Surgical management of adrenal cysts: a single-institution experience

Objective To analyze surgical methods and evaluate treatment efficacy and safety for managing adrenal cystic lesions. Materials and methods All patients presenting with adrenal lesions of the West China Hospital were reviewed retrospectively from January 2003 to April 2013 and 47 were diagnosed as adrenal cysts. Basic information, clinical history, physical examination, laboratory investigations, abdominal ultrasound and enhanced computed tomography were detailed noted. Cysts with different surgical management were analyzed and surgery option operative time, postoperative complications and after-surgery hospital stay were all noted. The final diagnosis was judged by histopathology. Patients were followed from 3 month to 10 years. Results All the 47 patients with a mean age of 43.8 years were managed by surgical intervention. Compared laparoscopic technology with open technology, the laparoscopic has the advantage of a shorter operation time, shorter hospital stay after surgery and enhanced cosmesis. The histopathologic result was: 23 (50%) were endothelial cysts and 16 (35%) were pseudocysts. One patient had evidence to recurrence at the followed-up stage. Conclusion Adrenal cysts are rare and with the development of imaging techniques many of these are diagnosed incidentally. CT has advantages in detecting the cysts with haemorrhage, intracystic debris, calcification and mixed adrenal mass. Minimally invasive surgery offers equivalent efficacy to traditional open procedures, while providing a shorter operation time, shorter convalescence and improved cosmesis. Patients after surgical resection should be followed up closely especially if functional cysts and histopathology of cystic tumor are present. .

Lymphoepithelial cyst in jugal mucosa / Quiste linfoepitelial en la mucosa yugal

Mouth lymphoepithelial cyst is rare, with few cases reported in literature. The aim of this article is to describe a clinical case, focusing on clinical and diagnostic aspects, treatment and prognosis. The lesion was one year old and had developed as a fibrous nodule in the jugal mucosa of a 71-year-old leucoderma patient. Considering focal inflammatory fibrous hyperplasia, fibroma and mucocele as differential diagnosis, excisional biopsy was carried out. A cystic cavity limited by pseudostratified epithelium without projections into the conjunctive tissue, with lymphoid tissue within, was microscopically identified. Without postoperative adverse events, the one-year clinical followup confirmed the favorable prognosis of this kind of lesion.

Un quiste linfoepitelial bucal es raro, con pocos casos reportados en la literatura. El objetivo de este artículo es describir un caso clínico, centrándose en los aspectos clínicos y diagnósticos, tratamiento y pronóstico. La lesión tuvo un año de evolución, y se había desarrollado como un nódulo fibroso en la mucosa yugal de un paciente de 71 años de edad con leucoderma. Teniendo en cuenta la hiperplasia fibrosa inflamatoria, fibroma y mucocele como diagnósticos diferenciales, se llevó a cabo una biopsia por escisión. Una cavidad quística limitada por epitelio pseudoestratificado sin proyecciones en el tejido conjuntivo, con tejido linfoide en el interior fue identificado microscópicamente. No se observaron eventos adversos postoperatorios, y el seguimiento clínico al año confirmó el pronóstico favorable de este tipo de lesión.

Doencas benignas da mama: estudo retrospectivo de 731 casos / Benign breast diseases: retrospective study of 731 cases

Os autores apresentam um estudo retrospectivo de 731 pacientes atendidas no Hospital Erasto Gaertner entre 1973 e 1988 por doencas benignas da mama e avaliam dados epidemiologicos e tipos de exames complementares utilizados, correlacionando seus achados clinicos. Como achados principais relatam um pico de incidencia de procura aos 40 anos, nodulo e dor como queixas mais encontradas. As doencas mais comuns foram a doenca fibrocistica (46 por cento), fibroadenoma (34,1 por cento), mastite cronica (20,7 por cento), ectasia ductal (9 por cento). Pode-se observar ainda uma dificuldade para o diagnostico clinico de cisto mamario.

Toxoplasmose ocular: identificaçäo de cistos de Toxoplasma gondüi na retina de irmäos näo gêmeos com diagnóstico de toxoplasmose ocular recidivante; primeiro caso mundial / Ocular toxoplasmosis: identification of T. gondi cysts in the retina of the non-twin siblings with recurrent ocular toxoplasmosis

A toxoplasmose ocular é freqüente na América Latina mas näo havia ainda na literatura latinoamericana descriçäo de cistos de toxoplasma na retina confirmando a existência da doença. Apresentamos pela primeira vez na literatura mundial cisto de toxoplasma na retina de dois irmäos näo gêmeos com retinocoroidite necrosante focal granulomatosa recidivante com diagnóstico clínico laboratorial de toxoplasmose ocular e que apesar de tratamentos sucessivos com drogas antitoxoplásmica e corticóides terminaram com olhos amauróticos e foram retirados. Ao lado de necrose segmentar e de outros achados típicos, grande número de cistos de Toxoplasma gondi foram identificados pelo PAS, questionando-se várias teorias atuais. Estes achados evidenciam que a toxoplasmose ocular adquirida também pode permanecer latente e causar doença ocular crônica e recidivante ao contrário da teoria até entäo aceita e realçam a possibilidade de execuçäo de medidas preventivas