RESUMO
BACKGROUND: Congenital inclusion cysts of the anterior fontanelle are rare lesions. Both dermoid and epidermoid cysts are located in the midline of the scalp and occupy the subgaleal space. METHODS: We report 7 cases, 4 boys (57.1%), and 3 girls (42.9%), with ages ranging from 3 months to 16 years (mean 40.85 +/- 68.56 months; median 10 months). Four patients (57.1%) were white and 3 (42.9%) were Afro-Brazilian. RESULTS: The cysts had manifested soon after birth in all patients. They gradually enlarged, with no intracranial extensions. Four patients had dermoid cysts and the others had epidermoid cysts. All of them underwent surgery with complete excision of the cyst and no capsular rupture. There were no complications and no deaths. CONCLUSIONS: Congenital inclusion cysts of the anterior fontanelle are rare lesions that usually manifest at birth. The diagnosis is usually easy and surgery is mandatory, with a good prognosis. Recurrence is rare.
Assuntos
Cisto Dermoide/cirurgia , Cisto Epidérmico/cirurgia , Couro Cabeludo/cirurgia , Neoplasias Cutâneas/cirurgia , Neoplasias Cranianas/cirurgia , Adolescente , Criança , Pré-Escolar , Cisto Dermoide/diagnóstico , Cisto Epidérmico/diagnóstico , Feminino , Humanos , Lactente , Masculino , Couro Cabeludo/patologia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cranianas/diagnóstico , Tomografia Computadorizada por Raios XRESUMO
Squamous cell carcinoma of the esophagus, with isolated metastasis to the terminal ileum, is a rare finding. Only 18 of such cases have been reported in the medical literature, all of them found at necropsies. The accurate examination of the abdominal cavity, after performing a gastrostomy, showed a neoplastic lesion in the terminal ileum, which was then resected. The histopathological examination revealed the metastatic nature of the lesion. The authors emphasize the importance of a complete and accurate revision of the abdominal cavity on patients with esophagus squamous cell carcinoma.