ABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Leiomyoma , Microsurgery/methods , Microsurgery , Angiomyoma/complications , Angiomyoma , Pyriform Sinus/pathology , Pyriform Sinus , Deglutition Disorders/complications , Deglutition DisordersABSTRACT
This is a case report of a 69-year-old male patient referred to the ENT out patients with right-sided epistaxis and hipoacusis. Fibroptic examination reveals a cystic lesion at the exit of the right eustachian. A CT scan is informed as a well delimited and rounded-shaped tumour compatible with lymphoma. Excisional biopsy by a nasal rigid endoscopy is practiced and the histology result is Warthin's tumour. The nasopharynx is a rather unusual location for this type of tumours, almost exclusive in origin of major salivary glands. It's highlighted the unforeseeable histological diagnosis in this particular anatomical region, where the clinical differential diagnosis is broad and the access difficult.
Subject(s)
Adenolymphoma/diagnostic imaging , Adenolymphoma/pathology , Choristoma/diagnostic imaging , Choristoma/pathology , Nasopharyngeal Neoplasms/diagnostic imaging , Nasopharyngeal Neoplasms/pathology , Nasopharynx , Adenolymphoma/surgery , Aged , Choristoma/surgery , Humans , Magnetic Resonance Imaging , Male , Nasopharyngeal Neoplasms/surgery , RadiographyABSTRACT
Se presenta el caso clínico de un varón de 69 años, que es referido a consultas externas de ORL con epístaxis de repetición e hipoacusia derechas. La exploración fibroscópica demuestra una lesión de aspecto quístico en el rodete tubárico derecho. Se solicita TAC que se informa de tumoración redondeada y bien delimitada compatible con linfoma. Se practica biopsia excisional mediante abordaje endoscópico nasal y el resultado histológico es de tumor de Warthin. La nasofaringe es una localización inusual para este tipo de patología, casi exclusiva de las glándulas salivales mayores. Se destaca la imprevisibilidad del diagnóstico anatomopatológico en un área anatómica "sui generis" donde el diagnóstico diferencial es extenso y difícil el acceso
This is a case report of a 69-year-old male patient referred to the ENT out patients with right-sided epistaxis and hipoacusis. Fibroptic examination reveals a cystic lesion at the exit of the right eustachian. A CT scan is informed as a well delimited and rounded-shaped tumour compatible with lymphoma. Excisional biopsy by a nasal rigid endoscopy is practiced and the histology result is Warthin´s tumour. The nasopharynx is a rather unusual location for this type of tumours, almost exclusive in origin of major salivary glands. It´s highlighted the unforeseeable histological diagnosis in this particular anatomical region, where the clinical differential diagnosis is broad and the access difficult
Subject(s)
Male , Aged , Humans , Adenolymphoma/pathology , Nasopharyngeal Neoplasms/pathology , Epistaxis/etiology , Hearing Loss/etiology , Diagnosis, DifferentialABSTRACT
This is a case report of a papillary thyroid carcinoma metastatic to the parapharyngeal space, that presented with local obstructive symptoms (dysphagia and displacement of the ipsilateral tonsil). The diagnosis was suspected by imaging studies (CT and MRI) but not confirmed until histological examination. It is not common for such tumors to metastasize to the parapharyngeal space. This is the reason why, to our knowledge, there have been described only five similar cases previously.
Subject(s)
Carcinoma, Papillary/secondary , Pharyngeal Neoplasms/secondary , Thyroid Neoplasms/pathology , Adult , Female , HumansABSTRACT
Se presenta un caso de metástasis de carcinoma papilar de tiroides de localización en el espacio parafaríngeo con clínica inicial de características obstructivas a nivel locorregional (disfagia progresiva y desviación contralateral de la amígdala correspondiente). En el estudio de imagen (TAC y RNM), la masa adoptaba una morfología especial, pero el diagnóstico no se confirmó hasta que se realizó el estudio anatomopatológico. Este espacio no es un lugar frecuente de asiento de metástasis ni de carcinomas tiroideos ni del resto de tumores de cabeza y cuello, por lo que, hasta la fecha, sólo se han descrito 5 casos similares en la literatura médica
This is a case report of a papillary thyroid carcinoma metastatic to the parapharyngeal space, that presented with local obstructive symptoms (dysphagia and displacement of the ipsilateral tonsil). The diagnosis was suspected by imaging studies (CT and MRI) but not confirmed until histological examination. It is not common for such tumors to metastasize to the parapharyngeal space. This is the reason why, to our knowledge, there have been described only five similar cases previously
Subject(s)
Female , Adult , Humans , Thyroid Neoplasms/complications , Pharyngeal Neoplasms/secondary , Carcinoma, Papillary/pathology , Thyroidectomy , Neoplasm Metastasis/pathologyABSTRACT
Laryngeal presentation of Malignat Fibrous Histiocytoma (MFH) is uncommon. It is more prevalent in elderly males. The most frequent form of laryngeal presentation is as subepithelial nodules, and its clinical behaviour is variable and unpredictable. Microscopically, it is a tumour with two well differentiated components: histiocitic and fibroblastic, with several different structural patterns that can make histologic diagnosis a difficult one. We present two cases of MFH of the larynx, and a review of the literature.
Subject(s)
Histiocytoma, Benign Fibrous , Laryngeal Neoplasms , Aged , Histiocytoma, Benign Fibrous/diagnosis , Humans , Laryngeal Neoplasms/diagnosis , Male , Middle AgedABSTRACT
El fibrohisticitoma (FHM) es una tumoración infrecuente en cabeza y cuello, y todavía mas en la laringe. Es más prevalente en varones de mediana edad, pudiendo aparecer a cualquier edad. la presentación más habitual laringea es en forma de nódulos subepiteliales. el comportamiento clínico es variable e impredecible. Microscópicamente, es un tumor con dos componentes diferenciados: histiocítico y fibroblástico, con diferentes patrones estructurales que pueden dificultar el diagnostico histológico. Se presentan dos casos de FHM laríngeos y se revisa la bibliografía(AU)
Laryngeal presentation of Malignat Fibrous Histiocytoma (MFH) is uncommon. It is more prevalent in elderly males. The most frequent form of laryngeal presentation is as subepithelial nodules, and its clinical behaviour is variable and unpredictable. Microscopically, it is a tumour with two well differentiated components: histiocitic and fibroblastic, with several different structural patterns that can make histologic diagnosis a difficult one. We present two cases of MFH of the larynx, and a review of the literature (AU)
