ABSTRACT
Verrucous carcinoma is an odd kind from squamous or epidermoid carcinoma, amounting between 1 and 3.5% percent of the whole number of laryngeal growths. Its predominant sitting is glottic and are characterized through the pathological anatomy and its good prognosis. We report one case treated in our Department which evolved during 14 years and we point out its good prognosis and other particularities regarding its etiology, pathologic anatomy and diagnosis.
Subject(s)
Carcinoma, Verrucous/diagnosis , Laryngeal Neoplasms/diagnosis , Humans , Male , Middle Aged , Time FactorsABSTRACT
Sarcoidosis is a disease affecting the reticulo-histiocytary system and characterized by its several manifestations, always linked to the same lesion: the epithelioid granuloma without caseous necrosis. We make a review of this disease so scarce in our consulting rooms, and consider all patients diagnosed in our Hospital during one year-term, with their manifestations in ENT-area as well in other specialties and compare our inventory with other published series.
Subject(s)
Paranasal Sinus Diseases/pathology , Sarcoidosis/pathology , Adult , Aged , Biopsy , Female , Humans , Male , Middle AgedABSTRACT
A presentation the history of a 51-year-old woman with xerostomia and keratoconjunctivitis sicca (KCS), developed in 10 months, investigations revealed the presence in serum of antibodies against cytoplasmic antigens SS-A (Ac anti-Ro/SS-A), antinuclear antibodies (ANAs) and rheumatoid factor (RF). The Rose Bengal test was positive and in the salivary gammagraphy, made with pertecnate 99 mTc, it was observed a decrease of the captation and excretion of the designer for salivary glands. The histopathology and immunohistochemical study of minor salivary glands showed the presence of a focal lymphocitic sialadenitis (fsa) and a predominance of lymphocites CD4+. It was diagnosed as primary Sjögren's syndrome (PSS) and the patient treated with salivary substitutes, artificial tears and corticoids. We analyse the current diagnostic criteria of the group of study of the European Community for the Sjögren's syndrome (SS) and emphasize the importance of histologic and immunochemical studies, that together with the rest of complementary tests will led us to distinguish not only the different forms of the presentation of the illness but also those of all patients with pathologies which are nowadays very prevalent in our environment, such as the hepatitis C (HCV) an the human immune deficiency (HIV) virus infections.
Subject(s)
Sjogren's Syndrome/diagnosis , Female , Humans , Middle Aged , OtolaryngologyABSTRACT
The paper is a review of the jugulotympanic paragangliomata seen in our Hospital in a 2 years term. The AA. discuss every case and achieve a checking of several therapeutics procedures accepted for these growths.
Subject(s)
Ear Neoplasms/diagnosis , Ear, Middle , Glomus Jugulare Tumor/diagnosis , Neoplasms, Multiple Primary/diagnosis , Paraganglioma/diagnosis , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
Deep neck infections develop as aftermath of spreading infections from an initial focus to the neighbourhood and soft tissues of the neck, through routes offering lesser resistance as fascial sheets. These cervical pictures are not numerous and generally after infective focus bad treated, linked with concomitant factors easing the rapid spread. The presence of complications as the involvement of great blood vessels, mediastin or jeopardizing the air-way may darken the prognosis, for which reason its precocious diagnosis and correct behaviour are very decisive. The paper deals with one case of neck infect, following an acute banal pharyngitis without predisposing circumstances. Follows a review of the published bibliography.
Subject(s)
Fasciitis, Necrotizing/etiology , Pharyngitis/complications , Acute Disease , Combined Modality Therapy , Humans , Male , Middle Aged , Pharyngitis/diagnostic imaging , Pharyngitis/therapy , Tomography, X-Ray ComputedABSTRACT
Biopsy cannula is a diagnostic tool allowing anatomopathological examination of tissue samples, achieved through a percutaneous perforation. Unlike puncture-aspiration with fine needle method that only permits a cytologic study, this technique eases the removal of pieces big enough to provide the knowledge of the whole architecture of the lesion. At length in other specialities in our has been forgotten perhaps for the great efficiency of PAFN on neck masses or as complement of traditional surgery. We present one case in which the biopsy-cannula showed its diagnostic usefulness. We also discuss on the technique and made a bibliographic perusal about the published literature.
