Los tumores desmoides son afecciones benignas raramente reconocidas de manera inicial por su baja incidencia. Se caracterizan por un comportamiento local agresivo y altas tasas de recurrencia. Su presentación puede ser extraabdominal o intraabdominal. Presentamos el caso de una paciente de 15 años con cuadro de dolor abdominal de 3 meses de evolución, en la que se documentó una gran masa intraabdominal con diagnóstico histológico de tumor desmoide y fue sometida a múltiples intervenciones quirúrgicas con las que se logró una resección R1 (microscópicamente positivo). Se descartó su asociación con embarazo, trauma abdominal, cirugías previas y síndromes genéticos.
Parathyroid carcinoma is a rare tumor with occasional hormonal activity and symptoms of severe hypercalcemia. Diagnosis is achieved through pathology study and intraoperative findings. Surgery is often the treatment of choice. This is the case of a 61-year-old woman with a preoperative diagnosis of a 4 cm left thyroid nodule-follicular neoplasm (Bethesda category IV) treated with surgery, and with final diagnosis of parathyroid carcinoma. Surgical management and adjuvant therapy with radiotherapy were administered.
La toxoplasmosis es una infección parasitaria con distribución mundial, cuyo huésped definitivo son los felinos. Se presenta con un cuadro clínico sintomático difuso solo en el 20 % de los pacientes inmunocompetentes. Además del malestar general,fiebre y adinamia, el hallazgo más importante lo constituye la presencia de adenopatías a nivel cervical. Describimos un caso poco común de un paciente masculino con masa parotídea izquierda de crecimiento rápido, en quien se practicó parotidectomía, a fin de descartar la enfermedad linfoproliferativa. Se comprobó compromiso porToxoplasma gondii luego de múltiples análisis.
Desmoid tumors are clinical entities rarely diagnosed at an initial presentation because of its low incidence, they are characterized by a locally aggressive presentation and high rates of local relapse. Its presentation can be intra-or extra-abdominal. We present a clinical case of a female, a 15-year-old patient, with 3 months of abdominal pain, a giant intra-abdominal mass was diagnosed with histologic diagnosis of desmoid tumor. Several surgical procedures were performed, having a R1 resection (focally microscopic margins). In this case, association with pregnancy, abdominal trauma, previous surgeries, and genetic syndromes were discarded.
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