ABSTRACT
Fibrous histiocytoma has a variable, unpredictable behaviour and potential for malignancy. The treatment of choice is wide local excision, which, in the larynx, entails total laryngectomy. A case of fibrous histiocytoma of the larynx, treated successfully by radiotherapy, is presented. A recurrence was treated with cryosurgery and the patient is well at 10-year follow-up. The pathological characteristics of fibrous histiocytoma and the difficulties of classification are reviewed.
Subject(s)
Histiocytoma, Benign Fibrous , Laryngeal Neoplasms , Adult , Histiocytoma, Benign Fibrous/pathology , Histiocytoma, Benign Fibrous/therapy , Humans , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/therapy , MaleABSTRACT
An unsuspected subtotally perforated eardrum treated with wax softening drops shows how clinical findings do not always correlate with symptoms or history. Attention is drawn to the dilemma posed by delegating matters such as diagnosis and prescribing which have been considered to be purely in the medical sphere.
Subject(s)
Tympanic Membrane/injuries , Administration, Topical , Adult , Cerumen , Ear Diseases/diagnosis , Ear Diseases/drug therapy , Female , Humans , Nonprescription Drugs , Rupture, SpontaneousABSTRACT
Intranasal injury without external involvement is not common. To our knowledge this is the first reported case of such an injury, caused by an assailant's two fingers forced up the nostrils of our patient causing severe mucosal laceration and excessive bleeding. The patient died two weeks later.
