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
A Ectopic thyroid is any thyroid tissue not located in his normal anatomic situation. There have been described four general groups within the upper aerodigestive tract: lingual, sublingual, thyroglossal and intralaryngotracheal. Intralaryngotracheal thyroid tissue is rare and constitute 7 per cent of all intratracheal tumours, and it represents a problem of diagnosis and management. The controversy about the genesis of this tumours remains. There are two established theories: "the malformation theory" and "the ingrowth theory". These tumours affect more frequently adult female. Intralaryngotracheal thyroid have been mainly reported on the posterior-left wall of the trachea. The most common clinical feature is stridor due to progressive upper airway obstruction. Up to 75% of the intralaryngotracheal goiters are associated with and external goiter. This paper reports a case of ectopic subglotic thyroid in a 42 year-old-female. The embryology, diagnosis and management of this tumours are discussed.
Asunto(s)
Coristoma/patología , Enfermedades de la Laringe/patología , Enfermedades de la Tiroides/patología , Adulto , Coristoma/cirugía , Femenino , Humanos , Enfermedades de la Laringe/cirugía , Enfermedades de la Tiroides/cirugíaRESUMEN
Prostatic metastases in the nose and paranasal sinuses are rare. Less than 100 cases have been reported in the literature. Kidney are the commonest site of primary tumour, followed by lung and breast. Only 10 cases have previously been reported in the world literature. Prostatic metastases have been mainly reported in the sphenoid sinus. This paper reports one case of metastases of prostatic carcinoma in the fronto-ethmoid sinus in a 72 years old male. The clinical picture includes acute fronto-ethmoid right sinusitis, severe exophthalmos and chemosis. The CT scan showed extensive soft tissue filling the maxillary, ethmoid cells, sphenoid and frontal right sinuses, with subdural abscess. Biopsies from the fronto-ethmoid mass showed infiltration by adenocarcinoma with positive immunostaining for prostatic specific antigen. We also review the literature about metastases involving the nose and paranasal sinuses.
Asunto(s)
Adenocarcinoma/secundario , Hueso Etmoides/diagnóstico por imagen , Hueso Etmoides/patología , Seno Frontal/diagnóstico por imagen , Seno Frontal/patología , Neoplasias de los Senos Paranasales/secundario , Neoplasias de la Próstata/diagnóstico por imagen , Neoplasias de la Próstata/patología , Adenocarcinoma/diagnóstico , Anciano , Humanos , Imagen por Resonancia Magnética , Masculino , Neoplasias de los Senos Paranasales/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
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.