RESUMO
Two cases of olfactory neuroblastoma in women in northern Thailand are described. Original complaints were severe headaches and eye pain; death occurred from intracranial extensions 6 months and 1 year after diagnosis. Results of study with light microscopy, immunohistopathology, and electron microscopy are reviewed, and several management recommendations are discussed.
Assuntos
Estesioneuroblastoma Olfatório/patologia , Cavidade Nasal/patologia , Neoplasias Nasais/patologia , Adolescente , Analgésicos/uso terapêutico , Biópsia , Estesioneuroblastoma Olfatório/tratamento farmacológico , Estesioneuroblastoma Olfatório/radioterapia , Evolução Fatal , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Cavidade Nasal/diagnóstico por imagem , Neoplasias Nasais/tratamento farmacológico , Neoplasias Nasais/radioterapia , Cuidados Paliativos , Tailândia , Tomografia Computadorizada por Raios XRESUMO
This is the first case report of primary orbital amyloidoma in a 56-year-old Thai man who presented with proptosis for 4 days. He also complained of orbital discomfort associated with palpitation during the past 4 months. He was treated with corticosteroid for 6 months and slight left orbital pain ensued after cortisone discontinuation. Surgical removal of the orbital mass was done and proved to be "Amyloidoma" by multiple method technologies AL type. His visual acuity and proptosis were improved. Investigation for systemic amyloidosis was done by rectal biopsy and protein electrophoresis but there was no evidence of systemic amyloidosis. The authors reported the first case of orbital amyloidoma in Thailand.
Assuntos
Amiloidose/diagnóstico , Doenças Orbitárias/diagnóstico , Amiloidose/complicações , Amiloidose/cirurgia , Exoftalmia/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Orbitárias/complicações , Doenças Orbitárias/cirurgiaRESUMO
Two cases of neurocysticercosis from Maharaj Nakorn Chiang Mai Hospital were reported with autopsy and surgical findings. The autopsy case was a 14-year-old girl who had a single cyst at the cisterna ambiens of the pineal region, causing hydrocephalus and severe brain edema accompanied with increased intracranial pressure and psychiatric problems but no definite localizing signs. The surgical case was a 35-year-old man with symptoms of increased intracranial pressure, localizing signs of ataxia of the left lower extremity and hearing loss in the right ear. Computed brain tomography showed a posterior fossa cyst with obstructive hydrocephalus. The cyst and the tissues from CP angle region were removed and sent to the Department of Pathology. Histopathologic appearance of both cases showed cysticercosis.
