RESUMEN
Since 1992, when our department acquired a flexible fiberscope with a working channel, we have used it in surgery on the upper respiratory and digestive tract. We call our technique laryngeal fiberscopic surgery. We report the results of four years of experience in this field. A total of 368 surgical interventions were performed, almost half to remove benign lesions of the vocal cords (polyps, nodules, etc). This technique is a major advance in our field of study. Its main advantages are avoidance of general anesthesia and hospitalization, reduction of surgical risk, and savings of time and money. We consider it to be a useful alternative to traditional direct laryngoscopy (Kleinsasser technique) for many applications.
Asunto(s)
Tecnología de Fibra Óptica/métodos , Laringoscopía/métodos , Laringe/cirugía , Diseño de Equipo , Tecnología de Fibra Óptica/instrumentación , HumanosRESUMEN
A case is presented of cervical sarcomatoid carcinoma that was initially confused with malignant fibrohistiocytoma. The similarity in their histological features and compatible immunohistochemical tests make it necessary to include sarcomatoid carcinoma in the differential diagnosis malignant fibrohistiocytoma. Many atypical presentations of malignant fibrohistiocytoma may be true sarcomatoid carcinomas. Our case is special because the patient had a recent spinocellular carcinoma of the lip, in which the undifferentiated portion had originated lymph node metastasis.
Asunto(s)
Carcinoma/patología , Neoplasias de Cabeza y Cuello/patología , Histiocitoma Fibroso Benigno/patología , Sarcoma/patología , Anciano , Carcinoma/secundario , Carcinoma/cirugía , Carcinoma de Células Escamosas/patología , Diagnóstico Diferencial , Femenino , Neoplasias de Cabeza y Cuello/secundario , Histiocitoma Fibroso Benigno/secundario , Humanos , Neoplasias de los Labios/patología , Sarcoma/secundario , Sarcoma/cirugíaRESUMEN
The AA. present a case of disseminated primitive melanoma of the rhinopharynx. The main difficulty was to establish the differential diagnosis, owing to the rarity of this tumor's type in such a sitting. The patient showed intracranial metastases which took him to death in a short term.
Asunto(s)
Melanoma/patología , Neoplasias Nasofaríngeas/patología , Nasofaringe/patología , Adulto , Quimioterapia , Resultado Fatal , Humanos , Masculino , Melaninas/análisis , Melanocitos/química , Melanocitos/ultraestructura , Melanoma/tratamiento farmacológico , Melanoma/cirugía , Neoplasias Nasofaríngeas/tratamiento farmacológico , Neoplasias Nasofaríngeas/cirugía , Nasofaringe/cirugía , Tomografía Computarizada por Rayos XRESUMEN
We present 4 cases of adenoid cystic carcinoma from different locations (parotid, submaxillary, larynx and auditory duct) and we underline the supraglottic origin of one of them. We point out the good clinical behaviour of this carcinoma, with a long tested survival, more than 5 years, in 2 of our cases. All of them showed morphological features independently of the sitting.
Asunto(s)
Carcinoma Adenoide Quístico/diagnóstico , Adulto , Anciano , Carcinoma Adenoide Quístico/patología , Carcinoma Adenoide Quístico/cirugía , Femenino , Humanos , Neoplasias Laríngeas/patología , Neoplasias Laríngeas/cirugía , Laringe/patología , Laringe/cirugía , Masculino , Maxilar/patología , Maxilar/cirugía , Neoplasias Maxilares/patología , Neoplasias Maxilares/cirugía , Glándula Parótida/patología , Glándula Parótida/cirugía , Neoplasias de la Parótida/patología , Neoplasias de la Parótida/cirugíaRESUMEN
Report of one case of Bell's peripheral bilateral facial paralyse in a woman, 62-year-old. This bening acute cranial polyneuritis is a frequent complaint, but its bilaterally makes the interest of the case. The clinical course of the illness parallels that of the unilateral cases, both having a good pronostic.
Asunto(s)
Parálisis Facial/cirugía , Electromiografía , Músculos Faciales/fisiopatología , Nervio Facial/fisiopatología , Parálisis Facial/complicaciones , Parálisis Facial/fisiopatología , Femenino , Lateralidad Funcional , Humanos , Persona de Mediana Edad , Polineuropatías/complicacionesRESUMEN
We present a case of parotid tuberculosis diagnosed through F.N.A.C. (fine needle aspiration cytology). Due to this rare extrapulmonary location of the tuberculosis, the AA. make a review of the last 12 years concerning literature together with a monographic study of the process.
Asunto(s)
Enfermedades de las Parótidas/fisiopatología , Glándula Parótida/fisiopatología , Tuberculosis/diagnóstico , Enfermedades Desmielinizantes , Electromiografía , Nervio Facial/fisiopatología , Parálisis Facial/fisiopatología , Femenino , Lateralidad Funcional , Hemiplejía/fisiopatología , Humanos , Nervio Hipogloso/fisiopatología , Isoniazida/administración & dosificación , Isoniazida/uso terapéutico , Persona de Mediana Edad , Enfermedades de las Parótidas/diagnóstico , Enfermedades de las Parótidas/tratamiento farmacológico , Glándula Parótida/diagnóstico por imagen , Piridoxina/administración & dosificación , Piridoxina/uso terapéutico , Rifampin/administración & dosificación , Rifampin/uso terapéutico , Sialografía , Tuberculosis/tratamiento farmacológico , Tuberculosis/fisiopatologíaRESUMEN
Report of one case of Laryngocele in a 49 years old male, without previous anamnestic data, but urticaria and orchitis recurrens till the removal of the pyolaryngocele. The diagnosis was awkward because of its rare behaviour with torpid evolution and distant manifestations. The AA. think it was consistent with a septic focus.
Asunto(s)
Enfermedades de la Laringe/diagnóstico , Quistes/patología , Quistes/cirugía , Diagnóstico Diferencial , Humanos , Enfermedades de la Laringe/patología , Enfermedades de la Laringe/cirugía , Laringoscopía , Laringe/diagnóstico por imagen , Laringe/patología , Laringe/cirugía , Masculino , Persona de Mediana Edad , Orquitis/diagnóstico , Orquitis/etiología , Tomografía Computarizada por Rayos X , Urticaria/diagnóstico , Urticaria/etiologíaRESUMEN
We have studied a 67 years old woman suffering from a 40 years evolution Pleomorphic adenoma. The specimen weighed 250 g, and showed several areas displaying carcinoma. This report confirms the relationship between long-term evolution and malignant transformation.