RESUMO
Symptomatic prostatic paracoccidioidomycosis (PCM) is a very rare condition; however, it may express as a typical benign prostatic hyperplasia or a simulating prostatic adenocarcinoma. This case report presents PCM mimicking prostatic adenocarcinoma. The purpose of this paper is to call the general physician's attention to this important differential diagnosis.
Assuntos
Paracoccidioidomicose/diagnóstico , Hiperplasia Prostática/parasitologia , Neoplasias da Próstata/diagnóstico , Antiprotozoários/uso terapêutico , Diagnóstico Diferencial , Humanos , Itraconazol/uso terapêutico , Masculino , Pessoa de Meia-Idade , Paracoccidioides/isolamento & purificação , Paracoccidioidomicose/tratamento farmacológico , Antígeno Prostático Específico/sangue , Hiperplasia Prostática/tratamento farmacológico , Sulfametoxazol/uso terapêutico , Trimetoprima/uso terapêuticoRESUMO
The authors conducted a revisional study of intraepithelial papillary lesions of the bile ducts, characterized by being a kind of rare, intraductal growing cholangiocarcinoma. Articles published in the last 10 years were reviewed. The authors considered that the adenoma-carcinoma development is an important feature to warrant prophylactic measures through excisions. The histological type and biomolecular behavior may have relevance in the postoperative course of such lesions, which have a better prognosis when compared with other histological types.
Assuntos
Neoplasias dos Ductos Biliares/patologia , Carcinoma Papilar/patologia , HumanosRESUMO
The authors conducted a revisional study of intraepithelial papillary lesions of the bile ducts, characterized by being a kind of rare, intraductal growing cholangiocarcinoma. Articles published in the last 10 years were reviewed. The authors considered that the adenoma-carcinoma development is an important feature to warrant prophylactic measures through excisions. The histological type and biomolecular behavior may have relevance in the postoperative course of such lesions, which have a better prognosis when compared with other histological types. .
Os autores fizeram um estudo revisional sobre as lesões intraepiteliais papilíferas em ductos biliares, caracterizadas por serem um tipo de colangiocarcinoma raro, de crescimento intraductal. Foram revisados os artigos publicados nos últimos 10 anos. Os autores consideraram que a evolução adenoma-carcinoma é uma característica importante para se adotar medidas profiláticas por meio de ressecções. O tipo histológico e comportamento biomolecular podem ter relevância na evolução pós-operatória destas afecções que apresentam melhor prognóstico quando comparadas aos outros tipos histológicos.
Assuntos
Humanos , Neoplasias dos Ductos Biliares/patologia , Carcinoma Papilar/patologiaRESUMO
Symptomatic prostatic paracoccidioidomycosis (PCM) is a very rare condition; however, it may express as a typical benign prostatic hyperplasia or a simulating prostatic adenocarcinoma. This case report presents PCM mimicking prostatic adenocarcinoma. The purpose of this paper is to call the general physician's attention to this important differential diagnosis.