RESUMO
A curious association of three rare tumours was described by Carney in 1977. 'Carney's triad' characteristically includes multifocal pulmonary chondroma, gastric stromal sarcoma and extra-adrenal paraganglioma. Patients may exhibit complete or incomplete expression of the triad. Carney acknowledged that, of 79 patients, only 17 possessed all three tumours. We report here two patients with incomplete expression of Carney's triad.
Assuntos
Condroma/diagnóstico , Tumores do Estroma Gastrointestinal/diagnóstico , Neoplasias Hepáticas/diagnóstico , Neoplasias Pulmonares/diagnóstico , Paraganglioma Extrassuprarrenal/diagnóstico , Adulto , Antibacterianos/uso terapêutico , Antineoplásicos/uso terapêutico , Benzamidas , Broncopatias/tratamento farmacológico , Broncopatias/etiologia , Feminino , Humanos , Mesilato de Imatinib , Neoplasias Primárias Múltiplas/diagnóstico , Piperazinas/uso terapêutico , Pirimidinas/uso terapêutico , Tomografia Computadorizada por Raios XRESUMO
Cardiac tamponade secondary to perforation of a hepatic amoebic abscess developed six years after the patient had visited an area where Entamoeba histolytica is endemic. He was treated with metronidazole and imipenem, emergency percutaneous catheter drainage, and open surgical drainage.
Assuntos
Tamponamento Cardíaco/parasitologia , Abscesso Hepático Amebiano/complicações , Adulto , Tamponamento Cardíaco/tratamento farmacológico , Tamponamento Cardíaco/terapia , Drenagem , Humanos , Imipenem/uso terapêutico , Abscesso Hepático Amebiano/tratamento farmacológico , Abscesso Hepático Amebiano/terapia , Masculino , Metronidazol/uso terapêutico , Ruptura Espontânea , Fatores de TempoRESUMO
Bronchogenic carcinoma remains the commonest fatal malignancy worldwide. In this paper we discuss the various imaging modalities available to aid diagnosis and staging, presenting these techniques in a clinical sequence. We also consider some of their limitations.
Assuntos
Carcinoma Broncogênico/diagnóstico , Neoplasias Pulmonares/diagnóstico , Neoplasias Ósseas/secundário , Carcinoma Broncogênico/diagnóstico por imagem , Carcinoma Broncogênico/secundário , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Estadiamento de Neoplasias , Radiografia Torácica , Cintilografia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
There has been controversy within the recent literature as to the value of computed tomography (CT) of the chest in patients with T1NoMo non-small cell bronchial carcinoma, as staged by plain radiography and bronchoscopy. This paper reports on 63 such patients, nine (14.2%) of whom were shown correctly by CT of the chest to have metastatic spread which rendered them inoperable. Of these nine, four had stage N3 mediastinal disease; the other five had metastatic disease, either pulmonary or bony. Patients with lesions less than 2 cm in diameter were also looked at separately: 4/20 had inoperable disease on CT of the chest. In both groups the detection rate of inoperability by CT of the chest justifies its use pre-operatively in all T1NoMo non-small cell bronchial carcinomas, in terms of clinical morbidity, mortality and cost.
Assuntos
Carcinoma Pulmonar de Células não Pequenas/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Idoso , Carcinoma Pulmonar de Células não Pequenas/patologia , Carcinoma Pulmonar de Células não Pequenas/secundário , Humanos , Neoplasias Pulmonares/patologia , Metástase Linfática , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Cuidados Pré-OperatóriosRESUMO
Mesenchymal chondrosarcomas are rare tumours, the minority arising in an extraskeletal site. We describe a case of extraskeletal mesenchymal chondrosarcoma occurring in the parapharyngeal space. This was demonstrated by computed tomography (CT), magnetic resonance imaging (MRI) and angiography.