RESUMEN
CLINICAL CASE: The case is presented of a 21 year-old male with a history of left proptosis and diplopia of two weeks of onset. The MRI showed an ethmoid-orbital vascular lesion with anterior skull base invasion and orbital extension. Biopsy of the ethmoid confirmed fibrovascular tissue, which supported the diagnosis of angiofibroma. DISCUSSION: It is a benign neoplasm with local characteristics of malignancy due to its ability to invade adjacent areas. In this case, the debut presented with manifestations of orbital extension. A broad and multidisciplinary approach is needed in order to improve prognosis.
Asunto(s)
Angiofibroma/patología , Neoplasias Nasofaríngeas/patología , Órbita/patología , Angiofibroma/diagnóstico por imagen , Angiofibroma/radioterapia , Angiofibroma/cirugía , Biopsia , Angiografía Cerebral , Terapia Combinada , Diplopía/etiología , Hueso Etmoides/diagnóstico por imagen , Hueso Etmoides/patología , Exoftalmia/etiología , Humanos , Imagen por Resonancia Magnética , Masculino , Arteria Maxilar/diagnóstico por imagen , Neoplasias Nasofaríngeas/diagnóstico por imagen , Neoplasias Nasofaríngeas/radioterapia , Neoplasias Nasofaríngeas/cirugía , Invasividad Neoplásica , Arteria Oftálmica/diagnóstico por imagen , Órbita/diagnóstico por imagen , Base del Cráneo/diagnóstico por imagen , Base del Cráneo/patología , Adulto JovenRESUMEN
We describe a patient with giant cell carcinoma with ectopic production of chorionic gonadotrophin hormone (CGH). This entity is compared with choriocarcinoma, given that the immunologic, histologic and chemical similarities between the two neoplasms can make their anatomic and pathologic differential diagnosis difficult. Clinical examination, response to treatment and CGH blood levels are the criteria for differentiation.
Asunto(s)
Carcinoma de Células Grandes/diagnóstico , Carcinoma de Células Grandes/metabolismo , Coriocarcinoma/diagnóstico , Gonadotropina Coriónica/metabolismo , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/metabolismo , Carcinoma de Células Grandes/patología , Carcinoma de Células Grandes/cirugía , Quimioterapia Adyuvante , Diagnóstico Diferencial , Resultado Fatal , Humanos , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/cirugía , Masculino , Persona de Mediana Edad , NeumonectomíaRESUMEN
Presentation of an uncommon form of distant primary dissemination of renal adenocarcinoma (RA) 5 years after radical surgery, the subcutaneous metastasis. The patient underwent surgical resection of metastasis, and later developed early pulmonary, mediastinal and new skin metastasis. A review is made of the incidence, therapeutical approach and prognostic value of skin metastasis due to RA.
Asunto(s)
Adenocarcinoma/secundario , Neoplasias Renales/patología , Neoplasias Cutáneas/secundario , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Humanos , Neoplasias Renales/cirugía , Neoplasias Pulmonares/secundario , Metástasis Linfática , Masculino , Neoplasias del Mediastino/secundario , Persona de Mediana Edad , Nefrectomía , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/cirugía , Tórax , Factores de TiempoRESUMEN
Verrucous carcinoma includes approximately 5% of all neoplasias of the penis and is a tumoral variety of benign behaviour and differentiated histology. Our 10-case experience of penial verrucous carcinoma is reported here. In nearly all cases, partial penectomy was the definitive approach. No dissemination, locorregional or distant, was found in any of the report cases. Since prognosis of these tumours is good, we see no justification in performing lymphadenectomy, although it is advisable to adopt and expectant attitude when faced to inguinal adenopathies.
Asunto(s)
Carcinoma Verrugoso/patología , Neoplasias del Pene/patología , Anciano , Anciano de 80 o más Años , Carcinoma Verrugoso/cirugía , Humanos , Masculino , Persona de Mediana Edad , Neoplasias del Pene/cirugíaRESUMEN
Cancer of scrotum is of interest, despite its relative infrequency, because of its historical importance (was the first known occupational cancer) and also of its aggressive behavior. We report a rare case of verrucous carcinoma in a 67 years old man, without recrudescence six months after surgical treatment.
Asunto(s)
Carcinoma Verrugoso/patología , Neoplasias de los Genitales Masculinos/patología , Escroto , Anciano , Humanos , MasculinoRESUMEN
CASO CLÍNICO: Varón de 21 años con historia de exoftalmos izquierdo y diplopía de 2 semanas de evolución. La resonancia magnética mostró una lesión muy vascularizada etmoido-orbitaria con invasión de base del cráneo anterior y extensión orbitaria. La biopsia etmoidal confirmó un tejido fibrovascular compatible con angiofibroma. DISCUSIÓN: El angiofibroma nasofaríngeo juvenil (ANJ) es un tumor benigno con características locales de malignidad debido a su capacidad de invadir áreas adyacentes. En nuestro caso, el comienzo se presenta con manifestaciones de extensión orbitaria. Consideramos necesario un conocimiento amplio y un abordaje multidisciplinario con el fin de mejorar el pronóstico
CLINICAL CASE: The case is presented of a 21 year-old male with a history of left proptosis and diplopia of two weeks of onset. The MRI showed an ethmoid-orbital vascular lesion with anterior skull base invasion and orbital extension. Biopsy of the ethmoid confirmed fibrovascular tissue, which supported the diagnosis of angiofibroma. DISCUSSION: It is a benign neoplasm with local characteristics of malignancy due to its ability to invade adjacent areas. In this case, the debut presented with manifestations of orbital extension. A broad and multidisciplinary approach is needed in order to improve prognosis