Carcinosarcoma de cérvix asociado a teratoma quístico maduro de ovario / Carcinosarcoma of the uterine cervix associated with an ovarian mature cystic teratoma

Presentamos un caso de carcinosarcoma de cérvix asociado a un teratoma quístico maduro de ovario, en una mujer de 55 años con diabetes, HTA y depresión. Consultó por metrorragia y tumoración pélvica. Se practicó histerectomía total, doble anexectomía y linfadenectomía. Recibió radioterapia (RT), 45Gy, y quimioterapia, 3 ciclos de (..) (AU)

We present a case of carcinosarcoma of the uterine cervix associated with an ovarian mature cystic teratoma in a 55-year-old woman with diabetes, hypertension and depression. The patient presented with metrorrhagia and a pelvic tumor. Total hysterectomy plus bilateral salpingo-oophorectomy and lymphadenectomy were performed. The patient received 45Gy radiotherapy, and chemotherapy, with three cycles of cisplatin but developed pelvic recurrence and was transferred for palliative (..) (AU)

Vincristine, an efficacious alternative for diffuse neonatal haemangiomatosis.

Diffuse neonatal haemangiomatosis (DNH) is an uncommon condition characterized by multiple cutaneous and visceral haemangiomas frequently causing severe complications. Corticosteroids constitute the first therapeutic line; however, when they fail, other alternatives are available, provided possible side effects are closely monitored during and after treatment. We present a case of life-threatening DNH, non-responsive to corticosteroids, successfully treated with Vincristine with minor side effects. We conclude that Vincristine is a valid alternative in corticosteroid-resistant DNH.

Diagnóstico prenatal de quiste aracnoideo / Prenatal diagnosis of an arachnoid cyst

El quiste aracnoideo (QA) es una rara malformacióncongénita que consiste en la acumulación de líquido cefalorraquídeo (LCR) entre las meninges cerebrales.Su diagnóstico prenatal es posible mediante la ecografía.La resonancia magnética (RM) resulta una herramientadiagnóstica útil ya que, además de confirmar el diagnóstico, puede proporcionar información adicional que ayude a establecer un pronóstico lo más certero posible. El diagnóstico prenatal del quiste aracnoideo permite una evaluación postnatal precoz y una intervención temprana que evite la aparición de complicaciones neurológicas irreversibles. Sepresenta el caso de una gestante diagnosticada en la semana 33 de un feto con un quiste aracnoideo. Revisamos esta infrecuente patología a la vez que analizamos las dificultades diagnósticas que nos supuso este caso y la ayuda que nos proporcionó la RM

Arachnoid cyst is an unusual congenital malformation.It consists in the accumulation of spinal fluid betweenbrain meninges. It is possible to do a diagnosis byan ultrasound study. Magnetic resonance imaging (MRI)is a useful diagnostic tool because it confirms the diagnosis and gives additional information to establish an accurate prognosis. Antenatal diagnosis of the arachnoid cyst allows an early postnatal assessment and an early intervention to avoid severe neurological complications. We present a case of a pregnant woman diagnosed in the week 33 of a fetus with an arachnoid cyst. We review this unusual disease and discuss the diagnostic difficulties of this case and how MRI helped us

[Usefulness of magnetic cholangioresonance in the study of hepatobiliary disease in patients adults with cystic fibrosis]. / Utilidad de la colangiorresonancia magnética en el estudio de la enfermedad hepatobiliar en pacientes adultos con fibrosis quística.

INTRODUCTION: Because alterations in the bile ducts found in cystic fibrosis mimic those found in primary sclerosing cholangitis, magnetic resonance cholangiography (MRC) could be a useful diagnosis technique, especially because it is non-invasive. MATERIAL AND METHODS: We prospectively studied 26 adult patients with cystic fibrosis. Of these, 11 had liver disease previously diagnosed on the basis of symptomatology, physical examination, liver function tests and abdominal ultrasound (group A) and 15 had no apparent liver disease (group B). In all patients liver function tests, abdominal ultrasound and MRC using 1.5 Teslas General Electric and Siemens systems were carried out. The images were interpreted blind by two radiologists with experience in the interpretation of biliary alterations in cystic fibrosis. RESULT: In 6 of the 11 patients in group A, MRC showed signs of liver cirrhosis (nodularity, irregular surface, splenomegaly, varicosity); 4 patients showed rose-colored images in the choledoch and intrahepatic ducts; of the 5 patients with previous non-cirrhotic liver disease, 2 showed rose-colored intrahepatic ducts, 2 showed dilatation of the intrahepatic ducts and 1 showed hepatosplenomegaly with hepatic steatosis. Of the 15 patients in group B, bile duct anomalies were found in 5. Of these, 3 showed rose-colored images of the hepatic ducts and/or choledoch, 1 showed stenosis of the common hepatic duct with rigidity of the intrahepatic ducts and 1 showed irregularities in the caliber of the intrahepatic ducts without dilatation, which were suspicious for intrahepatic lithiasis. CONCLUSIONS: MRC is a useful technique in the study of hepatobiliary disease in cystic fibrosis because it detected anomalies in all our patients previously diagnosed with liver disease and revealed ductal lesions not revealed by other non-invasive techniques.