RESUMO
BACKGROUND: Lymphangiomas are benign tumours, considered to be congenital malformations of the lymphatic system that predominately affect children, with only a few cases reported in adults. The most common sites of these lesions are the neck (75%) and axillary region (20%), but rarely found in the spleen. OBJECTIVE: A description is presented of 3 cases of incidentally detected splenic lymphangioma, one in a child and in 2 adults, respectively, as well as a literature review. CLINICAL CASES: After a clinical and physical examination, all patients had an abdominal ultrasound, CT scan and a complete splenectomy, followed by a histopathological study on the removed spleen. Two patients were asymptomatic, and the paediatric patient referred to intermittent abdominal pain without other symptoms. The clinical and physical examinations related to the mass were negative. The final diagnosis was based on a combination of radiological and histopathological findings. Total splenectomy was undertaken in all cases without complications. CONCLUSIONS: Splenic lymphangioma is very rare, and more so in adults. This condition is often asymptomatic and is incidentally detected by imagenology due to any other differet cause. The final diagnosis should be based on a combination of clinical, radiological, and histopathological findings. Splenectomy is the treatment of choice and the prognosis is good.
Assuntos
Linfangioma , Neoplasias Esplênicas , Adulto , Idoso , Criança , Feminino , Humanos , Linfangioma/diagnóstico , Masculino , Neoplasias Esplênicas/diagnósticoRESUMO
Se efectúa un análisis crítico acerca de las llamadas comunidades terapéuticas. Luego de revisar los conceptos básicos de la enfermedad aditiva, se visualiza la problemática de las adicciones en el Perú y los modelos de afronte actualmente en boga. Seguidamente, se examina lo que es una comunidad terapéutica profesionalizada y cómo funcionan las comunidades terapéuticas no profesionalizadas en el país. En relación a estas últimas se enfatiza su manejo terapéutico empírico, los aspectos éticos, los cuestionamientos que se le hacen y el marco legal existente. Se concluye con la propuesta de una necesaria profesionalización y conducción médica de este modelo de tratamiento en el campo de las adicciones.