RESUMO
The records of 157 patients admitted to U.H.W.I between January, 1973, and December, 1976, with chronic cervical adenopathy were examined. Sixty-eight per cent were found to have some form of malignant disease. Metaststic carcinoma was most common, the primary site of origin occurring most frequently in the head and neck region (AU)
Assuntos
Humanos , Adulto , Feminino , Masculino , Doenças Linfáticas , Neoplasias de Cabeça e Pescoço/complicações , Doenças Linfáticas/complicações , Metástase Linfática , Jamaica , Estudos RetrospectivosRESUMO
A case is reported of a 9-year-old Jamaican negro boy with Burkitt's lymphoma who presented with advanced disease (Stage IV). He died within 4 months of the onset of his illness. The patient had the classical clinical and pathological features as seen in Africa and the latter was confirmed by detailed histological, cytological, histochemical and ultrastructural studies. This is the first report of an authentic human case of Burkitt's lymphoma in Jamaica (AU)
Assuntos
Adolescente , Criança , Humanos , Masculino , Linfoma de Burkitt/ultraestrutura , Neoplasias Maxilomandibulares/ultraestrutura , Linfoma de Burkitt/epidemiologia , Neoplasias Maxilomandibulares/epidemiologia , Microscopia Eletrônica , JamaicaRESUMO
Four cases of sinus histiocytosis fulfilling the clinico-pathological requirements laid down by Rosai and Dorfman are reported. This benign disease is characterized by massive lymphadenopathy especially in the cervical region and pathologically by enlargement of lymph node sinuses by phagocytic histiocytes. The disease is self-limiting, regressing over a variable period of time from months to years. These four cases and the six reported by Rosai and Dorfman are, to our knowledge, the total number of cases reported in the West Indies to date (AU)
Assuntos
Adolescente , Adulto , Pré-Escolar , Feminino , Humanos , Masculino , Histiócitos/patologia , Linfadenite/patologia , Doenças Linfáticas/patologia , Diagnóstico Diferencial , Linfadenite/diagnóstico , Doenças Linfáticas/diagnóstico , JamaicaRESUMO
Since the opening of the University Hospital in 1952, not more than a total of ten patients were seen in whom a diagnosis of chemodectoma was made. There were six patients with a glomus jugulare tumour, three with a carotid body tumour while one patient had 3 tumours (glomus jugulare, carotid body and glomus intra vagale). The literature is reviewed with regards to site, histology, frequency, clinical presentation, behaviour and radiological diagnosis of these tumours. The case histories of our patients demonstrate: i) there is a definite pattern of presentation allowing a clinical diagnosis to be made with some degree of confidence. ii) biopsy is hazardous due to the vascularity of the growths and angiography appears much to be preferred. iii) Glomus jugulare tumours may erode bone, while functioning tumours may produce phaeochromocytoma-like pictures; such would require adequate surgical excision. iv) otherwise, the chemodectomas behave in a non-malignant way whatever their histological picture. This often justifies non-surgical treatment (AU)