ABSTRACT
INTRODUCTION: Tumors developed in a salivary ectasia of the parotid gland are very rare. The authors describe a case of oncocytoma developed in such an ectopy. OBSERVATION: The tumor located in the parotid region was observed in a 79-year old man. There was no facial palsy, no pain, and no cervical adenopathy. MRI was the most helpful to localize and characterize the tumor. Surgical resection was performed after a parotidectomy. Histology confirmed the diagnosis. DISCUSSION: The physiopathology of this rare entity is discussed with a literature review. It might correspond to a mitochondrial anomaly.
Subject(s)
Adenoma, Oxyphilic/pathology , Choristoma/pathology , Masseter Muscle/pathology , Parotid Gland , Aged , Humans , Magnetic Resonance Imaging , Male , Mitochondria/pathologySubject(s)
Cysts/congenital , Nasal Obstruction/etiology , Nasolacrimal Duct/pathology , Cysts/complications , Dacryocystitis/etiology , Dyspnea/etiology , Female , Follow-Up Studies , Humans , Infant, Newborn , Lacrimal Apparatus Diseases/complications , Lacrimal Apparatus Diseases/congenital , Male , Rhinitis/etiologyABSTRACT
Blue Rubber Bleb Naevus Syndrome is a rare pathology: 70 cases have been noted since the first description, by Gascoyen, in 1860. It is an acquired disease which usually appears before the age of ten. It is marked by angiomatic cutaneo-digestive tumours combined with chronic anaemia and iron deficiency. Its many and various complications, particularly cataclysmic haemorrhages, car jeopardize the vital prognosis throughout. This little known syndrome is rarely diagnosed at the time of its first manifestations. We recall, from two cases and a review of their literature, the clinical characteristics of the syndrome, its complications and its essentially symptomatic treatment. We therefore suggest an approach to its diagnosis.
Subject(s)
Gastrointestinal Neoplasms/diagnosis , Hemangioma/diagnosis , Mouth Neoplasms/diagnosis , Nevus, Blue/diagnosis , Child , Female , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Neoplasms/complications , Gastrointestinal Neoplasms/surgery , Hemangioma/surgery , Humans , Laser Therapy , Male , Mouth Neoplasms/surgery , Nevus, Blue/surgery , PrognosisABSTRACT
Tonsillectomy for enlarged tonsils has been so soundly criticized that doctors no longer date to suggest the operation. If they do come to the conclusion that the procedure in inevitable, it is only after an expensive and sometimes aggressive work-up. In order to better establish the criteria which should determine this indication for amygdalectomy, we studied a series of 47 patients undergoing this procedure for enlarged tonsils. We conclude that it is most important to base decisions on a thorough physical examination which includes careful inspection of the pharynx and a complete history. Particular attention must be paid to symptoms, especially nocturnal, and to the failure to gain weight.
