RESUMO
El leiomiosarcoma de útero es un tumor maligno de músculo liso raro y es extremadamente infrecuente que metastatice a nivel óseo. Las metástasis óseas causan problemas importantes y frecuentes en los pacientes con enfermedad oncológica terminal, pueden producir dolor, fracturas patológicas y cuando estas afectan al cuerpo vertebral, la compresión medular secundaria supone una grave complicación. Presentamos el caso de una paciente con leiomiosarcoma de útero, por la infrecuente localización de las metástasis, en cabeza y cuello, a nivel de columna cervical, con infiltración y compresión medular. Aunque es un tumor típicamente manejado por ginecólogos, nuestra unidad de cuidados paliativos domiciliarios trata a todo tipo de pacientes oncológicos en situación terminal. El beneficio en el tratamiento del dolor, en el caso que se expone, se consiguió, con la radioterapia paliativa con finalidad antiálgica, que demostró ser una técnica analgésica útil (AU)
Uterine leiomyosarcoma is a rare malignant smooth-muscle tumor that only on extremely rare occasions metastasizes to bones. Bone metastasis causes important and frequent problems in end-stage cancer patients- pain, pathological fractures, and -when the latter affect vertebral bodies- secondary medullar compression. We report a case of uterus leiomyosarcoma because of its unusual metastasis in the head and neck with medullar compression and infiltration at the cervical spinal level. Although this is typically a gynecological tumor, our palliative home care unit treats all types of oncologic patients in terminal situation. Regarding pain treatment, benefits were obtained from palliative radiotherapy with analgesic purposes, which showed to be a useful analgesic technique (AU)
Assuntos
Humanos , Feminino , Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias de Cabeça e Pescoço/secundário , Neoplasias Uterinas/patologia , Leiomiossarcoma/patologiaRESUMO
The Streptococcus of the B group was considered during many years, as a women's prelabor pathogen and neonatus. Lastly an increase of the infections is observed, for this germ in adults, without being in connection with the pregnancy. The Streptococcus agalactiae, affect above all to patients, with any type of illness underlying. The most susceptible are the diabetics and focus of more habitual infection, the soft tissues and the bone. We described three cases of infection by Streptococcus agalactiae in adults picked up during two years, in a Service of Internal Medicine with 51 beds. We are revised Medline, from the year 1985, until 1995, confirming the drop incidence of cases.
