RESUMO
A case of a 80-year-old woman suffering from Merkel cell carcinoma of the auricle with regional cervical lymph nodes metastases has been described. Surgical treatment (tumour and regional lymph nodes dissection) was applied at first. Metastasis to one lymph node was established in postoperative histological examination. Chemotherapy (farmorubicin, cyclophosphamide, vincristine) in 3 cycles was applied within 2 months. In spite of the above, 4 months after tumour excision, metastatic lymph node manifested in the neck. Combined treatment, radical neck dissection and radiotherapy was applied then.
Assuntos
Carcinoma de Célula de Merkel/patologia , Neoplasias da Orelha/patologia , Orelha Externa/patologia , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Célula de Merkel/cirurgia , Neoplasias da Orelha/cirurgia , Orelha Externa/cirurgia , Feminino , Humanos , Metástase Linfática/patologia , Segunda Neoplasia PrimáriaRESUMO
The case of a seventy year old woman with delayed diagnosis of stomach cancer due to misinterpretation of signs and symptoms is presented. A few months earlier a gall bladder tuberculosis was found in this patient. Abdominal symptoms which appeared afterwards were therefore interpreted as manifestation of tuberculosis until the thorough examination allowed diagnosing a gastric cancer.
