RESUMO
Paciente intervenido quirúrgicamente de estenosis hipertrófica de píloro, con reaparición de clínica después de un período asintomático. El caso obliga a su estudio hasta llegar al diagnóstico de gastritis eosinofílica. Se realiza una revisión de esta entidad: síntomas, métodos diagnósticos y tratamiento. (AU)
Assuntos
Humanos , Eosinofilia/complicações , Gastrite/etiologia , Estenose Pilórica/cirurgia , RecidivaRESUMO
Presentamos un enfermo de tumor testicular y síndrome de Peutz-Jeghers (SPJ). La rareza de ambas patologías y la precocidad de aparición, 4 años, lo hacen interesante para el pediatra y cirujano pediátrico. El carácter autosómicodominante del SPJ obliga a control y seguimiento. La aparición de tumor testicular plantea diferencias de criterio sobre su manejo. (AU)
Assuntos
Pré-Escolar , Masculino , Humanos , Tumor de Células de Sertoli , Síndrome de Peutz-Jeghers , Ginecomastia , Neoplasias TesticularesRESUMO
The rarity of both conditions and the precocity of its onset (4 years old) make the case of interest for pediatricians and pediatric surgeons. The finding of a testicular tumor poses same differences of criterium about its management.
Assuntos
Ginecomastia/complicações , Síndrome de Peutz-Jeghers/complicações , Tumor de Células de Sertoli/complicações , Neoplasias Testiculares/complicações , Pré-Escolar , Humanos , Masculino , Tumor de Células de Sertoli/cirurgia , Neoplasias Testiculares/cirurgiaRESUMO
The cystic lymphangioma is a benign slow-growing tumor derived of the lymphatic vessels. It is presented with more frequency in the childhood and the great majority are diagnosed under 5 years of life. The most frequent localization is in head and neck, although they can be developed in any organ or soft tissue. The intraabdominal presentation is not very frequent (2-8%). The clinical presentation is very variable being the most frequent sign the appearance of an effect mass. The diagnosis of suspicion is radiological by means of abdominal ultrasonography and computed tomography. The treatment is surgical. The definitive diagnosis is always histologic. They can recidive. We present two abdominal cases that illustrate this pathology type.
Assuntos
Neoplasias Abdominais/cirurgia , Linfangioma Cístico/cirurgia , Neoplasias Abdominais/diagnóstico por imagem , Neoplasias Abdominais/patologia , Pré-Escolar , Feminino , Humanos , Linfangioma Cístico/diagnóstico por imagem , Linfangioma Cístico/patologia , Masculino , Mesentério , Neoplasias Peritoneais/diagnóstico por imagem , Neoplasias Peritoneais/patologia , Neoplasias Peritoneais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
By means of a retrospective study made of multiple centres, it was aimed to determine which variables could be influential at the moment of diagnosis in the prognostic of patients suffering neuroblastoma and medullary bone affection. Fifty four cases of patients belonging to a total of ten hospital centers have been revised in a period of five years. The ages under study spanned from three months to eight years of age (mean = 2.83 years). For the analysis of the patients, they were divided into two groups: one being composed of the deceased patients and the other of the surviving. The deceased patients were of a more advanced age, the delay in the diagnosis was greater, the primitive tumor was found to be more frequently located in the adrenal glands, the metastasis appeared more readily in multiples, and the effectiveness of the treatment was less, resulting in lower cases of remission and a less radical surgery. The only difference with respect to other publications is that in the case of surviving patients, the number of cases of enolase and ferritin is more frequently pathological.
