RESUMO
We report a case of a 10-year-old girl who, 4 years after a trauma to the neck, developed a soft tissue mass in the midline at the C5-6 level. The lesion was not attached to the bone and was composed of fibrocartilaginous tissue, similar to the nuchal fibrocartilaginous pseudotumor, a rare, recently reported condition that has been described in the medical literature in only 4 cases, all of them adults.
Assuntos
Cartilagem/patologia , Vértebras Cervicais/patologia , Granuloma/patologia , Ligamentos/patologia , Cartilagem/diagnóstico por imagem , Cartilagem/cirurgia , Vértebras Cervicais/diagnóstico por imagem , Criança , Condrócitos/patologia , Diagnóstico Diferencial , Matriz Extracelular/patologia , Feminino , Granuloma/diagnóstico por imagem , Granuloma/etiologia , Neoplasias de Cabeça e Pescoço/diagnóstico , Humanos , Ligamentos/cirurgia , Lesões do Pescoço/complicações , Tomografia Computadorizada por Raios XRESUMO
A case of glial tissue in a polypoid structure of the uterine cervix is presented; the presence of glial fibrillary acidic protein was demonstrated by immunoperoxidase, confirming the astrocytic nature of the tissue. The main hypotheses to explain this unusual finding are discussed.
Assuntos
Astrocitoma/análise , Proteína Glial Fibrilar Ácida/análise , Neoplasias do Colo do Útero/análise , Adulto , Astrocitoma/patologia , Feminino , Humanos , Técnicas Imunoenzimáticas , Neoplasias do Colo do Útero/patologiaRESUMO
We describe an 18-year-old woman with a mass in the region of the right ovary. The mass, which had a central cavity lined by endometrium and surrounded by smooth muscle, extraordinarily resembled a uterus. Review of the literature disclosed only one such case in which this change was considered to arise from endomyometriosis of the ovary, a phenomenon characterized by smooth-muscle metaplasia in a focus of endometriosis. Although this possibility is interesting and plausible, we believe that a congenital malformation, possibly caused by a defect in fusion of müllerian ducts, should strongly be considered in explaining the pathogenesis of this kind of lesion.