ABSTRACT
Varón de 68 años que acude para valoración de un carcinoma basocelular con diferenciación escamosa en el párpado inferior izquierdo. Se realizó una resección con control de margen de sección congelada y el defecto (canto interno, dos tercios del párpado inferior y 2,5cm de la mejilla) fue reconstruido 2 días después de la cirugía en un solo acto quirúrgico: la lamela posterior con injerto de pericráneo y la anterior con un flap de Mustardé. Después de un año de seguimiento, el paciente tiene un aspecto aceptable, un buen soporte y posición palpebral, tejido vascularizado como el nativo en el párpado, sin recurrencia del tumor
We report the case of a 68-year-old man with a left lower eyelid basal cell carcinoma with squamous differentiation. Resection was performed under frozen section technique and the defect (inner canthus, two thirds of the lower eyelid and 2.5cm of the cheek) reconstructed 2 days after surgery in a single surgical operation: posterior lamella with pericranial graft and anterior lamella with Mustarde flap. After one year of follow-up, the patient has an adequate appearance, good eyelid support and position, vascularized tissue like the native eyelid and no tumor recurrence
Subject(s)
Humans , Male , Aged , Blepharoplasty/methods , Carcinoma, Basal Cell/surgery , Eyelid Neoplasms/surgery , Periosteum/transplantation , Surgical Flaps , SkullABSTRACT
We report the case of a 68-year-old man with a left lower eyelid basal cell carcinoma with squamous differentiation. Resection was performed under frozen section technique and the defect (inner canthus, two thirds of the lower eyelid and 2.5cm of the cheek) reconstructed 2 days after surgery in a single surgical operation: posterior lamella with pericranial graft and anterior lamella with Mustarde flap. After one year of follow-up, the patient has an adequate appearance, good eyelid support and position, vascularized tissue like the native eyelid and no tumor recurrence.
Subject(s)
Blepharoplasty/methods , Carcinoma, Basal Cell/surgery , Eyelid Neoplasms/surgery , Periosteum/transplantation , Surgical Flaps , Aged , Humans , Male , SkullSubject(s)
Calcinosis/diagnosis , Lacrimal Apparatus Diseases/diagnosis , Orbital Pseudotumor/diagnosis , Calcinosis/complications , Dacryocystitis/complications , Dacryocystitis/diagnosis , Dacryocystitis/pathology , Diagnosis, Differential , Female , Humans , Lacrimal Apparatus Diseases/complications , Middle Aged , Orbital Pseudotumor/complications , Orbital Pseudotumor/pathology , Sclerosis/complications , Sclerosis/diagnosisSubject(s)
Blast Injuries/surgery , Debridement/instrumentation , Debridement/methods , Eye Injuries, Penetrating/surgery , Firearms , Forensic Ballistics , Conjunctiva/injuries , Conjunctiva/surgery , Corneal Injuries/surgery , Diamond , Explosions , Facial Injuries/surgery , Humans , Male , Middle Aged , Powders , TattooingSubject(s)
Eye Foreign Bodies/complications , Eye Foreign Bodies/diagnosis , Eye Injuries, Penetrating , Myositis/diagnosis , Myositis/etiology , Orbit/injuries , Wood , Adult , Diplopia/diagnosis , Diplopia/etiology , Diplopia/surgery , Eye Foreign Bodies/surgery , Eye Injuries, Penetrating/complications , Eye Injuries, Penetrating/diagnosis , Eye Injuries, Penetrating/surgery , Humans , Male , Orbit/surgery , Orbital Diseases/diagnosis , Orbital Diseases/etiology , Orbital Diseases/surgery , Plants , Torticollis/diagnosis , Torticollis/etiologyABSTRACT
CASO CLÍNICO: Un varón de 70 años, procedente de Sicilia, acude con una masa palpebral bilateral con afectación tarsal conjuntival, que resultó ser un sarcoma de Kaposi al examen histológico. Se demostró afectación cutánea y pulmonar por el sarcoma de Kaposi. El paciente no tenía un diagnóstico previo de infección por el virus de la inmunodeficiencia humana. Este caso fue tratado con éxito tras 5 ciclos de quimioterapia con doxorrubicina liposomal, con resolución de las lesiones palpebrales, cutáneas y pulmonares. Conclusiones: La localización en el párpado es una posible manifestación inicial, aunque rara, del sarcoma de Kaposi en personas de edad avanzada negativos para el virus de la inmunodeficiencia humana. La doxorrubicina liposomal es un tratamiento seguro y efectivo
