RESUMO
This paper reports on a case of a 34-year male patient diagnosed for splenic lymphoma of the marginal zone, a rare entity in our milieu. Features of the disease are described. Early diagnosis is a must for optimum treatment of such a pathology, whose onset can be giant splenomegalia. All possible causes are to be considered.
Assuntos
Linfoma de Zona Marginal Tipo Células B , Neoplasias Esplênicas , Adulto , Humanos , Linfoma de Zona Marginal Tipo Células B/complicações , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Linfoma de Zona Marginal Tipo Células B/diagnóstico por imagem , Linfoma de Zona Marginal Tipo Células B/patologia , Linfoma de Zona Marginal Tipo Células B/cirurgia , Masculino , Baço/patologia , Esplenectomia , Neoplasias Esplênicas/complicações , Neoplasias Esplênicas/diagnóstico , Neoplasias Esplênicas/diagnóstico por imagem , Neoplasias Esplênicas/patologia , Neoplasias Esplênicas/cirurgia , Esplenomegalia/etiologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Objetivo: El tumor de células gigantes de el hueso es una neoplasia ósea poco frecuente y una de las menos predecibles en su comportamiento, ya que prácticamente todos los tumores óseos contienen células gigantes. Se han descrito tres estadios radiológicos por Enneking e histológicamente se reportan tres grados de acuerdo a sus características microscópicas. Presentamos un caso con este tipo de tumor asociado a manifestaciones paraneoplásicas. Método: Estudiamos un caso con un tumor de células gigantes benigno del hueso con los hallazgos clínicos, radiológicos e histológicos en un paciente de 60 años de edad con dolor y aumento de volumen del codo izquierdo por una tumoración de los huesos de dicha articulación, y que además clínicamente mùltiples manifestaciones paraneoplásicas, lo que motivó a realizar diferentes investigaciones. Resultado: El estudio radiológico del tumor mostró un estadio II, e histológicamente tenía un grado III con manifestaciones clínicas dadas por dolor, tumor del codo e impotencia funtional de dicho miembro. Los exámenes de laboratorio evidenciaban poliglobulia, hipoglicemia, hipercalcemia, e hiperhuricemia, alteraciones que debieron ser tratadas, y que se resolvieron con el tratamiento quirùrgico del miembro afecto (amputación). La terapéutica empleada en el paciente se ha mantenido asintomática. Conclusiones: El tumor de células gigantes del hueso es un tumor raro, de buen pronóstico, pero que puede recidivar y dar metastásis cuando se maligniza y ante la posibilidad de transformación en sarcoma requiere estudio y observación períodica. El hecho de enfrentar un caso con este tipo de neoplasia como manifestaciones paraneoplásicas, algo extraordinario en esta entidad, y de no encontrar reportes en la literatura a motivado esta presentación(AU)
Assuntos
Humanos , Tumores de Células Gigantes , Síndromes Paraneoplásicas , Neoplasias Ósseas , Relatos de CasosRESUMO
The case of 20-years female patient with the diagnosis of sarcoidosis associated to fibrolamellar carcinoma of the liver is presented. Clinical features, diagnosis and treatment of these entities are exposed. The criteria of several researchers about the relation between sarcoidosis and neoplasic diseases are stood out. Sarcoidosis associated to fibrolamellar hepatocarcinoma is very uncommon.
