RESUMO
Two new cases of Wegener's granulomatosis are reported. One of them with the classic sinusal, pulmonary and renal involvement, and the other one as a limited form of the disease, only with respiratory affection, sparing the characteristic renal entailment, although its prolonged survival. The AA, comment literature controversial about if the forms limited to the ENT-area represents a unique and separate entity or an early and modified state of the disease.
Assuntos
Granulomatose com Poliangiite/diagnóstico , Adulto , Biópsia , Ciclofosfamida/administração & dosagem , Ciclofosfamida/uso terapêutico , Diagnóstico Diferencial , Feminino , Granulomatose com Poliangiite/complicações , Granulomatose com Poliangiite/tratamento farmacológico , Humanos , Imunoglobulinas/sangue , Rim/patologia , Rim/cirurgia , Pulmão/patologia , Pulmão/cirurgia , Masculino , Seios Paranasais/patologia , Seios Paranasais/cirurgia , Prednisona/administração & dosagem , Prednisona/uso terapêutico , Tomografia Computadorizada por Raios XRESUMO
Granular cell tumors are unusual tumors that can affect any site of the body, with most cases affecting the head and neck region. First described by Abrikossoff, considerable debate has surrounded the histogenesis of this neoplasm. We report a case of granular cell myoblastoma of the larynx. Histological features are described. The treatment was surgical removal, endoscopically.
Assuntos
Neoplasias Laríngeas/patologia , Neoplasias de Tecido Muscular/patologia , Adulto , Humanos , MasculinoRESUMO
Two benign tumors in the face are reported. Plasma cell granuloma is a rare benign tumor that affects people at all ages and most frequently involves the lung. It is dominated by mature plasma cell proliferation. The AA. report a case appearing as a painless nontender mass in the right cheek, with purplish discoloration of the overlying skin. Differential diagnosis with Plasmocytoma was considered. Histiocytoma are most common seen on the lower extremities of young adults. Reporting a case localized on the skin of the root of the nose. Differential diagnosis with osteoma is made.
Assuntos
Dermatoses Faciais/patologia , Neoplasias Faciais/patologia , Granuloma de Células Plasmáticas/patologia , Granuloma/patologia , Histiocitoma Fibroso Benigno/patologia , Neoplasias Cutâneas/patologia , Idoso , Feminino , Humanos , MasculinoRESUMO
Open laryngeal traumas are seldom seen in E.N.T., specially those ones secondary to horn bull goring. We do a synthetized study with regard to report this original case treated in our Service. We justify the paper because of the intensity, the seriousness and the originality of the picture.
Assuntos
Laringe/lesões , Ferimentos Penetrantes/cirurgia , Acidentes de Trabalho , Adulto , Animais , Bovinos , Humanos , Laringe/cirurgia , Masculino , Traumatismo MúltiploRESUMO
Peripharyngeal abscess still occurs despite the advent of antibiotics. Mediastinitis developing from a retropharyngeal abscess is a rare complication. A patient with retropharyngeal and subsequent mediastinal abscess is reported. We explain how pathological processes in the neck, can spread into the chest by direct continuity or by dissection through the fascial planes. We also report another patient lateropharyngeal abscess and respiratory distress.
Assuntos
Abscesso/diagnóstico por imagem , Doenças Faríngeas/diagnóstico por imagem , Abscesso/microbiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Faríngeas/microbiologia , RadiografiaRESUMO
A case of malignant lymphoma that manifested itself neurologically is presented. We review the frequency of apparition on the head and neck of these tumours, and comment about clinical features and treatment.
Assuntos
Paralisia Facial/etiologia , Neoplasias de Cabeça e Pescoço/complicações , Linfoma não Hodgkin/complicações , Neoplasias de Cabeça e Pescoço/diagnóstico por imagem , Humanos , Linfoma não Hodgkin/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
We present a case of cavernous hemangioma located in the supraglottic area in an adult, whose clinical debut was airway obstruction. We remark on the singularity of this case, because the great majority are present during the first year of life, located in subglottis. A review of the literature and current modes of treatment of hemangiomas is also presented.