RESUMO
BACKGROUND: Nasal angiofibromas are commonly called juvenile nasal angiofibromas (JNA) because of the almost exclusive occurrence in adolescent males. It is a relatively rare benign fibrovascular tumor originating in the posterior lateral wall of the nasopharynx with only a very few cases diagnosed in females. CASE REPORT: Authors present a case of a 26 y.o. woman with JNA in left nasal cavity with extension to the anterior left ethmoid cells diagnosed and surgically treated at the ENT Department, Medical University of Lodz. Patient presented in past medical history: lymphoma malignum--abdominal location--surgical treatment and chemotherapy (1986) with no clinical signs of recurrence. Diagnosis based on histopathologic examination with immunochemical staining (vimentin, actin, desmin, S-100 protein). CT of paranasal sinuses in frontal and axial plains--left nasal cavity filled with a solid pathologic tissue. In the left anterior ethmoid cells extension of the tumor could be seen. Surgical treatment--tumor has been surgically resected with no complications. In a 12 month follow up patient shows no signs of recurrence. CONCLUSION: Although angiofibroma in females is an extremely rare tumor of a sinonasal tract it should be taken into consideration in the differential diagnosis of all nasal cavity tumors (especially solitary fibrous tumor). It is not possible to make differential diagnosis on physical examination. The only way to confirm the diagnosis is histopathologic examination with immunochemical staining.
Assuntos
Angiofibroma/patologia , Seio Etmoidal/patologia , Neoplasias Nasais/patologia , Adulto , Angiofibroma/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Cavidade Nasal/cirurgia , Neoplasias Nasais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
The authors presented an unusually rare case of the displaced transversal mesocolon tumor in 67 years old patient which had been earlier clinically diagnosed as an right ovary tumor.
Assuntos
Erros de Diagnóstico , Mesocolo/diagnóstico por imagem , Neurofibroma/diagnóstico por imagem , Neoplasias Ovarianas/diagnóstico por imagem , Neoplasias Peritoneais/diagnóstico por imagem , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Mesocolo/patologia , Neurofibroma/patologia , Neoplasias Ovarianas/patologia , Neoplasias Peritoneais/patologia , UltrassonografiaRESUMO
There was presented two case of granulomatous giant cell myocarditis in 21 and 41 year old women, who died of severe heart failure. There made clinical diagnose in both case of pulmonary embolism. Light microscopic examination showed diffuse damage to the myocardium with necrosis of myocytes, fibrosis, infiltration of lymphocyte, plasmocytes and number multinucleated giant cells. Other organs showed no evidence of granulomatous disease.