ABSTRACT
Liposarcomas (LS) of the hypopharynx are uncommon tumors. All the literature considers laryngeal and hypopharyngeal liposarcomas together, and they represent 10-15% of all LS of the head and neck. Obstruction of the upper respiratory tract and dysphagia are usually the initial symptoms. The histological subtype is the most important prognostic factor. Surgery is the treatment of choice. Recurrences are frequent. We present a case about a liposarcoma in a 81 years-old man. Diagnosis, evolution and treatment are evaluated.
Subject(s)
Hypopharyngeal Neoplasms/diagnostic imaging , Hypopharyngeal Neoplasms/pathology , Liposarcoma/diagnostic imaging , Liposarcoma/pathology , Aged , Aged, 80 and over , Humans , Hypopharyngeal Neoplasms/surgery , Liposarcoma/surgery , Male , Tomography, X-Ray ComputedABSTRACT
Los liposarcomas (LS) de la hipofaringe son tumores infrecuentes. Toda la literatura considera juntos los liposarcomas laríngeos e hipofaríngeos y representan el 10-15 por ciento de todos los LS de cabeza y cuello.La obstrucción de la vía respiratoria alta y la disfagia son frecuentemente los síntomas de inicio. El subtipo histológico es el factor pronóstico más importante. La cirugía es el tratamiento de elección. Las recurrencias son frecuentes. Presentamos un caso de liposarcoma de hipofaringe en un varón de 81 años. Se analizan el diagnóstico, evolución y tratamiento (AU)
Liposarcomas (LS) of the hypopharynx are uncommon tumors. All the literature considers laryngeal and hypopharyngeal liposarcomas together, and they represent 10-15% of all LS of the head and neck. Obstruction of the upper respiratory tract and dysphagia are usually the initial symptoms. The histological subtype is the most important prognostic factor. Surgery is the treatment of choice. Recurrences are frequent. We present a case about a liposarcoma in a 81 years-old man. Diagnosis, evolution and treatment are evaluated (AU)
Subject(s)
Aged , Aged, 80 and over , Male , Humans , Liposarcoma/pathology , Hypopharyngeal Neoplasms , Liposarcoma , Hypopharyngeal Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
Venous thrombosis in superior extremities and neck represent less than 5% of the total of venous thrombosis. Internal jugular vein thrombosis is associated with intravenous drug abuse, long term venous catheterization, local infection or spontaneous occlusion. The clinical findings are cervical swelling, progressive inflammatory signs overlying sternomastoid muscle, and an important functional limitation. Diagnosis is confirmed by cervical ultrasounds and contrast-enhanced computer tomography. Usual treatment involves anticoagulation and antibiotics, surgery is not frequently needed. We described the management and outcome of six cases of internal jugular vein thrombosis.
Subject(s)
Jugular Veins/physiopathology , Venous Thrombosis/physiopathology , Adult , Female , Humans , Jugular Veins/surgery , Male , Middle Aged , Retrospective Studies , Syndrome , Venous Thrombosis/surgeryABSTRACT
La trombosis venosa en extremidades superiores y cuello representa menos del 5 por ciento del total de las trombosis venosas. La trombosis yugular interna (TYI) es una patología asociada a drogadicción parenteral, cateterizaciones venosas prolongadas, infecciones locales o también de aparición espontánea. Se presenta en forma de tumefacción cervical y signos inflamatorios progresivos a lo largo del borde anterior del esternocleidomastoideo junto a una importante limitación funcional. El diagnóstico se realiza mediante ecografía cervical y tomografía con contraste. El tratamiento habitual es con anticoagulantes y antibióticos con pocas indicaciones quirúrgicas. Presentamos seis casos de trombosis yugular interna; revisamos diagnóstico, tratamiento y evolución (AU)
Venous thrombosis in superior extremities and neck represent less than 5% of the total of venous thrombosis. Internal jugular vein thrombosis is associated with intravenous drug abuse, long term venous catheterization, local infection or spontaneous occlusion. The clinical findings are cervical swelling, progressive inflammatory signs overlying sternomastoid muscle, and an important functional limitation. Diagnosis is confirmed by cervical ultrasounds and contrast-enhanced computer tomography. Usual treatment involves anticoagulation and antibiotics, surgery is not frequently needed. We described the management and outcome of six cases of internal jugular vein thrombosis (AU)
