RESUMO
We present a case of lymphoepithelioma of the larynx, a very rare tumour in this location. The relationship between lymphoepithelial carcinoma of the larynx and Epstein-Barr virus, is still controversial. We describe one new case of this tumour involving the supraglottis, and it's surgery and radioterapic treatment. The diagnostic problems and therapy associated with this rare tumour are discussed.
Assuntos
Carcinoma de Células Escamosas/diagnóstico por imagem , Neoplasias Laríngeas/diagnóstico por imagem , Idoso , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Humanos , Neoplasias Laríngeas/patologia , Neoplasias Laríngeas/cirurgia , Masculino , Tomografia Computadorizada por Raios XRESUMO
Presentamos un caso de linfoepitelioma de laringe, un raro tumor en esta localización. La relación entre este tumor y el virus Epstein-Barr, establecida en otras localizaciones, es en esta muy discutida. Describimos un nuevo caso de este tumor, de origen supraglótico, junto a su tratamiento quirúrgico y radioterápico, así como los problemas de diagnóstico que plantea esta rara entidad (AU)
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Assuntos
Masculino , Humanos , Idoso , Tomografia Computadorizada por Raios X , Carcinoma de Células Escamosas , Neoplasias LaríngeasRESUMO
A 62-year-old female patient consulted for a suppurative-hemorrhagic nasal condition 18 months evolution. Exploration found granulomatous rhinitis which was producing septal perforation and histology compatible with necrotizing granulomatous vasculitis, fulfilling the diagnostic criteria for focal Wegener's granulomatosis, in view of the absence of lung and renal damage. Treatment with trimethoprim-sulfamethoxazole alone described in the medical literature as an option for this process, yielded excellent results with remission of symptoms and normalization of the exploration.
Assuntos
Anti-Infecciosos/uso terapêutico , Granulomatose com Poliangiite/tratamento farmacológico , Combinação Trimetoprima e Sulfametoxazol/uso terapêutico , Epistaxe/etiologia , Feminino , Células Gigantes/patologia , Células Gigantes/ultraestrutura , Granulomatose com Poliangiite/complicações , Granulomatose com Poliangiite/patologia , Humanos , Pessoa de Meia-Idade , Seios Paranasais/patologia , Seios Paranasais/ultraestruturaRESUMO
Physical therapy should be used as a first treatment in the case of non central periferical vestibular vertigo whenever it is stable and provoked by non spontaneous position changes. In this paper we analyze the characteristics of physiotherapy in the treatment of vertigo and describe the different techniques available to the specialist.
