Subject(s)
Carcinoma, Basal Cell/secondary , Facial Neoplasms/pathology , Mandibular Neoplasms/secondary , Nose Neoplasms/pathology , Scalp/pathology , Skin Neoplasms/pathology , Aged, 80 and over , Carcinoma, Basal Cell/surgery , Facial Neoplasms/surgery , Female , Humans , Lymphatic Metastasis , Male , Mandibular Neoplasms/surgery , Nose Neoplasms/surgery , Skin Neoplasms/surgeryABSTRACT
The purpose of this article was to report a pediatric case of secondary cervical esthesioneuroblastoma involving the parapharyngeal lymph nodes. A 3-year-old boy came to our clinical observation because of a right lymphonodal mass evidenced by nuclear magnetic resonance and a diagnosis of Cushing syndrome associated with ectopic adrenocorticotropic hormone secretion, moon face, central obesity, asthenia, and hirsutism. At the age of 10 months, the patient underwent endoscopic surgery for asportation of the World Health Organization stage IV esthesioneuroblastoma. At 38 months of age, the patient underwent right parapharyngeal lymphadenectomy with surgical access by a double mandibulectomy. After surgery, serum ACTH, cortisolemia, and urinary excretion of cortisol were within the reference range. Blood pressure was recorded at 110/70 mm Hg. Moon face disappeared, as well as central obesity and hirsutism. Clinical report is presented together with brief review of literature.
Subject(s)
Adrenocorticotropic Hormone/metabolism , Cushing Syndrome/etiology , Esthesioneuroblastoma, Olfactory/metabolism , Esthesioneuroblastoma, Olfactory/pathology , Nasal Cavity/surgery , Nose Neoplasms/metabolism , Nose Neoplasms/pathology , Child, Preschool , Cushing Syndrome/surgery , Esthesioneuroblastoma, Olfactory/surgery , Humans , Lymph Node Excision , Lymphatic Metastasis , Male , Mandible/surgeryABSTRACT
The metastases to the TMJ from a primary lung tumour is a very rare occurrence. This case is unusual in several aspects, as the non-reducible dislocation of the TMJ was the first clinical manifestation of the tumour. CT staging showed that this secondary tumour in the condyle was the only bone metastasis.
Subject(s)
Adenocarcinoma/secondary , Lung Neoplasms/pathology , Mandibular Neoplasms/secondary , Temporomandibular Joint/pathology , Adenocarcinoma/diagnosis , Humans , Joint Dislocations/etiology , Lung Neoplasms/diagnosis , Male , Mandibular Neoplasms/diagnosis , Middle Aged , Neoplasm Staging , Tomography, X-Ray ComputedABSTRACT
The aim of the study was to describe a new and effective method for reconstructing small- and medium-sized oronasal communications in cases of deficient blood supply of oronasal mucosa.A male patient, aged 45, was presented with a hard palate defect due to chronic cocaine inhalation. The defect was corrected using bilateral Bichat bulla adipose flap and a Le Fort I osteotomy. The surgical technique was described, together with its advantages. Surgery lasted 2 hours. The reconstructive technique had been easy to execute. Six months after the surgery, the defect has been corrected without complications.Le Fort I osteotomy and the use of a bilateral Bichat bulla adipose flap is an effective technique to correct small- and medium-sized palatal defects not solvable with simple oral mucosa flaps. The technique is easy to execute and it showed a high efficacy with minimal impact on the patient's esthetic appearance.
Subject(s)
Cocaine-Related Disorders/complications , Nose Diseases/etiology , Nose Diseases/surgery , Oral Fistula/etiology , Oral Fistula/surgery , Osteotomy, Le Fort , Palate/surgery , Respiratory Tract Fistula/etiology , Respiratory Tract Fistula/surgery , Adipose Tissue , Humans , Male , Middle Aged , Surgical FlapsABSTRACT
Fanconi anemia is a rare autosomal recessive disorder characterized by various congenital malformations, progressive bone marrow failure at a very young age and of solid tumors development. The authors present a rare case of a squamous cell carcinoma of the hard palate in a Fanconi Anaemia patient. The atypical clinical manifestation rendered the diagnosis more difficult. This case, for age of appearance, sex and localization, is unique in international literature. We recommend a quarterly follow up of the oral-rhino-pharynx complex in FA patients and to consider as carcinomas, all oral lesions that last more than two weeks.
