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1.
Rev Med Suisse ; 19(844): 1786-1790, 2023 Oct 04.
Artigo em Francês | MEDLINE | ID: mdl-37791692

RESUMO

Malignant tumors of the external auditory canal are rare tumors and very often diagnosed at an advanced stage due to non-specific symptoms. The best treatment is the radical surgery, eventually followed by radiotherapy. A multidisciplinary team is essential to realize an optimal management. Prognosis remains unfavorable for advanced tumors.


Les tumeurs malignes du conduit auditif externe (CAE) sont rares et leur diagnostic est souvent retardé en raison de symptômes peu spécifiques. Le traitement de choix consiste en une chirurgie radicale, éventuellement suivie d'une radiothérapie. Une équipe multidisciplinaire est indispensable pour une prise en charge optimale. Le pronostic reste défavorable dans les tumeurs avancées.


Assuntos
Carcinoma de Células Escamosas , Neoplasias da Orelha , Humanos , Neoplasias da Orelha/diagnóstico , Neoplasias da Orelha/terapia , Neoplasias da Orelha/patologia , Carcinoma de Células Escamosas/patologia , Estadiamento de Neoplasias , Meato Acústico Externo/patologia , Prognóstico
2.
Ethiop J Health Sci ; 33(1): 173-176, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36890933

RESUMO

Background: Intraductal carcinoma is a rare low grade neoplasm of salivary glands with an excellent prognosis. It most frequently occurs in the parotid gland. Ectopic localizations are quite rare. Methods: This case report describes a man in his 60's who was referred to ear, nose and throat outpatient department with 1-month history of painless swelling of the right parotid region. Results: Ultrasound-guided fine-needle aspiration unveiled a cytologic specimen judged as "suspicious for malignancy" and patient underwent a partial superficial parotidectomy. Immunohistochemistry confirmed diagnosis of intraductal carcinoma of right parotid gland. Conclusions: There are few reported cases concerning this clinical entity following thorough review of the literature and recent developments with reference to the contribution of cytology and histopathology will probably modify its classification and management.


Assuntos
Carcinoma Intraductal não Infiltrante , Neoplasias Parotídeas , Masculino , Humanos , Carcinoma Intraductal não Infiltrante/patologia , Glândula Parótida/cirurgia , Neoplasias Parotídeas/diagnóstico , Neoplasias Parotídeas/cirurgia , Neoplasias Parotídeas/patologia , Biópsia por Agulha Fina , Imuno-Histoquímica
3.
Rev Med Suisse ; 18(803): 2121-2125, 2022 Nov 09.
Artigo em Francês | MEDLINE | ID: mdl-36350024

RESUMO

Globus pharyngeus or globus sensation is an ordinary ENT referral. It comprises a persistent or intermittent painless feeling of a lump or foreign body in the throat and may be outlined as a tightening or choking sensation. It is usually long-lasting and has a tendency to recur. There are no established guidelines concerning diagnosis or treatment. History and clinical examination represent essential elements as they enable the practitioner to narrow the differential diagnosis and consider red flags. Therapeutic trial using PPI is recommended as initial first line treatment in the absence of red flags and paraclinical assessment can be proposed in nonresponsive patients. Management of this clinical condition consists of reassurance and offering speech therapy for refractory cases.


Le globus pharyngé est une plainte fréquente en consultation ORL. Il est défini comme une sensation, généralement chronique, de masse, blocage ou corps étranger persistant ou intermittent dans la gorge. Il n'existe pas de standards clairs concernant son diagnostic ou son traitement. L'anamnèse et l'examen clinique sont des éléments essentiels puisqu'ils permettent d'affiner les diagnostics différentiels et d'envisager une origine oncologique en présence de drapeaux rouges (tabagisme, consommation alcoolique). En l'absence de facteurs de risque, un traitement d'épreuve par IPP (inhibiteurs de la pompe à protons) est la première ligne de traitement. En l'absence d'amélioration, on peut proposer un bilan paraclinique. La prise en charge thérapeutique consiste à rassurer le patient et lui proposer des séances de logopédie pour les cas sévères.


Assuntos
Transtornos de Deglutição , Humanos , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/terapia , Sensação de Globus , Fonoterapia , Faringe
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