RESUMO
Wegeners granulomatosis is a multisystemic granulomatous vasculitis that predominantly affects the airways and the kidneys, but may affect any organ. Otorhinolaryngological manifestations may be oral ulcers, gingival swelling or septal perforations that can cause saddle nose deformities, rhinitis, sinusitis and hearing loss. The oral ulcers usually occur when the disease is advanced. Renal involvement is characterized by focal and segmental glomerulosclerosis, and determines the evolution. The diagnosis is made by clinical symptoms and signs, the presence of c-ANCA and a positive biopsy. The anatomic pathology is characterized by vasculitis, granulomatous inflammation with multinuclear giant cells and necrosis. The prognosis has improved as a result of treatment with immunosuppressants associated with corticosteroids. We report a case of a 53-year-old patient with Wegeners granulomatosis with oral manifestation, which began as chronic mastitis (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Granulomatose com Poliangiite/diagnóstico , Úlceras Orais/etiologia , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/diagnóstico , Imunossupressores/uso terapêutico , Corticosteroides/uso terapêuticoRESUMO
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Assuntos
Humanos , Feminino , Idoso , Osso Hioide/anormalidades , Paralisia das Pregas Vocais/etiologia , Faringe/fisiopatologia , Transtornos de Deglutição/etiologia , Diagnóstico DiferencialAssuntos
Região Branquial/anormalidades , Transtornos de Deglutição/etiologia , Osso Hioide/anormalidades , Ligamentos/anormalidades , Cervicalgia/etiologia , Ossificação Heterotópica/etiologia , Idoso , Região Branquial/diagnóstico por imagem , Região Branquial/embriologia , Feminino , Movimentos da Cabeça , Humanos , Osso Hioide/diagnóstico por imagem , Osso Hioide/embriologia , Ligamentos/diagnóstico por imagem , Ligamentos/embriologia , Ossificação Heterotópica/diagnóstico por imagem , Parestesia/etiologia , Síndrome , Tomografia Computadorizada por Raios XRESUMO
Several histopathological modalities of tumours can grow in the rhinopharynx. Solitary extramedullary plasmocytoma (SEP) is a low frequent variety of low-grade lymphoma. The aim of this work is to present a new case of SEP localized in rhinopharynx and to perform a review of diagnostic and therapeutic protocols of these neoplasias. They must be taken into account in the differential diagnosis of nasopharyngeal tumours.
Assuntos
Neoplasias Nasofaríngeas , Plasmocitoma , Idoso , Humanos , Masculino , Neoplasias Nasofaríngeas/diagnóstico , Neoplasias Nasofaríngeas/terapia , Plasmocitoma/diagnóstico , Plasmocitoma/terapiaRESUMO
La nasofaringe es el asiento de tumores de muy variada naturaleza. El plasmocitoma solitario extramedular (PSE) es una variante poco frecuente de linfoma de bajo grado, cuya localización a este nivel es muy rara. El objetivo de este trabajo es presentar un nuevo caso de PSE localizado a nivel de la amígdala tubárica y revisar los protocolos diagnósticos y terapéuticos de este tipo infrecuente de neoplasias que deben tenerse en cuenta en el diagnóstico diferencial de los tumores de nasofaringe (AU)
Several histopathological modalities of tumours can grow in the rhinopharynx. Solitary extramedullary plasmocytoma (SEP) is a low frequent variety of low-grade lymphoma. The aim of this work is to present a new case of SEP localized in rhinopharynx and to perform a review of diagnostic and therapeutic protocols of these neoplasias. They must be taken into account in the differential diagnosis of nasopharyngeal tumours (AU)
Assuntos
Humanos , Masculino , Idoso , Plasmocitoma/patologia , Neoplasias Nasofaríngeas/patologia , Diagnóstico DiferencialRESUMO
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