RESUMO
Idiopathic fibrosis of different areas of the body such as retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, Reidel's thyroiditis and pseudo-tumour of the orbit are well recognised entities that manifest individually or in combination. A case of idiopathic fibrosis of the upper aerodigestive tract is presented, which caused dense fibrosis of the floor of mouth, tongue, pharynx and larynx leading to aphonia and severe dysphagia. A permanent tracheostomy was performed and regular bouginage is necessary. This is the first such case reported in the literature.
Assuntos
Laringe/patologia , Boca/patologia , Faringe/patologia , Idoso , Feminino , Fibrose , HumanosRESUMO
8 cases of osteosarcoma of the upper jaw from a personal series of tumours are described, and their treatment discussed in the light of past experience. Of the cases, four are still alive and well 6 months to 11 years after treatment. A case is put forward for the initial use of radical surgery, especially maxillectomy with orbital exenteration. The addition of routine postoperative Adriamycin therapy is recommended in the light of its known activity against sarcomas. The palliation of advanced cases is also discussed.