Assuntos
Carcinoma Hepatocelular/patologia , Hepatopatias/complicações , Neoplasias Hepáticas/patologia , Sarcoidose/complicações , Adulto , Carcinoma Hepatocelular/complicações , Feminino , Humanos , Neoplasias Hepáticas/complicaçõesRESUMO
Con el objetivo de determinar el comportamiento de diferentesvariables y su posible influencia en la repercusión funcional de los pacientes que han sufrido un ictus isquémico, se realizó un estudio observacional analítico longitudinal prospectivo en el Hospital Clínico Quirúrgico Docente Amalia Simoni Argilagos de la Ciudad de Camagüey, durante el período comprendidoentre julio del 2001 y junio del 2002, en un total de 128 pacientes ingresados con este diagnóstico. Los datos fueron procesados utilizando el paquete estadístico EPINFO. Se halló que la edad media de los pacientes fue de 72,5 años, predominando el sexo masculino y el infarto de origen aterotrombótico. La hipertensión arterial representó al factor de riesgo más frecuente. En el análisis bivariante se encontró que los marcadores pronósticos de repercusión funcional estuvieron relacionadoscon la edad, el sexo y los factores de riesgo, la latencia de ingreso, la estadía hospitalaria, las complicaciones intrahospitalariasy la gravedad inicial del ictus(AU)
With the aim of determining the behavior of different variablesand its possible influence in the functional recovering ofthose patients that have suffered ischemic ictus, an observational, longitudinal, analytic and prospective study was carriedout al Amalia Simoni Argilagos Clinical-Surgical Hospital of Camagüey city, during the period from July 2001 to June 2002, in a total of 128 patients admitted with this diagnosis. Data were processed using the statistical package EPINFO. It was found that mean age of patients was 72.5 years, prevailing the masculine sex and infarction of atherothrombotic origin. Arterial hypertensionre presented the most frequent risk factor. In the variant analysis, it was found that prognostic markers offunctional recovering were related with age, sex, risk factors,admission latency, hospital staging, intrahospital complicationsand the initial seriousness of ictus(AU)
Assuntos
Humanos , Masculino , Idoso , Acidente Vascular Cerebral , Estudos Prospectivos , Estudos Longitudinais , Estudos Observacionais como AssuntoRESUMO
Se efectúa una revisión sobre la terapéutica de la enfermedad cerebrovascular isquémica, basado en la fisiopatología y el modo de acción de los diferentes medicamentos de que disponemos en el momento actual. Se analizan las modalidades de tratamiento más efectivo utilizados por diferentes investigadores en centros hospitalarios dedicados al estudio de esta enfermedad(AU)
Assuntos
Humanos , Transtornos Cerebrovasculares/terapiaRESUMO
Se realiza una revisión fisiopatológica de los diferentes aspectos que inciden en la enfermedad cerebrovascular isquémica, lo cual permitirá nuevas posibilidades terapéuticas en el futuro de esta enfermedad de gran morbi-mortalidad en el mundo(AU)
Assuntos
Humanos , Transtornos Cerebrovasculares/etiologia , Isquemia Encefálica , VirulênciaRESUMO
Se realizó un estudio transversal descriptivo de 97 casos intoxicados por gramoxone en el Hospital Provincial Manuel Ascunce Domenech de Camagüey entre mayo 1007 y junio de 1998. El diagnóstico se corroboró con la técnica cuantitativa del ditionito de sodio en orina. Se analizó la edad, sexo, color de la piel, procedencia, finalidad de la ingestión, complicaciones y resultados terapéuticos. El 37,11 por ciento y el 29,89 por ciento correspondieron a grupos de 15-24 y 25-34 años respectivamente; 58,76 por ciento eran mujeres y el 41,23 por ciento hombres; el 74,94 por ciento tenían color de la piel blanca. Los síntomas digestivos, respiratorios y renales fueron los más frecuentes. El 47,44 por ciento presentó insuficiencia renal aguda y el distrés respiratorio del adulto en el 14,44 por ciento, que como principales complicaciones se presentaron en las primeras 24 y 48 horas. El 71,13 por ciento de los pacientes fallecieron(AU)
Assuntos
Humanos , Masculino , Feminino , Herbicidas/intoxicação , Epidemiologia Descritiva , Estudos Transversais , Tentativa de SuicídioRESUMO
A prospective descriptive observational study was made to determine the incidence of esophageal foreign bodies in adults who had been admitted to the Manual Ascunce Domenech teaching hospital of Camaguey, Cuba in the period from 1 September 1997 to 31 August 1998. The highest frequency of patients with this diagnosis was in 31 to 50 year-old men. Dysphagia and salivary retention in the pyriform sinuses were the prevalent symptoms. The state of the oral cavity was poor in 82.50% of patients. The foreign body was removed in the first 24 hours in 83.33% of patients. The radiological diagnosis was positive in 75% of patients. The upper third was the most common location in radiological and endoscopic studies. Fish bones were the prevalent foreign body. A quarter of the patients had complications and stable esophagoscopy was used to extract the foreign body in 96.67% of cases.
