RESUMEN
Secundary tumors of the paranasal sinus are very uncommon with only one hundred cases reported in the literature up to 2001. The commonest site of the primary tumor is the kidney. The maxillary sinus is most often involved. The Sphenoid sinus is the rarest site. We report a rare case of metastasis to the sphenoid sinces from a transitional cell bladder tumor in a 69-year-old man who died after treatment with chemotherapy and we also review the liteature.
Asunto(s)
Carcinoma de Células Transicionales/secundario , Neoplasias de los Senos Paranasales/diagnóstico por imagen , Neoplasias de los Senos Paranasales/secundario , Seno Esfenoidal/diagnóstico por imagen , Seno Esfenoidal/patología , Neoplasias de la Vejiga Urinaria/patología , Anciano , Biopsia , Resultado Fatal , Humanos , Masculino , Estadificación de Neoplasias , Neoplasias Primarias Secundarias , Tomografía Computarizada por Rayos XRESUMEN
In this paper we have studied the quality of life of patients that underwent treatment for an early laryngeal carcinoma in comparison to others with an advanced head and neck cancer. We have studied 62 patients (T1N0M0, T2N0M0) with laryngeal carcinoma diagnosed between 1990 and 1998. We have applied the European EORTC QOL C-30 questionnaire, and more specifically its head and neck module (H&N 35). The results were compared with a heterogeneous group of 48 patients with different degrees of head and neck cancers. The quality of life of our patients who were treated for an early glottic cancer was better in many functional scales of the EORTC and in many specific symptom scales of the H&N 35, but not in global cancer symptoms.
Asunto(s)
Neoplasias de Cabeza y Cuello/psicología , Neoplasias Laríngeas/psicología , Calidad de Vida , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Comorbilidad , Femenino , Neoplasias de Cabeza y Cuello/terapia , Humanos , Neoplasias Laríngeas/radioterapia , Neoplasias Laríngeas/cirugía , Laringectomía , Escisión del Ganglio Linfático , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/psicología , Traumatismos por Radiación/etiología , Traumatismos por Radiación/psicología , Radioterapia/efectos adversos , España , Encuestas y Cuestionarios , Pliegues Vocales/patología , Pliegues Vocales/cirugíaRESUMEN
Primary small-cell (also known as oat-cell) neuroendocrine carcinoma of the larynx is an infrequent tumor. We report a case of epiglottic oat-cell carcinoma in a 57-year-old man. Its association with other malignant neoplasms and aggressive behavior in spite of treatment are discussed.