RESUMO
The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modality for months together. This nonhealing ulcer was treated successfully with local application of 3% citric acid ointment for 22 days.
Assuntos
Bursite , Calcinose , Ácido Cítrico/administração & dosagem , Úlcera do Pé/cirurgia , Gota , Infecções dos Tecidos Moles/cirurgia , Administração Tópica , Idoso de 80 Anos ou mais , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/fisiopatologia , Antibacterianos/administração & dosagem , Anti-Infecciosos Locais , Bursite/diagnóstico , Bursite/etiologia , Bursite/fisiopatologia , Bursite/terapia , Desbridamento/métodos , Úlcera do Pé/etiologia , Úlcera do Pé/fisiopatologia , Gota/sangue , Gota/complicações , Gota/fisiopatologia , Humanos , Masculino , Pomadas , Radiografia , Infecções dos Tecidos Moles/etiologia , Resultado do Tratamento , Ultrassonografia Doppler Dupla/métodos , Ácido Úrico/sangue , Cicatrização/efeitos dos fármacosRESUMO
A 40-year-old female presented with history of swelling at the upper and middle of the left leg since 6 months was confirmed as post cancer surgery non healing wound not responding to conventional antibiotic therapy and local wound care in an operated case of synovial sarcoma of the knee, monophasic fibrous type with no lung metastasis. Post surgical non healing wound not responding to conventional therapy was treated successfully with local application of 3% citric acid ointment for 25 days.
Assuntos
Ácido Cítrico/administração & dosagem , Articulação do Joelho/cirurgia , Sarcoma Sinovial/cirurgia , Deiscência da Ferida Operatória/tratamento farmacológico , Cicatrização/efeitos dos fármacos , Administração Tópica , Adulto , Biópsia por Agulha , Quelantes/administração & dosagem , Feminino , Seguimentos , Humanos , Articulação do Joelho/patologia , Pomadas , Período Pós-Operatório , Sarcoma Sinovial/patologia , Deiscência da Ferida Operatória/patologiaRESUMO
Primary neuroendocrine carcinoma occurring in the mesentery is extremely rare. Surgical resection is the best treatment modality, with a chance of cure. We present a 65-year-old man with large mesenteric cyst and absence of bowel involvement. Histology showed a well-differentiated neuroendocrine tumor.
Assuntos
Carcinoma Neuroendócrino/diagnóstico , Cisto Mesentérico/diagnóstico , Neoplasias Peritoneais/diagnóstico , Idoso , Diagnóstico Diferencial , Humanos , MasculinoRESUMO
Leiomyomas are rare benign esophageal neoplasms with an indolent clinical course. Symptoms mimic that of esophageal cancer. Esophagoscopy and endoscopic ultrasonography are the main diagnostic methods. Symptomatic and large leiomyomas should be treated surgically while small, asymptomatic lesions may be managed by regular follow up and repeated endoscopies.
Assuntos
Neoplasias Esofágicas/diagnóstico , Leiomioma/diagnóstico , Adulto , Idoso , Endossonografia , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Feminino , Humanos , Leiomioma/patologia , Leiomioma/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
Liposarcomas are extremely rare in the mediastinum. They may achieve considerable size before causing any symptoms. Mediastinal liposarcomas may invade surrounding structures like the pericardium or the superior vena cava. Complete surgical excision is the optimal treatment in resectable cases. Excision of adjacent structures like the pericardium may be needed if the tumor infiltrates them. We report on a case of a giant liposarcoma of the mediastinum involving both hemithoraces and extending into the neck, which was successfully managed by complete surgical excision.
