[Mortality in advanced stage laryngeal cancer]. / Mortalidad en el cáncer de laringe en estadios avanzados.

Patients with advanced laryngeal carcinoma present a high mortality rate due to locoregional recurrence, distant metastases and second cancer. We present a report about the most important prognostic factors in mortality in patients included in III and IV stages. The most important are the presence of metastatic lymph nodes (p = 0.001), extracapsular spread (p = 0.002) and N stage (p = 0.005).

Mortalidad en el cáncer de laringe en estadios avanzados / Mortality in advanced laryngeal carcinoma

Los pacientes con carcinoma de laringe avanzado presentan una mortalidad elevada, dadas las altas tasas de recidiva locorregional, segundos cánceres y metástasis a distancia. Realizamos un estudio sobre los factores que más influyen en la mortalidad en los estadios III y IV encontrando como más importante la presencia de adenopatías cervicales metastásicas (p=0,001), la extensión extracapsular (p=0,002) y el estadio N (p=0,005) (AU)

Patients with advanced laryngeal carcinoma present a high mortality rate due to locoregional recurrence, distant metastases and second cancer. We present a report about the most important prognostic factors in mortality in patients included in III and IV stages. The most important are the presence of metastatic lymph nodes (p = 0.001), extracapsular spread (p = 0.002) and N stage (p = 0.005) (AU)

[Neuroendocrine carcinoma of the larynx]. / Carcinoma neuroendocrino de laringe.

We report a case of moderately differentiated neuroendocrine carcinoma arising in the left pyriform sinus and arytenoid of a 68-year-old man. The tumor was diagnosed initially as a poorly differentiated squamous carcinoma, but after surgery it gave rise to multiple painful skin metastases and a paraneoplastic syndrome. Immunocytochemical staining yielded the correct diagnosis. The patient, who had microscopic cervical lymph node metastases at the initial resection, died 13 months later, thus confirming the poor prognosis of these tumors.

[Acute epiglottitis in the adult]. / Epiglotitis aguda en el adulto.

Epiglottitis is a well-defined syndrome caused by Haemophilus influenzae type B in children. It also may affect adults and has an unpredictable clinical course, sometimes complicated with airway obstruction. Two cases of adult epiglottitis are reported. The first responded favorably to medical treatment and the second required emergency airway surgery. Indicators of poor prognosis are described. Epiglottitis should be considered in the differential diagnosis as a potentially lethal cause of sore throat.

[Jugular vein thrombosis: a case report]. / Trombosis venosa yugular. A propósito de un caso.

Thrombosis of the internal jugular vein is now rare but was well-known in the pre-antibiotic era, when it was associated with fulminant infections of the head and neck. Now the two major causes of jugular thrombosis are central venous catheterization and intravenous drug use. The clinical findings are a non-specific, painful, poorly delimited mass in neck that often is confused with an abscess or metastasis. CAT is necessary for diagnosis. We report a case secondary to central venous catheterization in which the clinical manifestations appeared three days after removing the catheter. The differential diagnosis of regional inflammations is described.

[Wegener's disease: localized and generalized forms]. / Enfermedad de Wegener: formas localizadas y generalizadas.

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.

[Cavernous hemangioma of the maxillary sinus]. / Hemangioma cavernoso de seno maxilar.

We describe a case of maxillary sinus hemangioma which originated in sinusal mucosa and which extended into the nasal cavity. Clinical and radiologic findings are presented and the literature reviewed. Surgery appears curative in most cases.

[Granular cell tumor of the larynx]. / Tumor de células granulosas de laringe.

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.

[Rare benign tumors in otorhinolaryngology: plasma cell granuloma and histiocytoma]. / Tumores benignos raros en O.R.L.: granuloma de células plasmáticas e histiocitoma.

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.

[Neurofibroma of the tongue]. / Neurofibroma de lengua.

Neural sheath tumors are rarely encountered in the oral cavity. The most common location is the tongue and thereafter, the sites in order of frequency are the buccal mucosa, the floor of the mouth, palate, lips and gingiva. The need to differentiate between Neurofibroma and Schwannoma is imperative in as much as the first one shows a much greater propensity for malignant transformation when associated with von Recklinghausen's neurofibromatosis. We present a case of Neurofibroma localized in the tongue which appeared as a sessile nodule of 0.3 X 0.4 cm. After extensive surgical ablation there was no further recurrence in 5 years follow-up.