Assuntos
Esôfago , Corpos Estranhos/epidemiologia , Adulto , Cuba/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Distribuição por SexoRESUMO
A case of a 40 year old female patient who began to present alterations in the tongue and who was diagnosed of Progressive Sclerosis of that organ is presented. The manifestation and diagnostic tools used in this case, as well as the treatment use, is given. The rareness of this disease, which is possible in systemic diseases, stands out.
Assuntos
Escleroderma Sistêmico/diagnóstico , Doenças da Língua/diagnóstico , Adulto , Feminino , Humanos , Escleroderma Sistêmico/patologia , Doenças da Língua/patologiaRESUMO
OBJECTIVES: A 49-year-old male with primary lymphoma of the prostate is described. The clinical, diagnostic and therapeutic aspects are discussed. METHODS/RESULTS: The diagnostic yield of ultrasound in this condition is evaluated and the possible site for US-guided biopsy is defined. A significant correlation was found between a positive biopsy and the area of the prostate identified sonographically. There were no recurrence or other manifestations after treatment. CONCLUSIONS: The clinical features are corroborated by the sonographic findings and US-guided biopsy has been demonstrated to be more precise.
Assuntos
Leucemia Linfocítica Crônica de Células B , Neoplasias da Próstata , Humanos , Leucemia Linfocítica Crônica de Células B/diagnóstico , Masculino , Pessoa de Meia-Idade , Neoplasias da Próstata/diagnósticoRESUMO
We present a case of a 57 years old male diagnosed of neck fibrosarcoma. The main characteristics in this type of tumors, the importance of performing CT scan and histopathological studies in the diagnosis and treatment are emphasized. We conclude that this disease, though rare, must be taken into consideration in order to achieve a better prognosis in these patients.
Assuntos
Fibrossarcoma , Neoplasias de Cabeça e Pescoço , Fibrossarcoma/diagnóstico , Neoplasias de Cabeça e Pescoço/diagnóstico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A recent study of cancer of the larynx made at the Manuel Ascunce Domenech Provincial Hospital in Camagüey, Cuba, from 1985 to 1992 is presented. In this period 168 patients were diagnosed as having this illness. Male patients of 51-70 years age were predominant and smoking was an important factor in 76% of all patients and alcohol consumption in 20.2% of patients. The most common site was the glotis (39.2%) and the epidermoid variety was the most frequent type (95.5%). The tumors classified as T1a No Mo were the most representative of the group (32.1%). We encountered metastasis in only 11.3% of our patients. The terapeutic regimen used was radiotherapy.
Assuntos
Neoplasias Laríngeas/epidemiologia , Neoplasias Laríngeas/patologia , Laringe/patologia , Idoso , Cuba/epidemiologia , Feminino , Humanos , Neoplasias Laríngeas/cirurgia , Laringectomia , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Fatores Sexuais , Fumar/efeitos adversosRESUMO
Herein we describe a 37-year-old patient diagnosed as having Hodgkin's disease of penis. To our knowledge, the present case is the youngest reported in the literature. The disease equally affected the body, prepuce and balanopreputial groove and was in stage I E at the time of diagnosis. Treatment was by radiotherapy, which left no trace of the disease. Four years thereafter the patient is disease-free. The cases previously reported are briefly reviewed and the results are compared.
