RESUMEN
The authors report of three cases of medullary carcinoma of the thyroid and, from a review of the literature, study the definition, frequency, embryological and etiological characteristics of this disease. The physiology of thyrocalcitonin, the concept of the APUD system the secretion of active substances by the tumour cells are considered. The macroscopic and microscopic characteristics and its mode of spread are described. The two main clinical forms, the sporadic form and the familial form are described together with the other endocrine involvements. Among the factors in positive diagnosis, accent is placed on per-operative histological examination and on biological tests of familial detection. Among the forms of treatment the essential place of surgery explains partly the relatively favourable course and prognosis of the malignant disease.
Asunto(s)
Carcinoma , Neoplasias de la Tiroides , Neoplasias de la Tiroides/diagnóstico , Adulto , Calcitonina/metabolismo , Calcitonina/fisiología , Carcinoma/diagnóstico , Carcinoma/metabolismo , Carcinoma/cirugía , Femenino , Humanos , Ganglios Linfáticos/patología , Masculino , Persona de Mediana Edad , Cuello , Metástasis de la Neoplasia , Pronóstico , Glándula Tiroides/patología , Neoplasias de la Tiroides/metabolismo , Neoplasias de la Tiroides/cirugía , TiroidectomíaAsunto(s)
Enfermedades del Colon/cirugía , Enfermedades del Recto/cirugía , Telangiectasia/cirugía , Adulto , Colectomía , Enfermedades del Colon/patología , Femenino , Humanos , Enfermedades del Recto/patología , Recto/cirugía , Telangiectasia Hemorrágica Hereditaria/patología , Telangiectasia/patologíaAsunto(s)
Abdomen , Vendajes , Cuerpos Extraños/diagnóstico , Neoplasias Abdominales/etiología , Adulto , Anciano , Femenino , Fístula/etiología , Reacción a Cuerpo Extraño , Humanos , Obstrucción Intestinal/etiología , Absceso Pulmonar/etiología , Masculino , Persona de Mediana Edad , Sepsis/etiología , Absceso Subfrénico/etiologíaRESUMEN
The authors report a case of benign non secretory islet cell tumour. Ten other cases of this type were found in the literature. These non-functional tumours évolve without symptoms and are rarely diagnosed in the presence of an abdominal mass. They are usually discovered at autopsy. Clinical examination and further investigation do not always demonstrate the pancreatic origin of the tumour observed. Treatment is surgical consisting of removal of the tumour. Pathological examination leads to the diagnosis of non-secretory islet cell tumour which is usually benign; only the course can confirm this.