RESUMO
Los leiomiomas son los tumores mas frecuentes en la mujer y en términos coloquiales se les conoce como "Fibroides" (1). En las variantes infrecuentes de presentación están los leiomiomas vasculares uterinos que son tumores benignos compuestos por células musculares lisas miometriales y vasos sanguíneos de paredes gruesas (2). Presentamos el caso de una femenina hispana de 36 años de edad con tumoración abdominal, trastornos mestruales y dolor pélvico de tres meses de evolución. Se le realizó ecosonograma pélvico y transvaginal que reportó tumor de ovario derecho ecomixto, fue llevada a quirófano teniendo como hallazgo incidental un útero aumentado de tamaño sin alteración de los anexos, tomándose la decisión de concluir el acto operatorio hasta clarificar el diagnóstico. En un segundo tiempo quirúrgico y posterior a estudios complementarios se le realizó histerectomía. En cuanto a los hallazgos histológicos y por estudios de inmunohistoquímica se diagnósticó un leiomioma vascular uterino intramural, con áreas celulares y foco epiteliode.
Assuntos
Humanos , Adulto , Feminino , Colo do Útero/citologia , Biomarcadores Tumorais/análise , Neoplasias Uterinas/cirurgia , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/patologia , Ovário/cirurgia , Ovário/lesões , Angiomioma/patologia , Biópsia/métodosRESUMO
This paper studies the gonadal-hormonal and spermatic function of 48 adults (over 18 years old) who were treated in childhood for cryptorchidism by medical, surgical or both treatments. We measure plasmatic levels of FSH, LH, testosterone and prolactin of 34 patients and sperm samples of 31 patients. The testicular hormonal function was not disturbed except in four patients with high levels of prolactin (> 20 ng/ml) without symptoms. The spermatic function was disturbed in bilateral cryptorchidism mainly. The better sperm quality and testicular volume were at patients treated with hormonal treatment before surgical treatment.
Assuntos
Criptorquidismo/cirurgia , Hormônio Foliculoestimulante/sangue , Hormônio Luteinizante/sangue , Prolactina/sangue , Espermatozoides , Testosterona/sangue , Adulto , Criança , Humanos , MasculinoRESUMO
Hypophyseal apoplexy is not always easy to confirm morphologically or analytically. We present a patient with Cushing's syndrome due to hypophyseal apoplexy and optochiasmic pachyarachnoiditis which produced serious visual alterations. The adenoma necrotized behind an area of hypophyseal apoplexy which cured the patient's Cushing's disease. The second case was admitted with hypophyseal apoplexy, presenting hypophyseal tumoration with signs of hemorrhage and subsequent panhypopituitarism.
Assuntos
Adenoma/patologia , Apoplexia Hipofisária/patologia , Neoplasias Hipofisárias/patologia , Adenoma/complicações , Adulto , Aracnoidite/complicações , Aracnoidite/patologia , Síndrome de Cushing/etiologia , Síndrome de Cushing/patologia , Feminino , Humanos , Hipopituitarismo/etiologia , Hipopituitarismo/patologia , Masculino , Pessoa de Meia-Idade , Quiasma Óptico , Apoplexia Hipofisária/complicações , Apoplexia Hipofisária/etiologia , Neoplasias Hipofisárias/complicaçõesRESUMO
Suprarenal carcinoma is an unusual entity, rarely surpassing 4,000 gr. In general, tumors of such big size are not functional. We present a case of a 31-years-old woman with a suprarenal carcinoma weighting 5,200 gr, in which hormonal production was clinically and biochemically demonstrated.
Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Neoplasias das Glândulas Suprarrenais/metabolismo , Neoplasias das Glândulas Suprarrenais/patologia , Adulto , Feminino , Humanos , RimRESUMO
Two new cases with parathyroid insufficiency syndrome are described. The first one is a seven year and 6 months old male with Pseudohypoparathyroidism Type Ia, who has presented: hypocalcemia, hyperphoforemia, increased PTH and TSH, prolactin decreased and Albright hereditary osteodystrophy phenotype. The second one in a six year and four months old female with Pseudo-idiopathic hypoparathyroidism who has presented: hypocalcemia, hyperphosforemia, increased PTH, without any hormonal disturbances nor dysmorphias. Ellsworth-Howard test with 50 micrograms of 1-34 hPTH is made in both, remarking the different renal response about phosphaturia and plasmatic, urinary and nephrogenic cyclic AMP. The treatment is performed in both with calcitriol and oral calcium (L-Thyroxine is associated for the first patient). Biochemical disturbances are normalized. Other parathyroid insufficiency syndrome are revised.