RESUMO
Authors report clinical and computed tomographic evolutive course of 15 cases of orbital idiopathic inflammatory pseudotumors. 3 patients had complete disappearance of the symptoms but did not have a computed tomography scanning control, 3 patients had clinical and CT recovery. 4 had clinical resolving with a CT-residual hyperdensity. 5 patients had a partial response to treatment with a CT residual hyperdensity in 4 cases. Sequelae were not very important except one case with a loss vision and ophthalmoplegia. Authors tried to analyse the evolutive course, clinical and/or CT scan sequelae, and to specify the prognostic factors. CT scanning permits a precise anatomic assessment of orbital lesions, and the localisation of the pseudotumor is often in correlation with the therapeutic response. Asymptomatic residual hyperdensity on CT were not very known until now.
Assuntos
Fibroma/fisiopatologia , Neoplasias Orbitárias/fisiopatologia , Adulto , Feminino , Fibroma/complicações , Fibroma/diagnóstico , Humanos , Lactente , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias Orbitárias/complicações , Neoplasias Orbitárias/diagnóstico , Prognóstico , Recidiva , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
The authors report three cases of a palpable abdominal mass without clinical evidence of obstruction. In each case, ultrasound diagnosed a solid tumor. Computer tomography examination measured the density of the tumor and the extension of the disease. In each case, the colonic origin was established owing to surgery. Histological examination of the three cases diagnosed a fibroma of the caecum, an enterogenic cyst of the caecum and a T-lymphosarcoma developed from the wall of the left colon.
Assuntos
Neoplasias do Colo/diagnóstico por imagem , Cistos/diagnóstico por imagem , Fibroma/diagnóstico por imagem , Linfoma não Hodgkin/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Idoso , Neoplasias do Ceco/diagnóstico por imagem , Neoplasias do Colo/diagnóstico , Neoplasias do Colo/patologia , Cistos/patologia , Feminino , Fibroma/patologia , Humanos , Linfoma não Hodgkin/patologia , Masculino , UltrassonografiaRESUMO
The case of a young woman with pain and a tumor in the right lower abdomen is reported. Ultrasound revealed an echogenic tumor of 10 cm diameter. Fibroma of the uterus was diagnosed. During the operation in the gynecological department, the tumor turned out not to be of gynecological origin. After more extensive examinations laparotomy was performed. Histologic examination of the tumor revealed a fibroma, originating from the muscular layer of the cecum. In the literature of the last 35 years, only 5 similar cases have been reported and in 2 of them it was also misdiagnosed as fibroma of the uterus.