ABSTRACT
OBJECTIVES: To report a case of apocrine adenocarcinoma of the vulva and introduce the sentinel node dissection as a method to diagnose it. MATERIALS AND METHODS: Description of a case of a 77-year-old woman with histological diagnostic of apocrine adenocarcinoma of the vulva and literature review of the 16 cases published from 1954 to nowadays. RESULTS: Treatment of vulvar apocrine carcinoma is controversial given its low incidence and the small number of cases which have been reported. CONCLUSION: Selective sentinel lymph node biopsy may provide a valid option in selected patients to decrease their clinical complications.
Subject(s)
Adenocarcinoma/pathology , Vulvar Neoplasms/pathology , Adenocarcinoma/surgery , Aged , Female , Humans , Sentinel Lymph Node Biopsy , Vulvar Neoplasms/surgeryABSTRACT
La púrpura trombocitopénica idiopática representa el 5% de todas las causas de trombocitopenia (TCP) durante el embarazo. La TCP con un recuento de plaquetas inferior a 50×109/l es rara: se presenta en menos del 0,1% de los embarazos. El tratamiento de elección son los corticoides, aunque en ocasiones es necesario el uso de inmunoglobulinas y la transfusión de plaquetas. A continuación se presenta el caso de una gestante que comenzó con este cuadro clínico (AU)
Idiopathic thrombocytopenic purpura represents 5% of all causes of thrombocytopenia during pregnancy. Thrombocytopenia with a platelet count lower than 50×109/l is rare, appearing in less than 0.1% of pregnancies. The treatment of choice is corticosteroids, although the use of immunoglobulins and platelet transfusion is sometimes required. We report the case of a pregnant woman who presented with this clinical picture (AU)
