RESUMO
Glomus tumor is a painful tumor derived from the glomus terminal which regulates blood circulation and body temperature Despite its rarity, particular attention needs to be paid to symptoms associated with this tumor: paroxysmal pain, sensitivity to local pressure and cold, and its location - typically in the distal phalanx. Manifestation of extradigital occurrence is possible. Single lesions are most common in adult females, while multiple lesions are prevalent in children and adolescents, generally those with a positive family history. The diagnosis is clinical with the aid of ultrasonography and magnetic resonance imaging, confirmed by histopathological examination.
Assuntos
Pé/patologia , Tumor Glômico/patologia , Neoplasias Musculares/patologia , Adulto , Diagnóstico Diferencial , Humanos , MasculinoRESUMO
JUSTIFICATIVA E OBJETIVOS: A doença de Madelung, também conhecida como lipomatose simétrica benigna (LSB), é um tipo raro de lipodistrofia que se caracteriza por deposição simétrica de tecido adiposo no pescoço, porção superior do tronco e membros, determinando um desfiguramento progressivo do paciente. De etiologia desconhecida, a doença acomete principalmente homens, etilistas e, embora usualmente assintomática, pode causar complicações graves, tais como compressão traqueal, laríngea ou mediastinal. O objetivo deste estudo foi relatar um caso de doença de Madelung, bem como sua possível patogênese e tratamento. RELATO DO CASO: Paciente do sexo masculino, 45 anos, etilista, cardiopata, com lipomas distribuídos simetricamente na região cervical e superior do tórax. Exames gerais sem alterações e tomografia cervical com diminuição discreta da luz traqueal. CONCLUSÃO: A LSB, relatada como doença benigna, pode originar massas volumosas e sintomas compressivos de vias aéreas, conferindo prognóstico reservado. Ressalta-se a importância da suspeição diagnóstica, que é feita à ectoscopia.
BACKGROUND AND OBJECTIVES: Madelung's disease, also known as benign symmetric lipomatosis (BSL), is a rare type of lipodystrophy characterized by symmetric deposits of adipous tissue in neck, upper trunk and limbs, determinating a progressive disfigurement of the patient. Of unknown etiology, this disease occurs usually in men, alcoholist and, despite asymptomatic, it may lead to severe complication - as tracheal, laryngeal and mediastinal compression. The objective of this study was report a Madelung's disease case, as well as the possible pathogenesis and treatment. CASE REPORT: An alcoholist and cardiopatic 45 year-old male patient, with symmetric lipomas in the cervical region and upper part of trunk, and a light tracheal compression, shown in cervical tomography. CONCLUSION: The BSL, although considered a benign disease, it can generate bulky masses and airways compression symptoms, and so a bad prognosis. Because of it, the clinical suspection becomes important. It is suggested by ectoscopy.