Assuntos
Abscesso/microbiologia , Extubação/efeitos adversos , Cartilagem Aritenoide/patologia , Cartilagem Cricoide/patologia , Glucocorticoides/efeitos adversos , Edema Laríngeo/tratamento farmacológico , Laringoestenose/etiologia , Adulto , Feminino , Infecções por Haemophilus/diagnóstico , Haemophilus parainfluenzae/isolamento & purificação , Humanos , Edema Laríngeo/etiologia , Laringoscopia , NecroseRESUMO
INTRODUCTION: Kidney cancer, and especially clear cell carcinoma, has an unpredictable clinical course, with metastatic potential that is variable over time and in location. Six percent of atypical locations are ENT. The three most frequent sites are the thyroid, sinus and parotid gland. CASE REPORT: We report two rare locations: the base of the tongue, and the sphenoid sinus. DISCUSSION: First-line treatment is surgical, due to low radiosensitivity, with radiation therapy as a possible second line. Functional impact is a prime issue, to avoid functional mutilation. CONCLUSION: Such metastases may sometimes occur years after the discovery of the primitive renal tumor; any history of kidney cancer should, therefore, be noted in patients with suspect ENT lesions.
Assuntos
Carcinoma de Células Renais/secundário , Neoplasias Renais/diagnóstico , Neoplasias dos Seios Paranasais/secundário , Seio Esfenoidal , Neoplasias da Língua/secundário , Carcinoma de Células Renais/diagnóstico , Carcinoma de Células Renais/patologia , Carcinoma de Células Renais/cirurgia , Quimioterapia Adjuvante , Terapia Combinada , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Neoplasias Renais/patologia , Neoplasias Renais/cirurgia , Laringoscopia , Linfonodos/patologia , Metástase Linfática/patologia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias dos Seios Paranasais/diagnóstico , Neoplasias dos Seios Paranasais/patologia , Neoplasias dos Seios Paranasais/cirurgia , Tomografia por Emissão de Pósitrons , Radioterapia Adjuvante , Seio Esfenoidal/patologia , Seio Esfenoidal/cirurgia , Tomografia Computadorizada por Raios X , Neoplasias da Língua/diagnóstico , Neoplasias da Língua/patologia , Neoplasias da Língua/cirurgiaRESUMO
OBJECTIVES: The persistence and hyperplasia of the primary vitreous is a rare ocular malformation whose origin remains unknown. The goal of this study was to retrospectively analyze the records of the children followed in our department and to note sex, antecedents, age and reason for the first consultation, side and ocular structures involved, treatment, follow-up, complications, and progression. METHODS: The initial clinical examination was noted and completed by the examination under general anesthesia and the surgical or nonsurgical treatment proposed. RESULTS: Fifty-six eyes of 52 children were included: 19 anterior forms, four posterior, 25 mixed, and eight eyes already operated on in other centers. Fifty eyes had surgical treatment. At the end of follow-up, 13 eyes had a vision equal to or greater than 20/200 (23%) including five that were better than 20/100 (9%). Average follow-up was 32.5 months. CONCLUSIONS: Persistence of the fetal vascular system is a group of complex ocular malformations requiring an early diagnosis and well-adapted management.
