RESUMO
We report a case of retroperitoneal leiomyosarcoma recurrence. This entity is rare, < 0.2% of all tumours in humans and 25-30% of retroperitoneal sarcomas. The diagnosis is usually delayed in relationship with scarce clinical signs which favorite the development of great tumour volume before diagnosis. The treatment is surgical, with wide margins excision. Radiotherapy and chemotherapy are not adequates for treatment of this pathological entity.
Assuntos
Leiomiossarcoma/diagnóstico , Neoplasias Retroperitoneais/diagnóstico , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
Se presenta un caso de recidiva tumoral de un leiomiosarcoma retroperitoneal. Son tumores infrecuentes, representando < 0,2 por ciento de todas las tumoraciones del organismo, y de un 25-30 por ciento de los sarcomas retroperitoneales. Suelen diagnosticarse tardíamente debido a su vaga sintomatología, alcanzando grandes volúmenes tumorales. El tratamiento es la completa escisión quirúrgica con amplios márgenes, no habiendo demostrado utilidad otras terapias como la radioterapia o la quimioterapia (AU)
Assuntos
Pessoa de Meia-Idade , Feminino , Humanos , Leiomiossarcoma , Neoplasias RetroperitoneaisRESUMO
We present a case of pure prostatic leiomyoma, benign and rare entity, diagnosed in a patient with prostatism. We review the published papers about this disease and the different subjects about etiology, clinic, histopathology, diagnosis and treatment.
Assuntos
Leiomioma/patologia , Neoplasias da Próstata/patologia , Idoso , Humanos , MasculinoRESUMO
Se presenta un nuevo caso de leiomioma de próstata puro, tumor benigno de presentación infrecuente, diagnosticado en un varón con prostatismo. Se realiza revisión de la literatura existente y se comentan los aspectos etipatogénicos, clínicos, anatomopatológicos, diagnósticos y terapéuticos (AU)
Assuntos
Idoso , Masculino , Humanos , Leiomioma , Neoplasias da PróstataRESUMO
The hyperthyroidism is associated to different clinical situations with a relative frequency on the daily practice. Anyway, there have been discovered and published some clinical cases of thyroid cancer with insufficient symptoms, associated with a typical clinical hyperthyroidism and that have been related with Graves Basedow Disease. We expose here two different kinds of non typical thyroid cancer as a contribution to medical literature. In these cases, thanks to a careful exploration, further tests and, above all, fine needle aspiration puncture, hidden cancer was discovered. Cancer was not expected because of clinical symptoms. The definitive treatment was marked by fine needle aspiration puncture.
Assuntos
Adenoma/diagnóstico , Carcinoma Papilar/diagnóstico , Neoplasias da Glândula Tireoide/diagnóstico , Adenoma/cirurgia , Adulto , Biópsia por Agulha , Carcinoma Papilar/cirurgia , Doença Crônica , Feminino , Doença de Graves/diagnóstico , Doença de Graves/cirurgia , Humanos , Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia , TireoidectomiaRESUMO
El hipertiroidismo va asociado a distintas entidades clínicas de relativa frecuencia en la practica diaria. No obstante no debemos olvidar que existen casos de cancer de tiroides de presentación larvada asociados a una clínica hipertiroidea típica que han sido publicados, y que se han relacionado principalmente con la enfermedad de Graves Basedow. Presentamos aquí, dos casos de cancer de tiroides de presentación atípica, para añadir a la literatura. En estos casos la exploración cuidadosa, las pruebas complementarias y sobre todo la PAAF fueron las que indicaron la existencia de un carcinoma oculto, que dada la presentación del cuadro clínico no se sospechaba inicialmente. Fue la PAAF la que permitió aplicar el tratamiento definitivo (AU)
Assuntos
Adulto , Feminino , Humanos , Adenoma , Biópsia por Agulha , Carcinoma Papilar , Doença Crônica , Doença de Graves/cirurgia , Doença de Graves/diagnóstico , Glândula Tireoide/patologia , Tireoidectomia , Neoplasias da Glândula Tireoide , Adenoma/cirurgia , Adenoma/diagnóstico , Carcinoma Papilar/cirurgia , Carcinoma Papilar/diagnóstico , Doença de Graves , Neoplasias da Glândula Tireoide/cirurgia , Neoplasias da Glândula Tireoide/diagnósticoRESUMO
We present a case of rhinoscleroma that were studied in a spanish patient. The location was nasal and extranasal, appearing in the larynx. The diagnosis was established by the morphological picture. A review is given of the geographical distribution of this disease and the principal diagnostic procedures are outlined with special emphasis ou the most reliable staining methods (PAS, Gram), immunofluorescence, immunoperoxydase reactions and electron microscopic study are discussed.