Assuntos
Doença de Hodgkin/patologia , Neoplasias Penianas/patologia , Adulto , Humanos , MasculinoRESUMO
We studied cancer of the larynx in women seen at our hospital from 1985 to 1992. The incidence was 15.4%, a figure exceeding that usually reported in the bibliography. It was predominant between 51 and 70 years. The tumors had diverse clinical stages, stage I being predominant with the exception of glottic-supraglottic tumors. The most frequent treatment was radiotherapy, followed by total laryngectomy.
Assuntos
Carcinoma de Células Escamosas/epidemiologia , Neoplasias Laríngeas/epidemiologia , Laringe/patologia , Fatores Etários , Carcinoma de Células Escamosas/radioterapia , Carcinoma de Células Escamosas/cirurgia , Cuba/epidemiologia , Feminino , Humanos , Neoplasias Laríngeas/radioterapia , Neoplasias Laríngeas/cirurgia , Laringectomia , FumarRESUMO
The case in discussion is that of a 38-year-old patient with a history of artralgia, anemia and a general syndrome. The physical examination revealed a tumor in the right hypochondrium and the right flank and she was admitted to the hospital due to the rapid growth of the tumor. On operating we found a horseshoe kidney and a hypernephroma in the isthmus of the kidney. Emphasis is made in performing a detailed radiological study in order to determine the best possible surgical approach.
Assuntos
Carcinoma de Células Renais/complicações , Neoplasias Renais/complicações , Rim/anormalidades , Adulto , Carcinoma de Células Renais/cirurgia , Feminino , Humanos , Rim/cirurgia , Neoplasias Renais/cirurgiaRESUMO
The propose of this article is to show a case that presented several mixed tumours in the greater and minor salivary glands during 22 years. The patient was systematically studied according to the world's literature and the result obtained was the diagnosis of pleomorphic adenoma, both in the pre and post operatic phase.
Assuntos
Adenoma Pleomorfo/diagnóstico , Neoplasias das Glândulas Salivares/diagnóstico , Adenoma Pleomorfo/terapia , Adulto , Humanos , Masculino , Neoplasias das Glândulas Salivares/terapiaRESUMO
215 cases diagnosed of human leptospirosis in the Camagüey Province, Cuba, are studied, for the period between 1986 and 1990. The clinical and epidemiological features are studied, together with the anatomopathological study of the decreased. The most frequent complications and the treatment employed, including prophylactic measures, are analyzed. It is concluded that the disease is more frequent in young males, from a rural origin and with a farming job. Acute kidney failure was the main complication, and as for the therapeutic approach, penicillin was the antibiotic of election, prophylactic measures are important, specifically vaccination.
Assuntos
Leptospirose/epidemiologia , Cuba/epidemiologia , Humanos , Incidência , Leptospirose/complicações , Leptospirose/diagnóstico , Estudos Prospectivos , População Rural/estatística & dados numéricos , Fatores Socioeconômicos , População Urbana/estatística & dados numéricos , Doença de Weil/complicações , Doença de Weil/diagnóstico , Doença de Weil/epidemiologiaRESUMO
We present a case of a female patient who presented with Kikuchi's necrotic lymphadenitis a rare disease in our country and whose diagnosis fundamentally is histological, which itself is also difficult because of the wide range of differential diagnosis which has to be considered. This entity is frequent during the adolescent period in females and its clinical manifestations are few apart from that related to the lymphadenitis.
Assuntos
Linfonodos/patologia , Linfadenite/diagnóstico , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Linfadenite/patologia , Pescoço , Necrose , SíndromeRESUMO
Here is presented the case of a young man with a biliary adenoma whose only symptoms were always those of biliary colics which were related to his diet. This case illustrates the mechanisms which play an important role in the obstruction of the cystic duct, and at the same time we will show the characteristics of this tumor and the investigative methods in its diagnosis.