RESUMEN
INTRODUCTION: Cutaneous squamous cell carcinoma (cSCC) is an invasive and malignant tumour that is common in the orbital region. However, adenocarcinoma of the lacrimal gland has an incidence of less than one case per million per year. We present a patient who experienced a cSCC and adenocarcinoma of the lacrimal gland, which is unusual for both these cancers to present in the same patient in such close proximity. PRESENTATION OF CASE: A 47-year old male patient was referred for management of a cSCC of the right upper eyelid. This was treated surgically by means of wide local excision and orbital exenteration. Histological analysis of the resection specimen found an incidental synchronous lacrimal gland adenocarcinoma. To our knowledge this is the first case report to describe this phenomenon. DISCUSSION: Although SCC is the most common secondary epithelial neoplasms of the orbit region, adenocarcinomas are rare in this same region. Currently, when performing a literature search, there has been no cases found that documents a poorly differentiated cSCC with a synchronous adenocarcinoma of the lacrimal gland. This is mainly because there are improved facilities and accessible healthcare. This report will mainly focus on the presentation and management of this patient case. CONCLUSION: To our knowledge this is the first case report documenting a poorly differentiated cSCC and a synchronous adenocarcinoma of the lacrimal gland. Our case report raises the awareness of the possibility of patients with synchronous tumours and is a valuable addition to the literature.
Asunto(s)
Neoplasias Mandibulares/cirugía , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Quiste Odontogénico Calcificado/cirugía , Adulto , Humanos , Masculino , Neoplasias Mandibulares/diagnóstico por imagen , Quiste Odontogénico Calcificado/diagnóstico por imagen , Radiografía Panorámica , Tomografía Computarizada por Rayos XAsunto(s)
Antebrazo , Procedimientos de Cirugía Plástica , Colgajos Quirúrgicos , Humanos , Trasplante de PielRESUMEN
KEY CLINICAL MESSAGE: Not all orbital fractures are associated with clinical signs of swelling, ecchymosis, and subconjunctival hemorrhage. The "white-eyed" blowout fracture is more commonly seen in children and is associated with entrapment of the extraocular muscles. Early surgical intervention is indicated and it must have been in the differential diagnosis of the head injury patient with opthalmoplegia.
Asunto(s)
Estenosis Esofágica/cirugía , Colgajos Tisulares Libres/trasplante , Enfermedades Faríngeas/cirugía , Procedimientos de Cirugía Plástica/métodos , Trasplante de Piel/métodos , Constricción Patológica/cirugía , Femenino , Antebrazo/cirugía , Humanos , Laringectomía/efectos adversos , Laringe Artificial , Disección del Cuello/efectos adversos , Voz Esofágica , Sitio Donante de Trasplante/cirugíaRESUMEN
The refashioning of the many distinct structures necessary for successful anatomical and aesthetic reconstruction of the nose after total rhinectomy is difficult. Several significant operations are needed to produce good aesthetic results with functional patency of the nasal airway. We describe a method using autologous grafts that has produced good results on both occasions when it was done. It has the advantage of only one major operation and one subsequent minor revision.
Asunto(s)
Carcinoma de Células Escamosas/cirugía , Colgajos Tisulares Libres , Neoplasias Nasales/cirugía , Nariz/cirugía , Rinoplastia/métodos , Anciano , Frente/cirugía , Humanos , Masculino , Trasplante de Tejidos/métodosRESUMEN
The battle against methicillin-resistant Staphylococcus aureus (MRSA) wound infection is becoming more difficult as drug resistance is widespread and the incidence of MRSA in the community increases. Manuka honey dressing has long been available as a non-antibiotic treatment in the management of chronic wound infections. We have been using honey-impregnated dressings successfully in our wound care clinic and on the maxillofacial ward for over a year.