RESUMO
A case of neurosarcoma located in maxillary sinus is presented. The patient was 62 years old women who complained of nasal obstruction, epistaxis and headache. Results of physical examination showed a giant mass filling the nasal cavity and maxillary sinus. The lesion was completely resected by lateral rhinotomy way. After the operation histopathological diagnosis was difficult, one pathologist recognised schwannoma benignum other one sarcoma. Finally postoperative diagnosis was schwannoma benignum, it was misdiagnosis. Two years later the patient was surgically treated again because of tumor recurrence. These time pathological diagnosis was neurosarcoma. Radiotherapy was done as well. The patient died 18 months after treatment, tumor regrowth and generalization metastases was reason of the death.
Assuntos
Neoplasias do Seio Maxilar/diagnóstico , Recidiva Local de Neoplasia/patologia , Neurofibrossarcoma/diagnóstico , Diagnóstico Diferencial , Epistaxe/etiologia , Evolução Fatal , Feminino , Cefaleia/etiologia , Humanos , Neoplasias do Seio Maxilar/complicações , Neoplasias do Seio Maxilar/cirurgia , Pessoa de Meia-Idade , Obstrução Nasal/etiologia , Recidiva Local de Neoplasia/cirurgia , Neurilemoma/diagnóstico , Neurofibrossarcoma/complicações , Neurofibrossarcoma/secundário , Neurofibrossarcoma/cirurgia , Radioterapia AdjuvanteRESUMO
Author described results of surgical treatment of 28 patients with histologically proven juvenile angiofibroma treated at the ENT Clinic of Warsaw Medical Academy between 1980 and 1990. Histology, morphology and clinical course of this rare tumor was shortly discussed as well as current diagnostic and therapeutic methods.
Assuntos
Angiofibroma/patologia , Neoplasias Nasofaríngeas/patologia , Nasofaringe/patologia , Adolescente , Angiofibroma/diagnóstico , Angiofibroma/cirurgia , Angiografia , Humanos , Neoplasias Nasofaríngeas/diagnóstico , Neoplasias Nasofaríngeas/cirurgia , Nasofaringe/cirurgia , Estadiamento de Neoplasias , Polônia , Estudos RetrospectivosRESUMO
The parapharyngeal space, an area of complex anatomic relationships, is involved in a wide variety of benign and malignant neoplasms. This paper reported in managing 16 patients with parapharyngeal primary tumors. The cervical approach as surgical treatment was used in whole group. Recurrent tumors accounted for 4 of 16 cases. Discussion of the indications, surgical technique and select points to using this operative procedure is based on operative experience gained from these 16 patients.
Assuntos
Recidiva Local de Neoplasia/cirurgia , Neoplasias Faríngeas/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Neoplasias do Mediastino/cirurgia , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/mortalidade , Neoplasias Faríngeas/mortalidade , Faringectomia/mortalidade , Taxa de SobrevidaRESUMO
Atypical fibroxanthoma is an uncommon mesenchymal neoplasm. It is cytologically malignant but usually clinically being tumor which typically arises in sundamaged skin of the head and neck region. The principal differential diagnoses are spindle cell squamous carcinoma, melanoma and leiomyosarcoma. Immunohistochemistry plays a key role in diagnosis. We report a patient with atypical fibroxanthoma of the maxilla and the neck.
Assuntos
Histiocitoma Fibroso Benigno/diagnóstico , Neoplasias Maxilares/diagnóstico , Adulto , Feminino , Histiocitoma Fibroso Benigno/terapia , Humanos , Imuno-Histoquímica , Neoplasias Maxilares/terapiaRESUMO
Squamous cell carcinoma arising in the postcricoid area of the hypopharynx is relatively late diagnose. Previous observation concerning patients treated in our Clinic and the data from literature confirmed very bad diagnosis in this cases. The results of the Clinical observation of 58 patients and pathomorphology findings in 35 preparates have been described. In that group we have found only 16 cases (27.6%) with 3 years long surviving rate. Morphological findings, relating lymphatic system, partially explained so bed prognosis.
Assuntos
Carcinoma de Células Escamosas/diagnóstico , Neoplasias Hipofaríngeas/diagnóstico , Hipofaringe/patologia , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Feminino , Humanos , Neoplasias Hipofaríngeas/patologia , Neoplasias Hipofaríngeas/cirurgia , Hipofaringe/cirurgia , Linfonodos/patologia , Masculino , Estadiamento de Neoplasias , Prognóstico , Taxa de SobrevidaRESUMO
The usage of external drainage in the treatment of chronic exudative otitis media raised as much hope as it did doubts. However this method was not put to common use immediately. The doubts observed by laryngological mele delayed the usage of this method of treatment in many cases. In the Otolaryngological Clinic of the Surgery Institute in Warsaw, the external drainage in chronic exudative otitis media has been in use for several years. The authors of this paper present their own distant observations upon treated patients. They evaluate the efficiency of hearing examination and the lack of recurrence of inflammation of the middle ear.