RESUMO
A previously healthy man had a carcinoid tumor that caused obstruction and dilatation of the appendiceal lumen, with subsequent inflammation of the appendix. He had acute pain in the lower right abdomen, loss of appetite, constipation, pyrexia, and an increased erythrocyte sedimentation rate without leukocytosis. Although his clinical signs and symptoms subsided, the persistent pathologic finding of a large dilated appendix at examination with ultrasound warranted surgery, which, with microscopy, established the correct diagnosis.
Assuntos
Neoplasias do Apêndice/complicações , Apendicite/etiologia , Tumor Carcinoide/complicações , Doença Aguda , Adulto , Neoplasias do Apêndice/diagnóstico por imagem , Tumor Carcinoide/diagnóstico por imagem , Humanos , Masculino , UltrassonografiaRESUMO
Central nervous system (CNS) involvement in mycosis fungoides (MF) usually occurs in the presence of active skin lesions and infiltration of many visceral organs. A case of MF is presented, associated with a neurological syndrome, characterized by ataxia and motor-neuron disease. Autopsy revealed widespread infiltration of the CNS by MF, in the presence of only one minimal skin lesion and with no involvement of visceral organs. The importance of being aware of this discrepancy is stressed in the light of the possibility of radiotherapy in CNS involvement.