RESUMO
Gestational trophoblastic disease incorporates a group of diseases which differ from each other by their regressive evolution, their evolution to metastasis and to recurrence. It is a severe disease that affects women of childbearing age. Gestational trophoblastic tumors (GTT) are the malignant forms of gestational trophoblastic diseases. They are always a result of pregnancy, more often molar pregnancy (hydatidiform mole). The most common type of gestational trophoblastic tumors (GTT) is the invasive mole because, in most cases, the diagnosis is made when cancer is still confined to the uterus. Choriocarcinoma is a more rare type of tumor, often developing distant metastases. When there is a progression to a trophoblastic tumor, the assessment of locoregional extension and distant metastases is essential to establish an appropriate treatment protocol. We here report three clinical cases of GTT by describing their clinical presentations and the use of imaging techniques in the diagnosis and management of these disorders.
Assuntos
Doença Trofoblástica Gestacional/diagnóstico , Mola Hidatiforme/diagnóstico , Neoplasias Trofoblásticas/diagnóstico , Adulto , Coriocarcinoma/diagnóstico , Coriocarcinoma/patologia , Coriocarcinoma/terapia , Progressão da Doença , Feminino , Doença Trofoblástica Gestacional/patologia , Doença Trofoblástica Gestacional/terapia , Humanos , Mola Hidatiforme/patologia , Mola Hidatiforme/terapia , Mola Hidatiforme Invasiva/diagnóstico , Mola Hidatiforme Invasiva/patologia , Mola Hidatiforme Invasiva/terapia , Pessoa de Meia-Idade , Metástase Neoplásica , Gravidez , Neoplasias Trofoblásticas/patologia , Neoplasias Trofoblásticas/terapia , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/patologia , Neoplasias Uterinas/terapia , Adulto JovemRESUMO
Intratracheal ectopic thyroid tissue is a rare finding that can cause airway obstruction. The symptoms can easily be confused with those of bronchial asthma. We describe the case of a 30-year-old woman with subglottic thyroid tissue who had been misdiagnosed earlier with bronchial asthma. After the correct diagnosis was established, the intratracheal nodule was removed by segmental tracheal resection extended to the anterior arch of cricoid ring, and thyrotracheal anastomosis was performed by cervicotomy. Currently, the patient is free of disease and complaint. We also discuss the clinical features and management of intratracheal thyroid tissue.
Assuntos
Coristoma/diagnóstico , Endoscopia/métodos , Glândula Tireoide , Doenças da Traqueia/diagnóstico , Adulto , Coristoma/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Tomografia Computadorizada por Raios X , Doenças da Traqueia/cirurgiaRESUMO
Wandering spleen is a rare condition defined as a mobile spleen only attached with its pedicle. It can be complicated by a volvulus, which is a surgical abdominal emergency. Preventing infarction is the aim of a prompt surgery that can preserve the spleen and then proceed to splenopexy. We report a rare case of torsion of a wandering spleen associated with a dolichosigmoοd.
