RESUMO
A case of hypertrophic osteoarthropathy in association with malignant tonsil tumour is reported. It involved a patient in whom the bone disorder was detected 10 months prior to the clinical manifestation of the tumour. Hypertrophic pneumic osteoarthropathy is a clinical and radiological syndrome characterized by proliferation of periosteum in long bones with digital clubbing. In over 90 % of the cases, it has been associated with an intra-thoracic tumour and more rarely secondary to a malignant haemopathy or ENT cancer, particularly of the rhinopharynx. As far as we know, the association with carcinoma of the tonsils has not previously been described.
Assuntos
Tonsila do Cerebelo/patologia , Neoplasias Encefálicas/patologia , Osteoartropatia Hipertrófica Secundária/diagnóstico , Tonsila do Cerebelo/cirurgia , Anti-Inflamatórios não Esteroides/uso terapêutico , Neoplasias Encefálicas/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos , Osteoartropatia Hipertrófica Secundária/tratamento farmacológicoRESUMO
Presentamos un caso de osteoartropatía hipertrófica como manifestación acompañante de un tumor maligno amigdalar, en un paciente al que se detectó la anomalía ósea 10 meses antes de la presentación clínica del tumor. La osteoartropatía hipertrófica pneúmica es un síndrome clínico-radiológico caracterizado por proliferación del periostio de huesos tubulares con hipocratismo digital. En más del 90 % de los casos se ha relacionado con un tumor intratorácico, más raramente secundario a hemopatía maligna o cáncer otorrinolaríngeo, sobre todo de rinofaringe. La asociación con tumor amigdalar, en nuestro conocimiento, no se ha descrito
A case of hypertrophic osteoarthropathy in association with malignant tonsil tumour is reported. It involved a patient in whom the bone disorder was detected 10 months prior to the clinical manifestation of the tumour. Hypertrophic pneumic osteoarthropathy is a clinical and radiological syndrome characterized by proliferation of periosteum in long bones with digital clubbing. In over 90 % of the cases, it has been associated with an intra-thoracic tumour and more rarely secondary to a malignant haemopathy or ENT cancer, particularly of the rhinopharynx. As far as we know, the association with carcinoma of the tonsils has not previously been described