CASE REPORT: We report a case of 70-year-old male from Sicily, who presented with a bilateral eyelid mass involving the tarsal conjunctiva, found to be Kaposi's sarcoma on histologic examination. Cutaneous and pulmonary Kaposi's sarcoma involvement was documented. The patient had no prior diagnosis of human immunodeficiency virus infection. This case was managed successfully after the completion of five cycles of chemotherapy with liposomal doxorubicin, and his eyelid, skin and pulmonary lesions disappeared. CONCLUSIONS: Location in the eyelid is a possible, though rare, initial solitary manifestation of Kaposi's sarcoma in elderly HIV-negative patients. Liposomal doxorubicin is a safe and effective treatment
Subject(s)
Humans , Male , Aged , Sarcoma, Kaposi/complications , Eyelid Diseases/pathology , Doxorubicin/therapeutic use , Visual Acuity , Biopsy , HIV Seronegativity , Conjunctiva/pathology , Eyelids/pathology , Diagnosis, Differential , Immunohistochemistry , Enzyme-Linked Immunosorbent Assay , Blotting, Western , Sarcoma, Kaposi/diagnostic imaging , Sarcoma, Kaposi/therapyABSTRACT
No disponible
Subject(s)
Humans , History, 16th Century , History, 19th Century , History, 20th Century , Orbital Implants/history , Orbital Implants , Anophthalmos/history , Anophthalmos/surgery , Eye Evisceration/history , Eye Enucleation/history , Orbit Evisceration/history , Eye, Artificial/history , Ophthalmologic Surgical Procedures/history , Durapatite/history , Durapatite/therapeutic useABSTRACT
CASE REPORT: We report a case of 70-year-old male from Sicily, who presented with a bilateral eyelid mass involving the tarsal conjunctiva, found to be Kaposi's sarcoma on histologic examination. Cutaneous and pulmonary Kaposi's sarcoma involvement was documented. The patient had no prior diagnosis of human immunodeficiency virus infection. This case was managed successfully after the completion of five cycles of chemotherapy with liposomal doxorubicin, and his eyelid, skin and pulmonary lesions disappeared. CONCLUSIONS: Location in the eyelid is a possible, though rare, initial solitary manifestation of Kaposi's sarcoma in elderly HIV-negative patients. Liposomal doxorubicin is a safe and effective treatment.
Subject(s)
Antibiotics, Antineoplastic/therapeutic use , Doxorubicin/analogs & derivatives , Eyelid Neoplasms/drug therapy , Neoplasms, Multiple Primary/drug therapy , Sarcoma, Kaposi/drug therapy , Aged , Doxorubicin/therapeutic use , Eyelid Neoplasms/diagnostic imaging , HIV Seronegativity , Humans , Male , Neoplasms, Multiple Primary/diagnostic imaging , Polyethylene Glycols/therapeutic use , Remission Induction , Sarcoma, Kaposi/diagnostic imaging , Tomography, X-Ray ComputedSubject(s)
Anophthalmos/surgery , Eye Enucleation/history , Eye Evisceration/history , Eye, Artificial/history , Orbit Evisceration/history , Anophthalmos/rehabilitation , Biocompatible Materials , Egypt, Ancient , Equipment Design , Europe , Eye Enucleation/rehabilitation , Eye Evisceration/rehabilitation , Greece, Ancient , History, 16th Century , History, 19th Century , History, 20th Century , History, 21st Century , History, Ancient , Humans , Orbit Evisceration/rehabilitationABSTRACT
CASE REPORT: We report the case of a 69-year-old man with a lung carcinoma history. The patient showed signs of conjuntival hyperemia, painless bilateral corneal edema, persistent epitelial defects and reported to have decreasing visual acuity for a week. The clinical examination revealed a bilateral neurotrophyc keratitis with both a decreased frequency of blinking and a bilateral atrophy mandibular muscles. Local ocular patology was excluded. Systemic exploration showed a meningeal neoplasic infiltration and metastasis on the initial trigeminal nerve stretch. In our knowledge, this is the first case reported in the literature. DISCUSSION: Ophthalmic signs should be considered in the diagnosis of systemic pathology.
Subject(s)
Cornea/innervation , Cranial Nerve Neoplasms/secondary , Keratitis/etiology , Lung Neoplasms/pathology , Meningeal Neoplasms/secondary , Ophthalmic Nerve/pathology , Aged , Cornea/pathology , Humans , MaleABSTRACT
Caso clínico: Presentamos un paciente de 69 años de edad con antecedentes de neoplasia pulmonar que presentaba hiperemia conjuntival, infiltración corneal bilateral no dolorosa y disminución de la agudeza visual de 1 semana de evolución. La exploración clínica reveló una queratopatía neurotrófica bilateral con disminución en la frecuencia del parpadeo y atrofia masetera bilateral. Tras descartarse patología ocular local, las pruebas complementarias objetivaron carcinomatosis meníngea con metástasis de los trayectos cisternales de los V pares craneales. No encontramos referencias de un caso similar en la bibliografía. Discusión: Debemos considerar la clínica oftalmológica en el diagnóstico de las enfermedades sistémicas no manifiestas (AU)
