RESUMO
Intussusception in adult is a rare entity that challenges the surgeon opening a wide range of issues in order to define the etiology and therapeutic strategy. Whether to resect or not the bowel is the main question. The answer can be given only after having seen the site of obstruction and the etiology. Colonic intussusception is best treated by resection. Also small bowel intussusception can require resection if a neoplasm is the cause. Peutz Jeghers can be one of these causes as is seen in the case we report.
Assuntos
Doenças do Íleo , Intussuscepção , Síndrome de Peutz-Jeghers/complicações , Fatores Etários , Feminino , Humanos , Doenças do Íleo/diagnóstico , Doenças do Íleo/cirurgia , Intussuscepção/diagnóstico , Intussuscepção/cirurgia , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
We report the fifth case worldwide described of thyroid papillary carcinoma arising in a branchial cyst. A metastatic lesion from occult primary thyroid carcinoma has to be ruled out. The embryology of this cervical lesion is also discussed in order to point out the diagnostic criteria and the therapeutic guidelines.
Assuntos
Branquioma , Carcinoma Papilar , Coristoma , Neoplasias de Cabeça e Pescoço , Glândula Tireoide , Neoplasias da Glândula Tireoide , Adulto , Branquioma/patologia , Branquioma/cirurgia , Carcinoma Papilar/patologia , Carcinoma Papilar/cirurgia , Coristoma/patologia , Progressão da Doença , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Neoplasias da Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia , Fatores de TempoRESUMO
We report the fourth worldwide case of pure primary squamous cell carcinoma of the breast presenting as an abscess. An inflammatory breast lesion in postmenopausal woman must be suspected as a malignant one and drainage of the abscess has to be followed by an accurate excision. The finding of a pure squamous cell carcinoma bears the necessity of an accurate diagnostic work up, to exclude a skin lesion or a metastasis from other district. Also histological criteria are discussed. More difficult to outline therapeutic options, due to the rarity of disease and great difference in outcome observed.
Assuntos
Doenças Mamárias/etiologia , Neoplasias da Mama/complicações , Carcinoma de Células Escamosas/complicações , Cisto Epidérmico/etiologia , Abscesso/etiologia , Abscesso/patologia , Idoso , Doenças Mamárias/patologia , Neoplasias da Mama/patologia , Carcinoma de Células Escamosas/patologia , Cisto Epidérmico/patologia , Feminino , HumanosRESUMO
Since Berndt and Harty first reported and classified transchondral fractures of the talar dome in 1959, many additional cases have been reported in the literature. In each case, the lesion was reported to be one of two types, a shallow fragment located anterolaterally, or a deep fragment located posteromedially. The authors present a case of an unusual finding of a transchondral talar dome fracture that is unlike the previously reported cases.