Subject(s)
Head and Neck Neoplasms/pathology , Biopsy, Needle , Catheterization , Humans , Male , Middle AgedABSTRACT
Diffuse idiopathic skeletal hyperostosis is a rare cause of dysphagia, preferentially affecting older men. This condition is also known as Forestier's malady, being characterized by a paravertebral ossification of 4 contiguous vertebrae at least. Seldom is the last etiology evoked for high dysphagia after other possible diagnosis exclusion. The diagnosis is confirmed by standard or contrast radiography. Introductory treatment is medical, being the surgery indicated for serious or resisting cases. One case is reported with dysphagia as primary sign of Forestier's malady, and review of possible diagnostic exams and treatments.
Subject(s)
Emphysema/etiology , Hyperostosis, Diffuse Idiopathic Skeletal/complications , Aged , Emphysema/diagnostic imaging , Humans , Hyperostosis, Diffuse Idiopathic Skeletal/diagnostic imaging , Neck , RadiographyABSTRACT
Neurilemmomas are relatively rare tumors derived from Schwann cells that may occur at any part of the body. Many are encapsulated and they are more frequently encountered in adults. A neurilemmoma of the hypoglossal cervical nerve, an unusual site, is reported. Submaxillary angioma was initially suspected.
Subject(s)
Cranial Nerve Neoplasms/diagnosis , Hypoglossal Nerve Diseases/diagnosis , Cranial Nerve Neoplasms/surgery , Female , Humans , Hypoglossal Nerve Diseases/surgery , Middle Aged , Paralysis/etiology , Postoperative Complications , Tongue Diseases/etiologyABSTRACT
Report on one case of primary neuroendocrine tumor of the submandibularis gland, early detected without initial spread. Immunohistochemistry and electron microscopy were realized in order to determine the presence of intracytoplasmatic hypersecretory thick granules, these being the laboratory trials to differentiate between neuroendocrine tumors and undifferentiate carcinomata. Bibliographic review and proposal of classification of this sort of tumors.
Subject(s)
Carcinoma, Neuroendocrine/ultrastructure , Submandibular Gland Neoplasms/ultrastructure , Aged , Carcinoma, Neuroendocrine/surgery , Humans , Male , Microscopy, Electron/methods , Submandibular Gland Neoplasms/surgeryABSTRACT
Granular cell tumor is an unusual growth of probably neuroectodermal histogenesis, first reported by Abrikossoff in 1926 with the name of myoblastoma. Of the about 1200 cases reported since, the 50 percent were found in the head and neck. Of second mentioned 10 percent had a laryngeal sitting. A case of glottic granular cell tumor surgically removed with free borders is presented. Bibliographical review.
Subject(s)
Granular Cell Tumor/pathology , Laryngeal Neoplasms/pathology , Larynx/pathology , Adult , Granular Cell Tumor/ultrastructure , Humans , Laryngeal Neoplasms/ultrastructure , Larynx/ultrastructure , MaleABSTRACT
Report of one case of Vernet's syndrome (involving the IX, X and XIth cranial nerves) in a young woman, as early sing of SEL. The patient presented the 4 criteria suggested by the American Society in order to diagnose SEL: arthritis, serositis, positive anti-nuclear antibodies and anemia. The AA. carry out a study in search of other cases sitting in the larynx and a perusal about etiopathogenical theories as well. Hinting, for the clinical picture, of being it due to a localised vasculitis of vasa nervorum, a treatment with corticoids and pentoxifylline was ordered, being the outcome, after 3 weeks, the eradication of ENT syndrome.