Assuntos
Plexo Cervical/patologia , Hanseníase/diagnóstico , Biópsia , Humanos , Hanseníase/patologia , FotomicrografiaRESUMO
We present a rare case of retroperitoneal cystic schwannoma of the pelvis in a patient with Hansen's disease that mimicked an ovarian cyst. Due to economic constraints and because the lesion was assumed to be of ovarian origin, the patient did not undergo any cross-sectional imaging other than sonography. Sonographically guided fine needle aspiration of the cystic lesion was inconclusive. A cystic schwannoma was diagnosed at laparotomy.
Assuntos
Hanseníase/complicações , Neurilemoma/diagnóstico por imagem , Cistos Ovarianos/diagnóstico , Neoplasias Retroperitoneais/diagnóstico por imagem , Idoso , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Laparotomia/métodos , Hanseníase/patologia , Neurilemoma/patologia , Neurilemoma/cirurgia , Fotomicrografia , Neoplasias Retroperitoneais/patologia , Neoplasias Retroperitoneais/cirurgia , UltrassonografiaAssuntos
Hamartoma/congênito , Hamartoma/patologia , Neoplasias Musculares/congênito , Neoplasias Musculares/patologia , Biópsia por Agulha , Feminino , Seguimentos , Hamartoma/cirurgia , Humanos , Hiperpigmentação/diagnóstico , Hiperpigmentação/etiologia , Imuno-Histoquímica , Recém-Nascido , Neoplasias Musculares/cirurgia , Músculo Liso/patologia , Fotomicrografia , Doenças Raras , Medição de Risco , Resultado do TratamentoRESUMO
The nasal mucosae of 39 cases of primary neuritic leprosy (PNL) registered at Karigiri were studied histologically to determine nasal mucosal involvement in PNL and its relevance to the pathogenesis of the disease. Specific changes of leprosy were seen in 20 (51%) biopsies, ranging from macrophage granulomas with acid fast bacilli, to epithelioid granulomas and nerve inflammation. The remaining biopsies revealed chronic inflammatory changes of the mucosa or mild non-specific nerve changes. These findings show that there are widespread effects of the disease even in PNL patients in whom the disease is believed to be confined to the peripheral nerves. The findings also show that early leprosy involvement can be found in the nasal mucosa even before lesions become apparent in the skin or other parts of the body. The nasal mucosa could be one of the sites for the primary lesion in leprosy. Clinical and histological examination of the nasal mucosa may be useful and important in the early diagnosis of leprosy and especially in contacts.