RESUMO
The oral cavity constitutes a site of low prevalence for metastasis of malignant tumors. Nevertheless, it has a high prevalence for metastasis of renal origin. Besides the kidneys, there are other primary sites with high prevalence of metastasis to the oral mucosa, such as the lungs, skin and breasts. Metastasis is common in patients with a background of treated renal tumors, thereby, it is proper to determine the possibility of oral metastasis as part of the protocol of attention. However, it constitutes a diagnostic challenge when it presents in patients with no renal antecedents. It is in this type of patients that the diagnosis of carcinoma is achieved by means of a metastasis. Survival rate in these patients is short because at the time of the metastasis diagnosis, the general compromise is high. The following report describes a case referred from the Rheumatology Unit with an intraoral tumor, that was finally diagnosed as a Metastasic Renal Cell Carcinoma with multiple metastasis.
Assuntos
Carcinoma de Células Renais/secundário , Neoplasias Renais/patologia , Neoplasias Bucais/secundário , Idoso , Humanos , MasculinoRESUMO
The oral cavity constitutes a site of low prevalence for metastasis of malignant tumors. Nevertheless, it has a highprevalence for metastasis of renal origin. Besides the kidneys, there are other primary sites with high prevalence ofmetastasis to the oral mucosa, such as the lungs, skin and breasts.Metastasis is common in patients with a background of treated renal tumors, thereby, it is proper to determine thepossibility of oral metastasis as part of the protocol of attention. However, it constitutes a diagnostic challengewhen it presents in patients with no renal antecedents. It is in this type of patients that the diagnosis of carcinomais achieved by means of a metastasis. Survival rate in these patients is short because at the time of the metastasisdiagnosis, the general compromise is high.The following report describes a case referred from the Rheumatology Unit with an intraoral tumor, that was finallydiagnosed as a Metastasic Renal Cell Carcinoma with multiple metastasis (AU)
Assuntos
Humanos , Masculino , Idoso , Carcinoma de Células Renais/secundário , Neoplasias Bucais/secundário , Neoplasias Renais/patologiaRESUMO
Beckwith Wiedemann Syndrome (BWS) is a rare congenital disease of low prevalence. However, it presents a high prevalence within the genetic pathologies of overgrowth. This syndrome presents typical manifestations such as macroglossia, macrosomy at birth, omphalocele and defects of the anterior abdominal wall. Its origin is known to be genetic, but its mechanism of generation is not clear. This syndrome has been the object of wide studies since investigators have established a relationship between the methods of assisted fertilization (assisted reproduction treatment, ART) and its appearance. Currently, research is oriented towards the improvement of the prenatal diagnostic techniques, which would allow a preparation of the multidisciplinary medical team to treat the pathologies with which these patients are born. Next we present the case of a 1 year-old child who consults this service with a diagnosis of macroglossia associated with BWS.
Assuntos
Síndrome de Beckwith-Wiedemann/diagnóstico , Humanos , Lactente , MasculinoRESUMO
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Beckwith Wiedemann Syndrome (BWS) is a rare congenital disease of low prevalence. However, it presents a highprevalence within the genetic pathologies of overgrowth. This syndrome presents typical manifestations such asmacroglossia, macrosomy at birth, omphalocele and defects of the anterior abdominal wall. Its origin is known to be genetic, but its mechanism of generation is not clear. This syndrome has been the object of wide studies since investigators have established a relationship between the methods of assisted fertilization (assisted reproduction treatment, ART) and its appearance.Currently, research is oriented towards the improvement of the prenatal diagnostic techniques, which would allow a preparation of the multidisciplinary medical team to treat the pathologies with which these patients are born.Next we present the case of a 1 year-old child who consults this service with a diagnosis of macroglossia associated with BWS