ABSTRACT
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 , SkullABSTRACT
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
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 ComputedABSTRACT
CASO CLÍNICO: Miope magna con cámara anterior estrecha que presentó cierre angular secundario a lorazepam. DISCUSIÓN: El cierre angular generalmente ocurre en pacientes predispuestos desencadenado por factores precipitantes. Muchos fármacos de uso rutinario en la práctica clínica podrían ejercer como factor responsable del cierre angular secundario
CASE REPORT: Myopic magna with narrow anterior chamber that presented with a secondary angle closure due to lorazepam. DISCUSSION: Angle closure usually occurs in predisposed patients and is triggered by precipitating factors. Many drugs routinely used in clinical practice could act as a factor responsible for the secondary angle closure
Subject(s)
Adult , Female , Humans , Myopia/chemically induced , Myopia/complications , Lorazepam/adverse effects , Lorazepam/therapeutic use , Secondary Effect , Vision, Ocular , Vision Disorders/chemically induced , Vision Disorders/complications , Tomography, Optical Coherence/methods , Intraocular Pressure , Acetazolamide/therapeutic use , Ophthalmic Solutions/therapeutic use , Fundus Oculi , Tomography, Optical Coherence/instrumentation , Tomography, Optical CoherenceABSTRACT
No disponible
Subject(s)
Child , Humans , Male , Optic Disk Drusen/diagnosis , Calcinosis/physiopathology , Visual Field Tests , Fluorescence , Tomography, Optical CoherenceSubject(s)
Blindness/history , Education of Visually Disabled/history , Reading , Sensory Aids/history , Accidents, Occupational , Blindness/etiology , Education of Visually Disabled/methods , Eye Injuries/complications , Faculty , History, 19th Century , Humans , Male , Ophthalmia, Sympathetic/etiology , Paris , Teaching/historyABSTRACT
CASE REPORT: Myopic magna with narrow anterior chamber that presented with a secondary angle closure due to lorazepam. DISCUSSION: Angle closure usually occurs in predisposed patients and is triggered by precipitating factors. Many drugs routinely used in clinical practice could act as a factor responsible for the secondary angle closure.
