Extensive pyomyositis of prevertebral muscles after acupuncture: Case report.

INTRODUCTION: Severe infectious diseases that require surgery after acupuncture therapy are quite rare. There are only a few cases of pyomyositis following acupuncture reported in the literature. This paper presents a case of cervical pyomyositis developed after such treatment. CASE PRESENTATION: A 36-year-old man presented with swelling and pain in the posterior cervical region as well as high fever and torticollis, after having received three sessions of acupuncture therapy during the preceding weeks aimed to treat his neck stiffness. Ultrasound guided fine needle aspiration (FNA) and contrast-enhanced Computed Tomography (CT) were performed, which showed a large abscess along the paraspinal muscles. The symptoms were resolved after surgical treatment and antibiotherapy. CONCLUSION: Although highly infrequent, pyomyositis is a probable complication of acupuncture. In order to minimise the risk of complications, strict hygenic precautions and knowledge of the human anatomy are mandatory to decrease the rate of complications of acupuncture.

[Treatment of early glottic carcinoma with transoral laser CO2]. / Tratamiento del cáncer glótico precoz con cirugía transoral láser CO2.

OBJECTIVE: We present our outcome in the treatment of 125 patients with malignant glottic lesions between 1992 and 2003 in a retrospective study. PATIENT AND METHODS: We analyze 125 cases of patients, with previously untreated carcinoma of the larynx with histological diagnosis, treated with Transoral Laser Microresection. We will pay special attention to those tumors involving the Anterior Commissure. We will also analyze several parameters related to the post and intraoperatory histopathological report, in order to decide adjuvant therapies. We will also analyze the technique indications, complications, hospital length of stay, oncologic and functional outcomes, survival and follow up of recurrences. OUTCOMES AND CONCLUSION: Transoral laser microresection is an effective and functional preserving procedure, and nowadays the base of the treatment of early glottic carcinoma. Anterior Commissure involvement is a prognostic factor. Sometimes complementary therapies are needed based on by the histopathological report.

[Temporal bone chondroblastoma. A clinical case and literature review]. / Condroblastoma de hueso temporal. Caso clínico y revisión de la literatura.

We report a clinical case of a 31 year old male with a left temporal painful mass of six months evolution. After radiologic diagnosis, intraoperatory biopsy and surgical removal, the anatomopathological result confirmed the histology of chondroblatoma, with a satisfactory postoperative evolution. The chondroblastoma is a benign bone tumor typically located in the epiphysis of long bones and the temporal bone is an excepcional location as we have verified through a literature review.

Tratamiento del cáncer glótico precoz con cirugía transoral láser CO2 / Treatment of early glottic carcinoma with transoral laser CO2

Objetivo: Estudio retrospectivo (1992-2003) de cánceres glóticos en estadio precoz tratados con cirugía transoral láser CO2. Material y métodos: Se estudian 125 casos de pacientes no previamente tratados, con diagnóstico histológico de carcinoma, tratados mediante Resección Transoral Láser CO2. Prestaremos especial atención a la afectación de la comisura anterior. También se analizarán aspectos referentes al informe anatómico de la pieza quirúrgica y su importancia intra y postoperatoria a la hora de realizar tratamientos complementarios. Analizamos las indicaciones de la técnica, las complicaciones, la estancia media, los resultados funcionales y oncológicos, la supervivencia y realizamos seguimiento de las recidivas. Resultados y Conclusiones: La técnica Láser es efectiva, conservadora de la función, y la base del tratamiento del carcinoma precoz de cuerda vocal. La afectación comisural influye en el pronóstico. Ocasionalmente pueden ser necesarios tratamientos complementarios en base al informe patológico postoperatorio

Objective: We present our outcome in the treatment of 125 patients with malignant glottic lesions between 1992 and 2003 in a retrospective study. Patient and methods: We analyze 125 cases of patients, with previously untreated carcinoma of the larynx with histological diagnosis, treated with Transoral Laser Microresection. We will pay special attention to those tumors involving the Anterior Commissure. We will also analyze several parameters related to the post and intraoperatory histopathological report, in order to decide adjuvant therapies. We will also analyze the technique indications, complications, hospital length of stay, oncologic and functional outcomes, survival and follow up of recurrences. Outcomes and conclusion: Transoral laser microresection is an effective and functional preserving procedure, and nowadays the base of the treatment of early glottic carcinoma. Anterior Commissure involvement is a prognostic factor. Sometimes complementary therapies are needed based on by the histopathological report

Condroblastoma de hueso temporal. Caso clínico y revisión de la literatura / Temporal bone chondroblastoma. A clinical case and literature review

Presentamos el caso clínico de un paciente de 31 años de edad que consulta por una tumoración dolorosa en región temporal izquierda de seis meses de evolución. Tras su examen radiológico, biopsia intraoperatoria y exéresis quirúrgica se confirma el diagnóstico de condroblastoma, con una evolución clínica postoperatoria satisfactoria. El condroblastoma es un tumor benigno que asienta preferentemente en las epífisis de los huesos largos de las extremidades, cuya localización en hueso temporal es excepcional como constatamos al realizar una revisión bibliográfica de esta patología

We report a clinical case of a 31 year old male with a left temporal painful mass of six months evolution. After radiologic diagnosis, intraoperatory biopsy and surgical removal, the anatomopathological result confirmed the histology of chondroblatoma, with a satisfactory postoperative evolution. The chondroblastoma is a benign bone tumor typically located in the epiphysis of long bones and the temporal bone is an excepcional location as we have verified through a literature review

[Cancer of the parotid gland]. / Tumores malignos de la glándula parótida.

