Subject(s)
Carcinoma, Basal Cell/pathology , Eyelid Neoplasms/pathology , Eyelids/pathology , Aged, 80 and over , Carcinoma, Basal Cell/diagnostic imaging , Eyelid Neoplasms/diagnostic imaging , Eyelids/diagnostic imaging , Female , Humans , Orbit Evisceration , Photography , Tomography, X-Ray ComputedABSTRACT
OBJECTIVE: To present a case of thyroid sarcoidosis revealed by a multinodular goiter and cervical and mediastinal adenopathies. METHODS: We summarize the clinical presentation of a thyroid sarcoidosis. A review of literature regarding this topic is also presented. RESULTS: A 48-year-old woman presented dysphagia without dyspnea. Clinical and radiological explorations find a multinodular goiter with cervical and mediastinal adenopathies. The symptomatic side of the goiter and the association with adenopathies justify the surgery. Total thyroidectomy and mediastinal lymphadenectomy are processed. Histopathological examination of the thyroid reveal a goiter without malignity, a vesicular nodule, and non necrotizing granulomas consistent with sarcoidosis, as in the adenopathy. CONCLUSION: The interest here, is the difficulty to make the diagnostic without histopathology, between a thyroid cancer with lymphadenopathies and extrapulmonary sarcoidosis (involving thyroid and adenopathies).
Subject(s)
Sarcoidosis/surgery , Thyroid Diseases/surgery , Deglutition Disorders/etiology , Female , Humans , Middle Aged , Radiography , Sarcoidosis/diagnostic imaging , Thyroid Diseases/diagnostic imaging , Thyroidectomy , UltrasonographyABSTRACT
Epidermoid cyst is a benign and rare tumor, that evolves slowly. We describe the case of a 55 years-old woman, who came to our consultation for atypical trigeminal neuralgia of left V1 and V2 nerves. Brain MRI found two tumors: T1W hypointense with no appreciable enhancement after gadolinium injection and T2W and diffusion hyperintense. This last feature was in favour of an epidermoid cyst, but the multiplicity of cerebral lesions was definitely not in favor of such a diagnostic. They were located behind the right eye and in the left Meckel's cave (trigeminal cave). The surgical strategy consisted in removal the retro orbital tumor witch was the most accessible of both the diagnostic of epidermoid cyst was retaned thanks to the anatomopathology report. As these lesions had the exact same characteristics, we concluded that they were similar. The second epidermoid cyst was not removed because of surgical risk, its benign nature and low evolutionary potential.
