RESUMO
We present the case history of a man with isolated seminoma in the jejunum and abnormal testes but no provable malignant testicular disease. Treatment with cisplatin-based chemotherapy led to complete resolution of the jejunal seminoma. The rarity of seminoma involving the small bowel is highlighted. A literature search did not reveal other similar cases of isolated seminoma affecting the jejunum. The possible origins of this tumour are discussed.
Assuntos
Anemia Ferropriva/diagnóstico , Neoplasias do Jejuno/diagnóstico , Melena/diagnóstico , Seminoma/diagnóstico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Bleomicina/administração & dosagem , Cisplatino/administração & dosagem , Criptorquidismo/patologia , Etoposídeo/administração & dosagem , Humanos , Intestino Delgado/patologia , Neoplasias do Jejuno/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Seminoma/tratamento farmacológico , Neoplasias Testiculares/diagnósticoAssuntos
Capilares , Corioide/irrigação sanguínea , Doenças Retinianas/diagnóstico , Pigmentos da Retina , Adulto , Corioidite , Epitélio , Feminino , Angiofluoresceinografia , Fundo de Olho , Humanos , Macula Lutea , Masculino , Pupila , Esclera , Uveíte/etiologiaRESUMO
Hemiagenesis of the thyroid gland is a rare anomaly. Few cases have been reported in the world literature. We present a case of Graves' disease in association with hemiagenesis of the thyroid gland. In this case, preoperative diagnosis was difficult because of the marked hyperplasia of the single thyroid lobe and the isthmus. Preoperative diagnosis of this anomaly is important to avoid unnecessary exploration of the side where the thyroid lobe is absent and to plan for the extent of thyroid tissue excision to avoid postoperative hypothyroidism. An ultrasound scan of the neck would have been helpful in this case.