ABSTRACT
La afectación ovárica como debut de un linfoma de Burkitt sin enfermedad extraovárica detectable es anecdótica, por lo que habitualmente no se incluye como hipótesis diagnóstica tras el hallazgo de una tumoración ovárica. Su desconocimiento lleva a realizar un tratamiento equivocado que puede llegar a comprometer el deseo reproductivo de la paciente. Presentamos el caso de una paciente que presenta un linfoma de Burkitt con afectación ovárica como manifestación inicial. La paciente desarrolló una progresión sistemática excepcionalmente rápida. A propósito de este caso y de su inusual evolución, revisamos la literatura existente.
Ovarian involvement as the initial manifestation of a Burkitt lymphoma without detectable extra-ovarian disease is rare, which is why it is usually not included in the differential diagnosis when an ovarian tumor is detected. A missed diagnosis will lead to the wrong treatment being given, and this can compromise any future reproductive wishes of the patient. In this article, a patient presents a Burkitt lymphoma with ovarian involvement as an initial manifestation and an unusually rapid systemic progression of the disease. Prompted by this case and its unusual course, we reviewed the existing literature.
Subject(s)
Humans , Female , Adolescent , Ovarian Neoplasms/diagnosis , Burkitt Lymphoma/diagnosis , Ovarian Neoplasms/pathology , Burkitt Lymphoma/pathology , Disease Progression , Diagnosis, DifferentialABSTRACT
El coriocarcinoma es un tumor epitelial altamente maligno, constituido exclusivamente por elementos trofoblásticos con ausencia de vellosidades coriónicas e invasión del miometrio. Forma parte de la enfermedad trofoblástica gestacional maligna y se caracteriza por producir elevados niveles sanguíneos de hormona gonadotrofina coriónica. Su frecuencia es de uno por cada 50.000 gestaciones. El coriocarcinoma puede surgir de cualquier tejido trofoblástico: embarazo molar (50%), aborto (25%), embarazo ectópico (2,5%) y gestación normal (22,5%). Hemos de presentar un caso que nos surgió en la consulta de urgencias en obstetricia, que durante el puerperio fue diagnosticada de coriocarcinoma
Choriocarcinoma is a highly malignant epithelial tumour consisting exclusively of trophoblastic elements without chorionic villi and myometrial invasion. It is part of malignant gestational trophoblastic disease and is characterised by elevated blood levels of the hormone chorionic gonadotropin. Its prevalence is 1 in 50,000 pregnancies. Choriocarcinoma may arise from any trophoblastic tissue: molar pregnancy (50%), abortion (25%), ectopic pregnancy (2.5%) or normal pregnancy (22.5%). We present a case of choriocarcinoma diagnosed during the puerperium by the obstetrics emergency department
Subject(s)
Humans , Female , Adult , Pregnancy , Choriocarcinoma/diagnosis , Postpartum Period , Gestational Trophoblastic Disease/complications , Gestational Trophoblastic Disease/diagnosis , Myometrium/pathology , Postpartum Hemorrhage/drug therapy , Chorionic Gonadotropin/therapeutic use , Emergency Medical Services/methods , Risk Factors , Postpartum Period/physiologyABSTRACT
Mujer de 28 años, ASA I, que presentó en la gestación a término clínica neurológica deficitaria consistente en desviación de la comisura bucal, disfagia, disartria y debilidad de hemicuerpo izquierdo. Fue diagnosticada de trombosis de un segmento de la arteria cerebral media derecha que condicionaba un área de infarto establecido en el lóbulo frontal derecho. Se decidió la finalización de la gestación y el tratamiento conservador con buena resolución del cuadro clínico (AU)
A 28 year old woman, ASA I, who, in the final stages of her pregnancypresented with signs of neural deficit that consisted of distortion of the oral commissure, dysphagia, dysarthria, and weakness on the left side of the body. She was diagnosed with thrombosis in a segment of the right middle cerebral artery which led to an ischemic area in the right frontal lobe. Termination of pregnancy and conservative treatment was decided, with good resolution of the symptoms(AU)
Subject(s)
Adult , Female , Humans , Pregnancy , Intracranial Thrombosis/complications , Intracranial Thrombosis , Frontal Lobe , Frontal Lobe/surgery , Frontal Lobe , Stroke/complications , Stroke/surgery , Stroke , Deglutition Disorders/complications , Deglutition Disorders/drug therapy , Dysarthria/drug therapy , Thrombosis/drug therapy , Thrombosis/surgery , Pregnancy Complications/drug therapy , Facial Paralysis/complications , Facial Paralysis , Neuroimaging/methodsABSTRACT
A 28 year old woman, ASA I, who, in the final stages of her pregnancy presented with signs of neural deficit that consisted of distortion of the oral commissure, dysphagia, dysarthria, and weakness on the left side of the body. She was diagnosed with thrombosis in a segment of the right middle cerebral artery which led to an ischemic area in the right frontal lobe. Termination of pregnancy and conservative treatment was decided, with good resolution of the symptoms.
