RESUMO
Breast tuberculosis is considered a rare entity throughout the world. A case of tuberculous mastitis in a 39 year woman who presented with a breast mass with initial diagnosis of carcinoma is described. A review of literature was also done.
Assuntos
Doenças Mamárias , Tuberculose , Adulto , Antituberculosos/uso terapêutico , Mama/microbiologia , Doenças Mamárias/diagnóstico , Doenças Mamárias/tratamento farmacológico , Neoplasias da Mama/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Mycobacterium tuberculosis/isolamento & purificação , Tuberculose/diagnóstico , Tuberculose/tratamento farmacológicoRESUMO
This is a retrospective study of 96 cases of carotid body tumor studies over a 20 year period. This tumor appears most often in females, and its frequency increases after the age of forty. In this group of patients, the sea level altitude of the place of residence appeared to be the main associative factor in the origin of the tumors. The symptoms are few, and usually the presence of the tumor is the only sign. The carotid angiography was the main study used to confirm the diagnosis. In thirty two cases surgery was performed: total resection was possible in twenty two cases and partial resection in three. In five cases it was only possible to obtain a biopsy from the tumor. The remaining two were found to be nonresectable. Surgical complications were minimal, except for one immediate postoperative death. No functionality was shown in any of the cases; only two cases were malignant, and one case was shown to be of familial origin. Our conclusion is that surgery should be performed on patients with tumors of five cm or less, under fifty years of age, with low surgical risk, and with a high tumor growth rate. Other patients can be managed with periodic examinations.
Assuntos
Tumor do Corpo Carotídeo , Adulto , Idoso , Idoso de 80 Anos ou mais , Tumor do Corpo Carotídeo/diagnóstico , Tumor do Corpo Carotídeo/epidemiologia , Tumor do Corpo Carotídeo/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
ER positive (+), negative (-), percentages in 86 malignant neoplasias and 27 benign lesions of the mammary gland as well as in 24 mammary gland tissue samples obtained from neighbouring areas were 69, 52 and 0 per cent respectively. Similar values have been published in other western countries. No statistically significant differences were found when comparing ER + values obtained in malignant neoplasias with those from benign lesions, nor were there differences between values obtained in pre and post menopausal patients; in spite of this fact, when grouping patients in decades according to age, significant differences are observed in ER + values between the third and sixth decades of life as well as between the fourth and the sixth (p < 0.01 and p < 0.05 respectively). No significant variances were found in ER + percentages or in its values among the different histological types of malignant neoplasias; however the highest ER + percentage was found in the combination of scirrhous histological type and post menopause (95 per cent). Results were compared with those published by other authors.
PIP: 86 malignant neoplasias, 27 benign lesions, and 24 tissue samples from mammary glands were observed to determine the presence of positive or negative estrogen receptors. Percentages found, 69%, 52%, and 0% respectively, were comparable to values in other published studies. There were no differences in values in pre- and postmenopausal patients, or when comparing positive values in malignant neoplasia with values in benign lesions. However, significant differences were observed in positive values between patients in the 3rd. and 4th. decades of life, and also between the 4th. and the 6th decades. The highest positive estrogen receptor percentage was found in postmenopausal patients with scirrhous histological type of malignant neoplasia. The article includes a review of the published literature on the subject.
Assuntos
Neoplasias da Mama/análise , Estradiol/análise , Receptores de Estrogênio/análise , Adulto , Fatores Etários , Análise de Variância , Feminino , Humanos , Menopausa , Pessoa de Meia-IdadeRESUMO
A case of testicular feminization syndrome associated with lymphoma is reported. This association has not been previously described. We mentioned an hypothesis about this association.
Assuntos
Síndrome de Resistência a Andrógenos/complicações , Linfoma/complicações , Adulto , Síndrome de Resistência a Andrógenos/patologia , Biópsia , Humanos , Linfonodos/patologia , Linfócitos , Linfoma/patologia , Masculino , Testículo/patologiaRESUMO
A patient with pancreatic islet cell carcinoma metastatic to the liver developed Zollinger-Ellison syndrome. She presented hypoglycemic crisis afterwards, which were consequent to insulin excess. After streptozotocin treatment, she remained free of symptoms during the following 12 months.