RESUMO
A case of a 43-year-old white woman who was admitted to our clinic with the complaints of chronic sinusitis and wound infection after Caldwell-Luc operation performed for chronic sinusitis is presented. Necrotic lesion then extended to the nasal cavity and skin of the face. The biopsy revealed natural killer/T-cell lymphoma. The patient was treated with chemotherapy; however, the patient died owing to sepsis. Sinonasal lymphoma is a rare disease. It is managed with chemotherapy and radiotherapy. The prognosis is poor. A high index of clinical suspicion is required for early diagnosis.
Assuntos
Linfoma Extranodal de Células T-NK/patologia , Neoplasias Nasais/patologia , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Diagnóstico Diferencial , Evolução Fatal , Feminino , Humanos , Linfoma Extranodal de Células T-NK/tratamento farmacológico , Sinusite Maxilar/diagnóstico , Sinusite Maxilar/cirurgia , Necrose , Neoplasias Nasais/tratamento farmacológico , Infecção dos Ferimentos/diagnósticoAssuntos
Neoplasias Laríngeas/patologia , Plasmocitoma/patologia , Prega Vocal/patologia , Adulto , Biópsia por Agulha , Tosse/diagnóstico , Tosse/etiologia , Feminino , Seguimentos , Rouquidão/diagnóstico , Rouquidão/etiologia , Humanos , Imuno-Histoquímica , Neoplasias Laríngeas/cirurgia , Laringoscopia/métodos , Microcirurgia/métodos , Estadiamento de Neoplasias/métodos , Plasmocitoma/cirurgia , Medição de Risco , Resultado do TratamentoAssuntos
Neurilemoma/cirurgia , Neoplasias Nasais/cirurgia , Adulto , Idoso , Diagnóstico Diferencial , Humanos , Imuno-Histoquímica , Masculino , Obstrução Nasal/etiologia , Neurilemoma/complicações , Neurilemoma/diagnóstico por imagem , Neurilemoma/metabolismo , Neoplasias Nasais/complicações , Neoplasias Nasais/diagnóstico por imagem , Neoplasias Nasais/metabolismo , Tomografia Computadorizada por Raios XRESUMO
Mucosal malignant melanomas are rare lesions, and they have different characteristics from their cutaneous counterparts. Since extended excisions of mucosal malignant melanomas located in the oropharyngeal region cause significant morbidity, limited surgical excision comes into consideration. Three cases of extensive oropharyngeal malignant melanomas were resected with 0.5-1.5-cm healthy tissue margins. The cases were followed for local recurrences. Case 1 applied radiotherapy and chemotherapy in addition to immunotherapy, and the patient is still alive without any local recurrences 18 months after surgery. The patient in case 2 underwent radiotherapy and immunotherapy and died 6 months after surgery. The patient in case 3 received chemotherapy in addition to immunotherapy and died 12 months after surgery as a result of distant metastasis. All cases were without any local recurrences. Surgical excision with limited tumor-free tissue margins may be the surgery of choice to prevent morbidity associated with wide resection of oropharyngeal malignant melanomas if other authors also reconfirm these results with many more cases in the future.
