ABSTRACT
El Tumor Desmoide, es un tumor raro de origen mesenquimal con una incidencia aproximada de 0.3% (1) que, si bien es considerado un tumor benigno por no presentar metástasis a distancia, se considera un tumor localmente agresivo con altas tasas de recidiva tras la extirpación quirúrgica de entre el 19 a 28% (2). Se presenta el caso clínico de una mujer de 21 años de edad, gestante de 7 semanas, que acudió a consulta a la Unidad de Mastología del Hospital de Clínicas por percatarse de nódulo en cuadrante superoexterno de mama derecha, que aumenta de tamaño. Se realizó exéresis tumoral con márgenes, cuyo diagnóstico fue un Tumor Desmoide y, posterior resección de márgenes para ampliación. El Tumor Desmoide es poco frecuente de localización mamaria, que fue tratada con cirugía con buena evolución en una mujer gestante, por lo que debe considerarse esta patología en pacientes jóvenes gestantes, como diagnóstico diferencial en nódulos mamarios.
Desmoid tumor is a rare tumor of mesenchymal origin with an approximate incidence of 0.3% (1). Although it is considered a benign tumor because it does not present distant metastases, it is considered a locally aggressive tumor with high rates of recurrence after surgical removal of between 19 to 28% (2). We present the clinical case of a 21-year-old woman, 7 weeks pregnant, who attended the Mastology Unit of the Hospital de Clínicas, after noticing a nodule in the upper outer quadrant of the right breast, which was increasing in size. Tumor excision with margins was performed, whose diagnosis was a Desmoid Tumor, and subsequent resection of margins for amplifying The Desmoid Tumor is rare in the breast and was treated with surgery with a good evolution in a pregnant woman, so this pathology should be considered in young pregnant patients, as a differential diagnosis in breast nodules.
Subject(s)
Breast Neoplasms , Fibromatosis, Aggressive , Neoplasms , Breast , Pregnant WomenABSTRACT
Odontomas are benign, non-aggressive, and the most common odontogenic tumor of the jaws. Composed of dental tissues, it can be classified as compound or complex odontomas depending on their radiological and histological features. Among them, complex odontomas are less common and usually is presented as a small and asymptomatic radiopaque mass surrounded by a radiolucent halo, found on routine radiographic examination. Although benign tumors, odontomas can reach large sizes leading to facial asymmetry and decreasing bone strength, which predisposes fractures and infection. Our aim was to present a case report of an unusual giant mandibular odontoma on the left mandibular angle and ramus successfully treated by surgical excision and highlight the importance of the earlier diagnostic to minimize damages.
Subject(s)
Odontogenic Tumors , Odontoma , Facial Asymmetry , Humans , Mandible , Odontoma/diagnostic imaging , Odontoma/surgery , RadiographyABSTRACT
Se realizó un estudio descriptivo y transversal de 200 pacientes con leucoplasia bucal, atendidos en la consulta estomatológica del Policlínico de Especialidades del Hospital Provincial Docente Clinicoquirúrgico "Saturnino Lora Torres" de Santiago de Cuba, desde septiembre del 2007 hasta igual mes del 2012, a fin de evaluar los efectos terapéuticos del nitrógeno líquido en el tratamiento de esta afección. Este refrigerante se empleó en la remoción quirúrgica de la citada enfermedad y propició una óptima regeneración de los tejidos bucales afectados en el menor tiempo posible. Para ello se aplicaron intervenciones repetidas de enfriamientos súbitos, así como deshielos lentos y espontáneos, con excelentes resultados en los integrantes de la casuística. Esta sustancia criogénica fue efectiva en el epitelio mucoso por sus propiedades, tales como: anestésica, antimicrobiana, antiinfecciosa, cicatrizante e inmunológica y permitió una curación rápida, menos dolorosa, sin riesgo ni complicación e inocua a los tejidos bucales, lo cual impidió la formación de cicatrices residuales.
A descriptive and cross-sectional study was carried out in 200 patients with oral leukoplakia, attended in the stomatology department of the Polyclinic of Specialties in "Saturnino Lora Torres" Provincial Teaching Clinical Surgical Hospital of Santiago de Cuba, from September 2007 to the same month of 2012, in order to evaluate the therapeutic effects of liquid nitrogen in treating this condition. This coolant was used in the surgical removal of the lesion and contributed to a good regeneration of affected oral tissues in the shortest time possible. With this purpose repeated interventions of sudden cooling were applied, as well as slow and spontaneous thaws with excellent results in the members of the case material. This cryogenic substance was effective in the mucosal epithelium by its anesthetic, antimicrobial, anti-infective, healing and immunologic properties, allowing a quick and less painful cure, without risk or complication, and safe for oral tissues, which prevented the occurrence of residual scars.