Assuntos
Aerossóis/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Carcinoma/tratamento farmacológico , Neoplasias Peritoneais/tratamento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma/patologia , Carcinoma/secundário , Terapia Combinada/métodos , Procedimentos Cirúrgicos de Citorredução/métodos , Feminino , Hospitais Públicos , Humanos , Hipertermia Induzida/métodos , Pessoa de Meia-Idade , Metástase Neoplásica/patologia , Neoplasias Ovarianas/complicações , Neoplasias Ovarianas/patologia , Neoplasias Peritoneais/patologia , Neoplasias Peritoneais/secundário , Qualidade de Vida , Espanha/epidemiologia , Resultado do TratamentoAssuntos
Neoplasias das Glândulas Suprarrenais/secundário , Glândulas Suprarrenais/lesões , Carcinoma Hepatocelular/secundário , Neoplasias Hepáticas/patologia , Neoplasias das Glândulas Suprarrenais/complicações , Carcinoma Hepatocelular/complicações , Humanos , Neoplasias Hepáticas/complicações , Masculino , Pessoa de Meia-Idade , RupturaRESUMO
No disponible
Assuntos
Adulto , Feminino , Humanos , Transtornos de Deglutição/etiologia , Artrodese/efeitos adversos , Discotomia/efeitos adversos , Perfuração Esofágica/etiologia , Tomografia Computadorizada por Raios X , Espectroscopia de Ressonância MagnéticaRESUMO
BACKGROUND: Abdominal actinomycosis is a rare infection with a difficult diagnosis that can simulate multiple surgical scenarios such as neoplasms or complications of inflammatory bowel disease. CLINICAL CASE: We present the case of a 69-year-old female who underwent emergency surgery due to a difficult and painful tumor, suggesting an incarcerated umbilical hernia. Whitish lesions were discovered in the abdominal wall and a stenotic colonic mass was managed similar to a neoplasm. Anatomopathological study showed abdominal actinomycosis, requiring a lengthy course with penicillin. CONCLUSION: Actinomycosis infection is a chronic disease with granulomatous lesions and areas of fibrosis. Its incidence is increasing and the location usually is cervicofacial. The great challenge of this pathology lies in the diagnosis because it simulates different diseases of diverse natures. This type of infection can be treated successfully with drugs if the etiology is identified in a timely manner. However, in the case of our patient, the manner of presentation made diagnosis more difficult prior to surgical trauma.
Assuntos
Actinomicose/complicações , Doenças do Colo/complicações , Hérnia Umbilical/complicações , Actinomicose/diagnóstico , Actinomicose/tratamento farmacológico , Actinomicose/cirurgia , Idoso , Amoxicilina/uso terapêutico , Antibacterianos/uso terapêutico , Colectomia , Doenças do Colo/diagnóstico , Doenças do Colo/tratamento farmacológico , Doenças do Colo/cirurgia , Neoplasias do Colo/diagnóstico , Terapia Combinada , Diabetes Mellitus Tipo 2/complicações , Diagnóstico Diferencial , Emergências , Feminino , Hérnia Umbilical/cirurgia , Humanos , Omento/patologiaRESUMO
INTRODUCTION: Uterine leiomyosarcoma is an aggressive malignant tumor that often leads to metastatic dissemination, generally in the lungs, liver, brain, and bones. Despite the fact that pancreatic neoplasms spread easily, the pancreas is not a usual target organ from other neoplasms. CASE REPORT: We present a rare case of metastasis to the pancreas from uterine leiomyosarcoma treated with segmental resection with no recurrence at this stage. A review of the literature is later presented showing no similar case to what has been reported. DISCUSSION: Surgical resection of unique pancreatic metastases is a safe practice. An increase in the survival rate has been demonstrated after resection of metastases from renal cell carcinoma, although it has not been proved with metastases from other locations. Further trials are needed.
Assuntos
Leiomiossarcoma/secundário , Neoplasias Pancreáticas/secundário , Neoplasias Uterinas/patologia , Adulto , Antineoplásicos/uso terapêutico , Feminino , Humanos , Histerectomia , Leiomiossarcoma/terapia , Neoplasias Hepáticas/secundário , Neoplasias Hepáticas/terapia , Neoplasias Pulmonares/secundário , Neoplasias Pulmonares/terapia , Pancreatectomia , Neoplasias Pancreáticas/terapia , Radioterapia , Neoplasias Uterinas/terapiaRESUMO
Leiomyoma of the rectum and anal canal is an unusual benign mesenchymal neoplasm that originates from smooth muscle cells. We describe the clinical presentation, MRI findings, and surgical treatment of a rare case of perianal leiomyoma confirmed by immunohistochemistry. We also report a review of the world's literature on the subject.
Assuntos
Neoplasias do Ânus/diagnóstico , Leiomioma/diagnóstico , Neoplasias do Ânus/metabolismo , Diagnóstico Diferencial , Humanos , Técnicas Imunoenzimáticas , Leiomioma/metabolismo , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Proteínas Proto-Oncogênicas c-kit/metabolismoRESUMO
INTRODUCTION: Bronchogenic cyst is pathology of the respiratory track. It consists of a defect during the embryological development of the tracheobronchial tree. Most common presentation is as a solid or cystic mass located in mediastinum, and it is usually diagnosed in relation to respiratory problems or recurrent infections in children. In adulthood, it is a rare pathology, and its diagnosis is usually incidental. CASE REPORT: We present a case of a patient with a paraesophageal cystic mass suggestive of intraabdominal esophageal duplication cyst but, after the histopathological examination, was discovered to be a bronchogenic cyst, something extremely rare as in most cases of subdiaphragmatic location; bronchogenic cysts appear as retroperitoneal lesions. DISCUSSION: After we review the current literature, surgical extirpation appears to be the treatment of choice due to potential complications, and laparoscopic approach is a feasibily and safe procedure for this pathology up to date.
