realizado diferentes tratamientos para cada uno de ellos, exponiéndose su resultado y seguimiento. Se presenta una revisión bibliográfica actualizada de la enfermedad, donde se hace referencia a los últimos conocimientos publicados sobre esta peculiar parasitosis
Leishmaniasis consists in a zoonotic infection, that means affect animals. Due to the puncture of the female sand fly type Phlebotomus (Ancient World) or Lutzomya (New World) the human being can be also affected. The clinical manifestations are very varied, depending to factors related with host, vector and the proper parasit. In this present work, we expose the three unic cases of Leishmaniasis affecting the larynx, diagnosticated in the sanitary area of Toledo. Due to the specific characteristics that present each case different treatments for each one have been realised, and its results and treatment exposed
Subject(s)
Animals , Male , Middle Aged , Aged , Humans , Laryngeal Diseases/diagnosis , Laryngeal Diseases , Laryngeal Diseases/surgery , Laryngitis/diagnosis , Leishmaniasis/diagnosis , Leishmaniasis/drug therapy , Leishmaniasis/surgery , Amphotericin B/administration & dosage , Antiprotozoal Agents/administration & dosage , Chronic Disease , Diagnosis, Differential , Treatment OutcomeABSTRACT
Tuberculosis is the chronic granulomatose most common infection of the larynx. It appears generally from pulmonary tuberculosis. It prevails in men. The most habitual symptomatology includes dysphony, odinophagy, referred otalgy and sometimes dispnea. The majority of patients use to have radiological pulmonary affectation to the diagnosis. The nodular exophitic or ulcerous lesions can be confused with carcinoma, therefore in these cases the anatomopathologic study is essential. The diagnosis is made with positive spit samples, specific characteristics of the thorax radiography and the positive biopsies of acid-alcohol resistant bacillus. We present the patients diagnosed with laryngeal tuberculosis in our hospital between 1994 and 2004. We describe the diagnostic procedures realised and the adopted therapeutic attitude in every case and results.
Subject(s)
Mycobacterium tuberculosis/isolation & purification , Tuberculosis, Laryngeal/epidemiology , Adult , Aged , Antitubercular Agents/therapeutic use , Female , Humans , Incidence , Laryngoscopy , Male , Treatment Outcome , Tuberculosis, Laryngeal/diagnosis , Tuberculosis, Laryngeal/drug therapyABSTRACT
La tuberculosis es la infección crónica granulomatosa más común de la laringe. Aparece, generalmente a partir de una tuberculosis pulmonar. Predomina en hombres. La sintomatología más habitual incluye disfonía, odinofagia, otalgia referida ya veces disnea. La mayoría de los pacientes suelen tener afectación pulmonar radiológica al diagnóstico. Las lesiones nodulares exofiticas o ulcerosas pueden confundirse con carcinoma, por lo que en estos casos es imprescindible el estudio anatomopatológico. El diagnóstico se hace mediante muestras de esputos positivos, características específicas de la radiografia de tórax y las biopsias positivas de bacilos ácido-alcohol resistentes. Se presentan los pacientes diagnosticados de tuberculosis laríngea en nuestro hospital entre 1994 y 2004. Se describen las pruebas diagnósticas realizadas así como la actitud terapéutica adoptada en cada uno de ellos y sus resultados
Tuberculosis is the chronic granulomatose most common infection of the larynx. It appears generally from pulmonary tuberculosis. It prevails in men. The most habitual symptomatology includes dysphony, odinophagy, referred otalgy and sometimes dispnea. The majority of patients use to have radiological pulmonary affectation to the diagnosis. The nodular exophitic or ulcerous lesions can be confused with carcinoma, therefore in these cases the anatomopathologic study is essential. The diagnosis is made with positive spit samples, specific characteristics of the thorax radiography and the positive biopsies of acid-alcohol resistant bacillus. We present the patients diagnosed with laryngeal tuberculosis in our hospital between 1994 and 2004. We describe the diagnostic procedures realised and the adopted therapeutic attitude in every case and results