OBJECTIVE: To review our experience and results in the diagnosis and treatment of a low incidence pathology such as the cancer of the parotid gland. METHODS: The study reviewed 40 patients with malignant tumors of the parotid gland treated between 1991 and 2002 in our hospital. It was used the staging system TNM (American Joint Committee on Cancer 1997). RESULTS: The most common histological type in our series is the squamous cell carcinoma, in general unilateral and in the superficial lobe. Rapid tumor enlargement, fixation to the skin, cervical lymphadenopathy, pain and facial palsy are malignancy clinical findings. We obtained a 56% 5-year global survival rate, with a 68% for stages I and II, and 43% for stages III and IV. CONCLUSIONS: This pathology has a low incidence but high mortality. The staging and histological type are important prognostic factors. The surgery is the election treatment, associated with neck disection or radiotherapy.

Tumores malignos de la glándula parótida / Cancer of the parotid gland

Objetivo: Revisar la experiencia y resultados de nuestro hospital en el diagnóstico y tratamiento de una patología con una baja incidencia como son los tumores malignos de la glándula parótida. Material y método: Realizamos un estudio retrospectivo de 40 pacientes tratados de tumores malignos de la glándula parotídea entre los años 1991 y 2002 en nuestro hospital. El sistema de estadiaje utilizado fue el TNM, según la clasificación de la American Joint Committee on Cancer (1997). Resultados: El tipo histológico más frecuente en nuestra serie es el carcinoma epidermoide, presentándose generalmente como una tumoración unilateral y en el 90% de los casos en el lóbulo superficial de la glándula. La presencia de un crecimiento rápido, dureza y fijación a los elementos adyacentes y la piel, adenopatías regionales, dolor o parálisis facial están íntimamente relacionados con el grado de malignidad. La supervivencia global de los tumores malignos de parótida en nuestro estudio fue del 56% a los 5 años, con un 68% para los tumores en estadio I y II y un 43% para los de estadio III y IV. Conclusiones: Esta patología tiene una incidencia baja, pero de alta mortalidad. La histología y el estadio tienen un importante valor pronóstico. La cirugía es el tratamiento de elección, con vaciamiento cervical o radioterapia complementaria

Objective: To review our experience and results in the diagnosis and treatment of a low incidence pathology such as the cancer of the parotid gland. Methods: The study reviewed 40 patients with malignant tumors of the parotid gland treated between 1991 and 2002 in our hospital. It was used the staging system TNM (American Joint Committee on Cancer 1997). Results: The most common histological type in our series is the squamous cell carcinoma, in general unilateral and in the superficial lobe. Rapid tumor enlargement, fixation to the skin, cervical lymphadenopathy, pain and facial palsy are malignancy clinical findings. We obtained a 56% 5-year global survival rate, with a 68% for stages I and II, and 43% for stages III and IV. Conclusions: This pathology has a low incidence but high mortality. The staging and histological type are important prognostic factors. The surgery is the election treatment, associated with neck disection or radiotherapy

[Primitive neuroectodermal tumor/extraosseus Ewing sarcoma of the temporal bone]. / Tumor neuroectodérmico primitivo periférico/sarcoma de Ewing extraóseo del hueso temporal.

The term primitive neuroectodermal tumor (PNET) should be included in the differential diagnosis of small round blue cell tumors, which come from the neural crest and explain their neuroectodermal character. This is one of the most indifferentiated histological types of malignant tumors. In the PNET family, we high light the Ewing's Sarcoma, that is frecuently located in bony sites and has a less frequent localization in soft tissues. We focus on one atypic case of PNET/Extraosseus Ewing's Sarcoma that involves the external auditory canal and infiltrates the temporal bone. Surgery followed by postoperative chemotherapy and radiation offers the best local control of the disease.

Tumor neuroectodérmico primitivo periférico/ sarcoma de Ewing extraóseo del hueso temporal / Primitive neuroectodermal tumor/Extraosseus Ewing Sarcoma of the temporal bone

El término tumor neuroectodérmico primitivo (PNET) se incluye dentro de un grupo de neoplasias formado por "células redondas azules de pequeño tamaño" que derivan de la cresta neural y de ahí su carácter neuroectodérmico. Es uno de los tipos histológicos más indiferenciados de tumores malignos. Dentro de esta familia de tumores destaca el Sarcoma de Ewing, que aparece fundamentalmente en estructuras óseas, disminuyendo su probabilidad en estructuras extraóseas. Presentamos un caso atípico de pPNET/Sarcoma de Ewing extraóseo que ocupaba el CAE e infiltraba el hueso temporal. Para el control de la enfermedad, el enfoque preferido es la cirugía más radioquimioterapia

The term primitive neuroectodermal tumor (PNET) should be included in the differential diagnosis of small round blue cell tumors, which come from the neural crest and explain their neuroectodermal character. This is one of the most indifferentiated histological types of malignant tumors. In the PNET family, we high light the Ewing´s Sarcoma, that is frecuently located in bony sites and has a less frequent localization in soft tissues. We focus on one atypic case of PNET/ Extraosseus Ewing´s Sarcoma that involves the external auditory canal and infiltrates the temporal bone. Surgery followed by postoperative chemotherapy and radiation offers the best local control of the disease