RESUMO
A case of oncogenous osteomalacia secondary to a fibrous malignant histiocytoma in a 31-year-old male is described. The patient also demonstrated a lupuslike anticoagulant. Clinical signs of osteomalacia preceded by 9 years those of the tumor, a feature occurring in only 8% of these malignancies. Surgical resection of the tumor and surrounding tissues was followed by a clinical improvement and a return to normal of serum phosphorus and tubular reabsorption of phosphate, though the lupuslike anticoagulant persisted. This first description of a fibrous malignant histiocytoma with associated osteomalacia and lupuslike anticoagulant makes compulsory the inclusion of these syndromes among those already described that may appear with this tumor.
Assuntos
Histiocitoma Fibroso Benigno/complicações , Osteomalacia/etiologia , Neoplasias de Tecidos Moles/complicações , Adulto , Fatores de Coagulação Sanguínea/antagonistas & inibidores , Fatores de Coagulação Sanguínea/sangue , Histiocitoma Fibroso Benigno/sangue , Histiocitoma Fibroso Benigno/patologia , Humanos , Inibidor de Coagulação do Lúpus , Masculino , Osteomalacia/sangue , Fosfatos/sangue , Neoplasias de Tecidos Moles/sangue , Neoplasias de Tecidos Moles/patologiaRESUMO
Drainage of percutaneous abscesses guided by Computerized Axial Tomography (CAT) is a technique being employed more frequently all the time by Radiodiagnostic Services. Correctly put into practice by trained professionals, this procedure can prevent patients having to undergo another series of treatments which bear greater risks, to have a longer hospital stay, or even, depending on the case, to have to undergo an operation. Nurses in a radiological unit have an overwhelming role in every step of a percutaneous abscess drainage, a role which can not be carried out by any other personnel. To achieve being up to date in this technique and to perform our function as nurses in the use of this technique are the main objectives of this review.