RESUMO
BACKGROUND: Salivary gland tumours (SGT'S) are uncommon. The minor glands are dispersed throughout the upper aerodigestive submucosa including the lip. OBJECTIVE: To present two case reports of salivary gland tumour of the upper lip and highlight its diagnostic and therapeutic challenges. CASE REPORTS: A 50-year-old female farmer presented with a two year history of swelling of the upper lip and the histology revealed a pleomorphic adenoma of the minor salivary gland. She was offered a wide excision which resulted in a huge upper lip defect managed by a two staged lip switch ABBE flap. The second patient, a 40-year-old female teacher presented with a 10 year history of a left sided upper lip swelling. Histology revealed pleomorphic adenoma. She was offered an excision with no evidence of recurrence after 26 months of follow up. CONCLUSION: Salivary gland tumours should be considered as a differential diagnosis of tumours of the lip: Early presentation is advocated as late presentation with advanced tumour presents diagnostic and therapeutic challenges.
Assuntos
Adenoma Pleomorfo/patologia , Neoplasias Labiais/patologia , Neoplasias das Glândulas Salivares/patologia , Glândulas Salivares Menores/patologia , Adenoma Pleomorfo/cirurgia , Biópsia , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Neoplasias Labiais/cirurgia , Pessoa de Meia-Idade , Neoplasias das Glândulas Salivares/cirurgia , Glândulas Salivares Menores/cirurgia , Retalhos Cirúrgicos , Resultado do TratamentoRESUMO
BACKGROUND: Burn injuries are among the most devastating injuries seen in the emergency units. The epidemiology of this injury varies from one part of the world to another. This is a 3-year report in an attempt to provide information on the current epidemiology of burns in this center. METHOD: Patients admitted into the University of Calabar Teaching Hospital, with burn injuries were prospectively studied between February 2005 and January 2008. RESULTS: The 59 patients (33 males and 26 females) accounted for 3.7% of trauma patients and their ages ranged from 15 to 70 years (mean 29.4 years). Flame burn was the commonest injury seen in 48 (81.3%) patients because of petrol and kerosene, whereas chemical burn that involved 7 (11.9%) patients ranked second. Morbidity included burns wound infection in 13 (22%) patients and contractures in 6 (10.2%) patients. The outcome was fatal in 15 (25.4%) patients. CONCLUSION: The establishment of burn support groups dedicated to publicity on prevention based on areas of risk highlighted in this study and provision of financial aid as well as provision of modern burn care facilities would improve outcome.