ABSTRACT
Langerhans's cell histiocytosis (LCH) is an uncommon disease characterized by an accumulation of abnormal histiocytes, together lymphocytes and eosinophils in various organs and tissues. The head and neck are frequent sites of initial presentation. We present two cases of LCH with otorhinolaryngologic symptoms. Current recommendations for diagnosis, evaluation and treatment of LCH are also discussed.
Subject(s)
Histiocytosis, Langerhans-Cell/diagnosis , Otorhinolaryngologic Surgical Procedures/methods , Child, Preschool , Diagnosis, Differential , Ear/diagnostic imaging , Ear/surgery , Eosinophilic Granuloma/diagnostic imaging , Eosinophilic Granuloma/pathology , Eosinophilic Granuloma/surgery , Female , Histiocytosis, Langerhans-Cell/drug therapy , Histiocytosis, Langerhans-Cell/surgery , Humans , Infant , Tomography, X-Ray ComputedABSTRACT
Myoepithelioma is a rare salivary gland tumor (less than 1%) which are usually located in parotid gland and minor salivary glands. Histology and immunohistochemical features of this tumors are reviewed. We report 2 cases arising in parotid and hard palate.
Subject(s)
Myoepithelioma/diagnostic imaging , Myoepithelioma/pathology , Salivary Gland Neoplasms/diagnostic imaging , Salivary Gland Neoplasms/pathology , Adult , Aged , Female , Humans , Immunohistochemistry , Keratinocytes/metabolism , Male , Myoepithelioma/metabolism , S100 Proteins/metabolism , Salivary Gland Neoplasms/metabolism , Tomography, X-Ray ComputedABSTRACT
Non-Hodgkin lymphoma (NHL) comprise 7-10% of all malignant tumors in childhood. Early systems of classification (Rappaport, Luke-Collins) have been improved with the Working Formulation. NHL are classified into low, intermediate and high-grade disease. Head and neck manifestations of Burkitt's lymphoma are encountered in less than a quarter of the reported cases and usually present as cervical adenopathy. Parapharyngeal space and extranodal disease are unusual sites of involvement. We present a case of tonsillar lymphoma diagnosed with fine-needle biopsy and confirmed with excisional biopsy. Accurate staging (stage IV) and chemotherapy regimen was promptly begun. We review the clinical aspects, pathologic features and treatment of this disease.
Subject(s)
Burkitt Lymphoma/pathology , Tonsillar Neoplasms/pathology , Antineoplastic Agents/therapeutic use , Biopsy, Needle , Burkitt Lymphoma/drug therapy , Burkitt Lymphoma/surgery , Child , Humans , Male , Tonsillar Neoplasms/drug therapy , Tonsillar Neoplasms/surgery , TonsillectomyABSTRACT
A 21-year-old man with 3-month history of hoarseness and dyspnea was suspected to have Wegener's granulomatosis with initially appearing in the trachea. In spite of unspecific biopsies, the clinicopathological picture and the high titles of anticytoplasmic autoantibodies (ACPA) confirmed the diagnosis. The early treatment with cyclophosphamide impeded the evolution to graver systemic forms of the disease.
Subject(s)
Granulomatosis with Polyangiitis/diagnosis , Laryngostenosis/physiopathology , Vasculitis/diagnosis , Adult , Cyclophosphamide/therapeutic use , Diagnosis, Differential , Glottis/physiopathology , Granulomatosis with Polyangiitis/complications , Granulomatosis with Polyangiitis/drug therapy , Humans , Laryngostenosis/complications , Laryngostenosis/diagnosis , Larynx/drug effects , Larynx/physiopathology , Male , Vasculitis/complications , Vasculitis/drug therapy , Vasculitis/physiopathology , Voice Disorders/etiologyABSTRACT
Currently we practise salpingography for evaluating Eustachian tube permeability. In a similar mode, we describe a technique of graphic search, with impedianciometry, of patency in the osteomeatal complex, after puncture and placing Foley's catheter in the maxillary sinus. In several cases without opening, we make topical treatment though catheter. For this technique, we propose the term of infundibulography.
Subject(s)
Maxillary Sinusitis/diagnostic imaging , Otolaryngology/methods , Adolescent , Adult , Aged , Chronic Disease , Female , Humans , Male , Maxillary Sinusitis/physiopathology , Middle Aged , Otolaryngology/instrumentation , Permeability , RadiographyABSTRACT
We present a case of Castleman's disease (hyaline-vascular type) localized in the neck, confirmed by histopathological examination. A review of the illness is also reported.
Subject(s)
Castleman Disease/diagnosis , Head and Neck Neoplasms/diagnosis , Castleman Disease/etiology , Castleman Disease/pathology , Child , Head and Neck Neoplasms/pathology , Humans , MaleABSTRACT
The attempts for closing tympanic perforations has been a matter of concern between the otologists since past times. BANZER, in 1640, tried to seal them with pork bladder; YEARSLEY, in 1850, was the first to use a fragment of cotton wool to patch them up; BERTHOLD, in 1878, used skin grafts; and BLAKE, in 1887, did the same with papier patches. From 1950 onwards, owing to the spreading of optical devices, the utilization of several materials become generalized. Although independently of the followed technique high rates of closures were recorded, it seems advisable to stablish a procedure joining good results and the easiness of placement of the piece and, specially, to avoid the general anesthesia. In our Department the butterfly-like method of myringoplasties is practised in certain cases. The procedure is based in that of STROUD. The results are not better as those gained through classics but it is worth because of the advantages of application and the accuracy of placement.
Subject(s)
Ear Diseases/physiopathology , Ear, Middle/physiopathology , Myringoplasty , Tympanic Membrane/physiopathology , Adolescent , Adult , Aged , Child , Ear Diseases/surgery , Ear, Middle/surgery , Female , Humans , Male , Middle Aged , Tympanic Membrane/surgeryABSTRACT
We report two cases of major complications in therapeutic embolization of juvenile angiofibromas. We discuss no permanent and major complications of this procedure. A brief review of this illness is also presented.
