RESUMO
CASE REPORT: We present a 76-year-old woman with a cholesterol granuloma of the choroid simulating a choroidal melanoma. DISCUSSION: Cholesterol granuloma in the choroid is a quite rare tumor with a characteristic histology of foreign body reactions surrounding cholesterol crystals.
Assuntos
Colesterol , Doenças da Coroide/diagnóstico , Corioide/patologia , Granuloma de Corpo Estranho/diagnóstico , Idoso , Neoplasias da Coroide/diagnóstico , Diagnóstico Diferencial , Feminino , HumanosRESUMO
Eosinophilic esophagitis (EE) is a rarely diagnosed condition involving eosinophilic infiltration of the esophageal mucosa The hallmark of this condition is intermittent and often painful dysphagia that may become constant as the disease progresses. It was initially included within the more general condition known as eosinophilic gastroenteritis but it is now considered an independent entity. Attwood et al. called attention to eosinophilic esophagitis as a distinct clinical condition in 1993. Although eosinophilic esophagitis was thought to occur primarily in children, a significant body of evidence suggests that it affects adults as well. We describe a clinical case of a young woman with a long-standing history of dysphagia affected of this rare entity.
Assuntos
Transtornos de Deglutição/etiologia , Eosinofilia/patologia , Esofagite/patologia , Esôfago/patologia , Diagnóstico Diferencial , Eosinofilia/complicações , Eosinofilia/fisiopatologia , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/etiologia , Estenose Esofágica/fisiopatologia , Esofagite/complicações , Esofagite/fisiopatologia , Esofagoscopia , Esôfago/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Mucosa/patologia , RadiografiaRESUMO
Most of the soft tissue sarcomas of childhood other than rabdomyosarcoma, have as final diagnosis fibrosarcoma, specially in the first months of life. Overlapping features between infantile myofibromatosis and congenital fibrosarcoma, hemangiopericytoma and fibrohistiocytoma have seen noted. Five patients with congenital fibrosarcoma were operated since 1991. Anatomical sites included lower limb, hand and forearm, and three of them had previous diagnoses of hemangiopericytoma, fibrohistiocytoma and myofibromatosis, with provocated non radical surgery and reoperation. The postoperative course was satisfactory and all are live one to eight years later. In our experience accurate histological diagnosis must be achieved to perform radical surgery on these cases.